Huberman Lab - Master Your Sleep & Be More Alert When Awake
Episode Date: January 11, 2021Today's episode provides a host of information on what makes us sleepy, sleep soundly, and feel awake and alert. It covers a broad range of tools for anyone wishing to improve their sleep and wakeful ...state. The science and logic for each tool are described. For the full show notes, visit hubermanlab.com. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman LMNT: https://drinklmnt.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Timestamps (00:00:00) Introduction (00:01:23) Sponsors: AG1, LMNT, Thesis (00:06:54) What Is Sleep Really For? (00:09:33) Sleep Hunger (00:11:09) Caffeine: Devil & Angel (00:15:34) Timing Your Sleep Properly (00:17:30) Release Your Hormones (At The Right Times) (00:18:45) (Pineal) Melatonin Waring (00:24:30) Strange Vision Is Good Vision (00:32:50) Blue Light Is Great! (00:37:00) The Real Problem With Smartphones (00:38:30) Blind / Low Vision People (00:39:45) Using Exercise & Food To Set Your Clock (00:42:00) The Power of Sunset (00:45:43) The Healthy Holes In Your Skull (00:48:15) Bad Light (00:51:11) Light Location (00:53:00) Fire / Candlelight (00:54:00) When To Eat (00:54:40) How To Wake Up Earlier (01:08:00) Using The Body To Control The Mind (01:10:00) Drugs & Supplements (01:18:00) Sleep Walking (01:20:00) Office Hours Title Card Photo Credit: Mike Blabac Disclaimer
Transcript
Discussion (0)
Welcome to the Huberman Lab podcast where we discuss science and science-based tools for everyday life.
I'm Andrew Huberman and I'm a professor of neurobiology and
ophthalmology at Stanford School of Medicine.
Today's podcast episode is all about sleep.
We're also going to talk about the mirror image of sleep, which is wakefulness.
Now these two phases of our
life sleep and wakefulness govern everything about our mental and physical
health and we're not just going to talk about what's useful about sleep. We're
also going to talk about how to get better at sleeping and that will include how
to get better at falling asleep, timing your sleep, and accessing better sleep
quality.
In doing so, we're also going to discuss how to get more focused and alert in wakefulness.
So because sleep and wakefulness are related, we really can't have a conversation about
one without the other.
Now, in keeping with this theme, you may catch a few snores in the background.
Unlike me, my bulldog Costello can fall asleep anywhere anytime and he happens
to be sleeping over there in the corner. So if you hear snoring, that's what that's
about.
As always, I want to just mention that this podcast is part of my effort to bring zero
cost to consumer, public education, about science and science-related tools. It is unrelated
to my teaching and research roles at Stanford School of Medicine.
Our first sponsor is Athletic Greens.
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The reason I started taking Athletic Greens and the reason I still take Athletic Greens
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It makes up for any deficiencies that I might have.
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I've done a couple of episodes now on the so-called gut microbiome and the ways in which
the microbiome interacts with your immune system, with your brain to regulate mood, and
essentially with every biological system relevant to health throughout your brain and body.
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There are a ton of data now showing that vitamin D3 is essential for various aspects of our
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Today's episode is also brought to us by Element.
Element is an electrolyte drink that has everything you need and nothing you don't.
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Our mood is off, hormone systems go off, our ability to get into physical action,
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They're all delicious.
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Let's talk about sleep.
Sleep is this incredible period of our lives where we are not conscious.
We might dream, we might twitch, we might even wake up. But in sleep,
we are only in relation to things that are happening within our brain and body.
Outside sensory experience, in most cases, can't really impact us. And yet, sleep is this
tremendously important period of life because it resets our ability to be focused,
alert, and emotionally stable in the wakeful period.
So we can't really talk about wakefulness,
focus, motivation, mood, well-being,
without thinking about sleep.
And that's why we're devoting this entire month
to the discussion about sleep.
But we also can't talk about sleep
and think about sleep without thinking about wakefulness
because it turns out that the period that we call sleep and the period we call
wakefulness are tethered to one another.
What we do in the waking state determines when we fall asleep, how quickly we fall asleep,
whether or not we stay asleep, and how we feel when we wake up the next day.
And today we're going to talk mostly about how to get better at
sleeping. And the reason for starting the conversation that way, as opposed to just diving
into a lot of biology about sleep, is because first of all, there's a lot of information
out there already about the biology of sleep. We're going to touch on a little bit of this,
things like stages of sleep and sleep spindles, melatonin, and
dreaming.
But I think that by now, most people are aware that getting a really good night's sleep
on a consistent basis is critically important, but most people don't know how to do that.
In fact, I'm guessing that very few of you out there are consistently getting seven to
nine hours of really terrific sleep
waking up feeling rested like you're ready to attack the day and being able to go through
the day feeling focused and alert without dips in energy or focus.
So if you're like most people, which includes me, you have some challenges with sleep, at
least every third or fifth night or so and maybe even more often.
So we're really going to go tool heavy today and talk about tools that can help you fall asleep, sleep better,
and emerge from sleep feeling more rested. And we're going to do that by grounding our
discussion of tools in peer reviewed studies, mostly from the last 10 years, although some
even more recent than that. And we're going to start by discussing what is sleep
and what governs the timing of the onset of sleep.
In other words, what makes you get sleepy
at a particular time of day?
So what determines how well we sleep
and the quality of our wakeful state?
Turns out that's governed by two forces.
The first force is a chemical force.
It's called adenosine.
Adenosine is a molecule in our nervous system in body that builds up the longer we are awake.
So if you've just slept for eight or nine or ten really deep restful hours, adenosine
is going to be very low in your brain and body.
If however you've been awake for 10, 15 or more hours,
adenosine levels are going to be much higher. Adenosine creates a sort of sleep
drive or a sleep hunger. And actually hunger is the appropriate word here because
for most of what we're going to discuss today, we can think of it in an analogous
way to nutrition. Your nutrition and how well you feel after you eat certain
foods, your overall level of fitness and your cellular health and your heart health isn't
governed by any one food item that you might eat or not eat. It's governed by a number
of different factors. How often you eat, how much you eat, which items you eat, etc.
And what works best for you. In the same way, your sleep and your wakefulness
are the product of kind of the average of a number of different behaviors. How long you've
been awake is a key one because of this molecule, a denocene. So the reason you get sleepy when
you've been up for a while is because a denocene is creeping up steadily the longer you've
been awake. And a good way to remember this and think about a denocene is to think about caffeine.
Caffeine, for most people, except a very small percentage of people, wakes them up.
It makes them feel more alert.
In fact, some people are so sensitive to caffeine that they feel jittery if they drink it
even in small amounts.
Other people can drink large amounts of caffeine and not feel jittery at all.
Caffeine acts as an adenosine antagonist.
What that means is that when you ingest caffeine,
whether or not it's coffee or soda or tea
or in any other form, it binds to the adenosine receptor.
It sort of parks there just like a car would park
in a given parking slot. And therefore adenosine receptor, it sort of parks there just like a car would park in a given parking slot.
And therefore adenosine can't park in that slot.
Now when caffeine parks in the adenosine receptor slot, nothing really happens downstream
of that receptor.
The receptor can't engage the normal cellular functions of making that cell and you feel
sleepy.
So the reason caffeine wakes you up is because it blocks the
sleepiness receptor. It blocks the sleepy signal. And this is why when that caffeine wears
off, a denocene will bind to that receptor, sometimes with even greater what we call affinity
and you feel the crash, you feel especially tired. Now I'm not here to demonize caffeine.
I love caffeine. I drink it in the morning and I drink it in the afternoon. Now I'm not here to demonize caffeine. I love caffeine.
I drink it in the morning and I drink it in the afternoon.
But I'm one of these people that either because of my tolerance
or because of some genetic variations
that exist among people in terms of their
adenosine receptors.
I can drink caffeine as late as four or five p.m. in the evening
and still fall asleep just fine.
Some people can't have any caffeine at all or can't have any caffeine past 11 a.m. or
else their sleep is totally disrupted.
All of this has to do with the relationship between adenosine and these adenosine receptors
is genetic variation, things that are very hard to find out except experimentally, meaning
each of you needs to decide and figure out for yourselves
whether or not you can tolerate caffeine and at what times of day you can tolerate caffeine
in order to still fall asleep easily and get good sleep.
