Video summary
Sleep experts Shawn Stevenson, Matthew Walker, and Dan Pardi join host Tom Bilyeu to address sleep deprivation as a global epidemic affecting over half of adults worldwide. The consensus among them is that achieving optimal health requires not just more time in bed, but "sleeping smarter" by aligning with biological rhythms. A critical first step occurs the morning before: direct sun exposure into the eyes and on the skin immediately upon waking helps set circadian rhythms effectively, even for those living at northern latitudes where light is gray. This sunlight signal triggers melatonin production later in the day; conversely, artificial blue light from screens must be minimized after 6:00 p.m., often achieved through night modes or blue-blocking glasses to prevent disrupting sleep onset. Furthermore, physical activity throughout the day taxes the body sufficiently so that falling asleep becomes natural rather than forced, while a sedentary lifestyle prevents the necessary physiological drive for rest. Diet and hydration timing play pivotal roles in maintaining uninterrupted sleep cycles. Dan Pardi advocates for an extended intermittent fasting window where no food is consumed after 1:45 p.m., ensuring at least three hours of digestion before bedtime to avoid discomfort that disrupts deep sleep phases. Similarly, liquid intake should cease by 2:00 p.m. to prevent nocturnal awakenings caused by the need to urinate; waking up in the middle of the night can trigger a "death loop" where problem-solving and anxiety make it impossible to return to sleep. The environment also matters significantly, with experts recommending blackout curtains to eliminate light pollution from streetlights or neighbors, as even small amounts of artificial light detected by skin photoreceptors can inhibit melatonin secretion. Additionally, maintaining a cool room temperature between 67° and 68°F signals the body that it is time for sleep, leveraging evolutionary adaptations where dropping temperatures historically indicated nightfall. The discussion extends to the psychological aspects of dreaming and insomnia treatment, highlighting Cognitive Behavioral Therapy for Insomnia (CBT-I) as the superior first-line recommendation over sleeping pills. Matthew Walker explains that sedatives like benzodiazepines create a state of sedation rather than natural sleep, often leading to rebound insomnia upon cessation or increased risks of death and cancer. CBT-I works by correcting misbeliefs about sleep and modifying behaviors such as caffeine intake and chronotype alignment—whether one is naturally an early riser or night owl—to harmonize with genetic predispositions. For those suffering from nightmares, which are often part of the brain's emotional regulation process to recontextualize waking life experiences, therapies involving rewriting narratives while awake can reduce their frequency and severity without relying on medication. Finally, the conversation explores how poor sleep directly impacts weight management and decision-making through metabolic mechanisms. Fat tissue acts as a regulated gland releasing over 50 adipokines that control hunger signals like leptin; however, chronic sleep loss damages these tissues and induces insulin resistance, making individuals appear pre-diabetic after just one night of deprivation. Sleep deficiency also impairs the brain's executive function in favor of reward centers, leading to "effort discounting" where healthy choices are abandoned for high-calorie, hyperpalatable foods that offer immediate pleasure but long-term harm. Ultimately, optimizing sleep quality is presented as a foundational pillar of health that can reverse conditions like type 2 diabetes and heart disease more effectively than diet or exercise alone, urging listeners to prioritize restorative habits such as early rising with sunlight exposure and strict evening routines to reclaim their vitality.
Read the full video transcript
Sleep is undeniably essential to our
health and longevity. More than half of
adults worldwide report that they are
getting less sleep than they need on
average per night, making sleep problems
a global epidemic. In this episode, I
have three sleep experts join me to talk
about how we can approach this program.
Shawn Stevenson, author of Sleep
Smarter, Give yourself a screen curfew.
Just 30 minutes. Matthew Walker, author
of the New York Times best-seller Why We
Sleep,
Cognitive behavioral therapy for
insomnia, that must be the first line
recommended treatment. And Dan Pardi,
CEO of humanOS.me
and dansplan.com.
Sleep ends up being as a very great
window into your soul, you know, even
into the into the workings of the brain.
Pay attention to get the inside scoop on
sleep and its necessity in today's
world. Number one is to remember that
your night sleep begins
the morning before. And one of the most
important things that you can do is get
direct sun exposure into your eyes and
on your skin first thing in the morning.
Now, I know a lot of people live in
northern latitudes and you're stepping
outside and it's basically just a gray
day, but even that helps. It's better
than nothing. You want to get out. You
want that sunlight to hit your eyes. You
want that sunlight to hit your skin
because it helps to set your circadian
rhythms. It's one of the most important
things you can do for actually getting a
good night's sleep, but it starts the
morning before. And by the way, as a pro
tip, when you're traveling, this is one
of the critical things that you want to
do to adjust to the new time zone. The
second you wake up, get out, go outside,
and get that sun exposure. And I try to
look up into the sky, not at the sun, as
that will burn your eyes out, but I try
to look up into the sky to make sure
that I'm getting the maximum amount of
sunlight into my eyes. I'm not wearing
sunglasses. I'm not wearing blue
blockers like I'm wearing now,
which is part of the night routine.
But in the morning when I'm trying to
get all that sunlight in to set my
circadian rhythms, then I'm making sure
that I get that exposure.
Make sure that you're using your body
throughout the day. It's incredibly
important to actually be physically
active to burn that energy off to make
sure that you earn your night's sleep.
In a modern lifestyle, so often we're
spending so much time sedentary that we
don't actually tax our body in any
meaningful way, which means that by the
time we're trying to lay down to go to
bed, we don't have the impulse to sleep.
And so, doing things that are physically
taxing throughout the day is an
extraordinarily useful way of being
ready to actually go to bed.
As you go through the day, I find that
there are certain things that you need
to be very careful about in terms of
what you intake, so eating and drinking.
So, a big one for me is the last meal
that I eat and what time that happens
at. Now, I get up very early, which
we'll cover as we get later in my day
around what time I go to bed, but I
typically get up very early, somewhere
between 4:00 and 5:00 a.m. So, my day
already is skewed that way, but my last
meal I eat usually around 1:15 to 1:45
p.m. And that is the last meal I will
eat for the day. I won't have anything
after that, literally nothing. I don't
even have a water after 2:00 p.m.
Now, the reason that I don't eat after
1:45-ish
is because I want to do intermittent
fasting and it's much easier for me to
get through the rest of the evening
without intaking any more food than it
is to spend the whole morning hungry
until, say, 12:00 or 1:00, which I know
a lot of people do. It's dealer's
choice, whatever works better for you,
but having an extended fast is very,
very helpful.
Now, also, another reason that I end it
early is that I think you will notice a
massive difference in how you sleep if
you have your last meal at least, at
least, bare minimum
3 hours before bedtime. So, if you go to
bed at 9:00 p.m. like it's a religion,
like I do, then your last meal is going
to be at 6:00 p.m. anyway. So, you're
going to want to get that out of the
way. And I wouldn't start chewing at
6:00. I would try to be done chewing at
6:00 so that you actually have a full 3
hours rest between when you had that
last bite and when you go to bed. Your
digestion stops in the middle of the
night so it can create discomfort if
your digestion stops sort of mid-process
and you're sitting with something
sitting either still in your stomach or
in your
um upper intestine. So, uh that can be
very uncomfortable. So, that disrupts
people's sleep and makes it hard for
them to get to sleep. And remember that
you have trillions of microbes inside of
you and when they're being asked to sit
in all the things that they're um
digesting, it can create issues. So, I
find that I sleep way better by not just
eating 3 hours before bedtime, but
taking that all the way back to where
I'm done chewing at about 1:15. Uh 1:45,
excuse me.
So, that's worked out really, really
well for me. And if you're worried that
you're going to get hungry, remember
you're taking in a normal amount of
calories, you're just having your last
meal later. And what I have heard said
before and I think it's really clever
and brilliant is that as I get hungry, I
have sleep for dinner.
And uh I love that. I love that idea of
right when I'm about like, "Yeah, I
could eat now." I brush my teeth, which
for whatever reason the taste taste of
toothpaste
kills hunger. So, just as I'm thinking I
want to eat, I brush my teeth and then
boom, I go to bed. I fall asleep with no
problems and I'm able to stay asleep.
Now, the reason that I stopped drinking
at 2:00 p.m. is I find that if I have
any substantial amount of water, cuz
I'll still have a sip of water here and
there, uh but sips. And the reason is
that I'll wake up in the middle of the
night to pee if I And by the way, if I'm
eating too close to bedtime, same thing
because there's so much water in the
food that you eat. Uh but I don't want
to wake up in the middle of the night if
I can at all avoid it. So, the times
where I eat late or drink late, I find
myself waking up in the middle of the
night to pee, and then my brain kicks
back in, and I start problem-solving,
and it makes it impossible for me to
fall back asleep, and I was losing two,
sometimes three hours a night of
productivity because I wasn't sleeping.
I was trying to fall back asleep. I
wasn't doing anything useful other than
tossing and turning and ruminating over
everything that had happened during the
day, that I need to do, that I could
have done better.
It was nightmarish. So, not only are you
fatigued, sub-optimal cognitively, but
it's just really a lame way to spend
time
because there's an interesting part of
your brain that shuts off in the middle
of the night that makes fears seem way
bigger than they will as soon as you're
up and are actually attacking your day,
it all feels very manageable. But in the
middle of the night, it feels
terrifying, it feels overwhelming, feels
like, you know, just absolute
stress-inducing, and so that makes it
even less likely that you're going to be
able to fall asleep. So, anything that I
can do to mitigate waking up in the
middle of the night and starting that
death loop,
I'm going to do. So, that's one of the
reasons that I stop eating, and is
definitely the reason that I stop
drinking at 2:00 p.m. every day.
Okay, the next thing that I do for sleep
hygiene, as it's called, is as the
evening wears on, I make sure that I'm
not getting a substantial amount of blue
light and bright light into my eyes. So,
I'm going to dim my computer screen. I'm
going to put my computer screen on
screen on night mode. So, you can go
into your phone, you can go into your
computer, and set them to just
automatically at a certain time. I think
I set mine for 6:00 p.m. if I remember
right, and it just automatically flips
over to an orangier light. I dim the
screen, so I'm not getting super bright
light. Happens again both on my phone
and my computer. And then, on top of
that, just to make sure, I put on blue
blocking glasses to make sure that I'm
not getting too much in my eyes. And
there are some days, if I'm going to be
at the computer for a really extended
amount of time, I'll wear blue blockers
even during the day just so I'm not
getting an overwhelming amount of the
artificial blue light from my screen.
