The Dr. Hyman Show - Six Ways to Reset Your Circadian Rhythm

Starting point is 00:00:00 Coming up on this episode of The Doctor's Pharmacy. Rhythm is a key part of being healthy, not just exercise and eating and sleeping. And it's important because our bodies are biological organisms and we have to keep them in balance and in rhythm. Hey everybody, it's Dr. Mark. I'm excited to share with you a brand that I trust whose product I've seen value in firsthand, InsideTracker. InsideTracker is a wellness tracker that uses science and technology to deliver ultra-personalized healthcare guidance. Their cutting-edge algorithmic engine analyzes your blood, your DNA, your lifestyle habits, and then

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Starting point is 00:02:56 anything. It actually tastes great, kind of like a tropical green drink. I like it on its own mixed with water, but it also works really well in most smoothies. If you're curious about trying AG1 from Athletic Greens for yourself, right now they're offering my community 10 free travel plaques with your first purchase. All you have to do is visit athleticgreens.com forward slash hyman. Again, that's athleticgreens.com forward slash hyman to take ownership over your health and pick up the ultimate daily nutritional insurance. Now let's get back to this week's episode of The Doctor's Pharmacy. Hey everybody, it's Dr. Mark Hyman. Welcome to The Doctor's Pharmacy podcast, a place for conversations that matter. And today I'm bringing

Starting point is 00:03:38 you a special new feature called the Health Byte to improve your health because taking small steps daily can lead to significant health changes over time. Today we're going to be talking about sleep, and sleep is super important. Now, our bodies know this, and that's why we spend an average, maybe a third of our entire lives sleeping. But sleep-related issues are also really common. In fact, about 70 million Americans. We've all experienced periods when we have trouble falling asleep or staying asleep. You may also have had trouble staying awake in the evening or getting out of bed in

Starting point is 00:04:09 the morning or focusing on your work because you're too tired. Well, there are many reasons that can account for an occasional sleepless night or a few days of having trouble focusing on the job. But if you find yourself having persistent sleep issues, it's important to look at why. And it could be that your circadian rhythms are out of whack. Now, have you ever experienced jet lag or pulled an all-nighter, which I certainly did many times in medical school, delivering babies as an ER doc? You know how off you can feel after that. When your biological and circadian rhythms are out of balance, so is your health and you feel it. And today, we're going to be talking about circadian rhythm, what they are, why they're important, and how you can reset yours when they become unbalanced.

Starting point is 00:04:56 And one of my favorite books about this is called The Circadian Prescription by one of the leading scientists, doctors that I think has ever lived, a colleague of mine, a mentor, Dr. Sidney Baker, who is really the father of functional medicine. He's an unsung hero. He wrote a book called Circadian Prescription if you want to learn more. But let's talk about what are circadian rhythms. Well, it's common to talk about circadian rhythm and it's kind of a bit of a misnomer because there are many circadian rhythms in your body. And they basically are the rhythms your body uses every day to keep all of your daily systems going, your daily cycles in your body. Now, the most well-known and the one we're going to focus on today is your daily

Starting point is 00:05:36 cycle of sleep and wakefulness. Now, other cycles control when you're hungry, when your body's hormonal activity has to do this or that, and many, many other bodily processes. Now, most circadian rhythms basically follow a 24-hour cycle. Circadian actually is from Latin, which means about a day. And they're guided by environmental cues like daylight, regular mealtimes, physical activity, even interactions with other people. And these cues are called zeitgebers. I don't know if I pronounced it right, but yeah, that's a real, I think it's a German word, with light being the most important one. So basically, rhythm is a key part of being healthy. It's not just exercise and eating and sleeping and dealing with stress, but also rhythm. And it's

Starting point is 00:06:24 important because our bodies are biological organisms and we have to keep them in balance and in rhythm. So what's the science behind circadian rhythms? Well, your body's circadian rhythms are governed by this internal clock. It's in your brain. It's called the super chiasmatic nucleus, big word. But anyway, it's located in your hypothalamus, the sort of control center in your brain, command central, sort of like the air traffic control center that regulates a lot of hormones and body functions. And this super chiasmatic nucleus basically has about 20,000 neurons that are activated when your eyes perceive light. Now, when this happens, it releases a series of hormones, including cortisol, which helps you wake up and be fully

