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Vitamin D Expert: The Supplement World Is Giving The WRONG Advice!

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Vitamin D Expert: The Supplement World Is Giving The WRONG Advice!

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3148 segments

0:00

The vitamin world is giving the wrong

0:02

advice. For instance, if you do not know

0:04

what you're doing with them, they're

0:06

just as dangerous as any drug you could

0:07

put in your mouth. The next thing is

0:09

supplementing with vitamin D is not the

0:11

same as being outdoors [music]

0:13

because we absorb it through our skin.

0:14

But what we've been told is don't ever

0:16

let the sun touch your skin. And another

0:19

example is when we're deficient in this

0:21

vitamin, our brain actually forgets how

0:23

to sleep. And I know that because I'm a

0:26

neurologist and I wanted to tell the

0:28

world about what my patients and I had

0:30

and discovered together about making

0:32

sleep better. And billions around the

0:34

world have a sleep problem, but no one's

0:36

treating it. And the usual sleep

0:38

treatment is behavioral like blackout

0:40

curtains, go to bed at the same time.

0:42

But that is not something that's helped

0:44

the people who wind up with me. They've

0:46

tried all that already. And I've taken

0:47

care of 28-year-olds who just had a

0:49

stroke.

0:50

>> 28, sorry,

0:51

>> 28-year-olds. We associate stroke with

0:54

being old and having diabetes and

0:56

hypertension and heart disease. No. So

0:58

then I did a whole bunch of sleep

0:59

studies because we found some exciting

1:01

things [music] by accident that turn out

1:03

to have to do with vitamin deficiencies

1:06

and deficiencies that have developed

1:07

from being indoors too much. [music] And

1:09

we're starting to feel the effects of

1:11

that like obesity. But there there are

1:13

no obese squirrels in my backyard. The

1:15

only obese animals are cats and dogs

1:17

[music] that we keep inside. And then we

1:19

found out most of the sleep disorders

1:21

are really linked to the gut the

1:22

microbiome and we could go into that but

1:24

one of the interesting thing I learned

1:25

was vitamin D is a hormone. There was a

1:28

mistake made in calling it a vitamin.

1:30

>> Well, I'm very curious to learn about

1:32

all of this and also you've come up with

1:33

this protocol called the right sleep

1:35

protocol. Can you walk me through it?

1:37

>> Absolutely. Here's the first part of it.

1:39

So,

1:42

>> this is super interesting to me. My team

1:43

given me this report to show me how many

1:45

of you that watch this show subscribe.

1:46

And some of you have told us according

1:48

to this that you are unsubscribed from

1:50

the channel randomly. So favor to ask

1:52

all of you, please could you check right

1:53

now if you've hit the subscribe button

1:55

if you are a regular viewer of the show

1:56

and you like what we do here. We're

1:58

approaching quite a significant landmark

1:59

on this show in terms of a subscriber

2:01

number. So if there was one simple free

2:04

thing that you could do to help us, my

2:05

team, everyone here to keep this show

2:07

free, to keep it improving year over

2:09

year and week over week, it is just to

2:11

hit that subscribe button and to double

2:12

check if you've hit it. Only thing I'll

2:14

ever ask of you, do we have a deal? If

2:16

you do it, I'll tell you what I'll do.

2:17

I'll make sure every single week, every

2:20

single month, we fight harder and harder

2:21

and harder and harder to bring you the

2:22

guests and conversations that you want

2:24

to hear. I've stayed true to that

2:25

promise since the very beginning of the

2:26

D ofio, and I will not let you down.

2:29

Please help us. Really appreciate it.

2:31

Let's get on with the show.

2:36

Dr. Nasha Gmanac for the people that

2:39

have just clicked on this conversation

2:41

because they like the title, they're

2:42

interested in the subject matter, what

2:44

are what are they going to get from

2:46

sitting with us and listening to us? How

2:48

is their life going to improve?

2:49

>> A completely unique and new way to look

2:52

at why they are not sleeping well or why

2:56

they have medical problems. I hope they

2:59

will come away with the impression that

3:02

I want to find out if my brain chemistry

3:04

is normal or not normal for sleep.

3:07

>> And you were a clinical assistant at

3:08

professor of neurology at Stanford

3:10

University Hospital and also you did a

3:12

neurology residency at Harvard Medical

3:14

School.

3:14

>> Yes. I grew up in California. I became a

3:17

biochemist and then I wound up being

3:19

interested in medicine because

3:20

biochemistry is being applied to humans

3:23

in medicine. So I became a physician and

3:25

then I went into neurology and I'm a

3:27

neurologist and then by accident

3:30

somebody insisted that they wanted a

3:33

sleep study and this was in 2004 now.

3:37

>> So you became you were a neurologist,

3:38

you became a doctor and then you fell in

3:40

love with sleep.

3:41

>> Yes.

3:42

>> How many patients have you worked with

3:46

on the subject matter of sleep? What's

3:48

the wide range of symptoms that they

3:52

were experiencing and problems that they

3:53

had just to get a sort of context on the

3:55

variety and broadness of your

3:56

experience?

3:57

>> Probably 200. Since leaving neurology

4:01

practice, I started a online business

4:04

where I became a sleep coach. I'm

4:07

estimating that I have affected another

4:09

5 to 6,000 people. And that's because I

4:12

have a a workbook that we're going to

4:14

talk about. I have set out a series of

4:16

steps that you should do and that those

4:19

steps are based on brain chemistry

4:22

>> not on you do it wrong which is what is

4:25

all over the internet. You are just

4:27

doing it wrong. The usual sleep

4:29

treatment is behavioral

4:32

>> blackout curtains,

4:34

white noise, go to bed at the same time,

4:37

recognize your bedroom as a quiet place

4:40

for sleep, etc.

4:42

That is not something that's helped the

4:45

people who wind up with me. They've

4:47

tried all that. They've tried

4:48

everything. So what are the range of

4:51

symptoms?

4:53

The first experience was with women who

4:56

had headache. One of my patients said,

4:59

"These drugs you're giving me haven't

5:00

worked. I want a sleep study." She had

5:04

sleep apnnea. She was young and thin.

5:07

She did not look like a fat older male

5:10

with a fat tongue, which is what we were

5:12

being sold at that time. The people with

5:15

sleep apnnea have a fat tongue. It gets

5:16

in the air a airway and they need to

5:18

wear one of these things over their face

5:22

at night that blows air up their nose.

5:25

She put on the CPAP device. She came

5:27

back two months later. Her headaches

5:29

were gone. She'd had a daily headache

5:31

for like five years.

5:33

>> So it worked.

5:34

>> Yes. And I was like, well, no, there's

5:39

no way because headaches are really a

5:42

brain stem function problem. I have this

5:44

whole construct in my mind and it's a

5:46

biochemical problem. So, I think maybe

5:49

it's allowing her to stay in deep sleep

5:52

longer

5:54

and she's making the chemicals that I'm

5:56

focusing on that allow her head pain

5:59

switch to go into the off position,

6:02

which is where it's supposed to be. It's

6:03

supposed to be off until somebody hits

6:05

you in the head and then it turns on.

6:06

Hers is just turning on spontaneously

6:08

all the time. So then I did a whole

6:11

bunch of sleep studies in young healthy

6:13

females who had daily headache. They

6:15

would frequently say something like, "I

6:17

wake up at 3:00 a.m. and I can't go back

6:18

to sleep. I wake up at 3:00 a.m. and my

6:22

sleep is lighter after that. I wake up

6:24

at 3:00 a.m. with a headache." And then

6:26

I have, let's say, as an example, a

6:29

little Mexican lady who comes in from

6:31

northern Mexico. She's now living in

6:33

Texas with her kids. She had never had

6:35

headaches until she moved up and she's

6:37

living with one of her grown kids and

6:38

she's coming to see me for headaches. We

6:40

happen to have a a beach house in Mexico

6:43

for a period of about 14 years. So I

6:46

would go down there and I would think,

6:47

what's going to happen to these people

6:48

that have sleep apnnea who don't have

6:49

any electricity and they're living in

6:51

palapas that are made of sticks with a

6:53

thatch roof. They're still doing the

6:56

same thing that they were doing 2,000

6:58

4,000 years ago. And you can't tell if

7:01

the little vetsitos, the little old

7:04

people are 60 years old or 80. They

7:06

might be 90. They're not fat. They're

7:09

not tired. They're great grandfathers. I

7:13

begin to realize this is about living

7:15

outside. Humans were meant to live

7:18

outdoors like every other animal. We

7:21

have decided that we are special, but

7:23

we're not special. We're our

7:24

biochemistry is like every other animal.

7:26

Okay. So, these two these inputs are

7:28

coming all at the same time. And I'm

7:30

puzzling over these sleep studies. That

7:32

first gal had sleep apnnea, but most of

7:35

the women that I sent for those studies,

7:37

they did not have sleep apnnea or come

7:39

back on the front page would say no

7:41

significant apnea. There was a

7:42

significant score. How many times do you

7:45

stop breathing during the night? And

7:46

then the next part is what do they have

7:50

that's wrong with them? That came about

7:52

a year and a half later when the

7:53

pulmonologist says, "I don't know if

7:56

you've noticed this, but your population

7:58

has a really unusual finding. Most of

8:01

them have delayed rapid eye movement

8:03

sleep, no rapid eye movement sleep, or

8:07

they have rapid eye movement sleep

8:09

apnea, meaning they only stop breathing

8:12

in rapid eye movement sleep.

8:14

>> What's rapid eye movement sleep?

8:16

>> So, this is called a hypnogog.

8:18

And on this bottom axis is time.

8:22

On this axis is a representation of what

8:26

phase of sleep you are in. And it turns

8:30

out that when we enter sleep, we go

8:32

through what we call two lighter stages

8:34

of sleep. The first phase that we enter

8:38

is here it's wake.

8:41

Couple of times this person woke may not

8:45

even be aware that they woke up went

8:46

back to sleep. But we enter sleep in

8:48

light sleep one and light sleep two.

8:50

These are called that because when the

8:52

sleep experts started studying this in

8:54

1970, that's relatively recently. You

8:58

could easily awaken someone out of these

9:00

phases. Okay? And it has a certain

9:02

brainwave pattern generates. And then

9:05

they go into a phase that's called deep

9:08

sleep or slowwave sleep. Everyone who

9:12

has a sleep tracker device which is very

9:15

common these days is now becoming

9:17

familiar with I have this much deep

9:19

sleep. I have this much rapid eye

9:21

movement sleep. Deep sleep is really in

9:24

the sleep industry called slowwave sleep

9:27

because the brain waves are these slow

9:30

big pattern.

9:32

We always go through a couple of light

9:36

sleep phases and then we go into rapid

9:39

eye movement sleep and then we go

9:41

through light sleep phases and then we

9:43

go to deep sleep. Now the pivotal

9:46

question that I asked the pulmonologist

9:49

why would my patient have stop breathing

9:53

that's what apnea means. Why would they

9:55

stop breathing only in REM sleep? I

9:58

thought this was an anatomic problem.

10:00

And he said, 'Well, we get the most

10:02

paralyzed of all in REM sleep.' And I

10:05

went, paralyzed?

10:08

Holy crap.

10:10

Do you mean I'm I'm paralyzed while I'm

10:12

in bed? What if I stop breathing? What

10:15

if my brain doesn't ever not like

10:18

unparalyze me? That's terrifying.

10:21

And it turns out every animal, including

10:24

fruit flies who we're doing sleep

10:27

studies on, get paralyzed in sleep. We

10:31

get the most paralyzed in rapid eye

10:33

movement sleep. When this part

10:36

needs to get repaired,

10:38

it gets paralyzed, too. That means you

10:40

have to have an anatomy that stays where

10:43

the tube that you're trying to breathe

10:44

through stays open

10:47

while you are unconscious

10:50

and trying to repair everything in this

10:53

area. And I want to pull out the brain

10:56

to let you know where this is happening

10:58

and why it's so important. This part

11:01

that's white is called the brain stem.

11:04

This part is actually fully in control

11:07

when you are asleep. There's a little

11:09

switch up here that goes boop. Stephen,

11:12

you're not conscious anymore. The brain

11:15

is still extremely active. In fact, the

11:18

waveforms that they record from up here

11:22

look the same in rapid eye movement

11:24

sleep as they do in wake, suggesting

11:27

that all sorts of things are happening.

11:29

Like you wake up abruptly because some a

11:31

noise happens and you're in the middle

11:33

of a dream. You're traveling. You're

11:35

flying. You've you've got huge colors

11:37

going on. Your brain is extremely active

11:41

during this time, but you're not aware

11:44

of it. And this part right here, it is

11:47

running your heart rate, your blood

11:49

pressure. It is paralyzed you. This is

11:52

where the autonomic nervous system comes

11:55

in. The sympathetic nervous system and

11:57

the parasympathetic nervous system are

12:00

centered right here. They are meant to

12:03

be the automatic driver of all the

12:07

processes that you use during the day

12:10

and they run sleep.