So, that's how I curb that. And then,
another thing that I do around my
computer is I try not to do any work
that I think will be stress-inducing for
the final hour before my bedtime. So,
I'm still going to work right up until I
go to bed. My rule in life is Monday
through Friday, if I'm awake, I'm either
working or working out.
Now, I love my work, so this isn't a
torture chamber. I'm sure some people
are imagining that and thinking it's
horrible, but for me it's completely
joyful. And
I do, though, have to acknowledge that
there are some things that I work on
that stress me out. And so, I don't
check texts text messages after 8:00
p.m. I'm not looking at emails after
8:00 p.m.
Um I'm doing things that are work, but
enjoyable. Now, I'm not religious about
it. There are definitely times where I
feel that something really just has to
be done in a timely fashion, and so I
will break that rule light um
occasionally, but I try not to because I
do find that I sleep much better if for
the last hour before bed I'm doing fun
things, I'm doing things that um give me
energy, that make me feel light, that
are part of that passion, that feel
good. And I can feel a difference in my
stress and anxiety levels. There's a
lightness to it that I don't know I
don't have a better word for it, but as
I'm going to bed, I just feel relaxed, I
feel um joyful, I have a sense of
purpose, and it's like I can let
everything go for the day. And when I
climb into bed, I remind myself that I
only have one job now that I'm going to
bed, and that job is to sleep. And that
mantra, the job I have now is to sleep,
has helped me a lot, especially when I
wake up in the middle of the night.
So, when I lay down, then I have a host
of different mechanical things that I
do. Um one of them is to make sure that
I have my own blankets. I use a two
blanket system. So, I myself have two
blankets. That way, if at any point
during the night I'm getting cold, I can
pull the other blanket up. So, I start
it down where it's basically just
covering my shins and below. And then if
I'm getting cold, I can pull that up to
my waist if I'm a little cold but not
too cold, or I can pull it all the way
up if I'm really cold. And that allows
me to better control my temperature. And
then, this is the one that people think
is weird, but I've been doing it
forever, so it seems so normal to me. I
do not, ever, under any circumstance,
share blankets with my wife.
Now, the reason is, when they move, it
becomes your movement. Or you're playing
tug-of-war for the blanket, or worse,
the other person might actually pull the
blanket off you, or you might pull the
blanket off them and give them a bad
night's sleep. So, that was a lesson I
learned very early on because, for
whatever weird reason, I like to sleep
with the blankets up over my head. I
like to be completely cocooned. Feels so
nice. There is no light, which by the
way is another thing.
Make sure your room is dark.
Make sure your room is dark. So, no
light, no light leaks, no phones, no
nightlights, nothing. As dark as you can
get it. Cover up if things have like
little LED power lights, cover those up.
Do whatever you can to get the room
actually dark.
For me, I have another layer, which is I
sleep under the blankets. Now, if you're
like my wife Lisa, the last thing you're
ever going to do is cover your head with
a blanket. She absolutely hates it and
feels like, you know, she's just
claustrophobic and has to get it off of
her. But for me, it just feels
like I'm in a womb and it's so
wonderful. So, I love it. So, I have
slept with the blankets over my head for
decades at this point, which is another
reason why I need to have my own
blankets. So, get my own blankets, I can
meter them based on the temperature in
the room, which brings me to another
point.
One of the best
signifiers to your body that it's time
to go to bed, that's going to kick you
into sleep mode, is making sure that
your room is cool. So, we keep our room
somewhere around 67° to 68°.
It should be cool enough that when you
go to take your clothes off and get in
your pajamas, you kind of don't want to
because it's that cold. So, that's the
right temperature. So, whatever that
temperature is for you, you want to get
it there. Get under the covers, you're
nice and warm. It's not like you're
sleeping cold, but you want the room to
be cool to signal to your body that it's
night time, right? We've come up through
evolution with all of these signals from
daylight, from the brightness,
the color temperature, the difference
between firelight, which is dim and
orange, to daylight, which is bright and
blue. And so, we have all of these
subtle signals including a drop in
temperature. So, as the temperature
comes down, it's yet another signal to
your body that it's time to go to sleep.
So, from setting our circadian rhythm
with getting that sunlight directly in
our eyes, on our skin, actually being
outside, to the temperature dropping,
the color temperature of the light
changing, uh the brightness of the light
changing, all of these are signals that
keep your circadian rhythm where you
want it to be so that you can fall
asleep. What is up, my friend? Tom
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This particular topic
is and me being a nutritionist like I
was all like food matters, food first,
food is the most important thing. But,
in my practice and seeing people coming
in that
you know, we've got these folks over
here, you know, 80% of the time are able
to reverse type 2 diabetes, heart
disease, get off their lisinoprils, and
all this different stuff. And then we've
got this category of people who just
like literally sometimes would
ironically kind of keep me up at night
like, what is wrong? Like I'm doing all
these things right. Are they lying to
me? And then it wasn't until I started
to ask people about their sleep that it
just like it changed everything. And
this was about 6 years ago.
And so
then and here's the key.
I can't just tell people they need to
sleep more.
You know this. Like people don't want to
change that much. Like we want change,
but we want it to be a little bit,
right? And so I found clinically proven
strategies that are super easy to
implement. Almost things that can happen
on automatic to help them improve their
sleep quality, right? And once we did
that, it's like the floodgates would
open for people. You know, who'd been
struggling for sometimes, you know, 15,
20 years with their weight. Finally, the
weight comes off, you know? And seeing
people struggling with heart disease or
high cholesterol, you know, the
so-called bad cholesterol. Um and seeing
those numbers finally get regulated once
we got their sleep optimized.
And I knew that this was incredibly
important part of the conversation that
was left out. And as we'll talk about, I
know now that our sleep quality is more
important than our diet and exercise
combined. And what it does for our
health and also literally our physical
appearance.
Fascinating stuff. How much more fat you
lose when you get optimal sleep. It's
It's insane. That's a bold statement.
So, walk me through what are some of the
um
the just
core benefits that I'm going to get
assuming that I'm sleeping suboptimally.
Like
why is that a problem since that's
probably one of the most celebrated like
things? Like when you get a little
sleep, people like champion you.
Normally, I'd sleep 5 to 6 hours a night
with no alarm. Okay, I haven't set an
alarm in 15 years. So, that's just That
was my cycle.
Mhm. Um I go to bed early, very
consistently. My diet is on point. My
exercise is on point. And so, I'd wake
up feeling awesome.
Yeah. And so, I thought this is cash
money. But because I don't set an alarm,
that my sleep cycle will change. And
right now I'm getting like 7 to 9 hours
out of nowhere and super consistently.
Yeah. And I literally have no idea why.
I'm warmer now. So, I used to be
freezing cold at all times. And then at
the same time that my and I don't know
correlated, causative, no idea. Um
I've started being warmer while I sleep
and then during the day. So, what are
like the core components of sleep? Was
something bad happening to me or or less
than optimal when I was only getting 6
hours even though I felt good.
Any correlation between the
heat and the extra sleep? There's
There's for There's a lot to unpack
there. Number one,
what's so interesting is that you you
were doing something exceptionally right
as far as what the research shows with
improving your sleep, which is you were
going to bed kind of consistently a
little bit earlier than other folks
might. And so, what we call what we call
this is this anabolic window or what we
call money time sleep. And this is
generally between the hours of 10 and 2
because it's more lined up with your
natural melatonin secretion. So, if you
go to sleep during those times, you
actually spend more time in the deepest,
most anabolic stages of sleep and you
tend to produce more human growth
hormone than other folks. So, you were
already winning with that. This is why
you have a tendency to feel better even
if you're getting less sleep because
I This isn't called sleep more, right?
It's sleep smarter. And there are many
people who sleep, you know, 8 to 9 hours
and they wake up feeling like
straight up, you know, hot garbage. You
know what I'm saying? And they're just
wondering why. It's because it's the
quality of sleep. And when I say quality
of sleep, what does that mean? Let's
break that down. So, your sleep is
regulated by changes in your in your
brain waves. It's really fascinating
stuff and we still don't know really
what sleep is. Trying to define sleep is
like trying to define
um you know, when Forrest Gump is like
life is like a box of chocolates, sleep
is like pretending to be dead. We don't
really know, right? But we do know the
changes that happen in the brain. We
cycle from kind of a normal waking state
with with gamma, beta, um we're probably
in beta right now. We move to alpha,
theta, delta is where the deep anabolic,
dreamless sleep takes place. And we need
all of them.
And there's a certain percentage we
spend in each that helps to rejuvenate
our mind and bodies. And if you optimize
certain things, you'll do it more
efficiently. One of those gear shifts,
like if you think about your body like
this kind of manual transmission, is
melatonin. Like people hear about
melatonin as a sleep hormone and it just
helps your body to efficiently go
through your sleep cycles. And if your
melatonin is suppressed by various
things, you know, I'll share a couple,
then you're not going through those
efficiently and you can wake up feeling
like a piñata after the party the next
day, even though you're spending all
this time on the mattress.
So, that's number one.
Number two, there's this interesting
process called thermoregulation. There's
a natural drop in your core body
temperature at night
to help facilitate sleep for all of us
if things are running properly. But what
was fascinating and I shared a study
about this is that
they tested insomniacs and everyone in
this particular clinical study all had
too high body temperature at night. It
would not go down.
And so, what they did was they fit them
with these thermal suits, right, that
lowers their skin temperature, not even
the core temperature, just 1°, and
virtually eliminated all the symptoms of
insomnia. Whoa. Ambien can't do that,
all right? And it's as simple as paying
attention to how your body temperature
influences your sleep. And so, with your
body temperature changing like that,
it's kind of feeling more of an
insulation
as a result of having more sleep,
there's a ton of different things that
could be correlated there. So, I'm not
going to say that the sleep is a
causative factor, but it's really
interesting how your body does change in
accordance to sleep. There's a natural
rise in your core body temperature as
the day goes
as I'm sorry, as the night goes on that
helps to kind of wake you up.
Um so, what I did want to share though,
when I said that kind of bold statement
in the beginning,
when we're talking about how sleep
influences your body composition, I
think everybody needs to know this.
There was a
This study really blew my mind and this
was done at the University of Chicago.
And they took people
and they put them on a calorie
restricted diet, kind of typical stuff
again I'm taught in college, to see the
impact on weight loss
when they're sleep deprived or getting
enough sleep, all right? So, they put
the people on this particular diet,
monitor everything.
One phase of study, they're getting 8
and 1/2 hours of sleep, all right? And
then they check all their metrics.