Starting point is 00:07:05 alert at the right time. That's why I recommend in the morning, people get 20 minutes of sunlight, first thing if they can, by going outside, no sunglasses, but let your body be exposed to that light. And that triggers the release of cortisol and starts your circadian rhythms. It can even help with sleep. A really powerful pack that you can use to help reset your biological and circadian rhythms. Your body also uses other clues, these zeitgebers in your environment to determine what time of day or night

Starting point is 00:07:35 to sync up this or that rhythm in your body. And it's quite an amazing thing. There's a whole science even of chronobiology about, for example, which are the better times to give chemotherapy drugs for different cancers based on the activity of that organ, which is pretty amazing. Even in regular medicine, it's considered a legitimate strategy for how to actually time drugs based on your body's natural biological rhythms. You can just kind of Google chronobiology or go on PubMed and find more about it. So what is it that kind of throws your circadian rhythm out of whack?

Starting point is 00:08:07 Well, in a completely natural environment, your body's clock would normally be pretty dialed in. But in the 21st century, we live in a pretty screwed up world. There's so many things that throw us off balance, like screens, computers, phones, working overnight shifts, environmental stressors all kind of knock our circadian rhythms out of whack. I know I certainly am a victim of that. I travel a lot. I go jet lag, travel different time zones, and I'm constantly shifting my biological rhythms. And it has a huge impact. In fact, they actually did a study on football players and football games.

Starting point is 00:08:40 When you were a home team, you did better than, for for example if you played a team that had to travel across time zones so if you if you were a team that traveled across time zones statistically you were going to lose far more often than if you were playing in your own time zone because of the important effect of rhythm on our performance and our health so uh they also change these rhythms as we get older um for example maybe when get older, you're likely to go to sleep and wake up earlier, even if your teenage self preferred to stay up late and sleep till noon. That's because of these shifts in our hormones and biological rhythms as we go through life. Now, it's totally understandable if your circadian rhythms get off balance because of all these different insults we had to deal with in the 21st century.

Starting point is 00:09:22 But they don't just stay that way, and you can learn how to dial in your own biological rhythms. So let's talk about how people manage it. Well, one of the ways they manage screwed up rhythms is sleep medication, but that's not great. Now, it can be useful when prescribed properly in a limited short term way. But it's a terrible long term strategy because the medication actually doesn't really alter your internal clock. You can become dependent on it. It manages the symptoms, and the root cause of your sleep issues still are not really addressed. So if you need a little extra help getting asleep, in addition to the protocols that we're going to talk about in a minute, you could try magnesium at night, melatonin.

Starting point is 00:10:01 Different herbs can work, like passionflower, valerian root, chamomile, magnolia. There's a lot of herbs that can be very helpful. So there's lots of hacks that we can talk about. I've written a lot about this. We've had podcasts about it. We have a whole sleep course, master class, which you can get as part of my content online. So let's talk about how do you reset your circadian rhythms? What do you do when your clock's off? Well, what do you do if you have to adjust it because you have new work hours or you're moving to a different time zone or traveling? Well, luckily, you can reset your circadian rhythms. And again, that book, The Circadian Prescription, is really good because it goes into great detail,

Starting point is 00:10:40 particularly from a functional medicine perspective on how to do this. But in the meantime let's talk about the simple ways you can reset your rhythms and it's not really as hard as you might think in fact the best way to do this is really simple it's really great which means you can start doing them right away first of all get in rhythm you know i got rhythm that song well you want to get in rhythm schedule when you go to bed and get up every day. If you can have the same bedtime and the same wake time, your rhythms will naturally start to go back into balance. So it's important to go to bed at the same time every night, to get up at the same time. It's not always possible, I know, but try to do it as best as possible. Over time, your body's

Starting point is 00:11:17 going to adjust to that new schedule and learns when it has to go to sleep, when it has to wake up. And just make sure you try to keep that, Even on weekends, vacations, it's hard sometimes, but try to do your best. If you want to adjust your clock, for example, to a new schedule or to go to bed earlier, you can't just do it overnight. You have to sort of shift slowly. So if your bedtime now is midnight, but you want to go to sleep at 10, you can start dialing back by, let's say, half an hour earlier for a week, and then another week, another half hour earlier until you get to where you want to be. And that can start dialing back by, let's say, half an hour earlier for a week and then another week, another half hour earlier until you get to where you want to be. And that can be also for your wake time. If you plan to, you know, you want to wake up earlier, you have to slowly change that.