12:13

This process

12:15

that we're talking about here is fully

12:18

run by the brain stem.

12:20

>> So the sort of sleepwake cycles.

12:23

>> Exactly. The sympathetic is called fight

12:25

flight. The other one the

12:27

parasympathetic is called rest and

12:30

digest.

12:31

It also is experienced as a state of

12:34

calm. Okay. It is also what happens when

12:38

we have an orgasm. There are things that

12:40

are happening in the brain stem that

12:42

feed back to why do they fall asleep?

12:44

Why do the guys fall asleep on top of

12:46

her? Probably because it actually might

12:50

increase the likelihood of

12:52

fertilization. Maybe it has a survival

12:54

risk.

12:56

These are all unconscious things that we

12:59

don't we aren't trained to connect

13:01

together. But once you get into the

13:02

parasympathetic nervous system, it turns

13:05

out that the parasympathetic and the

13:07

sympathetic are also very involved in

13:09

what's happening here. And the basic

13:11

idea is the first half of the night, and

13:14

you'll see that we've also broken it

13:15

into 1 2 3 4 5 cycles usually of about

13:18

an hour and a half. The first half of

13:20

the night till about 3:00 a.m. is mostly

13:23

run by the sympathetic side,

13:25

>> which is the fight orflight side.

13:27

>> Yes. So when you're well balanced and

13:29

you have a completely normally operating

13:31

brain stem, you will have a couple of

13:33

branches of REM sleep. But my patients

13:37

did not have any REM sleep at all in the

13:39

first half of the night. And in fact,

13:42

they might have been lucky to little

13:43

have a little half an hour here between

13:45

4:30 and 5, if at all.

13:48

The second half of the night from 3:00

13:50

am to 7 am is run by the parasympathetic

13:53

side. That means if you look at it in a

13:57

certain way, you could say, well, wait,

13:59

maybe they've lost the parasympathetic

14:01

driver for the second half of their

14:04

night. Seeing all these sleep studies

14:07

that did not have this phase of sleep,

14:10

they're actually one6 of the amount of

14:12

RAM sleep they should have. And as I go

14:15

back through all the sleep studies, I

14:16

realize, well, wait, don't we kind of do

14:20

mood in REM sleep?

14:21

>> What do you mean, do we do mood?

14:23

>> When trying to link the comments that my

14:27

patients have made and the drugs that I

14:30

give them, I realize I've been giving

14:32

out anti-depressants to this group of

14:34

young, healthy women with headaches

14:37

because they frequently say, "I'm in a

14:39

terrible mood."

14:41

So, they can't remember. Isn't there a

14:44

body of literature about memory being

14:46

made permanent during REAM? Yes, memory

14:48

is linked and mood is linked. If I'm

14:51

allowed to go back to sleep, if I have

14:53

the proper brain chemistry to allow me

14:56

to fall back into REM sleep, I will wake

15:00

in a better mood. Those are the sorts of

15:02

things that the patients will tell you

15:04

if you ask about it and if they're able

15:06

to fall back to sleep.

15:09

because my group did not have sleep

15:11

apnnea and could not wear CPAP masks.

15:14

What's wrong with them? Why aren't they

15:16

in this phase of sleep? This is a

15:18

neurology problem. This is not a

15:20

pulmonologist. This is not about

15:22

breathing. This is about this brain stem

15:25

and what is the chemistry of this? So

15:27

then I go to the anatomy and then I find

15:29

out what are the cells in this brain

15:32

stem area that make us paralyzed. Just

15:36

to make sure I'm with you, you're you're

15:37

asking that question because you figured

15:38

out that the women who are struggling

15:41

with sleep and getting headaches have

15:43

less of this REM sleep which is

15:45

associated with being paralyzed. So the

15:47

question you've then asked is what are

15:49

the chemicals that help us become

15:51

paralyzed?

15:52

>> Yes. Okay. What [clears throat] are

15:53

cells that take us into these what what

15:56

is the chemistry of that? Since I am so

15:58

focused on biochemistry, there's

16:00

actually a deficiency in a

16:01

neurotransmitter that our moving doors

16:03

means that we've lost a neurotransmitter

16:05

that we must have to be normal humans.

16:08

And the reason why they don't know it is

16:10

because there are no drugs that

16:12

duplicate acetylcholine. There are no

16:14

drugs. But ultimately what we found out

16:17

together was that vitamin D makes the

16:20

enzyme or the protein that makes a

16:24

certain reaction happen that makes

16:26

acetylcholine. Acetylcholine is the

16:29

neurotransmitter the chemical that the

16:32

autonomic parasympathetic side uses. We

16:35

hear all the time about epinephrine and

16:37

norepinephrine or adrenaline and

16:39

noradrenaline. That's what happens when

16:41

somebody rear ends you. Your blood

16:42

pressure goes up, your heart rate goes

16:44

up. That's all dominant here. If you're

16:47

wearing a sleep tracker, you'll you'll

16:49

see that there's a measure of what's

16:50

called heart rate variability that goes

16:53

up as the parasympathetic becomes

16:55

dominant

16:56

>> as the the rest and digest.

16:58

>> Exactly. So all of the messages that we

17:01

have to increase the heart rate or

17:03

decrease the heart rate or to have a

17:05

bowel movement or be constipated or to

17:08

digest our food, those are all

17:11

eventually run by a chemical and our

17:14

body and our brain use these chemicals

17:17

to send messages. This is actually a

17:20

chemical deficiency state that happens

17:24

when you move indoors.

17:26

Sunscreen, computers, and air

17:28

conditioning all started in the 1980s.

17:31

And the reason why it's not as evident

17:33

to you as it is to me is that I was

17:36

alive before the 1980s. There were two

17:39

kids in my class of 300 that were

17:42

overweight.

17:43

They didn't go on diets. They didn't

17:46

have any trouble sleeping. They weren't

17:47

on anti-depressants. The things that

17:50

weren't common when I was a teenager

17:53

that are common now are striking for

17:57

those of us who are this age because we

17:59

know it wasn't like that. What we've

18:01

been told is it's toxins in the food.

18:04

It's that we aren't doing it right. I

18:06

don't think those are things when you

18:09

say I'm not doing it right, then you

18:10

should be able to tell me how to do it

18:12

right. And that's what a lot of these

18:14

podcasts are about. How do I change what

18:16

I do so I can feel rested and be at the

18:18

peak performance of my life? That

18:21

interests a lot of people.

18:23

I would claim that there's a deficiency

18:25

state in the background that you can

18:26

actually fix and you can fix it, but

18:29

it's through vitamins. And the our ideas

18:32

about vitamins are wrong. Completely

18:36

wrong. We've been taught that vitamins

18:40

are not important or vitamins are very

18:43

important, but they're easy to use.

18:44

They'll never hurt us. Uh you just take

18:47

a certain like who's your

18:49

recommendation? What's the vitamin D

18:51

recommendation dose that this guy's

18:52

given out? We've been told things that

18:55

are actually not true. And medicine

18:58

hasn't taken responsibility for the fact

19:00

that this is the the core of

19:02

biochemistry.

19:03

It was done by physicians. These

19:05

original research articles in the 40s

19:09

and 50s that the word vitamin was used

19:11

was done by medical experts.

19:14

It's unfortunately been given to the

19:17

government to give recommendations. It

19:19

should never be in the hands of the

19:21

government. The government doesn't know

19:22

anything about our biochemistry.

19:24

So the supplement industry at the moment

19:26

is a mess. And I say that only because I

19:30

have seen dramatic things happen to my

19:32

patients that

19:35

are not what I expected. And vitamins

19:38

are a form of biohacking. They're just

19:40

as dangerous as any drug you could put

19:42

in your mouth. If you do not know what

19:45

you're doing with them, bad things will

19:46

happen to you. And unfortunately,

19:49

frequently those bad things are the same

19:51

thing you had before you took the

19:53

vitamin. Therefore, you should pay

19:55

attention to what you're feeling. So,

19:58

the pathway that I've built that's on my

20:00

website now has a a second half that's a

20:02

journal. You have to keep notes of

20:05

what's happening to you.

20:06

>> How many people

20:09

are experiencing sleep problems in your

20:11

point of view?

20:12

>> Billions. It's around the world. There

20:14

are sleep study centers in every country

20:17

that has electricity. in Germany, in

20:20

Japan, in Brazil, and they're all

20:23

publishing how abnormal the studies are.

20:27

This is not what it looks like.

20:31

They rarely

20:33

send out an article saying that we have

20:37

less RAM because they don't have an

20:40

answer for why. I just happen to be the

20:43

only one currently on the internet

20:46

that has a different way of looking at

20:48

it. Well, I'm very curious to learn

20:50

about all of this. I've never heard

20:51

someone say to me before that vitamins

20:54

are linked to sleep issues.

20:56

>> Absolutely.

20:57

>> Um, it's typically, you know, put on the

20:58

sleep mask and close the blinds and make

21:00

sure it's cold in the room. So, this is

21:01

incredibly interesting to me.

21:03

>> Let me add one more thing so I don't

21:04

forget. You and Matt Walker talked about

21:07

chronotypes. Yeah,

21:08

>> there are many dogmatic statements that

21:10

are being made about genetics and sleep

21:13

that are not necessarily wrong, but

21:16

they're also not necessarily right. And

21:18

I had the same training that you that

21:20

you get from Matt Walker. He's doing

21:22

animal training. We say dogmatic things

21:26

based on certain studies that we do. And

21:29

then my patients

21:32

don't behave that way. my patients turn

21:35

out to, you know, this person has been

21:38

working to take this to an extreme. So

21:40

the chronotype story is you're either an

21:43

early bird or a night owl and you had

21:46

shared that you're a night owl and that

21:48

your girlfriend is an early bird. Okay?

21:51

And what is being taught is that that is

21:55

your genetic makeup.

21:57

Although there are genetic mutations

21:59

that lead to certain timing of sleep, it

22:03

turns out everybody I was doing this

22:04

vitamin stuff w with would revert back

22:07

to fall asleep at 10 and wake up at

22:09

6:00. Even the people who were working

22:11

nights their whole life. This woman that

22:14

I'm seeing who is on disability now

22:17

because she got a terrible disease

22:21

that I believe is because she worked

22:23

nights when she is at home on disability

22:25

for several years. that I'm still caring

22:27

for her for that disease.

22:29

She's still sleeping during the day.

22:32

Well, why would she sleep during the

22:34

day? And now I have a whole run of

22:35

patients who say, "I guess it's because

22:37

I always work nights." It turns out that

22:40

humans really can't work nights if they

22:42

have normal brain chemistry. Why?

22:45

Because we're day hunters. We are

22:48

supposed to be asleep in the night. And

22:49

that is our biochemistry. There are lots

22:51

of animals that are designed to be awake

22:53

at night. Owls. That's why they use that

22:55

as a symbol.

22:57

And if you do the right thing with their

22:59

chemistry, and if you insist that they

23:02

spend more time outside,

23:05

then they actually revert to falling

23:08

asleep at 10 p.m. and waking up at 6:00

23:10

a.m. It's very difficult to operate,

23:13

unless you're international like you

23:15

are, to be falling asleep. There are

23:17

people who fall asleep at 4:00 a.m. and

23:19

wake up at noon. That is a very

23:22

difficult problem to operate within the

23:24

normal population because the rest of

23:27

the world doesn't operate that way. And

23:28

when you think about it a little bit, we

23:30

actually have certain standards on when

23:32

we start work and when we end work. And

23:33

that's the same all over the globe. So

23:36

there were things that happened to me

23:38

that surprised me and they became

23:42

consistent. Okay? And those are some of

23:44

the things that we're going to talk

23:45

about. And that's what made me think,

23:46

you know, this is around the world and

23:49

it happened at a specific time. There

23:52

are many diseases that started to be

23:54

reported in the middle 80s. You guys

23:57

aren't aware of it because you think

23:58

it's normal now, but ADD, ADHD,

24:02

depression, things that are affecting ch

24:05

childhood development, which we could

24:07

discuss at a different time, fatty

24:09

liver,

24:12

certain things like oh increase in

24:14

diabetes, the things that were diseases

24:17

that had been described, they're all

24:20

some of them are old diseases that have

24:21

increased in incidence, but some of them

24:23

for the first time, fatty liver was

24:25

first described non-alcoholic fatty

24:28

liver first described in the 80s ADHD is

24:31

similar. So during the time that I don't

24:34

know why we have this epidemic I'm still

24:37

thinking toxins because that's what

24:39

we've been told pesticides glyphosate

24:43

and then

24:45

we get into the area of vitamin D and

24:47

how did I find out about vitamin D? Why

24:50

was I sort of forced against my will to

24:53

step into the vitamin D politics, which

24:55

is a horrible morass?