Another phase of the study, same exact
diet, same exercise, they don't change
anything else, but now they sleep
deprive them. And they take away 3 hours
of sleep. So now they're getting 5 and
1/2 hours of sleep versus 8 and 1/2
hours of sleep.
At the end of the study, they found that
when individuals were well-rested, they
burned 55% more body fat just by getting
more sleep. And so the question is, how
does this happen? Melatonin, when I
talked about this a little bit earlier,
it's not just that it's involved in
sleep, it's also involved in fat loss.
In this study that was done in the
Journal of Pineal Research, found that
uh melatonin production helps increase
your body's mobilization of something
called brown adipose tissue, right? This
is a type of fat that burns fat, all
right? The reason that it's brown is
that it has more mitochondria. So it's
very energy dense, right? These
mitochondria, just for people who I'm
sure people have heard of this, but it's
like these energy power plants in your
cells that are creating the energy
currency of your body, like how you
experience energy, the energy exchange,
something called ATP.
And so when you are producing adequate
melatonin, you're producing and
mobilizing adequate amounts of brown
adipose tissue, which just puts you in a
metabolically advantaged state, all
right? But if you're not getting the
melatonin production, which you've got
to meet two requirements,
number one, you need a biological night.
So that means this could actually be
during the day, but it's a consistent
cycle of when it gets produced.
But the other requirement needs to be
met that you need darkness. Your body
produces melatonin exclusively in
darkness. And so that's one. Also, how
do you get how do they get that body fat
change? HGH production, which we talked
about, too. Human growth hormone is
muscle sparing.
And it's a big driver of energy. It's
also known as a youth hormone. Kids have
an insane amount of HGH being produced.
This is why they have so much energy. We
have a pretty sharp decline in our
production right around 18 to 20. But my
argument is that around 18 to 20, we
generally in our culture like leave the
house, we might go to college, that kind
of thing, and we no longer have
structure, we no longer have rules, and
we're not going to produce as much HGH.
Third thing, really quickly,
um is and this is all has to do with the
diet and the food choices is leptin. All
right? And I know people's talked about
leptin before, but leptin is your body's
kind of glorify satiety hormone. And so
when you're producing adequate amounts
of leptin, you feel more in control,
right? You feel more satiated. But when
when leptin kind of falls off the map or
you have leptin
uh resistance can take place,
then we're going to have some pretty big
issues with you regulating your cravings
and your appetite. And so Stanford
University researchers found that just
one night of sleep deprivation radically
suppresses your leptin.
And now I hope folks can start to pay
attention whenever you might not get the
best sleep, how your cravings changed
the next day. You're going to have a
tendency to want to number one, eat
more, number two, to want to eat more
kind of the starchy, crunchy, salty,
sugary type things. And I remember my
wife, who's actually here, uh when we
had our son, and I she she's never seen
me eat the this food. I was sitting
there like waiting for the baby to come.
I was eating uh chocolate-covered
raisins. I was just like and I didn't
even realize I was doing it. You know,
it was like 3:00 in the morning, you
know?
And so that's another thing. And uh last
one I'll share and there's so many that
create that change in your body
composition.
But this one is incredibly important.
Is cortisol.
Cortisol's been dragged through the mud
recently. You know, it's getting blamed
for everything, but it's not really a
bad guy. It's just misunderstood. All
right? Cortisol's incredibly important.
For example, cortisol's important for
your thyroid to work, right? And that's
kind of like the metabolism regulator of
your body. But here's the thing.
Just one night of sleep deprivation
radically increases your cortisol and
suppresses melatonin, actually, as well.
But, this rise in cortisol has a really
powerful ability to start to break down
your muscle tissue, which your muscles
your body's kind of fat-burning
machinery.
And so, it can convert your muscle
tissue into glucose. It's a process
called gluconeogenesis.
As a kind of fight or flight response
because your physiology doesn't know why
you're not sleeping. You know, it must
be some danger about, you know? And so,
understanding those major hormones, and
there's many others, you start to see
the picture that gets painted with just
how much your sleep quality impacts your
physical appearance. It's really crazy.
I've always known you need sleep, but I
didn't know why. And so, getting into uh
or transitioning, I should say, because
I was in you needed sleep because if I
didn't get it, I felt terrible. But,
that was sort of the the end of it. And
I even let myself just stop at the we
don't really know why you sleep, but not
diving into to the real breakdown, which
is really fascinating. So, what are
things then that people can do to
actually optimize their sleep?
Yeah, this is what it's really all
about.
You know, I I like to start with the
low-hanging fruit first. Um and
something really really fascinating is
just simply
changing or embracing the time of day
that you exercise can improve your sleep
quality.
And so, Appalachian State University did
a really cool study, and they wanted to
see what time of day exercising at
various times of day how does it impact
your sleep quality? And so, they had the
study participants to exercise
exclusively at 7:00 a.m.
And another phase exclusively at 1:00
p.m. in the afternoon. Another phase
exclusively at 7:00 p.m. in the evening.
They compiled all the data, and at the
end of the study, they found that
morning exercisers spend more time in
the deepest, most anabolic stage of
sleep. So, they're producing more human
growth hormone.
They have more efficient sleep cycles,
what we've been talking about.
They also tend to sleep longer and this
is the one that kind of can get glanced
past.
On average, they had about a 25% greater
drop in blood pressure at night.
So, what's what's up with that? That's
correlated with a deactivation of your
sympathetic fight or flight nervous
system, right? So, you're actually able
to shift gears, get to that
parasympathetic rest and digest, calming
down by getting some exercise in in the
morning.
And so, how do we employ this though?
That's the question. Because some people
are just like, you know, I can't
exercise in the morning. And there's
also people who exercise in the morning
who might have terrible sleep.
And it's because this is not like the
magic bullet. This is a thing to stack
in your condition. If you're doing this
and then messing up the one I'm going to
talk about next, you're probably not
going to have the best sleep. So,
here's how to employ this. Just 5
minutes.
And I tested this. Each morning I do
this 5 minutes of exercise. You know, it
might be just jumping on a rebounder,
you know, a little mini trampoline for 5
minutes, go for a quick power walk, do
some Tabata, which is just 4 minutes,
and a little mobility work.
And
people don't know what Tabata is.
It's high-intensity interval training,
basically. It's 20 seconds of exercise
followed by 10 seconds of rest, repeated
over and over again for 4 minutes.
And in his clinical studies, this was
found to outperform,
you know, traditional cardio, like the
kind of moderate-intensity 45 minutes of
exercise, in 4 minutes.
Wow. The change in your cardiovascular
benefits, body composition, and also
change your mitochondria as well. This
is why it works. It does something
called a cortisol reset. All right. And
we talked about cortisol,
but again, it's a good thing if it's in
the right time and in the right amount.
Clinically, I would call these people
tired and wired that would come in and
looking at their hormone panels. And the
cortisol would be really low in the
morning and high at night. Thus, they
have sleep problems.
So, you naturally, if your
if your cortisol is on a natural hormone
rhythm, it will be elevated at its peak
in the morning, right around 6:00 a.m.
to 8:00 a.m. and then gradually decline
as the day goes on.
have to do with what time you wake up?
Sort of. I mean, the cortisol will kind
of tend to nudge you out of sleep, but
also you'll tend to notice that as the
day as it your sleep goes on, it becomes
lighter and lighter anyways, right? This
is when you tend to remember your dreams
like at the at the end of the sleep.
And so,
getting this little boost, like helping
your body to propel and get your
cortisol up via exercise helps to reset
that rhythm and get you back on track.
So, that's why it works.
So, that's number one, low-hanging
fruit, just get in 5 minutes of
exercise. Start in the morning, no
matter what. Just 5 minutes is all you
need. It's going to help to create this
snowball effect of good things for you,
you know? 5 minutes. If this is the time
you do go to to the gym and do your full
workout, so be it, all good. But,
everybody who's not already doing that,
just get that 5 minutes in. The second
one,
and this one is more of the tough love
and the the most difficult, but this is
the most important one in our culture
today. And this has to do with our tech,
all right? So, Harvard researchers have
confirmed that blue light exposure from
our favorite devices, you know, iPads,
our iPhones, Androids, tablets,
televisions, they do in fact suppress
your melatonin substantially. Because it
your body essentially thinks the sun's
out, is that the problem? So, we have
photoreceptors that are always trying to
gauge what time it is, right? Because
our bodies are wired up to be in sync
with nature. But, only recently, like
literally just the past few decades have
we been able to manipulate and basically
create a second daytime, right? So, your
body just it doesn't really know how to
figure it out. And so, the blue and
white spectrum specifically are the ones
that are more similar to daylight. And
so, what it's doing is and so, here's
what the researchers found. Basically,
every hour you're on your device at
night suppresses melatonin for about 30
minutes. All right, so if you're on your
you know, you're watching a movie 3-hour
movie for example,
your melatonin is going to be suppressed
even if you go to bed right after.
You're not producing adequate melatonin
for about an hour and a half.
And so again, you can be unconscious
from sheer physical exhaustion, but
you're not going to go through your
sleep cycles efficiently.
And so just be mindful of that. What I
encourage people to do is to give
yourself a screen curfew just 30
minutes. All right, I don't want to make
this complicated just 30 minutes, but
here's the rub.
We're addicted to our devices like
straight up. We just need to be on I am.
We all are, you know, basically it's
because of this dopamine loop, right?
Dopamine is so powerful, so interesting.
Dopamine is one of the things I truly
feel has helped to create our
civilization as it is because it drives
us to seek, right? Dopamine drives us to
to to seek and and to grow and to find
to discover. The internet is perfect for
manipulating this because every time you
look for something you find something,
especially social media. You seek find
seek find. You produce the dopamine that
drives you to look, but why do you keep
going is every time you find something
you get a little bit of a a hit from
your opioid system. All right, it's like
this slow drip all right, of morphine.
And so it starts to like feel really
good into the point where you might be
doing your work and like you got a
deadline and you'll just you know, like
I'll check Instagram real quick. Before
you know it it's like 30 minutes later
and you've fallen into the internet
black hole. It's like it just pulls you
in. So be aware of that. I'm not saying
again, our connection with tech is just
going to grow. So I'm not bashing that.
It's just be aware of it and that when
you try to abide by this principle which
will really really help your sleep
quality to give yourself a screen
curfew, you can't just sit there and
twiddle your thumbs because you'll get
what I call the internet jitters, all
right? You'll start getting like
um a little bit of a withdrawal effect.
Like,
let me just check one just one one post.
What we have to do is this, you have to
replace it with something of greater or
equal value. It's really that simple.