So rather than demonize caffeine or say that, you know, everyone can drink caffeine until
late, you need to figure out what's right for you.
Caffeine has a lot of health benefits.
It also, for some people, can be problematic for health.
It can raise blood pressure, et cetera.
Caffeine increases this molecule.
That's a neuromodulator that we call dopamine.
We discuss this in episode one,
which tends to make us feel good, motivated,
and give us energy.
Because, as you may have learned in episode one,
dopamine is related to another neuromodulator called epinephrine, which gives us energy because as you may have learned in episode one dopamine is
related to another nomad, a later called epinephrine, which gives us energy.
In fact, epinephrine is made from dopamine. So let's just take a step back and
think about what we're talking about. We're talking about sleep, sleepiness.
Sleepiness is driven by increases in adenosine that happen naturally.
Caffeine prevents the adenosine from having its action of making
a sleepy by blocking that receptor.
So it gives us energy and it increases our dopamine levels, but some people can't tolerate
caffeine very well.
Other people can tolerate it just fine.
So you need to determine that experimentally.
All the data say there's tremendous variation, and right now the only way that I'm aware
of for you to decide whether or not caffeine is a good or a bad thing for you, and whether
or not you should ingest it at a given time of day, or at all, is really to figure that
out on your own.
In fact, there's a small subset of people that can drink caffeine until very late, and
they have no trouble falling asleep because they actually have a mutant form of the adenosine receptor.
So in keeping with the theme of science and science related tools, this is one of those cases where I can't give you a one-size-fits-all prescription,
except to say you need to experiment with caffeine in a way that's safe for you and explore that and figure out what works for you and then stick with that.
Okay, so adenosine is driving the sleep hunger.
When a denocene is low, it's like we're well fed,
we're not very hungry.
And when a denocene is high, it's like we're fasted
for a long time and we tend to be very hungry.
So when a denocene is high, we really want to fall asleep.
If you want, I'm not suggesting you do this experiment,
but you can do it, you can stay up for four more hours
than you're used to staying up and you'll find that you're very, very sleepy. That's because the
dentists is building up at levels higher and higher because you've been awake for those
extra four hours. However, if you've ever pulled an all-nighter, you'll notice something
interesting. As morning rolls around, you'll suddenly feel an increase in your energy and
alertness again. Even though a dentists has been building up for the entire night, why is that?
The reason that is is because there's a second force which is governing when you sleep
and when you're awake.
And that force is a so-called circadian force.
Circadian means about a day or about 24 hours. And inside all of us is a clock that
exists in your brain and my brain and the brain of every animal that we're aware of, that
determines when we want to be sleepy and when we want to be awake. Just think about it.
We don't go through the day wanting to fall asleep every 30 minutes and then feeling like
we're wide awake.
Our sleep and our period of sleepiness tends to be condensed into one block.
Typically one six to ten hour block, although there's also variation in terms of how much
people want to sleep and we're going to discuss how you can diagnose your absolute sleep
need as well as how to recover sleep that you've lost.
That block of sleep, and when it falls within each 24 hour cycle, is governed by a number
of different things.
But the most powerful thing that's governing when you want to be asleep and when you want
to be awake is light.
And in particular, it's governed by sunlight.
Now, I can't emphasize enough how important
and how actionable this relationship is between light
and when you want to sleep.
It's quite simple on the face of it,
and it's quite simple to resolve,
but people tend to make a big mess
of this whole circadian literature, frankly.
So, let's just break it down from the standpoint
of what's going on in your brain and body
as you go through one 24-hour day.
Let's start with waking.
So regardless of how well you slept at night or whether or not you were up all night,
most people tend to wake up sometime around when the sun rises.
Maybe not right at sunrise, but within an hour or two or maybe three of sunrise.
Now, I realize there are night shift workers and there are people traveling and experiencing
jet lag where this is not going to be the case.
We are going to deal with jet lag and shift work at the end of this podcast.
But for most people, we tend to wake up about the time that the sun is rising or so.
And as we do that, a denocene level levels tend to be low if we've been asleep for reasons that you now understand.
And our system generates an internal signal that is in the form of a hormone.
Now I've talked a lot about neuromodulators and neurotransmitters. I haven't talked a lot about hormones yet on this podcast. The definition of a hormone is it's a substance, a chemical that's released from one organ
in your body that goes and acts on other organs elsewhere in your body, including your nervous
system.
When you wake up in the morning, you wake up because a particular hormone called cortisol
is released from your adrenal glands.
Your adrenal glands sit right above your kidneys
and there's a little pulse of cortisol.
There's also a pulse of some,
and when I say a pulse, I just mean at the release
of a little bit, there's also a pulse of epinephrine,
which is adrenaline from your adrenals
and also in your brain and you feel awake.
Now, that pulse of cortisol and adrenaline
and epinephrine might come from your alarm clock,
it might come from you naturally waking up.
But it tends to alert your whole system in your body
that it's time to increase your heart rate,
it's time to start tensing your muscles,
it's time to start moving about.
It's very important that that cortisol pulse
come early in the day,
or at least early in your period of wakefulness.
I say that because some people are waking up at 8 p.m. and are sleeping all day, but it's
very important that that pulse of cortisol occur early in the day and that it happens
all at once.
It sort of sets a rising tide of cortisol in your system.
Now many of you have probably heard about cortisol in relation to stress. And indeed,
as we go through our day and our life, different stressors, different events happen in our life,
that make us feel more alert. Some of the more stressful ones might be looking at your credit
card bill and seeing a, what seems to be a fraudulent charge or looking at your phone and suddenly
seeing a text that something you thought was gonna happen or a particular time is not gonna happen
or you're running late,
those will tend to increase
noripanephrine and epinephrine and adrenaline
in your system.
And if they're severe enough,
you'll start getting some pulses of cortisol
released from your adrenals throughout the day.
But there's this normal, healthy, rising tide
of cortisol that happens early in the day.
And I say healthy because it wakes you up.
It makes you feel alert.
It makes you feel able to move and wanting to move
and to go out your day for work,
for exercise, for school, for social relations, et cetera.
So when you wake up in the morning
is when that cortisol pulse takes off
and something else important happens.
A timer is set in your body and in your
nervous system that dictates when a different hormone called melatonin, which
makes you sleepy, will be secreted from a particular brain region. So let's talk
about that. When you wake up in the morning and you experience that rise in
cortisol, there's a timer that starts going, and these are cellular timers,
and they're dictated by the relation between different organs in your body that says,
to your brain and body, that in about 12 to 14 hours, a different hormone, this hormone
we're calling melatonin, will be released from your pineal gland.
So there's two mechanisms here, a wakefulness signal and a sleepiness signal. And the wakefulness
signal triggers the onset of the timer for the sleepiness signal. Now that sleepiness signal that
we call melatonin that's released from the pineal comes only from the pineal. Unless you're taking
exogenous melatonin, you're supplementing with melatonin. The only source of melatonin in your body is going to be this
pineal gland. So let's talk about the pineal gland for a second. The pineal gland is a gland that sits kind of in the
little structure near for the aficionados out there. It's kind of near the fourth ventricle. It's about the size of a p
decart the philosopher said that the pineal was the seat of the soul.
He said that because it's one of the few structures
in the human brain that there's only one of them,
you know, most structures,
there's one on either side of the brain,
so called bi-hemispheric,
but the pineal, there's only one.
I don't know anything about souls, really.
Certainly not the science of souls,
but I think it's very unlikely
that the pineal is the seat of the soul,
but it is a very interesting organ because it's the only organ in our body that releases melatonin.
And that melatonin makes us sleepy and lets us fall asleep. Now, I'm guessing that many of you are probably asking,
should I take melatonin? My personal bias on this is, except in rare cases, no, for the following reason.
Melatonin has a second function, which is that melatonin also suppresses the onset of
puberty.
In kids, and especially in babies, melatonin isn't just released in the evening 12 to 16
hours after we wake.
Melatonin is released chronically or tonically throughout the day and night.
And that chronic or tonic release of melatonin is known to suppress some of the other hormones and other regions of the brain that trigger the onset of puberty.
Now, if you or your child has been taking melatonin, don't freak out.