24:58

>> There should be a button just down below

25:00

here. And if it says subscribed, you're

25:02

already subscribed. If it says

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subscriber, that means you're not yet.

25:06

And if you're not subscribed, please

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could you do us a favor and hit that

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button? It helps the show more than you

25:10

know. And according to the algorithm,

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you're someone that watches our show,

25:13

but you haven't yet hit that button.

25:14

Thank you so much. So explain to me your

25:17

your assertion is that vitamin D is

25:19

fundamentally linked to a lot of the

25:21

sleep disorders and deficiencies that we

25:22

see. How how can you prove that to me?

25:25

>> I think I would prefer to give you these

25:27

two examples.

25:28

>> Okay.

25:29

>> Because the people who are listening,

25:31

these are at the two extremes, but it'll

25:33

cover a lot of the people that are

25:34

listening.

25:34

>> Okay?

25:35

>> The first is let let's call her Meline.

25:38

>> Maline.

25:38

>> She's 32 years old. She's a redhead.

25:42

That turns out to be important. She's

25:45

100 pounds overweight. She just had her

25:48

first pregnancy three years ago. And she

25:50

had been told that because she had

25:52

endometriosis and polycystic ovarian

25:54

syndrome, that she would never get

25:56

pregnant. But she got pregnant. She's

25:58

very happy about that. She had uh

26:01

gestational diabetes, which means she

26:03

had diabetes during the time that she

26:04

was pregnant with her son. And now she

26:08

is pretty much a wreck. She has daily

26:11

headache, which is why she's seeing me.

26:13

She's on about nine drugs. She has

26:16

several kinds of pain. She has a

26:18

terrible pain down the front of her leg

26:19

that she's been told is endometriosis,

26:22

growing on one of her nerves. She has

26:25

terrible burning in her feet. She has

26:27

terrible reflux. She poops once a week.

26:31

She feels like she has to get up and go

26:33

to the bathroom several times a night.

26:35

She thinks that's why her sleep is so

26:38

interrupted. So, I'm treating her for

26:40

her daily headaches and her pain. And

26:43

then I start to think about sleep. And

26:45

because we've been trained that fat

26:48

people are fat because they're fat

26:51

slobs, because they eat wrong, because

26:53

they don't exercise, it's their own

26:55

fault.

26:57

I don't even think about the fact that

27:00

many of these things might have a common

27:02

source and that she's been tortured by

27:05

this her whole life. So I send her for a

27:08

sleep study. She gets on CPAP. Over the

27:11

time she's on CPAP, she gets a little

27:13

bit better. Her sleep is better. She

27:15

feels better. And then I stumble into

27:18

vitamin D. Okay. Now, we're going to set

27:21

that as an example of the most horrible

27:24

set of things you could have perhaps.

27:26

And another example, and we're going to

27:29

watch what happens to these two women

27:30

over time. The second one we'll call

27:33

Natalie. And Natalie is tall,

27:37

statuesque, she's a triathlete.

27:40

She is also seeing me for daily

27:41

headache. She grew up in a family that

27:44

is of Italian origin. She is dark tan.

27:47

She swims. She's athletic. She's outside

27:51

all the time in the summer. Five years

27:53

ago, she had her first child. Her

27:55

daughter, she did well. No problems with

27:58

her sleep. Two years ago, she has her

28:00

son. And since her son was born, she has

28:03

not been able to go back to sleep. Even

28:05

when her son goes back to sleep, she

28:06

can't. She feels tired. She has

28:10

postpartum depression. She had

28:12

gestational diabetes. Like she's doing

28:16

everything perfectly. She knows

28:18

everything there is to know. She's done

28:20

paleo and keto. She is very well

28:22

informed by the things that doctors tell

28:24

her to do. And now her sleep is also

28:27

abnormal. And she had a few headaches in

28:29

high school, but now she has daily

28:30

headache, too. So there's a fiveyear

28:33

span here where I'm doing CPAP masks and

28:36

sleeping pills. And those are some of

28:38

the stories.

28:41

And it's not just limited to women, but

28:42

I especially want to point out that

28:44

women are more effective because they

28:46

have the babies. So, the next thing that

28:50

happens is 5 years into it, I've got

28:52

this beautiful 18-year-old who's about

28:54

to go to college. She comes to see me

28:55

for daily headache. She has a sleep

28:58

study

29:00

that shows none of these phases of deep

29:03

sleep.

29:03

>> So, she's having no deep sleep.

29:05

>> No deep sleep. And every 15 minutes or

29:10

so, my interpretation is her brain is

29:12

trying to get into these one of these

29:15

deep sleep phases and she wakes up to

29:17

light sleep again. So every time the

29:19

brain tries to do this, it breaks to

29:20

white sleep, light sleep, light sleep,

29:22

light sleep. She thinks that she's

29:25

asleep the whole night.

29:27

This shows that she's asleep the whole

29:29

night. But her sleep study over my five

29:32

years of experience is horrifying

29:35

because it's not just, oh, she's missing

29:37

a little rim. She has no deep sleep at

29:39

all. This is a brain stem

29:42

disorder of chemistry that's going to

29:45

mean she might meet me 10 years from now

29:47

with a stroke. I've taken care of 28-y

29:50

olds who just had a stroke.

29:52

>> 28, sorry,

29:54

>> 28-y olds. We associate stroke with

29:56

being old and having diabetes and

29:58

hypertension and heart disease. That

30:00

means I'm looking at this and for the

30:02

very first time I have actually started

30:04

to see the diseases that my neurology

30:07

patients come in with and their

30:09

relationship to sleep. By the end of the

30:11

five years I'm doing sleep studies on

30:13

anybody who will let me. So I'm doing

30:15

little kids, I'm doing moms, I'm doing

30:16

dads, I'm doing every single neurologic

30:19

illness that comes in. They're all

30:22

abnormal. All of them. This implies that

30:25

the reason why you get a disease is

30:28

because your sleep is not restorative.

30:32

That implies that I should think about

30:33

the body as golly, I know people who

30:36

live to be 75 years old and don't have a

30:39

doctor. They were my grandparents and

30:42

then they started to get medical

30:43

problems about age 75 and then they died

30:45

at 85.

30:47

Why aren't we looking at it that way?

30:49

Why aren't we saying, "Oh, this means

30:51

your repair system that's designed to

30:53

completely repair everything in your

30:55

body every night." And you talked with

30:59

um Tara

31:01

Swat about lymphatic drainage. These

31:03

things that happen while we're sleeping.

31:05

It is what makes us last.

31:09

Like we're not made of teflon. We're

31:10

made of these biologic materials and

31:12

they repair themselves every night.

31:14

That's a miracle.

31:16

>> If you view it through that lens,

31:19

then you start to question why is

31:22

medicine doing what it is. I'm trained

31:25

to ask questions for the thing the

31:27

person walks in for. Let's say burning

31:30

in the feet.

31:31

>> Okay?

31:32

>> And I'm trained to make a little list of

31:34

the diseases that have resulted in that

31:39

and then give a drug for it. And if we

31:41

don't find a drug that reverses it,

31:43

which we haven't for burning, but I'm

31:45

going to tell you why, then we give a

31:48

drug that numbs the pain a little bit.

31:51

>> We just kind of plastering it over

31:52

cracks.

31:52

>> We're putting band-aids on these things

31:55

instead of saying, "Well, what do you

31:57

think led to this?" And this

32:00

glimpmphatic drainage point I think is a

32:01

really important one because what when I

32:03

understood this glimpmphatic drainage

32:05

idea it had a profound impact on my

32:09

relationship with sleep. I would argue

32:11

more so than anything else. There's

32:13

actually a colleague of mine who's

32:14

currently sat out there right and I have

32:16

an emoji that I sent to her. She's

32:19

called Georgia Gibson. I have an she she

32:21

likes to work very hard and I sent her

32:22

this particular emoji of this this I

32:26

can't even remember. She told me what

32:27

the cartoon was, but it's these little

32:28

fish that come out and clean the big

32:30

whale.

32:30

>> Yes.

32:31

>> What's What's that called?

32:32

>> I don't remember, but I know what you're

32:33

talking about.

32:34

>> Okay, I'll put it on the screen. It's

32:35

from like a movie. So, everyone in the

32:36

comments is probably going to know what

32:37

I'm talking about. But I sent her this

32:39

emoji just to remind her that she needs

32:41

to sleep cuz she needs to wash her

32:42

brain. That's what I say. I say to her,

32:43

"You need to wash your brain," which

32:45

means go to bed. When you go to sleep at

32:47

night, these cleaners, you want, you

32:49

know, again, I'm I'm animating this in a

32:51

way that's not scientifically accurate,

32:52

but these cleaners come out and clean up

32:54

your brain and they wash it all and they

32:56

clean it and they scrub it and they make

32:57

it all back to normal again. So, if

32:59

you're not sleeping, then you're going

33:01

to get some kind of buildup of crap and

33:03

that can lead to disease or, you know,

33:05

other worse things down the line.

33:07

>> Yes, that's a perfect description of it

33:10

actually. And that's about the level of

33:11

what we know. So, the 18-year-old with

33:15

no deep sleep, she comes back and say,

33:17

"Hey, this drug you gave me for my

33:18

headaches made my headaches better, but

33:20

I'm so tired." And I'm looking at her

33:22

sleep study going, "Holy crap, no wonder

33:25

she's tired." Okay, this is really,

33:27

really bad. And this is invisible.

33:29

Absolutely invisible to the rest of the

33:31

physicians cuz she looks perfect. So, I

33:34

do a B12 level and a thyroid test

33:36

because I have no idea what to do. And

33:39

the B12 is profoundly low. low enough

33:42

that it shows up as abnormal and a

33:44

little red. Okay. Now, the the weird

33:47

part about this is I've never done a B12

33:49

level in a headache patient since I've

33:51

been doing headaches as a part of

33:52

neurology, which is a large part of

33:54

neurology. I then start to give B12

33:57

recommendations and I do B12 blood tests

33:59

on all the patients who I have in my

34:01

little stable of I've done these sleep

34:03

studies in them. They still are not

34:06

sleeping well unless the sleeping pill

34:07

works. So, for about a month, I'm doing

34:09

B12 tests and then one of my patients

34:12

says to me, "My doctor said my vitamin D

34:14

was low." She gave me vitamin D and my

34:17

wrist pain went away. And I had no clue

34:20

and I thought, you know, I'm just doing

34:22

blood tests anyway, which I never did in

34:24

my headache patients. I'm just going to

34:25

throw that in. I was completely naive.

34:29

And because I was naive, I was not

34:31

afraid to do this. But I did vitamin D

34:34

levels and B12 levels in a group of

34:36

about 500 patients between September and

34:40

December of 2009.

34:44

And I gave you the background because I

34:45

had all these thoughts buzzing around in

34:47

my head. What are we looking for? We're

34:49

looking for something that it controls

34:51

the brain stem. Now, they're going from

34:53

August or September to December. That's

34:55

in the fall. So, if you're going to make

34:57

D in the summer, which is when we're

34:58

supposed to make it because we're out in

35:00

the sun, that's all I knew about D is

35:02

you make it from the sun. It's about

35:03

bones.

35:05

They were all low. All of them are low.

35:08

Two of these guys that are on CPAP come

35:10

back. They both have headaches. They

35:12

both say the same thing to me in the

35:13

same week. You know, I've been wearing

35:15

the CPAP mask for a whole year. My

35:18

headaches hadn't gone away. But that

35:20

little note you sent me last time I was

35:22

in here when you did my vitamin D level

35:23

and you told me to get vitamin D. I took

35:25

that for about a month. My sleep got

35:28

better and my headaches went away. Now I

35:30

happen to know that all the D's were

35:32

low. But D's about bone. Why would it

35:35

have anything to do with sleep? So I go

35:37

to the PubMed. That's my resource now. I

35:40

hang out with PubMed all the time,

35:42

>> which is

35:43

>> that's where you register all your

35:44

articles that we publish. 2009. I put in

35:47

two search terms, vitamin D and sleep,

35:50

and there are no hits.

35:52

And then I put in vitamin D in the brain

35:54

and I wind up going to articles by a guy

35:58

named Walter Stumpf Stu MF who's been

36:01

writing about vitamin D for 30 years who

36:04

has actually published that there are

36:08

vitamin D receptors in this little

36:10

stripe along the back of the brain stem

36:12

that paralyzes us. Like he knows the

36:15

name of this nucleus. He has shown

36:17

articles where the vitamin D receptors

36:19

are in this nucleus that paralyzes us

36:22

and in the nuclei that are the clock

36:24

nuclei that determine what time it is,

36:28

what time we go to sleep, when we make

36:30

these transitions. The brain always

36:32

knows exactly what time it is. Those

36:36

areas have vitamin D receptors.

