Sex With Emily - Better Sleep for Better Sex w/ Dr Breus

Episode Date: January 13, 2021

Today, we’re talking about my second-favorite bedroom activity: sleep. I’m putting on my PJs, setting my phone to ‘Do Not Disturb’, and sitting down with sleep expert Dr. Michael Breus. He tel...ls me how to figure out what kind of sleeper you are, what that says about your sex drive, and how you can take advantage of your body’s natural rhythm to optimize your day.We also take calls helping people figure out their sleep schedule, what medications work best for sleep, and best practices to deal with sleep apnea. After all, better sleep=better sex, so it’s something we should ALL prioritize.For more information about Dr. Michael Breus, visit: thesleepdoctor.comFor even more sex advice, tips, and tricks visit sexwithemily.com Hosted on Acast. See acast.com/privacy for more information.

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Starting point is 00:00:00 What a most men wake up with. Unreaction. Right. If that is not mother nature telling you when to use that thing, I don't know what is, right? Look into his eyes. They're the eyes of a male obsessed by sex. Eyes that mock our sacred institutions.
Starting point is 00:00:27 Betrubize they call them in a fight on days. You're listening to Sex with Emily. I'm Dr. Emily and I'm here to help you prioritize your pleasure and liberate the conversation around sex. All right, today we're talking about my second favorite bedroom activity, sleep. So I'm putting my pajamas, setting my phone to do not disturb and sitting down with sleep expert, Dr. Michael Bruce. Michael Bruce is a PhD clinical psychologist. He was one of the youngest people to pass the board at age 31.
Starting point is 00:01:04 And with a specialty in sleep disorders, one of only 168 psychologists in the world with his credentials and distinction. His two books, The Sleep Doctors, Diet Plan, and The Power of When are excellent. So in this show, he tells me how to figure out what kind of sleeper you are, what that says about your sex drive, and how you could take advantage of your body's natural rhythm to optimize your day. We also take calls helping people figure out their sleep schedule, like what medications work best for sleep, the best practices to deal with sleep apnea, you know, come on, better sleep equals better sex. So I believe it's something we should all prioritize.
Starting point is 00:01:44 All right, intentions with Emily, for each episode, join me in setting an intention for equals better sex. So I believe it's something we should all prioritize. All right, intentions with them, like for each episode, join me in setting an intention for the show. I do it. I encourage you to do the same. So when you're listening, what do you want to get out of this episode?
Starting point is 00:01:54 How could it help you? It could be, finally, I just want to get better sleep. Tell me how. Well, my intention is to show you how with just a little bit of effort you can improve your sleep, which is going to help in every area of your life. All right, enjoy the show. Welcome to the show, Dr. Michael Bruce. So excited to have you.
Starting point is 00:02:17 My name is Dr. Emily. It's my super duper pleasure to be here. Yeah, I mean, we've been thinking for a while. I was like, gosh, it means sleep. I think sleep is having a moment. The last few years. I mean, we've been thinking for a while. I was like, gosh, I mean, sleep. And I think sleep is having a moment. The last few years, I feel like everyone's been sh- right? Everyone's been ha- not even to mention what's been going on during COVID. I think everyone is, is, is, their sleep is impacted.
Starting point is 00:02:36 You know, we have never been under this much stress in our lives, but we're also, you know, we're not sleeping. We don't know why. But really, this time, I'm excited, it is having a moment. So what, what's going on? Tell me're not sleeping. We don't know why. But really, this time, this time is having a moment. So what's going on telling me why? Go tell me Dr. Bruce. So, I mean, this moment in particular, I would argue that stress is having a very unique impact.