Hopefully, is what I encourage people to
do. This is an opportunity to connect,
right? Connect with your significant
other, your kids, the people like
physical like have a real conversation
with somebody, right? I know it sounds
crazy, but it really works. It's really
really good.
And also, this is a great opportunity if
you you know, if you're in a
relationship or not, whatever you're
into, you could you know, utilize and
I've got a chapter on this as well,
intimate time because there's a big
connection between sex and sleep. And
there's also a big connection between
sleep and sex and how it impacts your
sex life.
And so, when we have an orgasm for
example, we produce up chemical I'm
sorry, cocktail of chemicals including
oxytocin,
norepinephrine, prolactin. And oxytocin
for example, has been found clinically
to
basically combat the effects of
cortisol. And hopefully, sex is more
interesting than Instagram, but you
know, I don't know. It depends on how
you're doing it. And so, that's what I
want people to do, a screen curfew and
or use these hacks. Utilize some blue
light blocker blockers. And so, for your
desktops, laptops, things like that, you
can get an app called f.lux
that pulls out the most troublesome
sleep sucking spectrum of light from
your screen. It basically cools your
screen off.
And it's a simple app. You set it and
forget it. It's totally free. You just
go to Dr. Google, type in f.lux
and a couple clicks and it's on your
device. I've been using it for maybe
five or six years. I love it. And for
your
telephone, you know, your cell phone,
we've got on the iPhones built-in now is
night shift. With Androids, the best one
out there
from my research is one called Twilight.
You know, so there's options for
everybody. Then what about the ambient
light at night or if you're watching a
movie? Again, I don't want to get Don't
get too neurotic about it, but if this
is a problem for you and you're not
sleeping as well as you could be or your
results, your body composition not
changing, you're not getting that blood
pressure down, you're not having that
focus you need through the day,
um then you might want to address this,
but
another little hack is to get some blue
light blocking glasses. The first ones I
had was straight up like I just built a
birdhouse. But now there's some really
cool stylish ones that you can rock. As
a matter of fact, you'll create a neuro
association when you put the glasses on
and you'll start to get sleepy. You
know, it's nuts. And that is another
thing right there is to create an
evening ritual. Right? Your brain is
always looking for patterns. A lot of
successful people, especially listening
to the things that you're putting out
there, have a success ritual in the
morning.
But a great morning starts the night
before, you know, a truly great morning.
And so
a couple of quick things people can can
do is the thermal regulation piece. Turn
down the thermostat. All right? Now,
this one's again, this is going to hit a
pressure point for some people, but
according to research between 62 and 68°
F is ideal for sleep. And so, for some
people that's going to sound a little
bit frosty, but it lowering the
thermostat a little bit can
have incredible benefit uh for your
sleep. But this doesn't mean you can't
use your covers and put on some warm
socks, that kind of thing. So,
cooling off this thermostat,
making sure that your bedroom, ideally,
I I call it a sleep sanctuary. And so,
that when you walk into your bedroom at
night, if your brain has a neuro
association when I go into my bedroom,
I'm watching television or I'm working,
those channels are going to fire because
of the myelin getting laid down over the
years of you doing that behavior or even
months it can get laid down. And so, you
might have the intention of going to
bed, but if your TV's in there,
your brain is going to be firing
expecting to watch television and parts
of your brain are going to be waking up
in a way. Mhm. And so,
I encourage people to get the tech out
of your room. Have your sleep Have your
bedroom be a sleep sanctuary, you know,
some place that's just for the the
double S, which is sleep and sex. Here's
also a really interesting reason why.
There's an Italian study done. They
found that couples who have a television
in their bedroom have 50% less sex.
Really?
Yeah. Yeah.
That's interesting. And you know, this
is a little bit more middle-age, little
past middle-age the people in the study.
But and I know some people like, "That's
not true. I have sex all the time." You
probably do it in a snowstorm. Like it
doesn't matter where you are. Like
you're a human rabbit. It doesn't
matter. But for other people, it's like
a distraction. Right. It's a distraction
and it can also, you know, um
create all of those kind of chemical
soup issues that we've been talking
about with elevating cortisol and those
kind of things. So,
I ideally, get your television out of
the room,
uh the other tech.
And last thing with the sleep
environment I'll share, when I talked
about melatonin, you need those two two
conditions, biological night.
And you also need a dark environment.
And so, if you're in an environment
where you're maybe in a suburban or city
environment where there's like
neighbors' porch lights coming in,
there's LEDs outside, cars coming up and
down the street,
as crazy as this sounds, that
that small amount of light, what we're
now dubbing light pollution,
can have a significant impact on your
sleep quality. And here's here's why we
know this. Cornell University did I
think of the best study on this. And
they took a test subject and had them
sleep in a otherwise dark room. And they
took a a light, a fiber optic cable and
a light the size of a quarter and put it
behind their knee. And that was enough
to disrupt their sleep cycle.
Because your skin also has
photoreceptors that are sending
information to your brain, your nervous
system, your internal organs to try to
tell your body what time it is. It's
trying to figure it out.
You know, so we want to get rid of that
artificial light exposure.
Now, does this mean moonlight and stars?
No, humans have evolved with those
things. And their lux, like I actually
put a lux chart in the book, is so small
compared to even the weakest fluorescent
bulbs.
And so, get yourself some blackout
curtains if that external light is an
issue.
Internal light, you know, your alarm
clocks and you know, light, you know,
lamps, you know, some people still are
sleeping with their lights on and things
like that. Be mindful of that and also
what you can do is just change the bulb
color.
You know, if you still have issues with
the dark, which some adults do and
that's okay.
Um
you can change the bulb color color and
I actually had some NASA scientists, or
people that work with them, to send me
some different bulbs because
folks in space, they don't have that
biological clock.
And so, they would experience all these
different health challenges. And they
had to try to figure it out, they knew
that it was an issue with their sleep.
And so, they started to give them
different bulbs for different times of
day, in a way, you know, even though
they're in outer space.
So, it's really cool what you can do
with these little hacks, but bottom line
is you want to have a dark cycle so you
can produce melatonin. And you know,
those are just a few, those are just a
few of the different things people can
do. If sleep is so good for me and
dreams are amazing and they help with
creativity and they they take the sharp
edges off my emotions, why the hell do I
have nightmares?
Yeah, so what we know is that nightmares
aren't necessarily pathological.
Um and we we know that in some
conditions, and PTSD is a is a very good
example of this, that they can sort of
step over that threshold from being
normative to non-normative. And they
they can be very concerning and and and
disruptive to people and it's also very
traumatic too, to relive those and and
wake up from them. We do think it's part
of the same process of sort of emotional
regulation, that it's the brain trying
to understand and better comprehend what
this thing called waking life and all of
its emotional peaks and troughs are all
about. So,
the bottom line here is that as long as
they're not causing you distress and
harm, then you don't have to worry about
them.
If they are doing that though, there are
new clinical therapies for um what we
call nightmare um disorders.
And it involves usually just what you
were describing before, which is
speaking with a therapist, writing down
the nightmare, and then replaying it
while you are awake, sort of you know,
speaking about it, writing it back down,
working with a therapist, and
essentially trying to sort of just say,
"Look, okay, in that context, it's safe.
Let's better understand that."
And repeatedly doing that type of work
where you're sort of
reactivating the nightmare, and then
trying to change the context to
something that's safe or that's less
fearful or that's less negative,
gradually over time, that type of work
can dissipate the frequency and the
severity of those nightmares. So,
nightmares by themselves, not
necessarily a bad thing. If they are
causing you problems, you can go and
speak to your doctor, and there are some
therapies for that that you can sort of
just Google around um nightmare therapy,
etc., and those will help.
Yeah, and that like the way in which
your brain chooses to interpret its sort
of dream reassessment of the real world
will have huge implications in your
life. It could be PTSD, it could be a
bazillion things. I have a feeling, I
have never had this thought before, but
I have a feeling that
the more we learn about how individual
brains recontextualize things, and how
much the conscious mind and subconscious
mind sort of come into cahoots to decide
how they're going to align things up,
because when I was in my early 20s and I
was convinced I I stupid, I was
interpreting the world one way that was
just had me paralyzed by fear. And then
as I began to realize sort of the nature
of the brain and oh, just cuz I'm stupid
now, it doesn't mean I can't learn about
this.
You know, that Carol Dweck's notion of
yet, right? I'm not good yet. And so
that since then, consciously I have
changed the way that I frame things. But
I would bet a bazillion dollars that I'm
also doing that subconsciously as my
brain sort of processes the day.
I think that's what, you know, dreaming
if if it's one of its functions, is that
recontextualizing of those experiences.
You know, dreaming I think is a is a way
for us to understand the world in which
we live.
And we can do it whilst we're awake. You
know, I'm not suggesting that we don't
form connections and we don't see links
between different pieces of information.
But the way that we do it in dreaming is
very different. You know, I often liken
it to when we're awake, you're sort of
inputting this information into the
brain and it's almost like a Google
search page one. Where you insert your
search term, you hit return, and you get
the most obvious, immediate hits, the
direct connections. That's what waking
is all about. Dreaming is you inserting
the search term, hitting the return
button, and being taken straight to page
20.
You know, and you inserted, you know,
Impact Theory University.
And all of a sudden, on page 20, it's
about a field hockey game in Utah. And
you think, "Hang on a second, what on
earth is But then you read it and you
think, "Ah, I can It's a distant, wacky
connection."
And it's not obvious to me that I would
have made that, but it's a potentially
powerful one. Because when you start to
fuse things together that shouldn't
normally go together, but they cause
these marked advances in evolutionary
fitness, it sounds like the biological
basis of creativity.
And that's one of the things that we're
learning about with dream sleep as well.
Contextualization,
emotional resolution, creativity.
Yeah, so, you know, as we start talking
about dreaming and nightmares and all of
the different ways that the brain is
sort of interacting,
uh, trying to make sense of the
conscious world, one thing I heard you
talk about is cognitive behavioral
therapy for insomnia, which I found very
interesting and I know so little about
it, but knowing what I know about
cognitive behavioral therapy in terms of
pattern interrupting and things like
that, are you Is this like us sending a
sort of subconscious signal to our
brain? Like, how does that work?
Not quite. So,
what we know, obviously, has been the
rise of sleep difficulties in society
and that has been matched by,
unfortunately, a rise in pharmacology
and particularly sleeping pills. And I
say unfortunately not because I'm
anti-medication and I know a lot of
people who work at these pharmaceutical
companies and they're good people, great
scientists wanting to do good things.