36:39

That means vitamin D is doing something.

36:42

That means I'm very interested in

36:44

thinking if this vitamin D

36:48

is low, like if they say 30 to 100 is

36:51

normal, and my patients with sleep

36:53

disorders and neurologic problems have

36:55

vitamin D levels in the low30s and

36:57

below, is there a vitamin D level, not a

37:01

dose, but a brain or a blood level that

37:06

I can measure that might make them sleep

37:08

better? That would be phenomenal. Should

37:10

we go down this vitamin D road? I know

37:12

nothing about it. I start sending people

37:13

for vitamin D levels and giving them

37:15

vitamin D and I start reading.

37:18

Walter Stump has already put together a

37:20

beautiful belief system around vitamin D

37:23

is the hibernation hormone. It allows

37:25

animals to adapt their body to tolerate

37:29

winter when there's no food. It tells

37:32

their body to do things like the thyroid

37:34

hormone lowers the metabolic rate of all

37:37

the cells in the body. The weird part is

37:40

this is written about beautifully by

37:42

Walter Stump. And because he has a whole

37:46

belief system that tells what you should

37:48

expect, he's also published many

37:51

articles. The first articles in 1982

37:55

about brain stem. He publishes articles

37:58

about postpartum depression, about

38:00

infertility, about obesity. He's telling

38:04

us what epidemics are going to happen,

38:07

but it's before it happens because the

38:09

sunscreen's coming out in 85

38:12

and the middle of the air conditioning

38:14

computer. And when I'm talking about

38:16

this during CO, it becomes much more

38:19

exaggerated. Okay, CO has brought us all

38:22

indoors and we're starting to feel the

38:24

effects of that even more exaggerated.

38:26

So, Walter has this idea set. I call him

38:29

up. Luckily, he's retired and he takes

38:32

my phone call and I say, "Hey, you don't

38:35

know me, but I'm this clinician in Texas

38:38

and I have this clinical observation

38:40

that I've done all these sleep studies

38:41

on people. Their brain

38:44

that should be sending them through

38:46

these particular steps is not. You have

38:49

shown that there are vitamin D receptors

38:50

all over the nuclei that should be

38:52

running this.

38:54

Has anybody written about sleep and

38:56

vitamin D?" And he says, "No, but it

38:58

makes perfect sense. It's the

38:59

hibernation hormone. What else would you

39:01

do? You sleep longer.

39:03

And it turns out that when our D goes

39:05

very low, our brain actually forgets how

39:07

to sleep. That's the easiest way to

39:10

describe it. That gal that I showed you,

39:12

she had not only vitamin D deficiency as

39:14

the primary deficiency and with

39:16

secondary deficiency we're going to talk

39:18

about, but there your brain just becomes

39:21

completely scattered and it's what it's

39:22

supposed to do because the the D is

39:25

doing a specific thing. It took me a

39:28

while to figure out. There are articles

39:30

that actually took Walter's articles and

39:32

said, "Hey, there are these D

39:33

receptors." What hormones do that's

39:36

unique is the hormone goes inside the

39:38

nucleus

39:40

of the cell and the nucleus has the DNA

39:43

and it binds to the DNA and it has a

39:46

special vitamin D receptor. That's what

39:48

Walter was measuring. When it hits that

39:50

receptor, there's a specific protein

39:52

that that DNA expresses. That means that

39:55

little piece of DNA comes out. It makes

39:57

this protein. The protein that it makes

40:00

is an enzyme that makes acetylcholine.

40:04

So that means I can trace through the

40:05

scientific literature all the way from

40:07

the receptor to the articles that use

40:10

that that showed that it was an an

40:12

enzyme called choline acetal

40:14

transferase. Now the next part is really

40:17

important because what I want out of

40:20

this is that Meline and Natalie both get

40:23

better. Okay, this this biochemistry is

40:26

my thrill. But what the listener wants

40:29

is how do I get better? Now, since I

40:34

started this and the first time I

40:35

started giving vitamin D was in 2010,

40:39

this is now

40:41

16 years later.

40:44

Is vitamin D any better understood or

40:47

given out? No. The science is

40:51

phenomenal. The recommendations for the

40:54

doctors

40:55

don't go there. The endocrine society

40:58

are supposed to be the experts in

40:59

hormones. D is a hormone.

41:02

>> I think that's an important point which

41:03

is a lot of people think of vitamin D as

41:05

some kind of well we think of it as a

41:06

vitamin but you're telling me it's it's

41:08

a hormone.

41:09

>> It's the most bizarre thing I've ever

41:11

run into in medicine. It's really

41:12

bizarre.

41:13

>> Which which path?

41:14

>> There was a mistake.

41:17

There was a mistake made in calling it a

41:19

vitamin. It is made on our skin.

41:24

Now, it turns out animals frequently

41:25

lick their fur,

41:28

and they get their vitamin D that's made

41:30

in their fur from licking their fur.

41:33

Some of it's absorbed, but the thing

41:35

that's unique about us and pigs,

41:37

domesticated pigs, is we're bald.

41:41

That means most of the time we're making

41:43

it on our skin. It's never supposed to

41:45

be from the food. It was not ever about

41:49

the food for us.

41:52

We don't lick our skin.

41:55

Therefore, we absorb it through our skin

41:57

and we can actually have salmon. The

42:00

salmon has vitamin D in it. That's the

42:02

salmon's vitamin D. It's not our vitamin

42:04

D. It's like saying you eat salmon, you

42:06

get salmon estrogen. That should be

42:08

enough estrogen for you to have a normal

42:10

period. That's crazy. If your ovaries

42:13

are not making enough estrogen, you

42:15

won't have a normal period. Okay? They

42:17

called it a vitamin. And in the n early

42:19

80s medicine decided vitamins were for

42:22

lesser humans. Therefore D got pushed

42:25

into that pile and it got given over the

42:29

counter. Now, the fascinating part about

42:30

that is it turns out to be a good thing

42:32

that it's over the counter because the

42:34

lay public once they hear that their

42:38

whole health is actually tied to this

42:42

and that they've been doing what their

42:44

doctor recommended, which is to use

42:45

sunscreen and stay out of the sun. And

42:48

the original recommendation, cuz I was

42:51

there in the early 80s, was don't

42:54

sunburn.

42:56

Every sunburn that's a bad sunburn that

42:58

you peel from will age your skin even if

43:01

you're 10.

43:02

>> Which is is that true or not?

43:03

>> That's true.

43:04

>> It's true. Yeah,

43:04

>> that piece is true. Now, the weird thing

43:06

is that has been morphed over the last

43:09

40 years into don't ever let the sun

43:13

touch your skin. People are smart. If

43:15

you tell them that they can use

43:17

sunscreen wisely and it blocks the

43:20

ability to make vitamin D and it has

43:23

turned into the combination of sunscreen

43:26

plus being inside much more than we ever

43:29

were before. When you had air

43:30

conditioning, people slept out on the

43:32

roof in Saudi Arabia. That means you

43:35

spend much more time outdoors. And it

43:38

also turns out there's a particular move

43:41

in health and wellness which is about

43:44

the many forms of wavelengths of energy

43:47

that we absorb that are given to us by

43:50

the sun that are not UVB. UVB is the

43:53

wavelength that makes D. There are your

43:57

podcast about infrared. Very very

44:00

important. That means there are many

44:02

wavelengths of energy and the more time

44:04

we spend outdoors, the more our body

44:08

actually uses those wavelengths in our

44:11

biology because medicine is so

44:14

conservative and so slow to change. They

44:17

basically poo poo any new ideas. So

44:21

hyperbaric oxygen laughed at uh infrared

44:24

laughed at made made fun of and

44:27

therefore you could actually have your

44:29

license taken away since co

44:32

since doctors are now doing things

44:34

across video. I am safer in my little

44:39

place making my comments making my

44:41

statements. They're madeup stories.

44:44

>> What is a madeup story? My telling you

44:46

my belief system

44:49

is a madeup story. This is really an

44:52

important idea. I thought that

44:55

everything written in a book is true. As

44:58

soon as the publications come out, soon

45:00

as I can go to PubMed,

45:02

I thought those things written down were

45:04

true

45:06

absolutes. And then you stay in medicine

45:08

for 30 years and you realize the things

45:10

that you were taught are not truth

45:13

anymore. Well,

45:15

that means they made up those stories.

45:18

They do a scientific experiment. You and

45:21

I are looking at the data, but there's

45:24

always a conclusory.

45:26

My conclusions from this data are those

45:30

are always made up stories. And in fact,

45:33

they're always humans making up stories.

45:36

You and I are not listening to stories

45:39

that ants make up or that cats make up.

45:44

We're very human centric.

45:47

We're studying things that are stories

45:50

that humans make up.

45:51

>> And we're arriving at a conclusion based

45:53

on some factors that we can see which is

45:56

you know often causation or correlation

45:58

sorry and not necessarily causation.

46:01

>> Correlation very important. We all have

46:04

a belief system. You and I are building

46:07

a belief system here. I told you that

46:09

Walter Stump had a belief system. The

46:11

reason why I'm using those terms is

46:14

I was really pissed off at the

46:16

pulmonologist when I realized

46:20

that woman with the sleep apnea, she

46:21

wasn't a fat middle-aged male with a fat

46:24

tongue. How dare they? Here are these

46:27

women. They have headaches. They're

46:28

suffering. How dare they make up this

46:31

story? And then I began to realize

46:35

they made up those stories. That was

46:37

their best guess.

46:39

>> That is every single person who sits on

46:41

this side of the table. It's their best

46:43

guest.

46:45

All of us are or you wouldn't have us on

46:46

here. Very enthusiastic about our

46:48

guests. But it's very important to

46:51

realize that every belief system means

46:53

you see the world through that. But it

46:56

always has blinders.

46:57

>> There are things that you won't be able

46:59

to see because of it as well.

47:02

Then you must move into a point of view

47:05

which is I need to stay flexible. What

47:08

if new information comes? Yeah.

47:10

>> Okay. So

47:12

>> the debelief system at the moment is

47:15

that it's a vitamin

47:17

>> and there's a huge political fight

47:20

within the medical literature. It's very

47:22

weird.

47:22

>> The debelief system. What do you mean?

47:24

Medicine has decided that the only way

47:27

you can get any important information is

47:29

to have a control group, a study group.

47:34

The study group gets X, a drug, in this

47:37

case, vitamin D. And you compare the

47:40

outcome of both groups.

47:41

>> And what does the other group get? A

47:42

placebo. Basically, they think it's a

47:44

drug, but there's nothing in it.

47:44

>> Yeah. And then you compare the outcome.

47:48

The problem is in no biologic pathway is

47:51

there only one variable. There's never

47:53

one variable.

47:55

And that means when you give one a

47:58

hormone,

48:00

you also need to know that hormones are

48:04

always in done by blood levels and that

48:08

the normal state for the human body in

48:11

every biologic

48:13

animal including plants is that hormones

48:17

stay in a tight little narrow band. Too

48:19

much and too little are both not good.

48:21

always goes towards the middle. In the

48:24

lei experience, this is why we do blood

48:27

levels of testosterone. If we give you

48:29

testosterone supplement, if we give you

48:31

estrogen in thyroid, even lay people

48:34

know my aunt would get crazy when her

48:38

thyroid was off and it could be too high

48:40

or too low. D is exactly the same. Yet,

48:45

they do these studies based on a fixed

48:47

dose. So it doesn't matter what the

48:50

level is,

48:52

what time of the year, how much sun

48:53

they're getting, they're all getting

48:55

4,000 IUs.

48:56

>> So they could be having too much or too

48:58

little.

48:59

>> No blood levels are taken.

49:00

>> So you're saying that it should be

49:01

personalized the amount of vitamin D.

49:03

>> Absolutely. Any hormone that you take,

49:05

if you compare, that's why the endocrine

49:07

society is so important. They know in

49:11

2004 when they gave the final

49:12

recommendation for the doctors and

49:14

practice, they know that the studies

49:17

that have been done so far are rarely

49:20

done in the way a hormone should be

49:22

studied. And they say that in their

49:24

report. They spent a whole year looking

49:26

at this chemical, all the research

49:27

that's done. And they say, you know, we

49:30

don't really have any good studies. We

49:33

don't have any clinical studies like

49:35

mine for instance where we're relating

49:37

the dose that we give the person to the

49:39

blood level that's achieved. Therefore,

49:44

you would think they would say we need

49:45

more studies. No, here's what they said.