As always, any kind of supplement or anything
that you're going to take or think about taking you really need to consult with your doctor.
I've said this many times on this podcast and it's in the show notes etc. but before you remove
anything or add anything to what you're already doing please do consult with a healthcare professional. However, melatonin is known to suppress the onset of puberty.
So much so that regular cyclic,
cycled periods of melatonin released from the pineal
really correlate with the onset of puberty and early adulthood.
Meaning, as we start secreting melatonin only at night,
that's also when we trend to transition out of puberty.
Now, there are a lot of things that correlate in our nervous system, so it doesn't necessarily
mean it controls it, but in this case, we know, based on lots of data and
chronology and so forth, that melatonin suppresses the onset of puberty.
So, supplementing melatonin could be problematic for that reason,
but if you've already gone through puberty, it could also have some impact
on other hormone systems in your body.
So that's why I personally don't like to use melatonin
to fall asleep.
There's another reason which is that melatonin
will help you fall asleep, but it won't help you stay asleep.
And many people who take melatonin
find that they wake up three to five hours later,
unable to fall back asleep.
Part of the reason for that might be that melatonin purchased, you can buy it over the
counter in most areas of the world, even though it's a hormone which is a little unusual.
You can't just go into a pharmacy at least in the US and buy testosterone or cortisol or
estrogen.
You need a prescription, but you can go buy melatonin for whatever reason.
I don't know the reasons for that legality. But it's been
shown many times and now I'm borrowing from some items that were in Matt Walker's book
Why We Sleep, where he stated that there is evidence that in commercially available melatonin,
the amount of melatonin has been tested for various brands and it can range anywhere from being 15% of what's listed on the
bottle. Okay, so if they list up, this is 100 milligrams would be a tremendously high dose.
It turns out it's only 15 milligrams in that particular pillar capsule or up to 400 times more
than what's listed on the bottle. So it's completely unregulated. And so for those of you taking melatonin,
I will discuss at the end of the podcast
some other potential alternatives
that are probably safer and don't have these issues.
So should you take melatonin?
My personal bias is no,
but for many people,
they find that it does help them.
And so if you do find it helps you,
then just consider what I'm saying in light of the other practices that you're doing and talk to your healthcare
professional. Okay, so the rhythm of cortisol and melatonin is what we call endogenous. It's
happening in us all the time without any external input. In fact, if we were in complete darkness,
living in a cave with no artificial lights whatsoever, or we were in complete
brightness where we never experienced any darkness. These rhythms of cortisol and
melatonin would continue. You would have a bump in cortisol or a pulse in cortisol that would drop off with time and then
melatonin would come up about 12 to 14 hours later. But these endogenous systems of our body,
which are both hormonal and neural,
were set so that external things could govern when they happen.
Now, this takes us back to episode one of the podcasts
that if you haven't listened to already,
you might wanna listen to,
where we talked about sensation and perception and all that.
I'm not going to review it again here, but there's one particular sensory event, one particular
influence on your nervous system that determines when that cortisol is going to start to rise.
So if you were in complete darkness, it would happen once per 24 hour cycle, but it would be
somewhat later and later each day.
Whereas under normal circumstances, what happens is you wake up, and what happens when you wake
up?
You open your eyes.
When you open your eyes, light comes into your eyes.
Now the way this system works is that you have a particular set of neurons
in your eye. They're called retinal ganglion cells. You don't have to remember that if you
don't want to, but these retinal ganglion cells are brain neurons. Again, the retina is
just the one piece of your brain, actually two pieces because most of you have two retinas
that resides outside the skull per se. When light comes into the eye, there's a particular group of retinal ganglion cells,
or type of retinal ganglion cells, that perceives a particular type of light and communicates
that to this clock that resides right above the roof of your mouth, called the superchiasmatic
nucleus.
Okay?
So I know this can get a little complicated, but these retinal ganglion cells, when you open your eyes, light comes in,
and an electrical signal is sent to this central clock,
we call the super chiasmatic nucleus,
and the super chiasmatic nucleus has connections
with essentially every cell in organ of your body.
Now, it's vitally important that we get light
communicated to this central clock in order
to time the cortisol and melatonin properly.
When I say properly, I can say that with confidence because we know based on a lot of evidence
that if you don't get your cortisol and melatonin rhythms right, there are tremendously broad
and bad effects on cardiovascular health, dementia, metabolic effects, learning,
depression, dementia.
In fact, there are so many negative effects associated with getting this wrong that I
don't want to go into it in too much detail.
In fact, I feel like we've been bombarded with all this information about how we're not
sleeping well.
We're not sleeping at the right times.
We're not sleeping enough to the point where people now have sleep anxiety.
They can't sleep well for a night.
They're feeling overwhelmed by that and sort of now they're stressed about not being able
to sleep, which is making it harder to sleep, et cetera.
I really want to focus on what we can do to anchor these systems properly.
So, let's think about what happens when we do this correctly and how to do it correctly.
When we wake up up our eyes open.
Now if we're in a dark room, there isn't enough light to trigger the correct timing of
this cortisol, melatonin thing, these rhythms.
You might say, well, why won't any light do it?
Well, it turns out that these neurons in our eye that set the circadian
clock and then allow our circadian clock to set all the clocks of all the cells
and organs and tissues of our body responds best to a particular quality of light
and amount of light. And those are the qualities of light and amount of light that
come from sunlight. So these neurons, what they're really looking
for, although they don't have a mind of their own, is the sun at what we call low solar
angle. The eye in the nervous system don't know anything about sun rises or sunsets. It
only knows the quality of light that comes in when the sun is low in the sky. The system
evolves so that when the sun is low in the sky. The system evolved so that when the sun is low in the sky,
there's a particular contrast between yellows and blues
that triggers the activation of these cells.
So if you wake up and you look at your phone
or your computer or you flip on a bunch of artificial lights,
will these cells be activated?
And the answer is sort of.
They'll be activated, but not in the optimal way.
What you want to do is get sunlight in your eyes
as close to waking as possible.
Now, I want to be really clear about this
because I've talked about it on other podcasts.
When I was a guest and I've talked about it
on my Instagram feed and there seem to be
the same questions coming up again and again.
These neurons don't know sunlight per se.
They don't know sunrise or sunset for that matter.
They don't know artificial light from sunlight. What they respond best to, however, is the quality and amount of light that comes in when the sun is low in the sky.
That means that if you can watch the sunrise, great. That's perfect for triggering activation of these cells.
great. That's perfect for triggering activation of these cells. However, if you wake up a few hours after the sunrise, which I tend to most days, personally,
you still want to get outside and view sunlight. You don't need the sunlight
beaming you directly in the eyes. There's a lot of photons, light energy that
scattered from sunlight at this time. But the key is to get that light energy
from sunlight, ideally, into your eyes. Now, I know many of you are already asking,
well, I live in Scandinavia or I can't get sunlight. There's buildings around me, etc. We
will get to all of that. But it's critically important that you get outside to get this light.
I had a discussion with a colleague of mine, Dr. Jamie Zitzer, who's in the
Department of Psychiatry and Behavioral Sciences at Stanford, a world expert in this, and he tells me
that it's 50 times less effective to view this sunlight through a window, through a car windshield,
or through a side window of a car, then it is to just get outside with no sunglasses and view light
early in the day. Now if you can't see the sunrise, like I said,
you can see this within an hour or two of sunrise, but it has to be low solar angle.
Once the sun is overhead, the quality of light shifts
so that you miss this opportunity to time the cortisol pulse.
And that turns out to be a bad thing to do.
You really want to time that cortisol pulse properly because we'll get into this a little
bit more later, but a late shifted cortisol pulse, in particular, a 9 p.m. or 8 p.m.
increase in cortisol is one of the consequences, and maybe one of the causes of a lot of anxiety disorders
and depression.
So it's kind of a chicken egg thing.
We don't know whether or not it's the correlated with, it's the cause or the effect, but it's
a signature of depression and anxiety disorder.
Bringing that cortisol pulse earlier in your wakeful period, earlier in your day, has positive
benefits ranging from blood pressure to mental health,
etc. I'm not going to list them all off because there are just so many of them, but many, many
positive things happen when you are getting the cortisol early in the day far away from your melatonin
pulse. Okay, so how long should you be outside? Well, this is going to very tremendously because some
people live in environments where it's
very bright.