But, unfortunately, sleeping pills are
largely blunt instruments and they don't
produce naturalistic sleep. Um, they're
in a class of drugs that we call the
sedative hypnotics.
And when we take sleeping pills, we
mistake sedation for sleep, but it's not
natural sleep. And in fact, um, sleeping
pills have been associated with a
significantly higher risk of death as
well as cancer.
So much so that in 2016, the American
College of Physicians made a landmark
recommended, um, intervention. They said
that sleeping pills must no longer be
the first-line treatment for, uh,
insomnia. Instead, the American College
of Physicians said it has to be
cognitive behavioral therapy for
insomnia that must be the first-line
recommended treatment for those sleep
problems.
And so, cognitive behavioral therapy in
general really tries to target two
things, cognitive and behavioral.
And so, the cognitive aspects for
insomnia are aspects where we try to
correct your beliefs or your misbeliefs
around sleep. And some of your ideas
around sleep. Some of those things that
can be either inappropriate, incorrect,
or just triggering anxiety or worry. So,
we try to modify those cognitions, those
beliefs. But, then we also look at what
you're doing in your life, the different
behaviors that you're doing or things
that you're not doing. And try to
correct the behaviors as well. For
example, how's your caffeine intake?
How's your alcohol intake? What time are
you going to bed? What time are you
waking up? What's your chronotype? Are
you a morning type, evening type? Are
you sleeping in harmony with your
chronotype or against your chronotype?
Um, are you getting daylight in the
morning? Are you getting too much
daylight at light at night, artificial
light at night? Do you exercise?
And so, we change behaviors and we
change thought patterns and together,
cognitive behavioral therapy for
insomnia is just as effective as
sleeping pills in the short term. But,
what's great is that when you stop
working with that clinician, um, or your
online program, and I should say that I,
um, I'm, uh, work with a a company, uh,
I'm an advisor to a company called
Shuni. Um, it's s h uh, u n i.io.
If people want to go and explore it. And
you can get cognitive behavioral therapy
online there. But, you work with your
therapist and after about, uh, five or
six sessions,
you can continue that benefit of
improved sleep for up to five years. The
studies have demonstrated now. Whereas
with sleeping pills, when you stop their
use, then not only do you go back to the
bad sleep that you you were having, you
typically go back to even worse sleep.
It's called rebound insomnia, and now
you have to go back onto the use. So,
you become dependent. There is an
addiction dependency cycle. So, that's
really what CBT-I is, and that's really
the best approach for sleeping problems
right now.
All right. So, I have two sleeping
problems. One is that there are times
where I will get um either really
stressed or I'll get really excited, and
I have a very easy time falling asleep,
but then I'll wake up after 3 or 4
hours, and I find it very difficult to
fall back asleep. And then the second
part, just so I don't forget, is sleep
inertia in the morning. But, what can I
do to um optimize for staying asleep?
Yes. So, there it's a case of trying to
deal with that sort of downgrade the
activation of the nervous system. The
reason that people typically wake up uh
in the middle of the night and can't get
back to sleep, not always, but often, is
because they have this sort of stress
related carrying this anxiety. And
anxiety, biologically, is the principal
mechanism that we think underlies most
insomnia.
And what happens, in part, is that the
fight-or-flight branch of the nervous
system becomes overactive.
And that's exactly the opposite of
down? Like, I find it so easy to fall
asleep, but I can tell on the nights
where I'm going to wake up.
Yeah. Seems weird that it dips, but then
my subconscious mind kicks it back
alive. Yeah. Why why would it be that
way? And the reason is because, after
about 16 hours of wakefulness, you build
up a lot of that healthy sleepiness,
what we call sleep pressure. And the
longer that you're awake, the more of
that sleep pressure builds up. And it's
a chemical that builds up in the brain
called adenosine.
And then, when we go into sleep, it's
the time when the brain can actually
start to clear out that adenosine. And
it's so it starts to lower the sleep
pressure. And after about 8 hours of
sleep, you've cleared away 16 hours of
that adenosine, of that sleepiness. And
so you wake up naturally and you feel
refreshed and restored.
But what will happen is that you can be
stressed and sort of or excited, but the
sleepiness the weight of sleepiness
pulling you down is so heavy at that
point that you can get to sleep. But
then three or four hours later, you
jettisoned maybe 50% of all of that
adenosine, maybe even more because it
principally happens during deep sleep.
And so now your brain is much more
vulnerable to those awakenings because
it doesn't have the weight of that
sleepiness. Does that Does that make
some sense?
It makes total sense and it makes me
want to punch myself back to sleep. It's
so obnoxious. Well, because the the
benefits or or I should say the the
damage that you do by not getting sleep
is so terrifying that I'm every time I
wake up, I'm like,
"Come on." Like you know how much better
you will perform if you just sleep. And
I am not one of those guys that's like,
"Hey, I you got to grind in 4 hours
sleep." I'm like, "If I need 9 hours of
sleep, I want to get 9 hours of sleep
every single night forever until the end
of time." So it's just always super
obnoxious.
hoisting that flag, I will salute it and
I definitely
you know, not everyone, but certainly in
the type A sort of particularly business
culture maybe, there is this sort of
sleep machoism attitude where people
wear their lack of sleep like a badge of
honor. Um but you're right, it's it's
foolhardy for a number of reasons. But
let me come back to that issue of of you
know, beating ourselves up because
we need to have some degree of
self-compassion when it comes to sleep.
You know, I am not invulnerable to sleep
problems myself. I've had bouts of
insomnia throughout my life to be
completely transparent and open with
you.
Um
and everyone every one of us is going to
have a bad night of sleep. It's not
unusual. Don't worry, don't stress. You
know, back when I was starting to write
the book, it took me about 4 years to
write it. In 2014,
you know, sleep was sort of the
neglected step sister in the health
conversation of that time.
And I was so saddened by the sickness
and the disease and the suffering that
was happening because of a lack of
sleep. You know, I came out, you know,
all guns blazing. And I think that that
was important, but
for those people who were struggling
with sleep, those people who had sleep
problems with insomnia, you know, the
book kind of felt almost as though it
was, you know, sleep or else {dot} {dot}
{dot}.
Um,
and I didn't mean it to be that way. So,
I want to say right now because I've
I've learned to soften and become a much
better appreciator of these conditions
just like you described.
If you wake up and you can't get back to
sleep, don't worry. Just realize tonight
is not my night. It's not the end of the
world. I'm still going to be able to
function somewhat tomorrow.
Don't stay in bed awake for too long,
though. That's the important message
here. Because very tricky. I'm super
curious to see what you think about this
because I know where you're going,
right? You have you're training yourself
that being in bed is is being awake is
okay while you're in bed. So, I used to
get up and whether I slept for 2 hours,
3 hours, whatever, if I couldn't fall
back asleep in like 15 minutes, I'd get
out of bed. And I would go to work and
start doing my thing, and then I would
go lay back down and sleep. And
sometimes I'd fall asleep for, you know,
2 or 3 more hours. But the number of
times I would wake up with a headache
after that was just too much. So, it was
way frustrated, and I'm like, all right,
there's got to be something else. So,
what I found is if I put an audiobook
on, dude, I will be back asleep in like
10 or 15 minutes. It's crazy. And the
only thing that wakes me up is the fact
that I have headphones in my ears or if
they start yelling in the book or
something like that, which always pisses
me off. Uh but it puts me back to sleep
so reliably, it's crazy.
That's great. That's exactly what we
recommend. So, don't go to work, don't
start checking emails, don't eat because
it trains the brain to expect food. But
instead in a dim room, somewhere
different, so you change the context, so
you're changing the learned association.
Just read a book, listen to an audio
book, um meditate in dim light. All of
these things are great. Find out
whatever works for you.
And then only when you're sleepy do you
return to bed and there's no time limit
for that.
And that way you train the brain back
out of a bad association that it's
learned, which is my bed is this place
of being awake, which if you repeat that
over time, you become trained to be
awake in the bed.
And then you will relearn the
association that your bed is the place
where you're asleep. So, you're 100%
right. That's exactly what we recommend.
Um to your second question, which is
sleep inertia, it's a real thing. Sleep
inertia is typically where we wake up
and your brain requires some time to
kind of warm up to operating
temperature. Like an old vintage car,
you know, you can't just turn the engine
on and start, you know, flooring it and
going up to redline. You need to sort of
circulate the fluids and warm the oil up
and get the engine warm and then you can
really start to push it. It's the same
way with our brain in some ways. Now,
different people have different
severities of sleep inertia. I'm
actually like you. I suffer from quite
bad sleep inertia. You know, for the
first hour, you know, my partner, she
when I come through in the morning, she
wakes up a little bit earlier than me,
you know, she kind of knows that I can
say, "Look, honey, I am not the best
version of myself in the first hour. I I
know that I may have done something bad
yesterday and we should talk about it
and I I want to resolve that, but can we
not do it in the first hour because I'm
not the best version. So, firstly
accepting that it's normal and it's
real.
The second thing though, however, is you
can
sleep inertia typically happens in very
severe amounts if you're mismatched
between your sleep schedule and your
chronotype and some schedule.
And so, you can go on and you can go
online and type Google morningness
eveningness questionnaire.
And it's a questionnaire that you fill
out and it figures out what your
chronotype is. Are you a morning type,
somewhere in between, or you an evening
type?
And what we find is that morning types
when they wake up in the morning at
their normal time, which is very early
or early, they don't have sleep inertia.
They're good to go. They can jump into
the gym and they're like Energizer
bunnies and they're all happy and you
know, joyful. And to me I'm just like,
oh.
You know,
whereas evening types waking up at the
time that morning types have to wake up,
which is in some ways the way society is
designed. Society is desperately biased
against evening types.
And wrongfully so because it's not your
fault. It's genetically determined.
There are about six or seven genes that
we know right now that dictate what your
chronotype is. It's not your fault. It's
gifted to you at birth.
You don't get to choose.
Now, if you are suffering from sleep
inertia, what
we find is that if you can sleep a
little bit later in the morning, go to
bed a little maybe a little bit later,
sleep later, play around with that and
see if the speed with which you wake up
is better, that your sleep inertia is
less.
That's one way. It may not always work.
Another way is temperature.
Now, it turns out that when people have
a cup of coffee, they say, "Look, I just
need like 5 minutes and I I swig a
couple of, you know, mouthfuls of coffee
and now I'm alert." That's nonsense.
Caffeine doesn't actually get into your
system until about 12 to 15 minutes. So,
if you're feeling any effects of
caffeine before that, it's not the
caffeine.