49:47

Therefore, you should not do vitamin D

49:49

levels and you should not give

49:50

recommendations about vitamin D, taking

49:52

it or not taking it. you should just

49:54

avoid the whole conversation because

49:57

what's going to happen when you do a

49:58

vitamin D level is you're going to call

49:59

me up and you're going to say what dose

50:02

should I give the D level is this and we

50:04

don't know so they've said don't be

50:06

curious don't do it that's insane now

50:11

that means the lay public is coming to

50:13

me and other people on the internet and

50:16

they're coming to podcasts like this to

50:18

learn about it and there are a lot of

50:20

conflicting

50:22

attitudes foods. I may be one of the

50:25

biggest recorder in my brain, which is

50:28

not in a data dump that I can put into

50:30

an article of how to manage vitamin D

50:34

levels, what you should do, what you

50:36

should do with dosing. And that's one of

50:37

the things I have in this workbook that

50:39

we're going to talk about. Whenever I

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52:40

I'm very curious about Meline and

52:41

Natalie still.

52:43

>> Great.

52:43

>> What happened to Meline and Natalie?

52:45

>> Okay. For two years, I'm talking to

52:47

Walter on the phone and I start giving

52:49

vitamin D to my my patients and I

52:52

learned that every single person needs a

52:54

unique amount. Very scary. That means

52:57

everybody else is saying, "Oh, take

52:58

5,000, take 10,000, take 20,000. I take

53:01

a h 100,000 once a month. Okay? And I

53:04

find out also that if you get past about

53:08

a level of 60, that's when they come

53:11

back and say, you know what, my sleep is

53:13

better. Now, importantly, I still was

53:16

operating under the false belief that

53:18

there's only one variable. Okay? I came

53:21

up in medicine using drugs. That means

53:23

you match the drug to the complaint. Oh,

53:26

that one didn't work. And then we do

53:27

this one, and then we do this one. Okay?

53:29

I'm ashamed that I looked at it that

53:31

way, but that was my training. So, I

53:34

thought vitamin D was going to fix

53:35

everything. Within the next 6 months, my

53:37

patients start to come back and say

53:39

horrible things like my joints ache all

53:42

over and my doctor's about to send me to

53:45

the rheatologist who does autoimmune

53:48

diseases,

53:48

>> like arthritis.

53:49

>> Exactly. Then the next person comes in

53:51

and says, "I've got this terrible

53:53

burning in my hands and feet." And

53:56

another woman comes in the same month

53:59

with burning in her hands and feet. Two

54:01

women, same month. They have nothing in

54:04

common except they both have headaches

54:06

and they've been doing vitamin D with me

54:08

for two years. And they say, they want

54:10

to know, is this related to that vitamin

54:12

D that I've been taking with you? And

54:14

now I'm very freaked out because I'm

54:17

afraid that what I've been doing even

54:19

though their sleep is better and we're

54:20

all happy about that headaches were

54:22

better now they're a little worse again

54:25

is I've put them in a situation where

54:27

they are now using more of whatever

54:30

these building blocks are and I've I've

54:32

actually forced them into another

54:34

deficiency state. I'm making them make

54:36

more repairs and now they're deficient

54:38

in something else and I don't know what.

54:41

Now, a patient walks in with a book.

54:44

This is why I'm telling you that my

54:45

patients are the ones that taught me all

54:47

this stuff. And I'm telling you these

54:49

embarrassing stories because they come

54:51

in and they say, "Did you do this to

54:53

me?"

54:55

That's very uncomfortable. And I don't

54:58

know, but I feel a commitment that I

54:59

better find out. And a woman walks in

55:02

with a book that's called the pain-free

55:06

promise of pantaththenic acid. God

55:08

forbid it's another vitamin. So I happen

55:12

to have developed over the same time

55:14

period this weird buttock pain. I can't

55:17

sit down to talk to my patients at the

55:20

end of the day because my butt hurts. So

55:23

I feel like I have the same thing. So I

55:25

read this book. It says pantaththenic

55:28

acid is a chemical that makes this thing

55:32

called co-enzyme A. Co-enzyme A is

55:35

responsible for making cortisol.

55:37

And I think I don't think that's causing

55:40

this burning, but this is something I

55:42

need to know about. And cortisol is big

55:45

in sleep. We talk about cortisol all the

55:47

time, the timing of it, and it's huge in

55:50

inflammation. I go to the vitamin store,

55:52

I find panthenic acid. The book says 400

55:55

milligrams is the right dose. So, I pick

55:57

up the 400 milligrams and I go to the B

56:00

complex. I find something called B 100,

56:03

which means there's each one has got 100

56:06

milligrams or 100 micrograms. I go home

56:08

with these two things. I start taking

56:11

them

56:13

and I give recommendations to the anyone

56:16

who comes in in that one week where I

56:18

have a sleep study, they have a new

56:21

complaint, I give a recommendation of

56:23

B100 and B5. What the book did was it

56:27

sent me to the references. The articles

56:29

that she references are from the 1950s

56:32

in this creepy lab next to the Iowa

56:36

State prison where they're doing these

56:39

creepy experiments on prisoners before

56:41

it becomes illegal. They published this

56:43

article saying if you block panaththenic

56:45

acid for two weeks, you see four things.

56:49

They can't sleep.

56:51

They have belly complaints, bloating,

56:53

and all sorts of things. They have a

56:55

funny puppet like gate and they have

56:56

burning in their hands and feet and I

56:58

go, "This is wonderful." So that was one

57:02

of the motivations. So the cortisol link

57:04

to pain and the burning in the hands and

57:08

feet. Now I've got it in my head that

57:11

I've made them use more of the B

57:14

vitamins.

57:15

>> So let's just pause that. So you're

57:16

saying that by asking your patients to

57:19

take more vitamin D, you're saying that

57:21

the body has also started to use more B

57:24

vitamins, which means that by taking

57:26

more vitamin D, they're now deficient in

57:28

B vitamins.

57:29

>> Yes.

57:29

>> And so when you use vitamin D, you also

57:32

use more B vitamins.

57:34

>> There's another point that I'm about to

57:36

make, but you summarize it perfectly. M.

57:39

>> So [clears throat] the next question

57:40

would be, okay, I'm taking 400

57:42

milligrams cuz that's what it says in

57:43

the book and that's the only dose that

57:45

was on the shelf in the vitamin store.

57:48

>> I get to the end of the week and I

57:49

realize I have restless legs and my

57:52

restless legs has been much worse this

57:54

week. This is probably too big a dose

57:57

and I stop the 400 milligrams and

57:59

everything goes away. My butt pain goes

58:00

away like in a day.

58:02

>> 400 milligrams of

58:03

>> B5.

58:05

So panaththenic acid is called B5. All

58:09

the patients who come back say

58:13

were you trying to kill me? This 400

58:16

milligrams here I got so agitated

58:19

I stopped it after two days. I felt like

58:22

I was crawling out of my skin and I

58:24

couldn't sleep at all. If you block B5

58:26

you get insomnia. That means it has

58:28

power in sleep. D has power in sleep.

58:32

But it turns out if it has power in

58:34

sleep, your body has a very specific

58:36

amount that it wants. If you give it too

58:39

much, it's not happy. If you give it too

58:42

little, it's not happy. And it turns out

58:44

that instead of giving you one thing

58:47

when it's low and another thing when

58:49

it's high, which is what I would have

58:50

anticipated, it goes back to the same

58:53

thing. When it's not happy, it just

58:54

stops sleeping. Now, a couple of them

58:56

come back and say, you know, I stopped

58:58

the 400 milligrams because I was so

59:00

agitated, couldn't sleep at all, but I

59:01

stayed on B100. I feel great. My sleep

59:04

is perfect. My pain is gone. And I said,

59:07

that's what happened to me. It's just

59:10

like too weird. This chemical is doing

59:13

something and it's acting. What I would

59:14

say to my patients is be very careful

59:16

with this because I don't really know

59:18

what dose you'll need.

59:20

If it's too much, it'll act like

59:21

caffeine. It'll keep you up at night.

59:23

Okay.

59:24

Then the next thing that happens is a

59:26

gal comes in and says, "You know, you

59:28

gave me that B 100

59:31

and I I achd all over. I would get up in

59:34

the morning and I go

59:36

and she said, you know, I broke it in

59:38

half and I'm taking that and I feel

59:40

great." What you'll see here is B50,

59:42

which is 50 milligrams of each, but all

59:44

eight B's has 50 milligs of of B5 in it.

59:49

It turns out if you've been taking D for

59:51

two years, you've actually worked your

59:54

way into a place where your body has

59:56

been using more bees and you are now

59:58

very profoundly deficient. But she did

60:00

not take two years. She was a new

60:02

patient to me. She had not been on D for

60:05

that period of time. The reason why this

60:07

discussion is important is there are

60:09

millions of people who started taking D

60:11

and CO who by the fourth year after

60:14

taking it started to have burning in

60:17

their hands and feet. They're not even

60:19

taking it anymore. They took it from

60:21

2020 to 2023. Their levels got into the

60:24

60s. Their doctor said, "Hey, 60 is

60:26

enough. Stop taking the vitamin D." But

60:29

they still show up with the B vitamin

60:31

diagnosis. And they go to their doctor

60:32

and they say, "Oh, well, you've

60:33

developed lupus. Oh, or you have this.

60:35

Oh, or you have that." These are all

60:38

diseases that have been described

60:39

already, but they haven't been described

60:41

as B vitamin deficiency states, which is

60:44

bizarre, but that's the historical

60:46

point. All of the literature says B5

60:49

deficiency doesn't exist because it's in

60:51

every food. Now, I'm reading that

60:54

literature and it says thamine, which is

60:57

B1, has a poop bacteria source and a

61:00

food source.

61:02

B2 poop bacteria and a food source. All

61:06

of them come from the poop.

61:08

>> What do you mean come from the poop?

61:10

These eight chemicals called B, all of

61:13

them are made by bacteria

61:16

and we absorb them. Everybody knows that

61:19

we have the wrong microbiome. And we've

61:21

all been told that it's toxins.

61:23

Antibiotics are the major thing that are

61:25

blamed. But we now have a huge body of

61:28

literature about the microbiome being

61:30

abnormal.

61:31

>> The gut microbiome.

61:32

>> Yes. The other weird part about it is

61:35

there are these guys in Oklahoma, GI

61:37

surgeons, who are giving poop

61:39

transplants.

61:40

>> Give me context on what that is.

61:41

>> They take poop from one person and they

61:43

push it up the other person's butt. Like

61:46

we've spent a hundred years saying stay

61:48

away from the poop. It's bad for you.

61:50

Don't go from the poop to your mouth.

61:51

Okay? We've made this idea that the

61:54

bacteria,

61:56

we're fighting against them. They're

61:58

trying to take us over and they're bad

61:59

and we're fighting against them. But as

62:02

people are dying of things like

62:05

claustrdium difficil, which ciff is the

62:08

way it's shortened, they're dying of

62:10

cadiff infection and they're doing poop

62:12

transplants and they live. It turns out

62:15

that the 8 B vitamins were first

62:17

described as bacterial growth factors.

62:20

They are chemicals that one bacteria is

62:23

able to make and it pushes it out of its

62:26

cell into the environment. And this one

62:29

next to it, that's a different one goes

62:31

>> [gasps]

62:31

>> Goodie, give me that. And those guys

62:35

live together as a group, a commensal,

62:38

meaning each one of them derive benefit

62:41

from having the other one there. So

62:44

there are four big groups of bacteria

62:47

that is the normal human microbiome.

62:50

Well, why are there four? Why is it

62:52

always this four? And how come we only

62:56

know

62:57

about 2% of them? for saying all these

63:00

things that the microbiome is wrong.

63:02

Turns out we only know 2%

63:04

of 200 bacteria that are normal

63:08

occupants from the mouth, from the lips

63:10

all the way to the anus. We only know

63:12

2%.

63:15

But we have the genetic footprint of

63:18

every single one. We are able to take

63:20

them out of the poop or out of the small

63:22

intestine or out of the mouth and we can

63:25

say these are the genetics and we've

63:26

named all of them. So we know there are

63:28

200. Okay.

63:29

>> And the article that they write is, you

63:31

know, it looks to us like the reason why

63:34

this forsome of groups hang out together

63:36

is because they all at least need one B

63:38

vitamin and they produce at least one.

63:41

So they all have a relationship to the B

63:44

vitamins. And we should start thinking

63:47

about the microbiome as the production

63:50

system that supplies the B vitamins to

63:53

the body. I didn't find that article

63:55

until after. But here I am back again

63:58

with one big question. These two women

64:00

with the burning in their hands and

64:02

feet, why did they get B vitamin

64:04

deficient? If the bees come from the

64:05

food, they've had the same diet all

64:07

along. And I I haven't controlled their

64:10

diet. I haven't made them change their

64:11

diet. Why did all of these people come

64:14

back with these complaints?