Let's say it's Colorado in the middle of winter.
There's a snow field.
There's no cloud covering you.
Walk outside.
There's going to be so much photon light energy arriving on your retina that probably
takes 30 to 60 seconds to trigger their central clock and set your cortisol and melatonin rhythms
properly and get everything in lined up nicely.
Whereas if you're in Scandinavia and the depths of winter and you wake up at 5 a.m. and the
sun is just barely creeping across the horizon and then goes back down again a few hours
later, you probably are not getting enough sunlight in order to set these rhythms. So many people find that they need to use sunlight simulators
in the form of particular lights that were designed
to simulate sunlight.
However, I'm not out to attack the companies that
produce those, there's another solution to that.
You can simply go outside for longer.
Even if there's a lot of dense cloud cover,
you're probably getting anywhere
from 10,000 to 50,000 lux, LUX, which is just a measure of light energy. And that should
be sufficient to set the circadian clock. You could say, well, the lights in my house
or my phone are really, really bright, right? Everyone's telling us to stay off our phones
at night because they're really bright. But guess what? It turns out that early in the day, your retina is not very sensitive,
which means you need a lot of photons, ideally coming from sunlight to set these clock mechanisms.
So looking at your phone or artificial lights is fine if you wake up before sunrise,
but it's not going to work to set these clock mechanisms.
This is supported by dozens, if not hundreds, of quality peer-reviewed studies.
You want to use sunlight.
If you can't see sunlight because of your environment, then you are going to have to opt for artificial
light.
In that case, you're going to want an artificial light that either simulates sunlight or
has a lot of blue light.
Now, without going off course here, you might be saying, wait, I've heard blue light is bad for me. Actually, blue light is great for this mechanism during the day.
We can talk about blue light and blue blockers, but you really want a lot of blue and yellow light
arriving on the retina early in the day. Let me be clear about something.
You never, ever want to look at any light, sunlight or artificial light that is painful
to look at.
If you find that your eyes are watering or you're having challenges maintaining, you know,
looking at this thing for a while because it's painful, that light is too bright and you
do not want to damage your retina.
So you don't want to gaze at the sun, you know, refusing to blink and
burn your retina. That's actually possible to do. You don't want to do that.
You have a proper blink reflex installed in you since birth. And if you feel like something's too
bright and you need to blink, it means you need to blink that it's too much, too much light.
So please don't beam your eyes with really bright light. But blue light, in particular blue light
and yellow light coming from sunlight is ideal. if you're going to get it from artificial light because you can't get enough sunlight.
Well, then artificial lights that are rich in blue, blue wavelengths are going to be ideal for setting this mechanism.
They'll say, oh, I should be wearing blue blockers throughout the day. No, that's the exact wrong thing.
If you're going to use blue blockers, we can talk about that.
That should be reserved for late in the evening because light suppresses melatonin.
I've been asked many times before about this pineal gland and there are a lot of ancient practices
that map to some of the things that I'm saying and people always say, oh, I heard that sunlight
is great for the pineal.
Well, perhaps, but we have to be careful about that phrase.
Sunlight inhibits the pineal.
It prevents it from releasing melatonin.
Darkness allows the pineal to release melatonin.
So the pineal is not the gland or the organ of sunlight.
It is the gland of darkness. In fact,
melatonin can be thought of as a sleepiness signal that's correlated with
darkness. So get up each morning, try and get outside. I know that can be
challenging for people, but anywhere from two to ten minutes of sunlight
exposure is going to work well for most people. And you want to do this on a
regular basis, and you don't have to do it exactly. It's sunrise. I realize I'm repeating myself, but somehow, despite barking at people
about this for a couple of years now, I keep getting the same questions. And somehow it hasn't been
sinking in, which could be related to someone circadian disorder. I'm just kidding. If it's not
sinking in, it's probably that I'm not being effective in communicating the information. But get
that bright light early in the day from sunlight,
and if you can't get it from sunlight,
get it from artificial light.
What kinds of artificial lights will work?
Well, there are these sun-ri-simulators,
but the ring lights that people use for selfies
and this sort of thing for posting on Instagram,
those generate a lot of blue light.
If you want to get experimental about this, there's a free app.
I have no relationship to the app, but it's a great app called Light Meter that you can
use your phone and you can measure the amount of photon energy in your environment.
It's kind of a fun experiment to do.
You can go outside in the morning and you'll see that there's 10,000, 20,000 looks, even
though it might seem like it's kind of dim or there's tree cover or cloud cover, you go inside and you shine that artificial light at your phone, press the button on light
meter and you'll find that it's only 500 or 1000 looks.
You realize that even though it seems really bright, the artificial light is very condensed
whereas the outside light is scattered in the atmosphere and so you can think that you're
not getting much sunlight, that you're not getting
much sunlight, but you're actually getting much more outside.
So get outside, get that sunlight early in the day, and try and do it on a consistent basis.
If you can't do it every day, or you sleep through this period of the early day, low
solar angle, don't worry about it.
The systems in the body, these hormone systems and neurotransmitter systems that make you
awake at certain periods of the day and sleep at other times
are operating by averaging when you view the brightest light.
Now that can immediately tell us that what most people are doing is terrible.
They're waking up and they're looking at their phone, which isn't triggering activation
of these cells in the eye and the central circadian clock.
Then a few hours later they might get in their car with sunglasses in drive. Now a note about sunglasses and prescription lenses.
Absolutely, never ever ever compromise safety for the sorts of things I'm talking about.
So if you need to wear sunglasses for safety reasons, wear them. Absolutely. If you wear
prescription lenses or contacts, wear them. They won't filter out the wavelengths of light
that are necessary
for setting these central clocks.
So safety first, of course, if you have a retinal degenerative disorder, retinitis pigmentosa,
macular degeneration or glaucoma or those running in your family, you want to avoid excessively
bright light all the time.
You want to be very cautious about that.
You're going to want to get your light exposure by through seeing dimmer light, including sunlight, but for longer periods of time perhaps.
You might immediately ask, what about low vision or blind people? How did they set these central
clocks? Well, turns out that low vision and blind people's most of them provided they still have
eyes that the eyes won't remove because of a burn or tumor or something like that, still maintain these neurons that set the circadian clock, which brings me to a really important point.
It's not about seeing and perceiving the sun. This is a subconscious mechanism by which these neurons,
which are called melanopsin ganglion cells, these neurons set your central clocks by getting activated by the particular
wavelengths of light that are present in the atmosphere, even coming through cloud cover,
and you don't need to see or perceive the sun in order to get this mechanism to start.
Now it's such a vitally important mechanism because it dictates how well and what time you will want to fall asleep later
in the day.
So for those of you that are night owls and you insist that you're a night owl and you
have the genetic polymorphism that makes you a night owl, you may very well have that
genetic polymorphism, those genes that make you want to stay up late and wake up late.
But chances are about half of you that think that your night owls are just not getting enough
sunlight early in the day.
So viewing light early in the day, ideally sunlight, is key for establishing healthy sleep wake
rhythms and for allowing you to fall asleep easily at night.
Now, it's not going to make sure that all that happens every single time, but it is the foundation
of proper sleep and what we call circadian health.
It governs metabolism and so many other things that are supposed to exist on a regular
24-hour cycle.
Some of you, many of you, might be asking, what else can help set this rhythm?
Well, it turns out that light is what we call the primarytegiver, the time giver.
But other things can help establish this rhythm
of cortisol followed by melatonin 12 to 16 hours later
as well.
The other things besides light are timing of food intake,
timing of exercise, as well as various drugs
or chemicals that one might ingest,
not illegal drugs, although those will impacts or kidding mechanisms as well as various drugs or chemicals that one might ingest, not illegal drugs, although those
will impact circadian mechanisms as well. But the reason we focus so heavily on light is that
light is the main way that the central clock, the superchiasmatic nucleus, was supposed to be set.
We know that because it's the only direct input to the clock. These neurons in the eye that are also part of the brain that we call melanopsin ganglion
cells that not so incidentally were discovered by my friend and colleague David Berson at
Brown University and others, Samarhattar, King Waiyao, etc.