Starting point is 00:02:55 So it's not the normal kind of stress. So like I live just outside of Los Angeles. And so stress is traffic here. That is nothing compared to the stress, right? That everybody is feeling right now. We're feeling a unique type of stress about our vitality, about our health, about our families health, about our extended families health, our friends health. We're worried about careers, people's jobs may be working, may not be working. So that level of stress is absolutely playing a havoc on us now. But the other thing
Starting point is 00:03:25 that's really unfortunate is people aren't moving. So people don't really think about it, but you know, something that sleep is recovery. So you have to have something to recover from in order to have good recovery. And so I had one of my clients, who's a celebrity tweeted the other day, they said, I've taken 200 steps and it's 2 p.m. And I'm like, oh my God, I'm like, I'm a good 8,000 steps into my day by 2 p.m. And it just kind of shows you that this lack of movement being thrown off schedule is another one that really seems to be playing havoc
Starting point is 00:03:58 on people specific to COVID. Nobody has to commute anymore. So everybody can kind of fall out of bed, throw on a ball cap, switch on their zoom background of choice. And voila, you're in a meeting, right? And so once again, we're not seeing the consistency that we used to see in the patterns of our sleep. And that consistency really was incredibly helpful. And I don't think many people realize it. Right. Everything's been disrupted. Everything's been thrown out of whack. And then to try
Starting point is 00:04:23 to find order in this or of disorder and trauma fo sleep is one of the first go right? Well then befor sleep become the little b right. And so here's what all of a sudden, a several of collided number one, we lot better. So now we've g bands, we've got wristbands, we've got things under our mattresses that can start to give us a little bit
Starting point is 00:04:48 more feedback so we can start to understand more about our sleep. So that's certainly helpful. The other thing that we started to realize is that performance is really directly tied to sleep. All kinds of performance. So like financial performance, like how well you do at work, relationship performance, sexual performance, certainly has got its roots in sleep. So, you know, when you start to think about all things performance related, we as a species seem to be kind of evolving towards this sort of high performance,
Starting point is 00:05:18 high tech sort of universe, guess what, sleep's going there too. And we're all trying to figure it out as fast as we can. Yeah, we really, really are right in all the impact of the lights. And I'm going to talk about the blue light blockers. Right. And maybe we're just, if that's all going to be in our phones, right? We're staring at our phones all day. Now, even more so we're on our computers because there's no break. You know, you don't have to commute anymore. So you can have more meetings, but you're staring at your computer screen. That's gonna impact our sleep.
Starting point is 00:05:45 Yeah, which is not so great, not only for eye strain, but also exposure to the blue light that's in the computer screen. I'm oftentimes recommending to people, there's a free software out there. It's called Flux, FLUX. You download it, put it on your laptop,
Starting point is 00:06:00 and it will automatically change what's called the color temperature of the screen, the monitor. So that way you're not getting the blue light in the evenings. I mean, you know, if you're in a studio, obviously, there's lighting. So that's a different story. But then like I also tell a lot of my, my female patients, they said to them, you know, look, like if you wear makeup, don't take your makeup off as the last thing that you do at night
Starting point is 00:06:23 because you're in front of this huge brightly lit mirror usually, right? You know, because you're really trying to get it out from the pores and, you know, under the eyeballs and all that kind of good stuff, right? And so I'm like, dude, don't do that in front of a brightly lit. Like you're telling your brain, it's basically sunshine morning time, right? So take your makeup off at six o'clock or, you know, seven o'clock, you know, earlier in the evening, then, you know, chill out, throw on a ponytail or whatever you do, and then you're off to the races, right?
Starting point is 00:06:48 And then you're not getting this massive dose of blue light in the evening. I never even thought about that. My show's over at seven. I'm just trying to take it off. It's a great hack. Yes. I'm going to take it. I usually take it off at seven.
Starting point is 00:06:58 Now I'll just take it off at seven o' two. I probably, yeah, it's the last thing I do. It is the last thing I do. Right. Oh gosh, yeah, it's the last thing I do. It is the last thing I do. Right. Right. Oh gosh, this is amazing. Okay, well before you enter this, I do want to talk about how sleep impacts our sex life. But the first thing off the top of my head is that one of the most common questions I get asked over the last 15 years is, I want sex more often than my partner. What do we do? And then a lot of times it comes to you, well, I'm a morning
Starting point is 00:07:22 person. My partner's a night person. Right. How do we make that work? We're not home in the middle of the day, even now, maybe we are, but still then, how does it impact our sex life? All right. So this is the $64,000 question, as they say. So in my book called The Power of When, I actually took a look at this question, because this is a question that I actually get asked on a very regular basis is what's going on here. So first of all, what we're talking about
Starting point is 00:07:47 is a basic idea that I call chronotypes. So people may have not heard the word chronotype before, but you have heard of the concept, if you've ever heard of somebody being called an early bird or somebody being called a night owl, right? Those are chronotypes. So originally we thought that there were three. There were early birds, what we called in the middle
Starting point is 00:08:03 or humming birds, not the best of names, and then night owls, right? So I added a fourth chronotype to the literature. And so by the way, these are genetic. So it's not like you can happen to choose, hey, I wanna be a morning person, or I wanna, this is actually something where we see a single nucleotide polymorphism,
Starting point is 00:08:20 or what we call a SNIP, on a particular gene, the PER3 gene. This is what actually has a lot to do with scheduling within your circadian system. So when you see the polymorphism there, it makes you an early bird or it makes you a night owl. So this is where it gets interesting. By the way, if this is one of these genetic things, and it's kind of in bread in us,
Starting point is 00:08:40 we wanna figure out what that is, we probably, probably wanna be dating somebody that's the same chronotype as us, you know, we want to figure out what that is. We probably, probably want to be dating somebody that's the same chronotype as us, right? Like, wouldn't you want to? Well, that should be, yes. I mean, I always say, so here's my question. Yeah. So here's my question. And why doesn't like match.com or like e harmony? Like, why don't they ask these questions? Like, wouldn't, like, Wouldn't there be a ton of sleep-related questions that you'd want to know about your partner before they became your partner? I want to know do they snore? Do they get warm or cold? What side of the bed do they sleep on? Firm
Starting point is 00:09:17 bed, soft bed. There's a bunch of factors here, right? Yeah, snore and a soft mattress were done Like let's not even go out for drinks. Let's just call it there, right? I mean, you see what I'm saying? Yeah, see, I already do we just sleep. It's critical. It's part of the human condition. It's all about the relationship, the core is sleep, for sure. And you can't change that. So I always thought there should be a dating app for sex. Like why don't we just lead with what we like? It's sex important to me. And by someone who wants to prioritize pleasure, we should just do an app together. But you're right.