64:16

The one thing we know is many of them

64:19

have IBS symptoms, which are a signal

64:21

that the bacteria isn't right. IBS.

64:23

What's that?

64:24

>> Irritable bowel syndrome.

64:25

>> Yeah.

64:26

>> Diarrhea, constipation, bloating. My

64:28

belly isn't right.

64:29

>> Yeah.

64:29

>> Because I had assumed that D was going

64:32

to fix everything.

64:33

>> Vitamin D.

64:34

>> Mhm.

64:34

>> The [clears throat] vitamin D was going

64:35

to fix their belly and it didn't. There

64:38

were several things that did not get

64:40

better. One, their IBS didn't get

64:42

better. Two, they didn't lose weight.

64:44

That was really weird because they were

64:46

out exercising more. They were out

64:48

exercising in the middle of the day, but

64:50

they didn't lose weight. That means

64:51

there's still something wrong in the

64:53

background where they didn't lose

64:54

weight. So, I'm stuck with, okay, why

64:57

didn't the D fix the B thing? Oh. Oh,

65:03

these were all described as bacterial

65:05

growth factors. I have assumed that

65:07

vitamin D was a bacterial growth factor

65:11

because Walter W talked about the GI

65:13

tract having all sorts of receptors for

65:15

vitamin D. And so I assumed that the

65:17

bacteria that lived inside us needed

65:19

vitamin D to be normal. And therefore I

65:22

assumed that IBS showed up in the 1980s

65:25

[clears throat]

65:26

because we went into D deficiency and

65:28

that D deficiency caused this IBS. There

65:31

were no articles about that in humans

65:34

until 2020 when COVID came and they

65:37

actually started to realize that the

65:38

people who were D deficient died in

65:42

COVID and they started to actually look

65:44

at oh is the microbiome playing a role

65:47

in our immune system? Yes. If I give

65:50

vitamin D, will the bacterial makeup of

65:53

my stool change in a positive way?

65:57

>> Exactly. Does the poop bacteria makeup

66:00

change in a positive way? We know we've

66:02

seen people who don't have inflammatory

66:04

disorders and they have these this

66:05

bacterial makeup. Will giving vitamin D

66:08

change the population? And yes, that's

66:11

the answer. Now I realized now I'm

66:14

giving two bacterial growth factors D

66:17

and now I'm giving B 100 and I'm giving

66:20

a large dose of all eight B's. Remember

66:23

that give all eight. Mhm.

66:25

>> That means by accident I have actually

66:28

given eight bacterial growth factors

66:30

that are necessary for bringing the poop

66:33

bacteria back to the normal human makeup

66:36

that it's supposed to be that it has

66:38

always come to be spontaneously.

66:41

That's a really important point. All the

66:43

other animals in the world, they're not

66:45

obese. There are no obese squirrels in

66:47

my backyard. The only obese animals are

66:50

are cats and dogs that we keep inside.

66:52

So to summarize for me, what is the link

66:54

between vitamin D and the B vitamins?

66:57

>> It turns out that all the bees come from

66:59

the microbiome.

67:00

>> Yes. Okay, I understood that.

67:02

>> In order to have the correct microbiome,

67:04

we are actually commensal organisms with

67:08

our microbiome. That means we have to

67:10

provide D. They in turn provide us with

67:14

bees.

67:15

>> Okay. So isn't that a good thing that

67:16

you gave them D then because then their

67:18

body makes B.

67:19

>> Yes. But it didn't make be on its own.

67:22

Otherwise, those side effects like my

67:25

butt pain wouldn't have been there.

67:26

Okay. So, let's bring that let's bring

67:28

that into focus. The D by itself did not

67:32

correct the microbiome.

67:34

>> Yeah.

67:34

>> So, when I took 5,000 of D between 2020

67:39

and 2023,

67:40

and I took it for three years because my

67:42

doctor told me it was okay. But in 2025,

67:46

I started to have rheumatoid arthritis

67:49

symptoms. The D did not correct my

67:52

microbiome. It actually made me

67:54

deficient. I'm going to give you the

67:56

drug for rheumatoid arthritis. I'm not

67:58

going to picture it as, oh, you need

68:00

B50.

68:01

>> So, you gave B50, but then didn't they

68:02

have another problem?

68:04

>> Most of the time, what happens after the

68:06

B50 is everything comes back to normal.

68:08

The GI tract corrects. You have to take

68:11

it only for 3 months. I was taking it

68:13

for four and a half months and I started

68:16

to wake up and feel old.

68:18

>> Yeah.

68:18

>> And everything I just parenthetically

68:20

told you about the the GI tract was

68:22

percolating around in my brain. And what

68:25

I had told my patients was, you know, I

68:27

think we've stumbled on the growth

68:29

factor that the right microbiome needs.

68:32

And I think the reason you became B

68:34

vitamin deficient was because it was the

68:36

wrong microbiome. But when we give them

68:39

what they need, they're going to grow

68:40

back.

68:41

>> Okay. Fine. They're going to grow back

68:42

and they're going to do their job.

68:45

>> Okay, so

68:46

>> they're going to produce B50. They're

68:48

going to make that.

68:49

>> Let me summarize that. So, by giving

68:50

them B50 for a short period of time,

68:53

[snorts] you're kind of jumpstarting the

68:54

gut microbiome and then you don't want

68:56

to keep giving it to them or else

68:58

they're going to become like dependent

68:59

or not do their job properly. So, you

69:00

want to give it to them for 3 months.

69:02

Let them jump start and then they'll do

69:04

their job and then you leave them alone.

69:05

>> Yes. And I want to add one more thing.

69:07

The way you think about it is probiotics

69:11

are bacteria.

69:13

You dump the bacteria down and you

69:15

swallow it. It goes into your small

69:16

intestine. But if it does not have the

69:20

growth factors that it needs, which

69:23

every bacteria has its little set of

69:25

growth helpers, it needs to be able to

69:27

absorb from the actual juice that's down

69:31

there. If it doesn't have that, it can't

69:33

reproduce.

69:35

Every bacteria that's sitting in my

69:37

small intestine right now

69:40

12 hours from now is going to be in a

69:42

different place.

69:43

>> A [clears throat] day from now I'm going

69:44

to poop it out. Who's up here now? The

69:47

great great granddaughters of the

69:50

bacteria that are sitting there while

69:51

you're I are talking. They reproduce

69:54

rapidly. You have to picture them like a

69:57

river. Like we're sitting in, we're

69:59

looking at the river and the water looks

70:01

like this and 10 minutes later the water

70:04

looks the same but that's not the same

70:07

water that we were looking at 10 minutes

70:09

ago. That water is downstream. [snorts]

70:12

That means the level of reproduction

70:15

that they are expected to do requires

70:18

constant production of these growth

70:21

factors. Now it turns out that you don't

70:24

have to think about that. All you have

70:25

to do is have the normal bacteria that

70:28

was generated spontaneously when you

70:31

were born because mom was giving you D

70:33

in her breast milk and it also had eight

70:36

B's. Those eight B's came from her

70:38

normal microbiome in the breast milk.

70:40

That means you had everything you needed

70:42

and then you were out in the sun. You

70:44

were born in June or July in the summer

70:48

and then you got D on your skin and that

70:51

process has replicated for 300,000 years

70:55

for 250 million years. The dinosaurs had

71:00

a microbiome in their intestines. This

71:02

is so old it's unimaginable.

71:05

>> So what is the conclusion here then?

71:06

Because I do want to bring this back to

71:08

uh Natalie and Meline.

71:09

>> Okay.

71:09

>> I still haven't figured out what what

71:10

you what you told them to do. Stephen,

71:12

you are so smart and it's so such a

71:15

pleasure to talk to you. These are

71:17

difficult points. Meline is struggling

71:20

with all these things. She's slowly

71:21

getting better. Then we do the D. She's

71:24

slowly getting better. Then we do the B

71:26

100. And then

71:30

it's freaking awesome. She starts to

71:33

lose the pain that she had down her leg.

71:36

The burning in her hands and feet goes

71:37

away. Her sleep gets much better. Now

71:39

she's into year three and four

71:43

of what becomes the right sleep program

71:45

and she's still on 30,000 IUs of D a

71:49

day. That's an immense dose. Most people

71:51

are taking 5 to 10. She's been taking

71:54

30,000 a day for four years.

71:57

Her D level has stayed the same. It's in

72:00

the 60s. She's doing a great job of

72:01

keeping everything the same.

72:03

That really means that her body is using

72:05

30,000 IUs of vitamin D a day for four

72:08

years. That's a very important concept

72:10

because it means she is using so much

72:14

more than anybody else is using in my

72:18

practice. Most people are on 10,000.

72:21

But she's making these amazing repairs.

72:23

Her depression is gone. She's stopped

72:25

three medicines that we've been using

72:26

for pain control. She now gets up in the

72:29

morning and she feels energetic. She's

72:31

starting a program that the Texas state

72:33

has for going back to work. I mean, I

72:36

was like, "This girl's never going back.

72:38

She wants to go back to work. She is a

72:41

totally different person." Now,

72:43

importantly, she is not 100 pounds

72:46

thinner. She's still 100 pounds

72:48

overweight. And that is one of the

72:50

things that happened in most of my

72:52

patients and clients. The body will not

72:54

lose that weight until it's really made

72:56

every repair it thinks is necessary. And

72:59

then it decides that it's not going to

73:02

need this fat anymore.

73:04

>> So with her, did you take her off the B

73:06

vitamins?

73:07

>> The routine is that one, they have to do

73:11

D and this this will become the right

73:13

sleep program.

73:14

>> But they have to do D because they're

73:15

not getting sunlight.

73:16

>> Correct.

73:17

>> We none of us really get enough

73:18

sunlight.

73:19

>> Correct. So and we can talk about

73:21

supplement versus sun, but the D is

73:24

pivotal to the entire program and it has

73:26

to continue. And if you have a sleep

73:29

problem or medical problems, you will do

73:32

better if you get your D above 60 and

73:35

keep it around there.

73:36

>> That is not the same as saying what is

73:39

the ideal D level for a human who wants

73:43

to overachieve. It is not the same.

73:46

>> Okay,

73:47

>> so she's on D. She stays on D the rest

73:49

of her life as long as she needs it. And

73:52

she's always checking her D levels. Then

73:54

she goes on B 100. she happened to be

73:56

one of the ones that was on D by itself

73:58

for 2 years. If you have been on D for

74:00

two or three or 5 years in the past and

74:03

have developed B vitamin deficiency

74:05

states, then you will have to go back on

74:07

D with the B50 and you will do that for

74:10

3 months and then you will stop and

74:12

you'll go down to a much lower dose

74:14

that's a multivitamin. One of the things

74:17

in the background that we haven't talked

74:18

about yet is there are actually hundreds

74:21

of things that the bacteria are doing

74:23

for us that are just starting to be

74:25

reported. But they have been pivotal all

74:28

along in all the minerals, all the

74:29

minerals that show up in a multivitamin.

74:32

All the magnesium, calcium, selenium,

74:35

manganese, all these things that

74:36

nobody's really interested in and they

74:38

all are in list on their multi

74:39

multivitamin.

74:41

All through the same time frame, people

74:43

are developing iron deficiency and iron

74:46

overload. And it turns out that the

74:48

bacteria have been a pivotal part in our

74:51

intestine, speaking to our body about

74:54

whether or not our iron level is low or

74:56

high in the liver or in the blood system

74:59

in our bone marrow or in our brain. And

75:01

if you do not have a specific bacteria

75:04

called Lactobacillus rutery, you will be

75:07

missing a brand new metabolite or

75:10

chemical that was named after that

75:12

bacteria just in the last three years

75:14

that's called rutery. That is one of the

75:17

chemical messengers that our body uses.

75:20

So that means many of the deficiency

75:23

states that the naturopaths and the

75:24

functional medicine people are studying

75:27

are all linked to the fact that this

75:29

bacterial tube has been doing all these

75:32

things for us all along. And when you

75:35

lost them, each individual person has

75:38

its own set of specific deficiency

75:41

states that must be addressed for their

75:44

sleep to get better.