Worked out the mechanisms, the molecular mechanisms, but it was really David Berson that discovered
these incredibly fascinating
nons.
You know, these are cells that aren't important for sight, like pattern vision, but are
for setting our clocks.
David's really credited with making that discovery.
Those cells are the main way and the only direct way to set the clock.
In fact, it's fair to say that light viewed by these melanops and cells, particular sunlight,
is a thousand to 10,000 times more effective than, say, getting up in darkness and just exercising.
That doesn't mean that you shouldn't exercise early in the day in darkness, if that's what
you like to do.
It will have somewhat an effect on raising your wakefulness
early in the day and setting these rhythms.
And this is because of some other pathways
for the Efficiency Notters out there
who want to know more neuroscience.
Here's how it goes.
You've got this clock above the roof of your mouth
that turns out that's 24 hour rhythm
and it's communicated to all the other organs
and tissues of your body.
But there's another structure, has a cool name.
It's called the inter-geniculate leaflet, which sits a few millimeters away in the brain,
and it's involved in regulating the clock output through what's called nonphotic, non-light-type
influences, like exercise and feeding, et cetera. So, if you are not feeling awake during
the day and you're having trouble sleeping, get the
sunlight exposure that we just talked about.
But in addition to that, if you want to become an early riser, for instance, and you want
to feel more awake during the early part of the day, by getting that light exposure and
exercising early in the day, you will, after two or three days, you will naturally start
to wake up earlier in the day. And that's because these clock mechanisms have shifted. It's like setting the clock earlier, as opposed to delaying the clock.
And that takes us to a somewhat complicated, but very important aspect to all this, which is what sets the clock and keeps it anchored.
The main thing is that bright light early in the day.
The main thing is that bright light early in the day. The other thing is sunset.
When the sun is also at low solar angle, low close to the horizon, by viewing sunlight
at that time of day in the evening or afternoon depending on what time of year it is and where
you are in the world, these melanopsin cells, these neurons in your eyes, signal the central
circadian clock that it's the end of the day.
And there's a really nice study that was published last year, and I will put links to these
references on a website not too long from now.
There was a really nice study that showed that viewing sunlight around the time of sunset
doesn't have to be just crossing the horizon, but circa sunset within an hour or so of sunset
prevents some of the bad effects of light in preventing melatonin release later that same night.
So let me repeat this. Viewing light early in the day is key, viewing light later in the day when
the sun is setting or around that time can help protect these mechanisms, your brain and body, against
the negative effects of light later in the day.
So let me talk about how you would do that.
You'd go view the sunset or you would go outside in the late afternoon or evening.
Again, if you safely can do that with sunglasses off, you will.
If you need to wear sunglasses fine, but it will take probably 100 to 1000 times longer
with dark sunglasses than if you take them off.
Again, if you want to do this through a window at work, that's fine, but it'll take 50 times
longer.
The best thing to do is just to get outside for a few minutes, anywhere from two to 10
minutes, also in the afternoon.
Having those two signals arriving to your central clock, that your body, your internal world
knows when it's morning and nose when it's evening.
It's tremendously powerful.
Maybe think about it this way.
Every cell in your body needs glucose and energy.
It needs whether or not it gets that from meat or it gets it from ketones or it gets it
from carbohydrates or fruit or vegetables.
It doesn't matter.
It is eventually converted into a certain form of energy that all your cells use.
But you don't take glucose.
You don't take a bread or a steak or an ice orange and shove it in your ear.
You put in your mouth.
It goes into your stomach.
It's digested.
And then that resource is distributed to all the cells of your body.
Every cell in your body needs oxygen.
And you don't put a hose through your nost, through your nostril or through your ear or through
some other orifice in your body, you inhale air and it's then distributed via the lungs
to the cells in your bloodstream and that's distributed to all the organs of your body.
Every cell and organ in your body needs light information and the way to get that light
information to all those cells because you have a thick skull and dark inside of you is dark inside your skin.
There's no sunlight getting in there is by viewing sunlight with your eyes at the two
times of day that I'm referring to.
That's the only route.
There was a study published in science, an excellent journal, well over 10 years ago, that showed that light shown on the back of the knee
could set these circadian rhythms. That study was retracted, and unfortunately most people don't
know that it was retracted. There were some experimental flaws that people were actually viewing
light through their eyes. That study was repeated, turns out there is no extra-ocular photoreception
in humans. Whatever somebody tells you that light to the skin
or light to the wherever is beneficial for your health,
we can talk about that,
but there is no way that light information
is setting your clocks.
You need to, these cells in your eyes to perceive
or to see light at the particular time of the day
that I'm referring to.
Some animals, like snakes and other reptiles, actually have a hole in the top of their
skull to get light information directly to their pineal to suppress melatonin.
We don't have that hole.
I mean, most of you don't have holes in your skull.
These holes in your skull that we call the sockets for the eyes are actually there primarily
to allow light information
to this central clock.
And then vision and pattern vision and color vision came much later in evolution.
We know this on the basis of genetics studies.
We get to discuss in a future podcast.
So get that light information to the cells of your brain and body by viewing sunlight at
the two times a day that I refer to. There's always a lot of questions about how long, how much, how do I know if I've had enough?
You'll know because your rhythm will start to fall into some degree of normalcy.
You'll start to wake up at more or less the same time each day.
You'll fall asleep more easily at night.
Generally, it takes about two or three days for these systems to align.
So if you've not been doing these behaviors, it's going to take a few days,
but they can have tremendous benefits
and sometimes rather quickly
on a number of different mental and physical aspects
of your health.
Now let's talk about the bad effects of light.
Because light is not supposed to arrive in our system
at any time.
And nowadays, because of screens and artificial light, we have access to light at times of
day and night that normally we wouldn't.
Now earlier, I said that you need a lot of light and particular sunlight to set these clock
mechanisms.
That's true, but there's a kind of diabolical feature to the way all this works, which
is the longer you've been awake, the more sensitive
you're retina and the cells are to light. So that if you've been awake for 10, 12, 14
hours, it becomes very easy for even a small amount of light coming from a screen or from
an overhead light to trigger the activation of the clock and make you feel like you want
to stay up later, make it harder to fall asleep and disrupt your sleep pattern.
Okay, so the simple way to think about this is you want as much light as is safely possible early
in the day, morning and throughout the day, including blue light. So take those blue blockers
after in the day unless you have a real issue with screen light sensitivity. And you want as little light coming into your eyes,
artificial or sunlight, after say 8 p.m. and certainly you do not want to get bright light
exposure to your eyes between 11 p.m. and 4 a.m. and here's why. David Berson, who I mentioned
before, and another friend and colleague, Samarhattar, who's director of the chronobiology
unit at the National Institutes of Mental Health, published a paper in Cell,
which is a journal, another excellent journal, very high stringency, showing that light that
arrives to the eyes between 11 pm and 4 am approximately suppresses the release of dopamine,
this neuromodular that makes us feel good is sort of an endogenous antidepressant and can inhibit learning and create all sorts of other
detrimental effects. It does this through a mechanism for those of you who want to
know the neural pathways that involves light to the eyes that's then signal to a
structure called the habenula. The habenula looks like too little bat ears sitting
right in the middle of your structure in your brain called the phalamus. Don't
worry about these names.
If you're not interested in this stuff, if you are, these are just avenues to explore.
When that hebenia lug gets activated, it's actually called the disappointment nucleus because
it actually makes us feel less happy and more disappointed and can lead to certain forms
of depression in the wakeful state.
Now, if you wake up in the middle of the night, and you need to use the bathroom,
or you're on an all night flight,
and you're, you know, you need to read or whatever it is,
fine, it's, you know, every once in a while,
it's not gonna be a problem to get bright light exposure
to your eyes in the middle of the night.
But if you think about our lifestyle nowadays,
and being up late looking at phones,
even if you dim that screen,
you're triggering this activation, because your retinal sensitivity and the sensitivity of these neurons has gone
up late in the day.
Now I'm not here to dictate what you should or shouldn't do, but for those of you that
are experiencing challenges with mood, those of you that have anxiety, learning problems,
issues focusing, the questions I usually get are, how can I focus better?