It turns out that when we go to sleep,
we drop our our core body temperature.
We get very cold. We become almost
hypothermic.
Now, to wake up, we have to warm up.
So, to to get to sleep, we need to get
cold. To stay asleep, we need to stay
cold. And to wake up, we need to warm
up.
And so, one way that you can
artificially accelerate or try
accelerating
your inertia in a quicker dissipating
manner is to try to warm up more
quickly. So, get a hot drink in the
morning. Doesn't have to be caffeine if
that's not your thing. I don't drink
caffeine, but I'm not against it.
Caffeine is an issue
It's not the really the dose that makes
the poison. It's the timing that makes
the poison when it comes to sleep and
caffeine, which we can come on to, but
drink a hot drink, get your body
temperature up. If you like, if you've
got a smart thermostat, program it to
start to rise temperature in your
bedroom or in the house in the last hour
before your alarm.
And you can it can really start to help
you wake up. And then play around with
these smart lights. I have one where it
sort of starts to bring me out of sleep
about 5 minutes before my alarm. That
can help, but the data is not good on
that. The data on temperature, much
better. That's interesting. Does that
help you, Tom? It does, but I'm
surprised that you say to get warm
because have you done cold showers
before?
Yeah, cold showers are
sort of more of a noradrenaline thing.
Yes, they they wake you up real fast.
They do. Now, that's not necessarily a
normative thing, you know, that's you,
you know, shocking your fight or flight
branch of the nervous system to go from
a temperature that it's become
accustomed to and it's acclimated to to
then all of a sudden being dumped in ice
water as it were, and it doesn't know
it's a threat mechanism. It thinks
you're under attack, and so of course
you're going to wake up.
Now, that comes with an adrenergic spike
in the body. It comes with an
accelerated heart rate. It could come
with a cortisol spike. So, I'm not
against that, but we don't have to go to
those extremes. You can do it in these
more subtle manners, which are all the
more natural ways. Mhm, fair enough.
Um
I have a question going back to waking
up in the middle of the night.
One thing that is super weird is things
that during the day are not in any way,
shape, or form intimidating or daunting
when I'm supposed to be sleeping. So, if
I wake up in the middle of the night,
I'll start stressing about something,
and I'll I'm literally like, once I get
out of bed, this is not going to stress
me out. So, why is it stressing me out
at night? Is there a part of my brain
that shuts off? Is there a part of my
brain that becomes active? Like, why are
things at night do they seem so big and
dramatic? Whereas in the day, it's like,
meh, it's not a big deal.
Yeah, I we actually don't really fully
understand it in truth, but part of this
is to do with context. That it's dark.
Um you don't have full awareness. You
don't have full functioning of the brain
because when we wake up, that sleep
inertia, by the way, in part is because
your prefrontal cortex, which is the
part of the brain that makes us most
human, it's like the CEO of the brain,
it's very good at understanding
high-level concepts, putting things into
contextually appropriate boxes, making
top-down control decisions. It regulates
our emotions.
That part of the brain is the last thing
to come back online as we wake up and
that's why we're not very, you know,
brilliant if we have sleep inertia. But
when we're waking up out of sleep in the
middle of the night, we also have some
of that. So, we don't have the rational
logical part of our brain fully engaged.
Plus the context is one that's dark and
so we don't have sort of the daylight
sort of giving us this sort of normative
safe feeling. And so what happens is
that the brain starts to default to
rumination and catastrophization.
You know, it's almost like this Rolodex
of anxiety that then starts to unfold
and that one memory that, you know, you
bring back into mind um at that moment
of waking up is the finger that flicks
the domino on that cascade of of, you
know, rumination. So, again, just
realize I've done this before, I've
experienced this before. I know that
tomorrow by, you know, 1:00 or 2:00 p.m.
in the afternoon, I think about this and
I think, "That was ridiculous to be
worrying about." It's okay. Try to
remind yourself of that.
Well, as that, my friend, you and I are
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never-ending improvement. All right,
back to today's episode. Did you read
the book Change or Die? I haven't. So,
the the concept is pretty
straightforward. You tell people to
change and most people don't. So, even
if the outcome is, "Hey, if you don't
take this pill." And I think it was that
simple. It's like you have to take a
pill once a day every day, and
compliance after like 3 months or
something drops to like 5%
which is crazy. But, what I love is that
you didn't hit that and go, "Oh, well,
that's just a thing." You dive into
human behavior. What did you learn in
that discovery process about human
behavior? What's working against us? How
do we begin to take hold of it? And then
maybe most interestingly, what is the
loop method?
Sure.
The idea is in order for somebody to
adopt and sustain a health behavior for
a long term, not just a 30-day trial or
60-day period, so this becomes a part of
their pattern of living. They should
know why they are doing something,
how to do it,
if they're doing it, and if it's
working.
Mhm. And you can see that each one of
those four components independently
will reinforce somebody's ability to
pick something up and take and and go
with it.
So, oftentimes what you'll see is that
if somebody doesn't, let's say, change
their behavior when information is given
to them, you might just lob more
information provisions at them, right?
Oh, here's more information. But, maybe
they just didn't have the skills to
implement that good idea. Or they tried
it for a little bit and then their old
behaviors were swept back up. They
didn't have any feedback or to say,
"This is actually Are you living in
accordance with your own goals?"
Or maybe they just didn't know if it was
actually working or not. And because
one,
you know, insidiously challenging aspect
of our health is that a lot of things
that are good for us might be what I
call the meaningful but invisible.
They matter, but we don't get that
feedback to make us immediately detect
if it's having a presence. And it might
be, right? You might have a significant
improvement in let's say memory
performance over a 12-week period, but
you're but you might not recognize it by
the time you get there. It might
actually feel like you're just
performing as you've always been. And
that actually can go up and down,
improvements and decrements.
So, is there a way to then use
technology to then make people more
informed about things that can help
them, more informed about their own
patterns of living, and then empowered
to put all that into practice? And I
actually think that we need technology
in this world to help us take care of
our health well. I found this so
interesting in some of your talks.
Define health. Yes. So, that question
was posed to me a while ago,
and I totally stumbled on it. It's one
of those broad questions
that is hard to define. I think probably
the explanation that I like the most is
that it is a the ability to maintain
balance or homeostasis within the body.
So, if you are challenged by some sort
of, you know, infection or arm break, it
your ability to get back to a place of
balance is a marker of health. But it is
also more than that. It is It is
something that can we can use as a
currency to realize our goals and
aspirations in our life. And I think if
you take that you drink that in, and you
believe it, then all these things that
can feel like friction
might actually just be opportunities to
live in a through the the fullest
version of yourself.
Mhm. I love that definition. So, now
let's say that I have that, but I'm
still struggling to implement. What are
the behaviors Yeah. and like what are
the behavior modification tools that
people can put in place to comply? I
think the first aspect of this is to
clearly understand the problem at hand.
Right? If you don't really know what
your your challenge is, your
own efforts will be either inefficient
or you won't really know if you're
headed in the right direction, even
though you're spinning your wheels.
We're born into a time where the default
settings around us and the expectations
of our environment and the pressures of
culture and work
and even the built environment will
predictably lead to issues with our
health, chronic disease.
We have to be a little bit weird. We
have to make a daily effort to
counteract those forces, to affect our
pattern of living so that we actually
are being good stewards of our health.
It's not something that is just there
until it's gone. It's something that you
need to cultivate and nurture.
Then next, you want to be a lifetime
learner because 15, 20 years ago,
circadian rhythms, the gut microbiota,
things like that were not a part of any
model that was used to predict or
describe health.
We know information is changing
regularly. So, I love that saying, um
have strong opinions held loosely.
Which means to me that you take the time
to form an understanding now, but you
don't defend that at all in the face of
new information. So, you need to be have
the ability to upgrade that, to up-level
that.
And then, you have to be able to take
big concepts that you learn about and
personalize it into the fabric of your
life, your family, your kids, whatever
that is. How can you take this idea that
you think is going to benefit you and
make it real for you?
Because if it's too if it there's too
much friction and conflict, you don't
personalize it, you follow rules, you
might be able to do that for 2 weeks, 3
weeks, but then you'll really likely to
go back to whatever patterns you had
previously.
What else? I think your response to
failure. Right? Failure is a part of the
process, a regular part of the process.
Can you address failure with compassion
for yourself and also with resilience
where you're like, "Oh, what can I learn
about the fact that I wanted to go to
the gym four times this week, but I went
twice?
What was it about the week? Constant
assessment uh to then just
know how you can do better next week. So
interesting that as you're talking about
how to get people to comply with health
stuff that you're talking about mindset.
In the beginning, so when I first
started this film uh everything journey
and talked through all these problems,
it was why is the protein bar guy
talking about mindset?
Yeah. And then when I exited Quest and
started Impact Theory and did all this
mindset stuff and then I said, "Guys,
we're going to do a show called Health
Theory." Everyone's like, "Why is the
mindset guy talking about health?" And
it's been like this constant frustration
for me for people to understand if you
want to optimize for your health, you
have to optimize your mindset. If you
want to optimize for your mindset, you
have to take care of your health.
Yeah. And because I talk a lot about
working hard and busting ass and all
that and what greatness demands, people
think that I don't sleep. They think
that I just grind my way to success.
Yep. The reality is that if and you've
talked really powerfully about this, if
you want to even have good
decision-making abilities,
Yeah. you've got to sleep. Run us
through like a sleep 101, why it's so
foundational to your work, and what
people should be doing. Yeah. I left a
company that I loved at a job that I
loved to start a startup and my PhD.
And I thought it could
all implode. It would be too much for me
to handle.
And so I thought if I'm going to
upregulate my ability to show up every
day, I need to then
basically take care of the machinery
that is doing the work.
So what is it that makes me feel sharp
every day? And sleep then is of course
one component of that.
And
what I've realized is so it's funny, we
kind of encapsulate sleep as it's this
packaged thing, but it's almost like,
"Tell me about daytime." Right? It's a
big window, you know? And what sleep
ends up being is a very great window
into your soul, you know? And into the
into the workings of the brain and how
like what is happening physiologically.
So you really understand
um it gives you a window to like narrow
the field a little bit to then
understand how our physiology works in
general. If you had to make a hypothesis
about two or three reasons why we sleep,
what do you think are the two or three
most important things that happen while
people are sleeping?
Yeah, it's a good question because it's
been almost like definition of health
under what is the solitary unitary
purpose of sleep has been notably hard
to define. We know very important things
can happen. It's purging of energetic
byproducts. It's purging of potentially
neurotoxic products that are a result of
that. It is plasticity that's forming.