Starting point is 00:09:46 So let me answer the question. Go, yeah. How does it work? What do we know? So here's the basic answer to the question. When we look across chronotypes, right? You need five hormones to have successful sex to be elevated. You need estrogen, progesterone, testosterone.
Starting point is 00:10:01 You need cortisol and adrenaline all to be high, right? You want all of those to be high. You want melatonin, the sleep hormone, you want that to be left, right? So we did a survey, 74% of people like to have sex between 10, 30 and 11, 30 at night. What do you think their hormone profile looks like? The opposite, right? Right. The melatonin is high and all the things that are supposed to be high. I love, right?
Starting point is 00:10:22 Right. So that's that's clue number one as to what might be going on here. And if you're in a heterosexual relationship, what a most men wake up with. Unreaction. Right. If that is not mother nature telling you when to use that thing, I don't know what is, right?
Starting point is 00:10:40 Right. Yes, I agree with you. You already got to go and you got to have the problem there, right? I have to have the problem sort answered. Yeah, because you've got that you've got the elevation and testosterone there So it makes a lot more sense. So a lot of times, you know, I have a lot of patients who say to me, you know I like having you know intercourse with my partner, but he falls asleep afterwards all the time And I want to like spend more time or whatever and so I'm like, well, okay Well, what about morning sex and I'm like I'm being a sex doctor, not a sleep doctor here,
Starting point is 00:11:07 but what I'm talking to them about is when they want to do that. And so that's really what we talk about. So I actually created a matrix in the book. So what do we do? And an early bird is already married to a night owl, right? That's a big question. I had to create a matrix in the book. And in the book, I also have a matrix
Starting point is 00:11:23 for lesbian couples and gay couples because the hormone profiles would go. Wow. This is amazing. It's awesome, right? It's great. Hack. Yes.
Starting point is 00:11:33 The science is incredible. I love the science of it. And I love, because I actually want to talk about two, the chronotypes, go back to that. Your chrono quiz, you can find it at chronoquiz.com, that's CHRR-O-N-O quiz.com, because you're saying that these chronotypes are set at birth. It's about our hormones. So you can't really change it,
Starting point is 00:11:51 but my question is, I feel like I used to be when I was younger, when my mom was always like, you're a night owl, you're a night owl, you're up so late. And then over the years, I used to run marathons and stuff, like 20, I used to get up really early. But now I feel like I'm seriously like a night owl. I go back to that, but I think I want to be marathons and stuff like 20, I used to get up really early, but now I feel like I'm seriously like a night
Starting point is 00:12:05 I'll go back to that, but I think I want to be a morning person because that seems like the right way to be. So are you saying it's set? And let's talk more about that. Let's talk about what we call crono longevity. Okay, across the lifetime. So guess what?
Starting point is 00:12:20 Everybody is a chronotype at certain points of their lives. So think about it. If you have a baby, right? Babies are lions, they're early birds, right? They go to bed super early, they wake up super early, right? That's the earliest chronotype. My, what I call my lion chronotype.
Starting point is 00:12:33 Then you got a toddler, toddler through middle school. When do they go to bed? They go to bed when the sun kind of goes down, they kind of get up when the sun kind of comes up. They're kind of in the middle, like what a hummingbird would be or what I call a bear, right?
Starting point is 00:12:43 Then you got teenagers, right? I got two teenagers. I've got an 18-year-old son, 17-year-old daughter, okay? It's hell, all right? I'm just letting you know. There's nothing fun about having teenagers. But what do they want to do? They want to stay up until two o'clock in the morning.