Well we will get to that, but one of the best ways you can support your mechanisms for good mood mental health learning focus metabolism
etc is to
Take control of this light exposure behavior at night and not get much or any bright light exposure in the middle of the night
Red light won't trigger this pathway, but very few people have the
kind of infrared lights that are set up or floor lights. And that brings me to an important
point, which is about the location of light. This hasn't been discussed much out there,
I don't think. These cells in our eye, these neurons, that signal the central clock, reside
mostly, not exclusively, but mostly in the bottom half of our retina. And because we have a lens in front of our retina and because of the optics of lenses,
that means that these cells are actually viewing our upper visual field.
There's an inversion of the visual image, et cetera.
You can look that up if you want to learn more about retinal optics.
It's fascinating, but not the topic for today.
These cells are in the bottom half of your retina mostly mostly and so they're viewing the overhead visual space around you. This is probably not
coincidental that these cells were essentially designed to detect sunlight, which
is overhead of course. So if you want to avoid improper activation of these neurons, it's better to place lights
that you use in the evening low in your physical environment.
So on desktops or even the floor, if that's if you want to go that way, as opposed to overhead
lights.
So overhead fluorescent lights would be the worst, that would be the worst case scenario.
Lights that are overhead that are a little bit softer of the sort of yellow or reddish
tints would be slightly better, but dim lights that are set low in the room are going to
be best because they aren't going to activate these neurons and therefore shift your circadian
clock.
So, that's a goal.
Some people like Sam or the hatar that I mentioned earlier, he turns his home basically into a cave in the evenings.
Candlelight actually does not trigger activation of these cells. So candlelight and fireplaces and campfires are fine.
Dim lights, very dim lights are fine and lights low in the physical environment. Of course the problem with candlelight and
fireplaces is the fire hazard, but you're smart people. You know what to do about that. Don't burn down
whatever structure you're in, including forests, please. So, keep the lights low in your
environment. What if you wake up in the middle of the night and you find yourself watching
TV or on the computer? And well, in that case, you might want to wear blue blockers.
And you certainly would want to dim the screen.
But ideally, you're not doing that.
It's remarkable the positive effects of getting that bit of sunlight early in the day,
maybe even also around sunset, and avoiding bright lights,
and especially overhead bright lights between about 11 p.m. and 4 a.m.
Now, I'm not talking about shift work. I'm realizing that we're probably going to have to have an entire
discussion devoted just to shift workers because there's some good information
there about how they can protect themselves against some of the very bad
health effects of shift work. I'm getting light in the middle of the night. But we
rely on shift workers and they're super important to culture and society and the
economy. So I want to acknowledge them and let you know that we will do
a discussion about shift work and jet lag.
But let's talk about what light can do in terms of shifting us in healthy ways.
So the way to think about this whole system, again, is you've got a
denocene building up depending on how long you've been awake, and it's making you sleepy.
And then you've got the circadian mechanisms that are timing your wakefulness and timing
when you want to be asleep, mainly through cortisol and melatonin.
But there are a bunch of other things that are downstream of cortisol, melatonin.
Like, we tend to be hungry or during our wakeful period, then late at night.
Some people like to eat it late at night.
But if you're finding that you can't become
a day person or a morning person, shifting your light exposure, exercise, and food intake
to the daytime will help.
Some people like to stop eating around 6 or 8 p.m. because of metabolic reasons or they're
trying to maintain their weight or lose weight.
That's actually not supported so well by the literature. The literature around nutrition essentially says that it's
best to restrict your feeding to a certain period of each 24-hour cycle to not be eating
around the clock. And whether or not that's four hours or eight hours or 16 hours is a
much lengthier discussion than we have time for now. I would refer you to Sachin Pandas'
book, The Circadian Code, which talks all about that. He's an expert to former colleague of mine
from the Salk Institute in San Diego. You can explore intermittent and circadian fasting,
so to speak, through Sachin's literature. We'll talk about that. We might even get
Sachin in here if we're lucky at some point in the future. But you can actually use light
to wake up earlier. Jamie Zitzer and colleagues had did a beautiful study showing that if you turn on the lights
before waking up, so around 45 minutes to an hour before waking up, even if your eyelids
are closed, provided you're not under the covers. After doing that for a few days, that
increases your total sleep time and shifts forward the
time at which you feel sleepy.
It makes you want to go to bed earlier each night.
Now in a kind of diabolical way, they did this with teenagers who are notorious for wanting
to wake up late and stay up late.
And what they found was bright light flashes, just turning on the lights in their environment
overhead lights because they're trying to activate the system, and that's why they're using overhead lights.
Even through the eyelids, before these kids woke up, then made those kids naturally want
to go to bed earlier, and they ended up sleeping longer.
So that's something you could try.
You could put your lights on a timer to go on early in the day before you wake up.
You could open your blind so that sunlight is coming through.
Again, if you curl up under the covers, then it's not going to reach these neurons, but
it's remarkable the light can actually penetrate the eyelids, activate these neurons and go to the central
clock. That study illustrates a really important principle of how you're built, which is you have the
capacity for what are called phase advances and phase delays.
And I don't want to complicate this too much. So the simplest way to think about phase advances
and phase delays is that if you see light late in the day and in particular in the middle of the
night, your brain and body, for reasons that now you understand, will think that that's morning
light, even though
it's not sunlight because you have this heightened sensitivity, and it will phase delay,
it will delay your clock. It will essentially make you want to get up later and go to sleep
later. So if you get light exposure too late in the evening or in the middle of the night,
it's going to make it hard to want to wake up the next morning early and to go to bed early.
The opposite is also true.
If you wake up early, say 6am or 7am, and get light exposure, or even earlier, 4am, and
get light exposure, it will phase advance your clock.
It's going to make your clock think it's earlier and you'll want to wake up earlier.
So the simple way to think about this is if you're having trouble waking up early and feeling
alert early in the day, you're going to want to try and get bright light exposure even before
waking up because it will advance your clock. It will send it to sort of like turning the
clock forward. Whereas if you are having trouble waking up early, you definitely don't want
to get too much light exposure or any light exposure to your eyes late in the evening
and in the middle of the night because it's just going to delay your clock more and more.
So rather than getting to the specifics of everybody's situation because there are
many of you out there with different situations and lifestyle requirements, et cetera, the way
to think about this is that you have these internal mechanisms of adenosine
and circadian clocks, and they're always operating, and what you're trying to do is provide them
anchors.
You're trying to provide them consistent, powerful anchors so that your court is all your
melatonin, and then everything that cascades down from that, like your metabolism and your ability to
learn and your sense of alertness, your dopamine, your serotonin, all that stuff is timed
regularly.
One of the reasons why there's so much challenge out there with focus and anxiety and depression,
there are a lot of reasons for that.
But one of the reasons is that people's
internal mechanisms aren't anchored to anything regular. Now, this doesn't require being
neuratically attached to getting up at a very specific time, going outside, viewing the
sunlight at the same time every day. These systems, again, will average. But if you can provide
them consistent light anchors early in the day and in the evening and avoiding light at
night, you will be amazed
at the tremendous number of positive effects that can come from that at the level of metabolic
factors, hormones, and just general feelings of well-being.
In fact, most of us are familiar with what it is to not sleep well and all the terrible
effects that has.
Maybe one night you're fine, two nights even, for the new parents out there. I sympathize with you. But most people are not familiar with what it is to sleep
really, really well on a consistent basis. And when you start doing that by controlling
your sleep environment, right, get the proper sleep surface, get the proper pillow, get
the temperature in the room right, get your light exposure right, start timing your exercise at normal periods or times throughout the day and week.
It's amazing how many other biological systems just naturally fall in line.
This is why whenever people ask me, what should I take, which is one of the most common
questions I get, what supplements should I take, what drugs should I be taking, what things
should I be taking what things should I be taking the first question I always
Ask them is how's your sleep and 90% of the time they tell me they either have trouble falling asleep or staying asleep or they don't feel Rested throughout the day a brief note about naps
Naps provided that they're less than one old trading cycle
Pride they're 20 minutes or 30 minutes or even an hour, can be very beneficial for a lot of people.
You don't have to take them, but many people naturally feel a dip in energy and focus
late in the afternoon.