It is reregulation of our immune system.
There's a lot going on. And I think
there has not yet been one I think model
that explains everything, but we do know
that incredibly important things occur.
So what are people doing that messes up
their sleep? Yeah, so that's a it's a
really good question. And the
the common question that you get is how
much sleep do you need?
Right? How much time should I be in bed?
It's easy. But the things that matter
for sleep are our timing, intensity, and
duration. So duration is sort of the
easy one. It's that what I tell people
is spend enough time in bed so that you
wake naturally.
That means you're not waking by an
alarm. And so what I like to get what I
call complete sleep is
aim to spend half an hour more in bed
than what you think you'll need so that
if your body needs it on that night,
you'll get it.
Now you might not ever need it or you
might not need it or you might need it
rarely, but allow for complete sleep to
happen.
You also want the timing of your sleep
to be regular. So if for instance, you
go to bed usually from midnight and wake
up at 8:00, but tonight you go to bed at
4:00 a.m. and you wake up at noon, it's
8 hours, but the sleep will not be as
restorative as it was if you were
sleeping in that same window every night
because we now are introducing concept
of circadian rhythms which are
repeatable 24-hour processes. So when
you're getting REM sleep at 4:00 a.m.,
your body because of your past
experience over the last several weeks
knows, do REM-like activities at that
time. And so, it'll be more efficient.
Sleep itself will be more efficient at
doing what it wants to do if you
regularize the timing of your sleep.
And then, you have intensity, and that
is really not something that you can
take action on directly. Go sleep hard.
But, you can do things during the day
that then will facilitate depth. And you
can also create an environment that is
less disruptive. Okay, so talk to me.
What can I do during the day to make
sure that I'm sleeping hard?
So, if you look at people that undergo
bed rest because they have a broken leg,
or in studies that put people on bed
under bed rest to then see what their
sleep is like, you know that they end up
having a fragmentation of their sleep.
So, they have more naps during the day.
And they have more periods at night
where they are up. Without adequate
amounts of physical activity, there is a
fragmentation of your sleep. You don't
need a ton to then get better sleep, but
then, where does that sensitivity to
sort of drop off? You uh use running as
an example because we can just define by
time. You go regularly for a 20-minute
run. Today, you go for a 4-hour run.
You've now overloaded your system to a
degree that might actually impair the
amount of sleep that you get. There's a
bidirectional relationship there, where
a little bit of the stimulus aids in the
depth of sleep, and too much can
overwhelm it. Now, it doesn't
automatically mean you will sleep
poorly, but you have a higher risk of
doing so. You might sleep like a rock.
And then, there's temperature
fluctuations. So, this is actually a
newer area, but we live in a very
insulated world, right? Even if we go
outside, and there's not much variation
in the temperature, we can layer
ourselves so that our what we're being
exposed to is very narrow.
We also know that signals from a wider
breadth of temperature within the day
can might actually feed into that what's
called the homeostat. These things that
are collecting the signals of daytime
usage that then help you sleep deeply.
And then, a big important one is is
light. So, light coming into your eye
will communicate with receptors at the
back of the eye that are not actually
communicating with the visual cortex
that help us see, but they are
communicating with the master clock. And
it we spend 90% of our time indoors now.
So, if you we are not getting as much
light as we used to. So, if you go
outside, don't wear glasses.
Get outside for at least a half an hour
a day.
Sunglasses, yeah. Sunglasses, yes, yeah,
thanks.
And then in the evening, you really just
want to have whatever internal light
environment is reflect what's going on
outside. So, as the sun goes down, dim
the lights. Uh and then also change the
tone so you're getting less blue light
cuz that is the the blue is the major
signal to these retinal ganglion cells
that says to the master clock, it's
daytime. Yeah, speaking of which, I was
listening to one of your talks and you
talk about how the fact the fact that
fat has photoreceptors or light
receptors? How is it possible? Probably
like one of the coolest discoveries of
last year. But,
those same receptors that are in the
back of our eye, they're called opsin
receptors. And all opsin receptors, and
there are many, over 100, they have the
ability to transduce a light signal into
a nerve signal of some sort. So, Peter
Light in Alberta, researcher, Professor
Peter Light You have to be joking.
I know, isn't that I mean he's that is
that
That's hilarious. Yeah, I I rolled right
over that one. Peter Light who studies
light
Uh I don't think there was a name change
there. I think that's his his given
name.
He did a screen to see are these
receptors anywhere else in the body? And
he's found them in fat tissue. Wow. And
he's like, this has to be an artifact.
This can't be
this can't be a thing. Mhm. And so, he
was able to test if light hitting fat
tissue had an effect.
Mhm.
And he put his hand over the light and
the signal went away. He took his hand
away from the light and the signal
reappeared.
So, he thought, wow, this there's
something here. And that made him
investigate it more thoroughly. And what
he found is that fat tissue
has light receptors, the same ones in
our eye, and they respond to light, and
it makes the fat cells shrink, become
less inflammatory, and they release a
whole different uh
profile of hormones, and
we might actually have a light
deficiency, not just for vitamin D, but
for our regulation of fat. What we
the conversation around fat's regulation
is oftentimes fairly uninformed. We
regulate fat tissue like we do
temperature. It is a It is something
that is not simply just a matter of did
we, you know, the calories in, calories
out. Your body is making a lot of
adjustments. Now, those calories do
matter, but it is making a ton of
adjustments to those calories to then
say, do I want that fat storage to
shrink or to expand? And you And it's
trying to regulate it similar to how a
thermostat would regulate
uh temperature in a home. You set it at
72.
This is super interesting. So, we can
say that that the fat in our body works
as a gland. Is that fair? Yeah, you
could say that. It's a Yeah. But, is
there logic to like the the
hypothalamus, that um thermostat you've
talked about fat trying to stay in a
range, um that it goes up and down sort
of regularly, um that it but it stays in
that tight band? Like, this is so
interesting to think of it as
uh secreting hormones and being a gland.
Walk us through the details of that.
Yeah, so we now know that fat releases,
I think over 50 different what are
called adipokines, adipo fat kinds, like
a cytokine, which is like a hormone. And
so,
um
as triglycerides enter into our fat
tissue,
then leptin is produced continuously, so
that flux of fats fat tissue fat leaving
and entering the fat tissue
will then cause leptin be to be made
proportional to that.
Then that signal goes into the blood,
and there's various receptors for it.
So, one in the brain in the brain stem,
um you actually have them on your
pancreas as well, but then in the
hypothalamus.
So, the brain is then detecting how much
fat is circulating. Ah, you've lost a
little bit of weight.
Less fat storage, less leptin release.
Be hungry. Get that fat stores back up.
And you have neurons in the brain in the
hypothalamus, and these and a lot of the
hypothalamic centers will connect. So,
you have these discrete groups of cells
that communicate with one another that
then affect things like motivation,
temperature,
uh even sleep.
And so, there's a balance of different
cell types within an area called the
arcuate nucleus. And depending on the
signals that are present will then
initiate this cascading effects that
will affect hunger, that will affect
energy expenditure, all to try to keep
your fat levels in a constant level.
Now, it doesn't have to have to be the
exact same level, but within a range.
Now, why do we then get fatter? It's
thought that this homeostat this fat
homeostat is much better at defending
weight loss than weight gain. Makes
sense. Evolutionarily, it was probably
much more of a concern.
And there's also some thinking that
those neurons actually get damaged by
our environment our internal environment
from the types of foods that we eat and
challenges to them from even things like
poor sleep.
So,
nutrient inadequacies, things like that,
all these things can affect the health
of that tissue. And it's one of the
reasons why I am favorable towards a
ketogenic diet because
beta-hydroxybutyrate
is one of the ketones, and it can cause
those those tissues within the brain to
actually start to remodel and
regenerate. Mhm. And so, somebody that
has diet-induced obesity,
they they have a very hard time losing
weight because even if they lose weight,
their body wants to get back to that set
point.
And if you look at people that are on a
ketogenic diet, for a lot of them, they
just start eating to satiety, they eat
normally, and yet they they the weight
comes off naturally.
Now, if there's no guarantee that that
weight will stay off, but I think you
put yourself in a much better position.
You know, if you lose weight on
other ways, not all other ways, but
other ways,
if you look at somebody's physiology
once they're 50 lbs lighter, for a lot
of people, it looks like their body's
desperately trying to get back up in
weight. Their brain will stay active
seeking food. So, if you do fMRI and
there's food on the table, they will
stay seeking even even if they're full,
right? Everything is engineered all the
different processes are engineered to
get you back up to that weight. What are
some of those processes? That's so
interesting. Like So, I I've had a lot
of these symptoms. Um so, I used to be
60 lbs heavier. I lost that, and I did
it so stupidly you can't imagine. I did
it in a rapid starvation diet and just
insane amounts of cardio. So, my
calories were probably between 1,200 and
1,500 a day.
As much as I could make it just pure
protein as possible. I was inflamed.
It was crazy. My joints hurt, my knees,
my wrists, my elbows. I mean, it was
gnarly. But, unfortunately, I wasn't
thinking, "Hey, listen to your body." I
was just thinking, "You're getting
leaner, you're getting leaner, you're
getting leaner." But, you want to talk
about seeking food at all times? Like
all I could think about was when my next
meal was. But, I never thought of that
as like anything other than well, your
calories are crazy low. But, what are
the mechanisms that like trap people?
Cuz there are some people who will swear
that they can't, no matter what, they
can't lose weight. And I've always if
I'm honest, I've always really
discounted the well, it makes me
hungrier. Yeah.
So, interestingly,
a ketogenic diet, I'm very interested in
the mechanisms by which it might be
working. And And there, the ketone
beta-hydroxybutyrate might actually be
turning on genes that help to reset
those tissues that are controlling body
fat, effectively lowering your set point
to a place that's healthier. That's a
possibility. The other diet that can do
that is very low energy diets that
actually have very low energy. People
say that's starvation. Low calorie. Low
calorie. Yeah, cuz you don't have to
actually be on a ketogenic diet to
produce ketones. If you're in a state of
fasting or in a hypocaloric intake, then
you're going to produce ketones, too.
So, give me the order in which the body
burns calories and and include alcohol
as
the fourth macro, which some people will
say. Yes. So, preferentially the body
will burn glucose
and that is thought because the brain is
a very very glucose hungry. It is only
4% of our body weight and yet it
consumes 25% of the calories we eat.