Starting point is 00:12:57 They want to sleep until two o'clock in the afternoon, right? Those are wolves. Those are the night owls, right? So everybody goes through, by the time you reach about 18, 19, 20 years old, it kind of sets in, then it kind of stays with you, assuming no major circumstance kind of juts in and changes things, like you have to take a shift work job and you become like a night shift worker, something like that, you know, or,
Starting point is 00:13:18 and in some cases, motherhood can be one of those jobs that go right in and mess up your sleep schedule pretty bad. So, and that's a whole other line of. Yeah, that's a no sleep chronotype, right? That's just exactly that. Exactly, that's a mess chronotype. But yeah, so, you know, the whole thing kind of works itself up, but then when you get older, so I'm 52 years old, so right around 55-ish, my melatonin is going to start to slow down,
Starting point is 00:13:46 which means I'm going to start backing up because I'm more of a night owl. I don't go to bed before midnight, ever. I just don't. Okay, never have. Okay, you don't go bed. And then do you wake up? So at the same time, or do you, I know how important that is. Yeah, so it turns out that your wake-up time is more important than your bedtime. And so when I started an experiment on myself about three or four years ago, where I was like, I'm going to wake up at the exact same time every single day, no matter what. And so 730 was the time that my body naturally woke up because I'm kind of a night owl.
Starting point is 00:14:15 I'm not kind of that early person. So I wake up 730, 730, then also I didn't need an alarm to wake up. And then all of a sudden, I was waking up 715. And then it was 7 o'clock. I wake up at 613 every single morning now. I still go to bed at midnight. That has not changed at all. So how do you explain that? My entire sleep schedule has begun to consolidate based on how strictly I'm following my circadian rhythm. Yeah. Right. So that's kind of the super hack here. So so I'm a high
Starting point is 00:14:45 performance sleep coach now. So I work with CEOs athletes like you know celebrities who say to me Michael, I need my sleep but I don't have the time to do that. Can you help me get there in a healthy way? And the answer is absolutely. I can. Oh, so okay okay. So then we're talking about following your unique circadian rhythms. They're so quick. So you can hack your sleep, but there must be so many factors,
Starting point is 00:15:10 diet, exercise, right? Oh, of course there are. Yeah. So we layer all that in. And that's the cool part about this whole circadian rhythm thing. It's not just sleep. All of your rhythms flow based on
Starting point is 00:15:21 when you go to bubbed and when you wake up based on your melatonin rhythm. So like your cortisol doesn't kick off on your melatonin rhythm. So like your cortisol doesn't kick off until your melatonin is going down. So everything goes and it's very, very predictable. So the rest of the book is
Starting point is 00:15:34 where it tells you all the different cool things. Like I told you how I can tell you the exact time to have sex, eat a cheeseburger, ask your boss for a raise. Like literally you name it. It's all based on the hormone flow.
Starting point is 00:15:45 So if you can predict where somebody serotonin is at a particular time of day, you know that you can say certain things to them how they'll take it. It's very predictable. But if it's different for everybody, then how would I know would not have to get it? It's not, there's only four types. So, but how would you know your boss's type, for example?
Starting point is 00:16:03 Of course, I could, that's easy to figure out. If your boss emails you at four o'clock in the morning, guess what, they're alliant, right? Right. This isn't hard to figure out. You can hack that right with your employee, I guess, with your stuff. Yeah, you're right. If your boss shows up right and never has a meeting before, like nine o'clock,
Starting point is 00:16:22 they're probably a bear, right? If your boss never makes it into early morning meetings and is usually later in the day person, they're probably a wolf. And if their boss is emailing you 24-7, they're probably a dolphin. Oh my God, you guys, well, they know that I'm a wolf. Because I do a show late, so I am a night person.