75:46

>> This is something that I've made for

75:48

you. I realized that the direio audience

75:50

are strivvers. Whether it's in business

75:52

or health, we all have big goals that we

75:54

want to accomplish. And one of the

75:55

things I've learned is that when you aim

75:57

at the big big big goal, it can feel

76:00

incredibly psychologically uncomfortable

76:03

because it's kind of like being stood at

76:04

the foot of Mount Everest and looking

76:06

upwards. The way to accomplish your

76:08

goals is by breaking them down into tiny

76:11

small steps. And we call this in our

76:13

team the 1%. And actually this

76:14

philosophy is highly responsible for

76:17

much of our success here. So what we've

76:19

done so that you at home can accomplish

76:21

any big goal that you have is we've made

76:23

these 1% diaries and we released these

76:26

last year and they all sold out. So I

76:29

asked my team over and over again to

76:30

bring the diaries back but also to

76:31

introduce some new colors and to make

76:33

some minor tweaks to the diary. So now

76:35

we have a better range for you. So, if

76:39

you have a big goal in mind and you need

76:41

a framework and a process and some

76:43

motivation, then I highly recommend you

76:45

get one of these diaries before they all

76:47

sell out once again. And you can get

76:49

yours at the diary.com.

76:51

And if you want the link, the link is in

76:53

the description below. I want to go back

76:55

to Madeline. So, my question was because

76:58

the research that I'm reading says that

76:59

vitamin D does not cause trigger or

77:01

create a B vitamin deficiency.

77:03

>> No, it's not in the literature except my

77:05

article. Taking vitamin D supplements

77:08

will not drain your your body's B

77:10

vitamins.

77:11

>> Let me read my my title. Vitamin D

77:14

deficiency changes the intestinal

77:16

microbiome, reducing B vitamin

77:18

production in the gut. The resulting

77:20

lack of pandaththenic acid adversely

77:22

affects the immune system, producing a

77:24

pro-inflammatory state associated with

77:26

atheroscerosis and autoimmunity. This is

77:28

a brand new discovery made by someone

77:31

who's not a scientist, who's not working

77:34

in the primary lab, who is a clinician.

77:37

And the impact of this is only as strong

77:42

as I can get this the ideas out there

77:46

and talk about what happened to my

77:48

patients. Now,

77:49

>> is it is it plausible that there's a

77:52

sort of a intermediary link

77:55

um between the two? I'm reading some

77:57

things here that say people are very

77:58

frequently both low in vitamin D and

78:00

vitamin B12 at the same time. And this

78:02

is because they share the same root

78:03

cause like a poor gut absorption, aging,

78:05

or a restrictive diet, not because one

78:07

vitamin is destroying the other.

78:10

>> That's what we've been told.

78:13

We've also been told that old people

78:14

don't need as much sleep and that old

78:16

people get a bad gut as they get old. It

78:20

is my belief now that it is there is an

78:24

absolute link between the production of

78:26

D and I don't have the articles for this

78:27

even though this is dogma at the moment

78:30

that our production of vitamin D goes

78:32

down as we get older. So, if you look

78:34

back to that person who was 75, who

78:36

didn't get sick until they were 75,

78:41

[snorts]

78:42

their skin production, even though

78:43

they're still out there with their truck

78:45

farm and still raising their own food,

78:47

their skin production rate of vitamin D

78:49

goes down. And this is probably true for

78:51

every animal. And then as their D goes

78:54

low, they lose their microbiome. And

78:56

then they die of one of the multiple

78:58

diseases that are linked to this

79:00

multiple deficiency state. It's a

79:02

different lens to look through that says

79:07

there is actually a system that allowed

79:10

us to live without medical problems that

79:12

weren't either related to epidemics of

79:16

childhood illness or starving to death.

79:19

And as long as we had good diets, you

79:21

can actually look at 1945 to about 1985

79:24

and say, what was the ideal for the

79:26

humans that lived rurally in the United

79:28

States? Did they live to be 75 years

79:31

old? and then get diseases. So it's my

79:34

claim that those people didn't go to the

79:36

doctor because there weren't any around

79:38

them and then things started to happen

79:40

to them that instead of looking at it

79:43

through the lens of this disease means

79:45

this drug that instead we say we should

79:49

pre-preventing this by paying attention

79:51

to what vitamin D does in the body and

79:54

what the bees do in the body and

79:57

ultimately

80:00

that is linked to most of our diseases.

80:03

is okay. So I'll read the conclusion of

80:04

your study here which was published in

80:06

2016. I hypothesize and it's important

80:08

to say [clears throat] this is a

80:09

hypothesis that the parallel epidemics

80:11

of abnormal sleep and abnormal

80:13

intestinal microbiome are linked to one

80:16

another through vitamin D deficiency.

80:18

Proper supplementation doses of vitamin

80:20

D plus all eight B vitamins appears to

80:22

return the intestinal microbiome to

80:24

normal in 3 months. Reinstating the

80:26

normal microbiome not only treats IBS

80:28

symptoms, it returns the supply of

80:30

vitamin

80:31

B's to their natural daily doses. The B

80:34

vitamins are neither good for us nor

80:36

unnecessary. They are good for the

80:38

person who needs them and only until the

80:40

normal source picks up again. Both sleep

80:42

disruption and pain can be caused by

80:44

large doses of B vitamins once the

80:46

intestinal microbiome has returned to

80:48

normal. The B vitamins are very

80:50

biologically intertwined both in their

80:53

intestinal production and cellulose

80:55

cellular use. This suggests that B

80:57

vitamins, aside from B12, were not meant

80:59

to be used individually and returning to

81:01

restorative sleep with normal supply of

81:03

the building blocks of cellular repair

81:04

has the potential to repair the

81:06

pro-inflammatory state seen in

81:09

association with a chloris

81:12

>> atheroscerosis

81:14

>> as well as the hyperadrogenic

81:17

state of associated with hypertension,

81:18

heart disease and stroke. It appears

81:20

that given the proper essential elements

81:22

for normal sleep, the body is designed

81:23

to repair every physical injury that

81:25

occurs during normal daily use and may

81:28

even retain a memory of long deferred

81:30

repairs. So essentially, you're saying

81:32

that um if you can return the body's

81:35

vitamin D and and B levels to normal,

81:39

then the body will kick back up and

81:41

start producing

81:43

the um everything it needs. Yes,

81:46

>> I guess the scientific consensus at the

81:48

moment is saying that there's not a link

81:50

between vitamin D and a vitamin B well

81:54

it's saying that vitamin D does not

81:55

cause a a vitamin B deficiency.

81:58

>> Correct.

81:58

>> And you disagree with that?

82:00

>> Absolutely.

82:00

>> And now could it be the case that

82:02

there's some intermediary like i.e. if I

82:05

take if I take lots of vitamin D, it

82:08

disrupts my magnesium production and the

82:11

magnesium production is having an impact

82:13

on vitamin B. And could it be the case

82:15

that it's something else?

82:16

>> Yes, of course.

82:19

>> Okay.

82:20

>> And in fact, it's way more complicated

82:22

than you and I have talked about. And

82:25

where you finally arrive is actually at

82:28

co-enzyme A deficiency.

82:30

And that is a very important chemical.

82:33

It runs our mitochondrial health and our

82:37

ability to make energy. And it's linked

82:39

to all the degenerative diseases etc.

82:43

So, it's not that

82:47

I don't understand the idea that once

82:51

you're a hammer, everything's a nail

82:53

because that's what I was told by all of

82:55

my colleagues that you're trying to

82:57

explain everything. It's that I saw

83:00

Meline go back to work and we haven't

83:03

even talked about what happened to

83:04

Natalie.

83:05

>> What happened to Natalie? Natalie got

83:07

better and actually how

83:10

>> she first with the D like most of the

83:13

patients she started to sleep better but

83:15

at the end of two years she stopped

83:17

sleeping better. She actually lost

83:20

weight which was the case with several

83:22

of the women that were postpartum who

83:24

had complained about that. So in some my

83:27

interpretation was in someone who is

83:29

less affected than Meline was the DB50

83:33

combination especially in the setting of

83:36

being after the pregnancy is really all

83:39

somebody who was relatively normal at

83:41

the start of their life needs

83:44

and then she got better. Her

83:47

anti-depressant went away. Her

83:48

postpartum depression cleared her high

83:52

heart rate. So the other thing that we

83:53

didn't mention is many of these women

83:55

who are very interested in exercise and

83:57

doing exercise had high heart rates of

84:00

110 or above sitting quietly and had not

84:04

been like that before. Their high heart

84:05

rates come down. So she came back to

84:09

being her normal self again

84:11

>> and did she have to come off the vitamin

84:12

B?

84:13

>> She only took it for 3 months.

84:15

>> Okay. And

84:16

>> and then she did a multivitamin and then

84:17

eventually almost everybody needs to be

84:19

off the multivitamin completely. It is

84:22

my belief that if all of this happens

84:25

spontaneously in every other animal on

84:27

the planet,

84:28

then we shouldn't have to take

84:30

supplements either. The squirrels are

84:31

not going to GNC to buy supplements.

84:35

That means if there's a mistake made

84:37

like we move indoors and we give back

84:41

what is needed to get the normal

84:43

microbiome,

84:44

then you should assume that your body

84:48

will go back to supporting itself. And

84:51

Natalie's she's good again.

84:52

>> Natalie's back to being a triathlete and

84:56

doing great.

84:56

>> If we zoom out for a second, what is the

84:59

advice you'll give to all of my

85:00

listeners now? There might be millions

85:01

of them all over the world. Some of

85:02

which are struggling with sleep. Some of

85:04

them just want to, you know, optimize

85:06

their sleep a little bit. What is the

85:07

the over overarching advice, the thing

85:09

that all of them could could do to make

85:10

sure they sleep better in your view?

85:12

>> One, do the behavioral cognitive stuff

85:15

first. Make the bike out curtains. Do

85:17

the whole thing. If you haven't done

85:20

that with the eye cover, then go ahead

85:23

and do that. And if that's all you need,

85:25

do not mess around with supplements.

85:29

Two, if you've already done the

85:31

behavioral changes,

85:33

then go to my website, read about the

85:36

ideas, or listen to this podcast, and

85:38

see whether or not the ideas there feel

85:42

like they apply to you.

85:43

>> You've come up with this protocol called

85:45

the right sleep protocol. What is that?

85:48

And can you walk me through it?

85:49

>> Sure. So, the right sleep program is a

85:53

process of taking your D to a certain

85:55

level,

85:57

supplementing B12 if your B12 is at a

85:59

certain level below a certain level,

86:02

taking B50 for 3 months, and then taking

86:05

a multivitamin.

86:07

And that is until your body says, gee, I

86:10

might need more bees.

86:14

This is a diagram. And you have a

86:16

beautiful step-wise

86:18

visual assist here. The first 3 months,

86:23

if your B12 is low, you will take B12 as

86:25

a separate supplement. And keep in mind,

86:27

there's a lot to be learned about

86:29

multivitamins. For instance, many

86:31

multivitamins say multivitamin on the

86:34

front, but they actually have the

86:36

equivalent of B50 in them. They have 50

86:39

milligrams of all these B vitamins. In

86:41

fact, if you go to an expensive vitamin

86:43

store, they put up the doses of bees.

86:47

The doses of these vitamins are

86:49

extremely important for the way you feel

86:52

every day. If you get it right, you feel

86:55

energetic, perky, and wonderful all day.

86:57

If you get it wrong, you feel awful in

86:58

the same way you did before. You have to

87:00

look at the back. You have to learn some

87:02

of the name of these vitamins. Most

87:03

people are not that interested in that.

87:05

If you want to get better, that's what

87:06

you have to do. So, the first step is

87:09

you're taking all four of these. Then

87:12

in the second step for a period of

87:16

usually 3 to 4 months, you're still

87:19

taking B12 if you were B12 deficient.

87:22

You're still taking vitamin D and you're

87:24

adjusting your vitamin D dosing based on

87:27

recommendations based on your D levels

87:29

that you're doing every month. And I

87:31

show you how to get them done properly

87:34

because the vitamin D levels that your

87:35

doctor is doing are not accurate,

87:37

unfortunately. nor do they know that or

87:40

care and you're still taking a

87:42

multivitamin. Then after [clears throat]

87:46

the three months that are depicted here,

87:50

it turns out if your sleep is much

87:52

better,

87:54

you will actually get to a place where

87:59

your body will stop sleeping well again.

88:02

And it turns out that your brain is

88:05

asking for more additional bees. The

88:08

basic bottom line is the sleep is a

88:11

thing that once you learn how to use it

88:14

and once you learn the concept that if

88:17

in the third or fourth month of this

88:19

program, my sleep gets much better and

88:23

then in the sixth month it gets worse

88:25

again, what you should take from that is

88:28

my brain really knows how to do this. It

88:30

was able to get me to sleep from 10 to 6

88:34

with one brief wake up. Went back to

88:37

sleep. didn't get up to pee and I have

88:39

no pain when I wake up and I feel

88:41

energetic all day long. It knows how to

88:43

do that. When it doesn't do it again two

88:46

months later, the message is not, "Oh

88:49

man, I knew it wouldn't work cuz

88:51

everything else I've tried didn't work."