It's a very metabolic metabolically
active tissue. Do macros always go in
order? So, here's what I heard, this
could be total
Number one, that if there's alcohol in
the system, it will be metabolized
first, followed by glucose. It depend
Yeah, so actually it depends on your
relative status. What
type of macros have you been eating over
the last couple of weeks? And then what
enzymes have been generated in response
to that exposure?
Okay, so it's not like there's some set
it's always going to burn them in this
order. See, most studies
are always looking at what is under this
normal condition, which is our standard
diet. It's not looking at under all
conditions and under things like fasting
or what might be evolutionarily more
regular in terms of like you know, not
having breakfast until maybe noon. We
have what's called metabolic
flexibility, which is thought to be
something that is a good state to try to
achieve, which means that you can
readily burn different types of fuel
sources. So,
you know, it's it's extraordinarily
complex. People give simple explanations
for it, but
you know, this is actually one of the
biggest public health needs in our world
because the amount of
comorbidities that associate with
obesity,
it it will bankrupt our society. You
know, you think of weight, you think of
food, but it's very possible that even
things like light might be having a a
very large input here. And like like
sunlight even, right? We're talking
about that. So, if fat is a regulated
tissue
and we are living fully clothed,
um I wouldn't say that there's any
silver bullet, but there's a lot of
different inputs. And so, I think
overall one sort of perspective of mine
is to try to live more naturally, but in
a way that is actually going to work
within
the modern world. One thing you said
that I found so interesting is, all
right, fat's a regulated tissue. It is
um creating all these hormones. It's
responding to the environment. It
actually has light sensitivity, which
still freaks me out.
And hey, by the way, boys and girls,
you're staying inside all day. You're
closed up when you go outside. Guess
what signal you're giving your body.
It's wintertime. Guess what the body
does in winter. It stores more fat.
Yeah.
I wanted to literally stop my research
at that point, strip, and run outside
and just to like shred up a little bit.
Yeah.
Uh of course, it's not going to work
quite like that.
Yeah. So, you've got fat as a gland, as
a regulated tissue. Um do I understand
it correctly to say that it's it's
breaking something. As you get obese,
you're more likely to get more obese,
and there's something that breaks that
cuz like when you look at people, their
set point is riding with them as they're
getting heavier and heavier, which is
already terrifying. And then it's also
secreting things that make you more
hungry, that delay your um
where you're still searching for food
longer.
Um
One, is all of that true? Like did I
just explain that accurately? Yes, but
we're missing a very important part to
the model,
which is that
it's not the only thing that explains
our food seeking behavior.
We also will eat food because it tastes
good, right? Independent of our hunger,
right? We know that where for instance,
somebody, you know, you eat a full meal
and you're and you're full.
But your appetite is renewed when the
dessert cart is brought over and you're
like, oh, I could eat that. Yeah, let's
get four of those.
That is another driver of food intake
and we live in an environment that is
really designed for overconsumption.
So it it's very easy to overeat in our
world because the palatability of food
is one that will then promote
overeating.
And it the design of food, processed
foods, it also will make you feel less
full per calorie. So there's a delay
before you even feel fullness.
All right, we got to talk about that cuz
you showed a visual in one of your
talks. It was so powerful and I've been
in this a long time, but for some reason
that visual really hit me. But when you
showed the raspberry tart, which is like
a little raspberry pie, it looks so
innocent and delicious. And then you
showed the equivalent amount of calories
in bowls of raspberries. It was like
seven or eight bowls of raspberries. It
was crazy that just like That actually
is a lot of work from Barbara Rolls and
her book Volumetrics, which is it is
stunning when we think about the how we
condense
calories into modern food products.
And that's what I want to talk about.
When people say processed food, what
they're talking about is making it
hyperpalatable so I want to overeat
anyway. And then secondarily, it it has
a lot of calories per physical volume.
Yes.
So our central nervous system
preferences are designed to detect and
prefer caloric density.
So it is different than eating the the
tart versus the raspberries, right? We
have now the ability to design food to
make us want to seek it. It's a very
disadvantage environment. But the good
news is that eating raspberries is also
perfectly satisfying, but the more of
that highly palatable, calorically dense
food that you eat, the more that it'll
drive food seeking behavior.
So, there is a behavioral element to
this. How it messes with your neural
circuitry.
going on mechanistically though? So, is
it is it through that mechanism that
it's um it triggers the release of
ghrelin instead of leptin? Like There's
so many different molecules that are at
play.
Metabolically, you're right. Ghrelin is
released from what are called oxyntic
cells within the gut. And it's very low
after a meal, and it'll rise. And as
it's rising between your meals, it makes
you hungry. Mhm. It's the only
gut-derived peptide that actually
promotes feeding versus fullness. Uh
leptin is this what's called a tonic
signal. It's sort of operating in the
background. We call it a fullness
signal. It's not quite It's actually
setting the tone of how full you'll even
be from a meal. So, if you have low
leptin, you'll naturally be less
sensitive to the fullness signals of a
meal. So, satiety and long-term fat
regulation will work together. Mhm.
Now, independent of that, you have this
brain circuitry that's going on that can
Think of it almost like addiction to a
rewarding signal.
The more exposure you get to it, Mhm.
that will then drive seeking food
seeking behavior. So, you're not really
hungry, and yet you're craving. A lot of
people experience this in the afternoon.
You're bored, and you're like, I just
want to eat something.
Yeah.
Right? We know it in our lives. We we
can detect it instantaneously. The
easy example is when you bring something
that is very calorically dense at the
end of a meal, and you're full, but you
now want to eat more. It is not the
homeostat that is evaluating calories
and fullness that's saying, "Oh, you
should eat more." It is pleasure Mhm.
and the pleasure that derives from
caloric density.
Well, now let's really freak people out.
Talk to me about the impact on um
willpower may be a cheesy way to say it,
but a decision-making if I slept poorly.
Yeah. What we see is that not only do
hormones change in response to getting
inadequate sleep,
but our brain changes, too. So, there's
something called the neuro competitive
model of decision making, which means
that if you look at that thing that
tastes delicious,
this reward part of your brain will
light up first. It'll It'll respond to
it before the executive control
self-control area kicks in that says,
"Yeah, you might love how that tastes,
but it's not good for you."
Right? So, you can see that competition
taking place. It happens all the time.
That process of looking at the the donut
that you love, but ordinarily don't want
to eat,
then that is biased towards eat this now
and ends up creating a behavior we call
effort discounting. You then are this
much less likely to work at this thing
that ordinarily you totally say, "I care
about this, so I'm going to make an
effort to just not have donuts in my
life." And you're like, "Okay, you know,
eff it." Or like, "Tomorrow. I'll just
have it now." And that can actually
translate to like, whether it's going to
the gym or the food that you eat. And
people live in that in that state where
I care 95% of the day I'm thinking about
eating well, and in that moment of
hunger and potentially compared with
sleep loss, you make a decision that
you're then disappointed in yourself in.
And you've talked pretty powerfully
about like, how much time do you have to
lose a night before you start to see
some of this declination?
Yeah, what I found is that reliably,
people that miss out an hour or two of
sleep have impairments in vigilance, as
you'd imagine. So, they're less
objectively alert the next day, and they
feel sleepier. So, subjective alertness
is impaired, too.
And interestingly, independently, so
I'll tell you about the study cuz it's
pretty cool. I had people come in and
what I cared about was what they ate.
So, we created a baseline and they had,
by the way, eight different choices that
ranged from like, clearly unhealthy
gummy bears to, you know, ostensibly
healthy, right? So, things like
you know, just cut apple slices or
something.
And
what's another criticism I've had of
previous research is that the decisions
of the healthfulness of the food were
made by the investigators, but everybody
has their own opinion about food.
Yeah, yeah. Right? If you think there's
four different types of decisions.
There's I like it and it's healthy,
easy.
Right? I don't like it and it's not
healthy, easy.
The two in the middle are the most
interesting.
It's really healthy and I don't really
like it, which is sort of characteristic
of health choices that we have to make
sometimes. And the more most interesting
one is I love it and it's totally not
healthy.
Right? How do people respond to food
that they recognize as or they think
this isn't good for me, but I love this?
And what we saw is that when people were
subjectively sleepy,
they were much more likely to eat foods
that they rated as high like low health.
So, they were defecting from their own
personal health standards, you could
say. And now, just to compound things,
you've got All right, you miss an hour
or two on sleep and now all of the
sudden you're leaning towards the things
that you have high like low health.
Yeah. But also losing sleep makes you
look at a blood level like a
pre-diabetic. Mhm. And so, you get this
double whammy. Walk us through that.
Like what's going on metabolically um
when you don't get enough sleep?
Yes, so that is still being
investigated, but it was one of the very
first things that was discovered in
response to sleep loss. So, they did
sleep sleep deprivation studies and
found that healthy young subjects ended
up basically looking diabetic after
either one night of total sleep
deprivation or a couple nights of
partial sleep restriction, where you're
not getting as much sleep as your body
wants.
What's going on there? So, then that
stimulated it some more investigation
into that. Now, maybe that is because of
altered circadian timing. It was hard to
parse that because we know melatonin, a
darkness hormone,
will actually cause insulin resistance.
You want it because over the course of
the night, you don't want insulin taking
blood glucose out of the bloodstream and
storing it cuz then you'd go
hypoglycemic and you'd wake up.
So rather, the body it's a it's a this
beautiful dance. When darkness falls,
melatonin is released. Melatonin travels
to the pancreas and it prevents insulin
from being released and you keep blood
glucose levels stable at the across the
night.
So I think when some people that are
waking up in the morning and they're
looking diabetic, they might still have
high levels of melatonin at night uh
from the night. We also see that our fat
tissue simply becomes less sensitive to
the effects of of insulin. And so it's
just not reading the signal of insulin
and helping it to store glucose as well.
And so therefore, blood glucose levels
elevate and then, you know, whether or
not that is pathogenic, like does that
cause diabetes? Well, you can then look
at epidemiological research and shows
that people that chronically get less
sleep are much more likely to develop
diabetes.
So you have to look at acutely what's a
mechanism and then epidemiologically,
what happens when people generally do
this and then you have to just try to
figure out what's going on in between,
but clearly there's an issue going on
there and there's no part of the body
that goes untouched when we don't sleep
get the sleep that we need. The only
difference between excitement and fear
is what your brain says. And the problem
is if you have a habit of worrying,
guess what you're going to tell yourself
is going on.
That you're that you're like freaking
out. That you're not excited, that
something must be wrong. Oh gosh, why
would you say something's wrong? Cuz you
got a habit of saying that all the time.