Starting point is 00:16:39 We're gonna take a quick break, but we come back. We're gonna find out what couples should do if they have different coronetimes. Okay, so this is something Dr. Michael Bruce. I'm curious about how couples, typically their sleep can be a thing like if I was with a snorer or somebody who was, you know, woke up super early and I'm a night owl. All these things aren't going to, aren't going to work together. But how do we, how do we do with that? Like someone is an insomniac, you're saying usually there's not two in every relationship of somebody who's
Starting point is 00:17:19 got sleep problems and someone doesn't. So what do you, we don't get matched on that, unfortunately. Dude, let me just tell you, let me just tell you that I've saved more marriages as a sleep specialist than I ever would have as a marital therapist just by getting people back into the bedroom together, you'd be shocked. So snoring is the number one usually problem that I'm dealing with from a relationship couple standpoint,
Starting point is 00:17:43 right? And so what's that all about? So usually the snore is the guy, and it's usually because he has gotten pretty comfortable and started to gain some weight. And so as men gain weight, we gain weight through our necks and around our spare tire bellies, okay? Women gain weight in different places. And so what we know is when men gain weight in their throat, it begins to crush their throat. So if you've ever been in the garden and you stick your thumb over the hose, the water squirts out a lot faster, right? Same holds true with their... Here, the nose is the hose. So as you gain weight, the hose is getting crushed, which means the air has to move faster, which causes a vibration, which causes the
Starting point is 00:18:21 snore. So all of the sudden, somebody's in their relationship for a little while, they've gained a couple pounds and all of a sudden boom, they start to snore. Now, some people were snores beforehand or some people only snore when they drink alcohol, right? So all of these can play into whether or not somebody can get a good night's sleep. And there's a fourth kind of snoring. And that is the pet that snores. So Emily, you know that I have a French bulldog. And that's all they do. You go. Right. It's because he's a heroic snorer, as we like to call him. And he sleeps in my bed. So that's a whole nother story. And that's another question that you would have between couples, right? And here's the thing, like, why is it like, why don't we figure that out early, you know,
Starting point is 00:19:05 in a relationship? Because I think some of those are some pretty interesting questions to have, but snoring is a big one, and there's actually real data behind it. And so one of the things we now know, number one, snoring is not just a social nuisance. People who snore do have a significant increase in mortality.
Starting point is 00:19:21 We do know that they have a significant increase in the ability to gain weight. So there's all calls, I mean, it's all calls mortality, like it know that they have a significant increase in the ability to gain weight. So there's all calls mortality, like it's no messing around, like the real deal is there and it is a precursor to sleep apnea. So we don't have to say, you know, sleep apnea is a big deal, all that kind of stuff, but not only is it not good for the person who snores, but it's actually not good for the person who's lying next to them. The data now suggests that the person lying next to a snorer
Starting point is 00:19:47 loses approximately one hour of sleep themselves from listening to that snorer. So it is their problem, it is your problem, it is your problem, it is their problem when we talk about stuff like snoring. And look, let's be fair. If all we're talking about here is a little bit of weight loss in many of the cases, we're not, I'm not saying you got to drop 50 pounds.
Starting point is 00:20:08 I'm saying a five pound weight difference, right? So a five pound weight difference for a 200 pound guy is 10 pounds. Like, it's not that much. That would lower probably about 20 to 25 decibels, which would probably change everything and allow everybody to be able to fall back asleep. I am however saying, if you're thinking of sleep apnea or your bed partner says, do they hear just stop breathing? Just sleep, please get a check. Well, that makes I feel like so snoring in most cases is something that you could correct by perhaps going on a reading one of your books, going out of sleep cycle, losing weight. So there's also some other things that going on right?
Starting point is 00:20:43 Yeah, so there's losing weight, but there's also devices out there. There are mouth guards that can be actually very, very helpful. And to be clear, you don't want to just go get a boiling bite, you know, mouth guard that you get off the TV, because you can get up with job problems. Also, if you have TMJ, it can make TMJ significantly worse. So this is something you want to get from a dentist. They're dentists now that are actually Board certified in dental sleep medicine. And so it's great because they put, you know,
Starting point is 00:21:10 They can move your jaw forward. Then they're commercially available things that you can go to get it CVS or whatever. One is called mute MUTE, which is a nasal stent. It goes inside the nostrils. So this is like a miracle cure for snoring for a lot of people because what it does is it literally just kind of opens up The nut so think of a breathe-right strip, but on the inside. It's not uncomfortable You're thinking oh my god who's gonna shove that thing up their nose right trust me. They will
Starting point is 00:21:35 30 seconds after you put it in you really don't feel it and so it actually works out really really well I work out with one on and it's great because I get more oxygen. And if I drink bourbon, my wife's like, go put your nose thingy and I want to hear you tonight. So these are great hacks where I use the breathe right chips because I realize, as I've gotten older, I feel like it's harder for me to breathe some time. So is it the same? But then sometimes I like, my mom called me that I was wearing it. She like, face time with me and she's like, what's on her nose?
Starting point is 00:22:02 Cause I don't wear it like on the show here, because we're on video. But is this the same thing? This one you could, nobody would even see it. And you'd breathe a lot better. It's called mute. M-U-T-E, like hit the mute button. And I can get it at CVS. I think it's 14 bucks.
Starting point is 00:22:16 Okay, I'm going to buy one of those. This is super happy. We have some calls coming in. I'm talking to Dr. Michael Buss. I hear it out. And we have Marie 23 in Texas has a snoring challenge in her relationship. Hi Marie, you're out with Emily, Dr. Bruce.