In fact, if we were going to look at wakefulness, what we would find is that you get that morning
light exposure, hopefully your cortisol goes up, people start feeling awake and then around
two or three or four in the afternoon, there's a spike in everything from alertness to ability to learn, some metabolic
factors drop, and then it just naturally comes back up, and then it tapers off as the night
goes on. So, for some of you, naps are great. I love taking naps. Some people, they wake up from
naps feeling really groggy. That's probably because they're not sleeping as well as they should at night,
or as long as they should at night, and so they're dropping into REM sleep or deeper forms of sleep in the daytime.
And then they wake up and they feel kind of disoriented.
Other people feel great after a nap.
So that's another case where just like with caffeine, you sort of have to evaluate for yourself.
As we discuss this, you're probably realizing this is a lot like nutrition.
Where nowadays it's just crazy.
I mean, if you go on social media,
it's like you've got people who are pushing carnivore,
you got other people who are pushing vegan,
other people who are pushing paleo,
every variation of every diet,
and there's a lot of data to support any and all of those
and the arguments go on and on.
And there's probably a lot of genetic variation
and lifestyle variation that's going to dictate
whether or not something is good for you,
whether or not you like it, whether or not you'll stick to it. The same thing is true for circadian
and sleep and wakefulness behaviors, except the light viewing behavior that I talked about before.
There's no way around that. That's hardwired into our system. The same way we could
factually say that everybody needs some nutrition at some level from some source.
Everybody needs light information arriving in their system in some way at regular intervals.
That's really what this is about.
Okay, so naps are going to be good for some people, not for others.
I have a colleague, a very accomplished neuroscientist who likes to take naps just after lunch.
I personally like to take an app around three or four PM,
but there's a practice that I've adopted
in the last five years that I've found
to be immensely beneficial,
that is sort of like napping, but isn't napping.
It's a thing that they call yoga nidra.
Yoga nidra actually means yoga sleep,
and it's a sort of meditation that you listen to.
There are a number of scripts.
I've talked about this on podcast before,
but I'm going to post a link to the two that I like most
that allows you to consciously bring your entire body
and mind into a state of deep relaxation.
And sometimes you fall asleep and sometimes you don't.
This is done for 10 to 30 or even 60 minutes at a time.
The other thing that works really well is meditation. So I'm talking about naps, but I'm also
talking about Yoganidro, which is sort of a form of meditation and then more standard forms of
meditation. All three of those do something powerful, which is that they bring our mind into a state
of less so-called sympathetic
nervous system activation.
Go back and listen episode one, if that doesn't make any sense, which is what governs your
alertness.
And instead, it activates cells and circuits in your body that promote the parasympathetic
nervous system or the calming system.
A lot of people are not good at falling asleep because they're not good at calming down.
So some people have no trouble falling asleep, but many people have a hard time falling asleep
or at least every once in a while experience challenges falling asleep.
I don't have problems falling asleep most nights, but I've noticed that if I'm working very
hard or if the world is particularly stressful, my mind gets into a bit of a kind of OCD
loop where I tend to ruminate on things and I'm not even thinking about anything in particular. It's just challenging for me to disengage and fall asleep.
Meditation and yoga niger scripts have been immensely helpful for me in terms of
accelerating the transition to sleep. So they involve taking a few minutes,
10 to 30 minutes or so, just like you would for a nap, and just listening to a script almost passively.
And it has you do some particular patterns of breathing and some other kind of body
skin like things that can really help people learn to relax, not just in that moment,
but get better at relaxing and turning off thinking in order to fall asleep when they want
to do that at night.
There's another thing that's similar to this, which is certain forms of hypnosis for sleep. For that, I'll just refer you to the website of a colleague
and collaborator of mine, David Spiegel, who's our associate chair of psychiatry and behavioral
sciences at Stanford. He's developed a website, which is Reverie, R-E-V-E-R-I-E-HELF.com, so reveriehealth.com, that has a lot of science supported, clinically
supported hypnosis scripts that essentially take the brain into states of deep relaxation,
for sake of rewiring the brain in neuroplasticity, but one of those scripts that's there and
is available free is for sleep.
And we'll talk more about hypnosis at a later time because it has a ton of other effects
that aren't just limited to sleep.
So a period of time each day that you devote
to getting better at falling and staying asleep
is actually a really good practice to adopt.
The other thing about these practices
like meditation, yoga, nidra, and hypnosis
is people always say to me, well, when should I do them?
And I always say, well, the best time of day to do it is when you first wake up in the
morning, provided you've got your sunlight already, anytime you wake up in the middle of
the night or any time of day.
In other words, they're always good for you because it's a training mechanism by which you
self train your nervous system to go from a state of heightened alertness that you don't
want to heightened relaxation that you do want.
And so it's really teaching
you to hit the break. And that brings us to an even more important point, perhaps, which is
we've all experienced that we can stay up if we want to, right? If we want to stay up
late on New Year's or we want to push in all night or some people can do that more easily than
others, but we're all capable of doing that. But it's very hard to make ourselves fall asleep.
And so there's a sort of asymmetry
to the way our autonomic nervous system,
which governs this alertness, calmness thing,
the sympathetic and parasympathetic nervous system.
There's an asymmetry there where we are more easily able
to engage wakefulness and drive wakefulness,
we can force ourselves to stay awake,
then we are able to force ourselves to stay awake, then we are able
to force ourselves to fall asleep.
One of the things that I say over and over again, and I'm going to continue to say over
and over again, is it's very hard to control the mind with the mind.
When you have trouble falling asleep, you need to look to some mechanism that involves the
body and all the things I described, meditation, hypnosis, yoga, nidra, all involve exhale,
emphasize breathing, certain ways of lying down and controlling the body.
We're going to get into breathing in real depth at another time.
But all of those involve using the body to control the mind rather than trying to, you know,
wrestle your mind into a certain pattern of relaxation. So, earlier in episode one, I talked about the mobius strip, this continuous loop that
is the brain body relationship, or the mind body relationship.
And when we're having trouble controlling the mind, I encourage people to look towards
the body, look toward sunlight, avoid sunlight, and bright light if that happens to be late
at night.
So, there's a theme that's starting to emerge, which is in order to control this thing that we call the nervous system,
we have to look back to some of the things we discussed earlier, like sensation, perception, etc.
But we have to ask what can we control? Well, I'm talking about controlling light exposure,
controlling your breathing and body. I'm not going into details right now, but you can see the yoga nidra script or the reverie health.com or headspace would be a great place to adopt
the meditation practice. Any of those are really teaching you to use your body to
control your mind and to allow you to explore the mind body relationship in a way
that gives you more control over your mind and the mind body relationship.
Okay, so we talked about light.
We talked about activity and timing of light.
Talked about the usefulness of naps and these things that I'm calling non-sleep-depressed,
which include meditation, yoga, nidra, and hypnosis.
Non-sleep-depressed or what I hear after what we will refer to as NSDR, not to be confused with EMDR.
I don't think I've ever heard NSDR,
so I'm planting a flag for NSDR, non-sleep depressed,
as a way to reset one's ability to be awake
after you emerge from NSDR.
So to get some more wakefulness and ability
to attend some emotional stability reset,
as well as make it better and ability to attend some emotional stability reset, as well as make it
better and easier to fall asleep when you want to go to sleep at night.
Now non-sleep deep rest does have some research to support it.
There's a beautiful study done out of a university in Denmark.
I will later provide a link to that study that showed that this meditation and yoga-nidra
type meditation allows dopamine and
other neuromodulators in an area of the brain called the striatum that's involved in motor
planning and motor execution to reset itself.
In other words, this NSDR can reset our ability to engage in the world in a way that's very
deliberate in not to throw in another acronym, but NSDR resets your ability to engage in the world in a way that's very deliberate in not to throw in another acronym, but NSDR resets your ability to engage in DPO's duration, path, and outcome.
It's a now you're probably rolling your eyes like I'm going to get this the number of
acronyms.
But just bear with me because NSDR is so powerful because first of all, it doesn't require
that you rig yourself to any device.
It doesn't require that you take much time out of your day,
it doesn't require that you ingest anything except air.
And it can have so many positive effects
right down to the neuromodulator level.
So I think in the years to come,
my lab's exploring this in collaboration with David Speagles lab,
but other labs are looking at this as well.
I think NSDR is going to start to play a more prominent role
in what we call wellness and health,
both mental health and physical health.