Starting point is 00:11:55 Otherwise, you're going to not feel good. And you can take your time and do this process slowly and your body will naturally adapt. The next thing is really create a great sleeping environment. And that means dark. And I use blackout shades. Some people use those eye masks, make it quiet, cool. The body sleeps best, probably 67, 66 degrees in the room. I know that sounds cold, but you need blankets and the better you'll sleep. I once went winter camping with my daughter in Utah and it was like 30 degrees or whatever in the yard and we, you know, there was no heat and we were in my sleeping bag and I slept the best I've slept in years.

Starting point is 00:12:30 So cold actually can help you sleep well. Use earplugs, make sure there's no noise if you can. So really create a great ideal sleeping environment, make sure your bed's comfortable and so forth. Also try to get that in the morning, 20 minutes of sunlight. That's going to make a big difference in helping your rhythm, helping you even sleep better at night. Exercise is great. Not too late at night because that'll activate you. But during the day, in the morning, afternoon, you can exercise and that's going to give you more energy in the day. It's a wonder drug. It actually helps boost melatonin production um and you know basically just don't do it late at night and it's better for your body natural rhythms to sort of slow down and calm down in the evening uh the two

Starting point is 00:13:12 drugs that we use all the time uh to either perk ourselves up uppers and downers that are legal are caffeine and alcohol so caffeine is an upper alcohol is aer. And those often will screw up sleep. And I have an aura ring. I don't have any relationship with them, but I track my sleep. It's kind of interesting to see what happens. And I know I was in Europe recently, in Italy, and I drink more wine than I do normally. I don't usually drink much at all. And, you know, you kind of went in Italy, Rome, whatever, do what Rome is too.

Starting point is 00:13:41 And I noticed that my sleep was was terrible that my heart rate didn't go down that my heart variability was worse and that my sleep was more disrupted um so it's really not a good idea so caffeine also is important make sure you if you drink coffee i don't don't have it in the afternoon because it has a long half-life five to seven hours which means you know half of it's out of your body in five to seven hours. If you're trying to go to sleep and you still got caffeine in your system, it's going to be harder. Now, it depends on your metabolism. Some people are super fast metabolizers, some are slow, but it's really important to try to get either eliminate coffee and alcohol or at least for sure track how they affect your biology and your sleep. And basically, the best thing if you're having sleep trouble is just to quit them.

Starting point is 00:14:28 And then there's screens. We are so addicted to our screens, me included. I work, I read, I use, you know, Kindle and all that, which might be better. But blue light is a really important disruptor of sleep. Now, we need blue light in the morning to activate cortisol and all the natural rhythms, and we need sunlight and so forth. But when you're using blue light at night, whether it's from fluorescent lights or LED lights in your house or your computer or your smartphone, it inhibits melatonin. It can lead to cancer, not just sleep disruption, but all kinds of horrible

Starting point is 00:14:59 things happen. So light is medicine, and you want the right light at the right time. You want more red light at night, kind of blue light in the morning. And you can actually get even in your house, these red light bulbs for night and you can get blue blocker glasses. So there's a way to sort of protect yourself. Watching TV before you go to bed, not a great idea. But if you're doing that, use the blue blocker glasses. And you can reset your rhythm. So the key to health is not just food and exercise and sleep and stress reduction, but it's also rhythm. And it's important to remember that rhythm is a key ingredient for long-term health. So that's it for today's health bite. Sleep is really your body's medicine.

Starting point is 00:15:43 If you want to learn more about it, check out Matthew Walker's book, Why We Sleep. When your circadian rhythm's out of whack, it's not good and it's not good for your health. So I hope these tips I shared with you today help you reset your natural rhythms. And that's really it for today's Health Byte. And be sure to share with your friends and family on social media.

Starting point is 00:15:59 I'd love to hear how you've used different rhythm resetting strategies in your own life. Leave a comment. And we'll see you next time on The Doctor's Pharmacy. Hey, everybody. It's Dr. Hyman. Thanks for tuning into The Doctor's Pharmacy. I hope you're loving this podcast.

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Starting point is 00:17:07 I hope you enjoyed this week's episode. Just a reminder that this podcast is for educational purposes only. This podcast is not a substitute for professional care by a doctor or other qualified medical professional. This podcast is provided on the understanding that it does not constitute medical or other professional advice or services. If you're looking for help in your journey, seek out a qualified medical practitioner. If you're looking for a functional medicine practitioner, you can visit ifm.org and search their find a practitioner database. It's important that you have someone in your corner who's trained, who's a licensed healthcare practitioner,

Starting point is 00:17:38 and can help you make changes, especially when it comes to your health.

The Dr. Hyman Show - Six Ways to Reset Your Circadian Rhythm

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