Starting point is 00:22:30 Hi. Hi. Thanks for coming. I'll take a look. OK, so it's kind of typical basics. But so my boyfriend and I, we've been together for a couple of years now. He has a really big, no one problem.
Starting point is 00:22:44 I mean, really big, okay? She sounds like a bear when he sleeps. It wakes up the whole house. So it just makes me really tired in the morning. I go to bed early, I work really early and it just keeps me up all night. I've tried earplugs, he's tried nose strips, he's tried allergy medication, all the things you could try.
Starting point is 00:23:05 And it just really, it makes me tired, it makes me irritable towards him. And I don't know, sometimes I feel like it affects our sex life too, and I don't know. Yeah, what do we do after brewed with the snoring, such? This is exactly the situation that I hear about all the time. So number one is one of the things
Starting point is 00:23:23 that you should consider doing is going to see a sleep doctor to evaluate the snoring. Because if somebody's snoring is waking up the whole house, there's a very high likelihood that they have sleep apnea. It's highly unlikely that that level of volume and frequency of snoring wouldn't have some sort of apnic characteristics to it.
Starting point is 00:23:42 So I would say, I have the person evaluated by a sleep specialist, and that'll set you down the path of ways to actually correct the problem. And I think that would probably be the first thing that I would consider doing. The second thing I would consider doing is putting him in another room. There's really no reason for you to continue
Starting point is 00:24:00 to be disrupted by his, you've got to go to, I mean, if he's got the issue, why is it disruptive to you and your life? He can go into a guest room or he can go to the couch. At the end of the day, I mean, I'm not trying to be a not so nice guy about it, but if you continue to make the problem easy for him to not fix, then he's not going to fix it, right?
Starting point is 00:24:21 Yeah. So I would say, you know, I mean, I'm not saying do it in a mean way, I'm saying doing it a loving way like, hey babe, I can't sleep. I need to go to work and it's a problem. So I'm going to need you to sleep, you know, kind of on the couch until we can kind of figure this thing out. I mean, trust me, it doesn't, it doesn't feel good to be told that, but at the end of the day, it's pretty motivating. Right. Possibly get something done. And if it's something really going on with his health, like there might be a suspicion of,
Starting point is 00:24:48 then maybe you're doing him a favor. Yeah. Yeah, Marie. I have a thought about it. Yeah. Marie, you know, we've got these tough conversations, you know, you're acquiescing, but it's also impacting your, you know,
Starting point is 00:24:59 your ability to show up the day. So thanks, Marie. Let's know how it goes. Okay? Thanks for calling. Yeah, absolutely. Good luck. Yeah, don't go anywhere. We come back. We'll take a call about CBD and sleep. We have Jane 15 Illinois has a question for us. Hi Jane, thanks for calling. Hi.
Starting point is 00:25:28 Hi. Hi. How can we help? Thank you both for taking my call. You bet. My question is, with the COVID stuff and dealing with the junk that I'm not really healthy in, I've got quite a bit of stress and anxiety. Been affecting my sleep to the point where I wake up with my job
Starting point is 00:25:50 plant. I had to stay in what's the dentist, he's like, God, it looks like that tooth is that trauma. And I'm pretty sure it's from watching my job when I sleep. I recently started taking CBB oil, hoping that that would help with my stress and anxiety and I'm not even a week in, but I definitely feel calmer. But I don't know that it's necessarily helping my sleep. And so I'm wondering if you might have any insight on CBD oil and how that might help or any other tips to sleep and stay asleep and turn my brain off.
Starting point is 00:26:32 That is the question. How do we turn our brains off? Thanks, James. It's a great question. What about CBD oil and sleep? So, if you look at the data and unfortunately, there's not a tremendous amount of data on CBD and sleep as of yet. You would need probably north of 160 to 180 milligrams a night of CBD for it to actually have an
Starting point is 00:26:56 effect on sleep itself. So you'd need to have a quite a bit of CBD. Now, if you had a little bit of THC in there, then it would act more as an accelerant, and you wouldn't need as much CBD. Now, off the top of my head, I can't remember if Illinois is of one of the city or states, rather, that is got medical marijuana as legal or cannabis or recreational or what have you. If it isn't yet, it probably will be soon. I think there's some great options looking at cannabis for possibilities for sleep. When we're talking about stress and we're talking about turning off our brain, that's one of the things that cannabis actually does pretty well. But to be clear, I'm not talking about getting stoned, I'm talking about getting to sleep. So there are products on the market now
Starting point is 00:27:46 that are being created that you can find in dispensaries that are specifically targeted to sleep. Again, it's not there to get you all psychedelic and high. I mean, that's fine if you want to be recreational, but that's not what this is for. This is specifically to help lower that anxiety that you would be having before bed, to help you kind of coast off
Starting point is 00:28:03 and be able to follow sleep. Now, to be fair, if cannabis isn't your thing, which for a lot of people it's not, or can't be yet, there's actually a couple of other options on the marketplace that people should be aware of. My absolute favorite thing to tell people about is magnesium. Most people are magnesium deficient. So if you really want to go with the best starting route, what you really want to do is you want to look at your magnesium, your vitamin D, your iron. If you're deficient in any one of those three, get that fixed first. If you can get that fixed first, then you at least know what's going on because sometimes you're correcting for a problem that you don't
Starting point is 00:28:39 really need to correct for. So make sure that you've got magnesium, vitamin D, and iron up to par first. I think somebody put in the chat that it's recreationally legal in Illinois. Thanks. Yeah. Thank you for that, by the way. So thanks, Blaze.