So I encourage you to explore those practices.
Okay, so what about things that we can
and maybe should or should not take in order to control
and access better sleep and better wakefulness?
We've talked about things you can do or not do.
We've talked about nutrition and the timing of nutrition.
Now let's talk about compounds.
Those could be prescription drugs, those could be supplements.
There are a number of different things
that will affect your circadian timing and behavior.
In fact, almost everything that you could take
will affect your circadian timing and behavior.
That's right. So years ago, when I was in graduate school, I had a professor.
Unfortunately, he passed away now, but his name was Ted Jones, the late Edward Jones,
who was a world-class neuroanatomacy wrote the book on the phalamus.
In fact, it's called the phalamus, and an expert on patterns of activation in the brain during sleep.
And I'll never forget that during one of these lectures,
someone asked Ted the question,
what is the effect of some drug on these waves
of activity in the thalamus or something?
And his answer was incredible.
He was a pretty gruff guy.
And so his answer was delivered in the form
of a kind of aggressive direct statement.
He said, a drug is a substance that when injected
into a person produces a scientific
publication. And what he was saying is actually quite true, which is that most every compound will
have some effect on some aspect of biology. This is why it's hard to sort through everything that's
on PubMed. If you put any molecule or compound or drug into PubMed and then you put sleep next to it
or alertness next to it.
You're likely to find a paper where there's an effect.
But that's not necessarily telling you that that drug is useful or helpful for that.
What it's telling you is that anytime you change what you take or you stop taking something.
So you're taking sleeping pills, ambient or whatever it is and you stop taking something. So you're taking sleeping pills, ambion or whatever it is and you stop taking them.
Your sleep behavior will change.
Let's say you take an aspirin, you don't normally take aspirin, you will shift your circadian
rhythm.
Now you might not shift it perceptibly, you might not create problems for yourself, but
anytime you ingest a compound at high potency, you're going to provide some shift to your
circadian rhythm. Now that said, there
are a couple things that are directly
in line with the biology related to
falling and staying asleep and directly
in line with the biology of wakefulness.
There's a whole category of things like
stimulants, cocaine and fetamine and
prescription stimulants that are the
prescription ones were designed for the
treatment of narcolepsy, so things like modaphanol or armadaphanol that are the prescription ones were designed for the treatment of narcolepsy thos, so things like Modaphanil or Armadaphanil that are designed to create wakefulness.
They are all essentially chemical variants of things that increase epinephrine and dopamine.
Now of course, I'm over the standpoint that things like cocaine and fetamine are just
across the board bad.
They have so many addictive and terrible effects.
In the proper setting, prescribed by the proper professional,
things like Modaphanil for narcolepsy might be appropriate.
I know that a lot of people out there take Adderol,
even though they haven't been prescribed Adderol,
in order to increase wakefulness.
That is essentially, you know, well, it's illegal for one, but it's also, it's abusing the
system in the sense that you're pushing back on the adenosine system slightly differently
than you do caffeine.
It will make you feel more alert.
There tends to be a heavy rebound and they do have an addictive potential.
There are also some other effects of those that can be quite bad.
So we're going to explore stimulants in a whole month related to drugs. But there are some supplements and some things
that are safer or certainly safer. And that in cases where you're doing all the right
behaviors, you're exercising and eating correctly and you're still having trouble with sleep,
that can be beneficial for falling and staying asleep. Now, I want to be very clear, I am
not pushing supplements, I am just pointing you towards some things that have been shown in peer-reviewed studies to have
some benefit. The first one is magnesium. There are many forms of magnesium, but certain forms of
magnesium can have positive effects on sleepiness and the ability to stay asleep, mainly by way of
increasing neurotransmitters like GABA, which help turn off the DPO, the
kind of thinking about the future duration path outcome analysis, and make one sort of
one's mind kind of drift in space and time and make it easier to fall asleep.
There are a lot of forms of magnesium out there, but one in particular is magnesium 3 and
8 THREO and ATE, which you have to check to see if this
right is right for you, check with your doctor.
But magnesium 3-nate is associated with transporters in the body that bring more of it into cells
that allow people to feel this kind of drowsiness and help them fall asleep.
So I personally, I can only talk about what I personally do, I personally take three or
400 milligrams of magnesium, three and eight,
about 30 to 60 minutes before sleep,
and it helps me fall asleep.
The other thing is theanine,
THE,
THE,
A, N, I, N, E,
Theanine,
100 to 200 milligrams of Theanine,
for me also helps me turn off my mind and fall asleep.
I take it 30 to 60 minutes throughout the day. Interestingly, Theanine for me also helps me turn off my mind and fall asleep. I take it 30-60 minutes
throughout the day. Interestingly, theanine is now being introduced to a lot of energy drinks
in order to take away the jitters that are associated with drinking too much caffeine or with
some other things that are in the energy drinks. Energy drinks can be problematic. They can
contain a lot of el-toreine. I'll just tell you an anecdote. When I was a postdoc I was drinking a lot of a particular energy drink has a lot of torine in it and
actually the the
Whites of my eyes the scalera as it's called in my eyes turned beat red and I went to a friend who's an ophthalmologist
I said look I'm not a marijuana smoker. I haven't been hit on the head
I don't know what's going on and he he looked and he said, I think you've got some microvascular damage.
And we walked through what I was taking and doing
and he said, oh, it's probably the touring,
excessive levels of touring can create some
microvascular damage.
So if you're having the microvascular damage in your eye,
you're probably have microvascular damage deeper
in your skull.
So that's the reason why I don't take energy drinks.
So just a consideration.
Again, I'm not here to tell you what to do or not do, but just want to arm you with information.
The thing about theanine and magnesium is taken together, they do, for some people they
can make them so sleepy and sleep so deeply that they actually have trouble waking up in
the morning.
So you have to play with these things and titrate them if you decide to use them.
Again, if you decide to go this route, I
would not start by taking supplements. I would start by getting your light viewing
behavior correct and then think about your nutrition and then think about your
activity and then think about whether or not you want a supplement. We already
talked about melatonin earlier. There's another supplement that could be quite
useful, which is Apigenin, API-GENE-N-I-N, which is the derivative of
chamomile.
50 milligrams of Apigenin also can augment or support this kind of creation of a sleepiness
to help fall asleep and stay asleep.
A note about sleepwalkers and people with very vivid dreams.
Theanine can often make your dreams very vivid.
Sleepwalkers should be careful about taking theanine.
Everyone should be careful about taking anything.
And don't take anything without consulting your board certified MD or healthcare professional
first.
Your health is your responsibility.
I am not going to take responsibility for what you decide to do experimentally in any case,
but especially as it relates to supplementation and drugs. As an important point,
Appigenin is a fairly potent estrogen inhibitor.
So women who want to keep their estrogen levels high
or at whatever levels they happen to be at
should probably avoid Appigenin altogether.
And men take that into consideration as well.
Men need estrogen also.
You don't want to completely eliminate your estrogen
that it can create all sorts of bad effects on libido and cognition, etc. So,
Appagendin, and some people is going to be a pretty strong estrogen inhibitor. So, keep that in mind.
There are other things you can take to help you sleep better. Those are the legal ones that,
at least I'm aware, I've had pretty broad safety margins, but again, you need to explore your safety margins
with any compound.
I think a great website that I can refer you to
is examine.com, examine the word,
just as it sounds.com is a website.
I have no relation to them, but there you can find
links to peer reviewed studies for any compound or supplement,
as well as some important warnings related to the things
I discussed, as well as any other thing that you might decide to supplement with or ingest to help improve your
sleep. Okay, that was a lot of information about how to get better at sleeping, falling asleep,
wakefulness, etc. An important feature of this podcast, as you know, is that we dive deep into
topics for several episodes at a time, at least a month at a time.
So by stopping here, I recognize that there are probably many more questions that you still
have.
And the great thing about that is that we have another episode coming up soon.
I'm going to hold office hours where I'm going to answer your specific questions about
episodes one and two. So if you have questions about this episode, your specific questions about episodes one and two.
So if you have questions about this episode, you have questions about episode one, write
them down, put them in the comments.
I'll also do a post on Instagram where you can put them in the comments there, but put
them in the comments to this episode as well.
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