Starting point is 00:28:53 Thanks, Blaze. Huh, Blaze, that's funny. So, Blaze knows all about it. Blaze knows all about the weed, dude. I love it, Blaze. You're awesome. So when you're looking at cannabis as a potential option, that can certainly be one.
Starting point is 00:29:08 But there's also a couple of other things out there that are pretty interesting in the marketplace. So I work with this company called EBE. Now this is gonna sound crazy, first of all. I'm just warning you ahead of time, but this is really cool technology. So I work with this company, and what they do is they have this thing that they put.
Starting point is 00:29:25 It's a cold press that goes across to your head and you follow sleep wearing it and it stays on your head all night long and it slows down the cerebral spinal fluid. It slows down everything and slows down your thinking. Not to the point of like you can't think, but it actually turns off your brain in a sense. It's very unique. it's very cutting edge. It literally was released on the market four months ago. It's got so much science behind it and the science is pristine.
Starting point is 00:29:53 The science is by one of the top sleep researchers in the world, Dr. Eric Knoff Singer. So he looked at the neuro protective effect of cold. So when somebody cracks their head open and they end up in the emergency room, we wrapped their head in ice to keep everything there, but also to slow everything down. Take that idea, and I'll put it into a headband that you put on somebody as they're trying to fall asleep, and it just slows that thinking down and makes things so much easier.
Starting point is 00:30:17 So there's lots of different things. I think people need to be considering when they're looking at difficulty falling asleep, not being able to turn off their brain, but to be clear, stress is certainly a big one. And it's definitely clearly telling you that you need to do something about it. So thanks for calling in. I really do the best. Yeah, thanks, Jane. I mean, so I think to answer your question,
Starting point is 00:30:34 see, it can work CBD, but also I look what you're saying is if it is a little more. You need a lot of CBD. You need a whole lot of CBD. So THC, it's a little bit of THC, and if you go into a dispensary, they can help you with this. It helps to activate the CBD so it'd be more effective.
Starting point is 00:30:50 Yeah, it just makes it, it just pushes it through a little bit quicker. And also helps lower the anxiety, right? That's what THC kind of does. Exactly. All right, Jane. Great, thank you. Thank you, Jane. Thanks for calling.
Starting point is 00:31:02 Yeah, appreciate you. That is so interesting, too. The thing about cold, though, I would think it's called the Ebb. I would think that, you know, if you put splash cold water on your face when you want to wake up, so to have a cold band around your head. It is.
Starting point is 00:31:16 Well, remember that your core body temperature has to drop in order for melatonin production to begin. So it actually follows your core body temperature. That's why things like the oro ring and the straps on the arm can be able to measure your sleep. Now what about, where is one place to start to get your sleep regulated to feel like you have a control of your sleep
Starting point is 00:31:36 rather than it's controlling you? Okay, so I'm gonna give all of your listeners a five step plan. Okay. Everybody can do and it's not gonna cost you a dime. And your sleep will be significantly better. Okay. Okay. So step number one is to pick one wake up time and stick to it. I would tell you go to Chrono quiz figure out what your wake up time should be and do it that way. If you don't want to do it that way, that's fine. But figure out what your wake up time is seven days a week, including the weekends. seven days a week, including the weekends. Including weekends.
Starting point is 00:32:03 I thought you were gonna say that. No, don't mess around. Circadian consistency. Number one. Okay, step number two, caffeine. Stop caffeine by 2 p.m. Why 2 p.m.? So most people don't know caffeine has a half life of between six and eight hours, right?
Starting point is 00:32:16 And so if you stop it too, and it's eight hours, because maybe you're a slow metabolizer, half of it's out by 10. It's a round when most people are gonna be going to sleep. So you wanna have your coffee, have it in the morning, but stop by 2. Step number 2, stop caffeine by 2pm. Step number 3, alcohol. All right? Look, there's a really big difference between going to sleep and passing out, okay? Right? We don't like the passing out. We like the going to sleep. It turns out that there's a very important relationship to understand here. It's all about
Starting point is 00:32:43 the time in which you have your last sip to lights out. Whatever that time frame in is going to have the greatest effect on your sleep. So if that time is very short, it will have a very large effect. If that time is longer, it will have a smaller effect. So step number three is to stop alcohol three hours before bed.
Starting point is 00:33:03 It takes the average human approximately one hour to digest one alcoholic beverage. So I figure you go to two glasses of wine, I'm gonna give you a little bit of room for maybe a half a glass more, but to be fair, you don't wanna go over to. For most people, it gives them energy, it doesn't make them relaxed,
Starting point is 00:33:19 and for men it can make them aggressive. Step number four is exercise, exercise daily. But don't exercise too close to bedtime because like we were talking about We don't you buy to cool down not warm up. So stop exercise for hours before bed. Step number five This is going to help with brain fog in the morning when you wake up in the morning You should have a 15 ounce throttle or glass of room temperature water You should grab it and you should drink it, walk over to the window and get 15 minutes of direct sunlight. Most people don't know, but in fact, sleep in and of
Starting point is 00:33:51 itself is a dehydrated event. So you actually lose a full liter of water as you drink your water. You lose a full liter of water every night just from the humidity in your breath. So you need to get that back in there. And then number two, light that comes from sunlight. When it hits your eye, you have specific cell in your eye called melanopsin cells. These cells will turn off the melatonin faucet in your brain, which will help you remove brain fog. Do me a favor though, after you grab that bottle of water
Starting point is 00:34:19 and you walk over to the window to get your sunlight, put on a robe. I'm just saying, put on a robe. I'm just saying put on a robe. Rob, okay, this is great. That's my best joke. Come on, that's my best joke. Even if it is a great joke. We have a time for one more call.
Starting point is 00:34:34 JJ57 in Texas has a question for the sleep doctor. What's up JJ? Hi, I'm a truck driver. And I've been tested for sleep apnea. And I have been diagnosed with it. Yeah. So I have to use the machine. Mm-hmm.
Starting point is 00:34:49 Is there any way that I'm ever going to be able to get off of this machine or is it permanent forever? It's a great question. And so there's a lot of things that depend upon my answer, but I'll give you a general answer and then one that's a little bit more specific. So it all depends upon your anatomy. So for some people, if they've just got big tonsils, if you can remove those tonsils,
Starting point is 00:35:09 then in many cases we can remove the CPAP machine. There are some very advanced surgeries that have been we've found. Now, I work with a group out of UCLA and they do some amazing work in looking at ENT surgery. So it used to be very barbaric. We would just cut out everything, throw it in the back and not worry about it. Now, it's very target picking.
Starting point is 00:35:29 So yes, you can get off of a CPAP. Some people can get off a CPAP with weight loss. And then also some people can get off a CPAP by using a dental appliance that can work as well as a CPAP. And then you don't have to lug the machine around with you. Also, don't forget there are travel CPAPs. So you might be able to get that and that might make you like a little bit easier. Yeah, cool. All right, JJ, we got it in. Okay, don't seepaps. So you might be that and that might make
Starting point is 00:35:45 Yeah. Cool. All right, Okay. Thanks, JJ. Thanks We will not go anywhere. You think we're calling. you the seep doctor dot com sex tip, sex and sleep. is have sex in the morning the lights on the lights on. That's really nice.
Starting point is 00:36:05 Sex, too. The lights on, or this the sun coming in, right? Open the curse. Yeah, open the curse. Thank you so much for joining us, Dr. Bruce. You can find more about Dr. Bruce at thesleepdoctor.com, Instagram and Twitter, thesleepdoctor, and take his quiz to find out your chronotype
Starting point is 00:36:22 at chronoquiz.com. That's it for today's episode. See you on Friday. Thanks for listening to Sex with Family. Be sure to like, subscribe, and give us a review wherever you listen to the podcast. And share this with a friend or partner. Believe me, if you got something out of it, they will too.
Starting point is 00:36:39 We release shows on Tuesdays and Fridays and look out for a bonus episode every now and then. Find me on Instagram, YouTube, Facebook and Twitter. It's all at Sex with Emily. And I've been told I give really good newsletter. So sign up at sexwithemily.com and don't forget to check out our blogs. If you want to talk to me, ask your questions about your sex life, dating or relationships, email me.
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