88:53

Instead, it means what my brain is

88:56

asking for is something else. Then you

89:00

address that.

89:03

On my website, I also have multiple

89:06

videos of Q&As's addressing questions

89:09

like, I'm in the fifth month and this

89:11

happened to me, etc. So, what I would

89:15

give as advice is one, supplementation

89:18

is only good for you if there's

89:20

something wrong with you that you're

89:22

trying to correct.

89:24

Two, keep a log of what happens to that

89:27

thing because we tend to forget. All my

89:31

headache patients forget that they had

89:33

headaches when they go away. That's

89:35

challenging to a clinician because they

89:37

come back and they say, "Yeah, I still

89:39

have headaches." And then their husband

89:41

says, "Wait, we were in Vegas two weeks

89:44

ago and you said we didn't you didn't

89:45

have any headaches at all." And she

89:47

says, "Oh, I know, but they're back

89:49

now." We view it as it should have fixed

89:51

me and now it hasn't. This is a

89:53

different belief system where the answer

89:55

is your brain is asking you for

89:57

something. interpreting [clears throat]

89:59

what it's asking for is difficult but

90:01

possible.

90:02

>> So number one was

90:05

>> if you do not have something wrong with

90:06

you, do not mess with supplements,

90:08

especially D.

90:10

>> Number two is keep a log.

90:11

>> Read more. Think about it. Think about

90:14

it a little bit. Think about whether or

90:15

not there are things that are bothering

90:17

you.

90:17

>> Okay. Number three. Number three is if

90:19

there's something bothering you, then

90:21

decide you're actually going to take

90:23

some time and you're going to learn

90:25

about a system which allows you to give

90:28

supplements that lets your body be fully

90:32

replete, which means fills up all the

90:34

deficiencies. And that's your final

90:37

outcome will be great sleep, great

90:40

repair, and you will be doing things

90:43

that will allow your body to prevent

90:46

>> degenerative illness. Why don't you

90:47

just, you know, why don't I just instead

90:49

of taking supplements or be this, be

90:51

that, be the other, D, whatever, why

90:53

don't I just go outside in the sun and

90:56

have a better diet?

90:57

>> I think that's a a great question. And

91:01

here's the problem.

91:02

>> So, I've got, you know, I've got all

91:03

these things, these wonderful things

91:04

here. I've got I've got some kimchi,

91:08

which is good for the gut microbiome.

91:09

I've heard I've got kombucha. I've got

91:13

uh some yogurt thing here. I've got I

91:15

can't even pronounce that. Sauerkraut.

91:16

>> Sauerkraut. And I've got some caffier.

91:18

Why don't I just have all this stuff,

91:21

which is great for my gut microbiome,

91:23

and then go outside and spend spend the

91:25

morning in the sunshine getting up

91:26

improving my vitamin D levels.

91:28

Presumably, this is going to help my gut

91:29

and the sunshine is going to help my

91:30

vitamin D. Voila.

91:33

>> I think you could actually do that. If

91:35

there's not much wrong with you, I think

91:37

that's the better path. Frankly,

91:40

supplementing with vitamin D is not the

91:42

same as being outdoors.

91:44

>> Okay, explain. not the same.

91:45

>> What do you mean it's not the same? How

91:46

is it different?

91:48

>> Cuz my doctor did a blood test recently

91:49

and uh I did two blood tests. One at

91:51

Nikico Health # #investor. Um, Nico

91:54

Health. And the Nico Health test that I

91:57

did said I was vitamin D deficient,

91:59

which doesn't surprise me cuz I live in

92:01

this dark bunker. I I never leave the

92:03

driver studio. People just walk in and I

92:05

live in here and I eat in here and I But

92:06

I am vitamin D deficient, it said. So I

92:09

went to the store and I just started

92:10

taking vitamin D. I assume that's fixed

92:11

it.

92:13

Why is vitamin D supplementation

92:15

different from being out in the sun?

92:17

>> There is a lot of literature about by a

92:19

gal named Stephanie Senf who says that

92:22

the vitamin D that we make on our sk

92:24

skin is sulfated which is different than

92:26

the vitamin D we're taking a

92:28

supplemented and it has a different

92:30

behavior in the body. Number two, it

92:32

turns out there's a lot of literature

92:34

that shows that vitamin D is not the

92:36

only thing made by UVB hitting your your

92:38

skin. And what it's hitting is

92:40

cholesterol. And that cholesterol has

92:42

changed in this chemical called D3.

92:45

But there are probably 15 20 other

92:49

chemicals that are being made at the

92:51

same time.

92:52

>> Okay,

92:53

>> they are not being taken with that pill

92:55

of vitamin D3. That is a separate

92:58

literature that's just gotten really

93:01

some attention in the last 10 years.

93:03

There are all these other things that

93:05

prevent inflammation that do things to

93:08

your skin that were actually being made

93:11

by the sunlight that you're being

93:12

exposed to that protects you from the

93:15

damaging effects.

93:16

>> So why can't someone who is really

93:18

struggling with their sleep, why can't

93:20

the prescription just be improve your

93:23

diet?

93:23

>> Have you tried that with patients? Oh,

93:25

you said you No,

93:26

>> one of the reasons why these are

93:29

effective

93:30

>> the the the

93:31

>> the fermented foods. Okay, fermented

93:33

food means you're eating rotting food.

93:37

That's not the way we call it because it

93:39

sounds disgusting. Okay, but bacteria

93:43

are growing in here. Yeah.

93:45

>> And they're secretreting things like B

93:47

vitamins and rutery. They're making a

93:50

yeast bacterial mixture. So there's

93:52

fungus growing in there. There are

93:54

viruses in there. There are many

93:56

microbiomes.

93:57

>> Microbes.

93:57

>> Microbes. Thank you.

93:58

>> Look at me. [snorts]

94:00

Look at me.

94:01

>> Awesome.

94:01

>> That means you're eating bacteria.

94:04

You're basically eating a food that has

94:06

to be 50 in it,

94:08

>> which is great.

94:09

>> Yeah. So,

94:09

>> so why don't you give

94:11

>> because I have no idea what the time

94:13

frame will be for this having that

94:16

success for you. This is the easy way.

94:19

This is the fast way. This is the way I

94:21

can tell you that I've had more

94:23

experience with my clients over time.

94:26

And if you want to fix something that's

94:28

really badly off, by the time you get a

94:30

sleep disorder,

94:30

>> for those that can't see because they're

94:32

just listening on audio, you're pointing

94:33

at the vitamins.

94:34

>> I'm pointing at the vitamins and the

94:36

step-wise approach, which is the fast

94:37

and easy approach.

94:38

>> Exactly. And if you don't want to use

94:41

supplements, I would support you all the

94:43

way

94:44

>> in doing what?

94:45

>> In going outside, just what you've

94:46

described. I think the healthier

94:49

approach to all of our diseases is to be

94:53

outside much more and to include these

94:56

fermented foods.

94:57

>> Now, on this point of being outside much

94:59

more, some people live in cloudy places.

95:01

You know, I spent a lot of my life

95:02

living in places like London in the UK.

95:04

Exactly.

95:04

>> And there's not much sunlight,

95:05

>> right?

95:06

>> So, what do I do about that?

95:07

>> Remember how I said that Meline was a

95:09

redhead?

95:10

>> Yeah.

95:11

>> That turns out to be important. So,

95:13

melanin is the pigment that humans have

95:15

in their skin. M

95:16

>> you have more than I do. I put more

95:19

melanin as I stay out in the sun more

95:21

and I tan. [clears throat]

95:23

>> That melanin is absorbing energy. It's

95:26

there to protect you from overexposure

95:29

to sunlight and damaging effects on the

95:31

DNA of your skin. The red head gene

95:35

usually comes with freckles which means

95:37

that there is only little tiny parts of

95:39

the skin that have melanin.

95:42

And the redhead gene came about in the

95:44

far north Viking Scotland.

95:48

And those places don't get much

95:50

sunlight. That means it cleared out the

95:53

blocker of the thing that collected that

95:57

energy and allowed people who lived in

96:00

very overcast environments to make D

96:03

because the melanin didn't block the

96:06

conversion to vitamin D and all these

96:08

other things that it does. So redheads

96:09

actually have a bit of a superpower when

96:11

it comes to their relationship with the

96:12

sunshine, they can make significantly

96:14

more.

96:15

>> That depends. Now, if you pick up all

96:17

the Scotsmen and you put them in Texas

96:20

and Oklahoma, which is where I live, and

96:23

many of the people there have red hair

96:26

and they came from Scotsman, the problem

96:28

is they're now in an environment with

96:30

very high sun levels. It's very hot in

96:33

the summer and they cannot tolerate the

96:36

level of sun. That means if you get to a

96:39

point on the world where you pick up big

96:41

populations and you move them into

96:43

another weather type, they have not had

96:45

enough time to adapt. There are things

96:47

about melanin amounts

96:50

and our survival that make a difference.

96:53

So I still recommend that supplementing

96:56

with D is not the whole answer.

96:58

Supplementation in and of itself is not

97:00

what we want. What we want is our kids

97:02

to be outside much more. There are now

97:05

new learning environments for kids where

97:07

they're out in the forest, where they're

97:10

not enclosed in school rooms. There's

97:13

some interesting stats I found which

97:14

says that 90% of Americans spend close

97:16

to 22 hours inside every day. That was

97:21

from USA Today. And roughly 20% of

97:23

Americans never go outside regularly

97:26

spending 24 hours indoors.

97:29

And downstream from vitamin D, there's

97:31

not just sleep disruption. There's lots

97:33

of problems, isn't there? Yes,

97:34

>> I can start listing them and they're all

97:36

related in the background to what we've

97:38

talked about. But diabetes, even though

97:41

you've had lots of really interesting

97:43

shows about that, diabetes is happening

97:46

in parallel with the sleep disorder.

97:49

It's not caused by the sleep disorder.

97:51

It has similar chemical in the

97:53

background. There are many types, but

97:56

diabetes just means there's a mismatch

97:58

between the amount of insulin from the

98:00

amount of sugar.

98:03

Let me say that I'm not trying to say

98:05

that America doesn't eat badly. America

98:07

eats badly. I was just in Europe and

98:10

that eating patterns in the US are

98:13

terrible. But there are other things

98:16

that are playing a role and diabetes

98:19

shows up. Remember how Meline had

98:22

gestational diabetes

98:24

and so did this wonderful Natalie who

98:27

did everything we told her to. Why would

98:30

Natalie show up with gestational

98:31

diabetes when she's not fat? Her

98:36

supply of this thing called co-enzyme A

98:38

is not enough to keep up with supplying

98:41

the child and herself. So for a while

98:44

she really has a deficiency state and

98:46

you start to see it. We've learn to

98:48

measure the sugar and the measuring the

98:51

sugar is one of the signs of a

98:54

deficiency state that's in the

98:55

background that actually affects a

98:57

hundred things in the body. It makes

98:59

acetylcholine which allows our whole

99:02

autonomic nervous system to sleep nor to

99:04

react normally. So it affects all of

99:06

those things that we do is when we're

99:08

training and it also affects cortisol

99:11

levels. You must have co-enzyme A to

99:12

make cortisol. You must have co-enzyme A

99:14

to make melatonin.

99:16

>> So the things linked to vitamin D are

99:18

everything from bone disorders,

99:19

autoimmune diseases, mental health,

99:21

brain disorders, cardiovascular,

99:22

metabolic issues, immune infections, and

99:24

then certain cancers. I I I imagine at

99:26

this stage in the conversation the

99:27

audience are very much looking for like

99:29

actionable advice. So we've talked about

99:32

the the right sleep protocol which is

99:35

this sort of vitamin approach and then

99:37

the other approach is to get outside in

99:41

the sunshine more

99:42

>> and you don't have to be in direct

99:43

sunlight.

99:44

>> You have to be in direct sunlight to

99:46

make vitamin D on your skin.

99:47

>> Okay?

99:48

>> But you should limit the amount that you

99:50

do so you do not burn your skin. that

99:52

it's [clears throat] important that UVA,

99:54

if you're going to use a um go to a

99:57

tanning salon, if they're using UVA, you

100:00

are not making vitamin D from that. So,

100:02

there are different kinds of beds. UVA

100:05

will still tan you, but it will not make

100:07

D.

100:07

>> So, you don't have to be in direct

100:09

sunlight. So, if I'm at a window and I

100:11

can't see the sun and it's overcast, am

100:13

I still making vitamin D?

100:15

>> No, you can't make anything through the

100:17

window.

100:17

>> Okay. So, what I go outside, I can't see

100:19

the sun cuz there's clouds. I'm still

100:21

making vitamin D.

100:22

>> Maybe it can be that you will actually

100:25

still get a burn. Okay, that is from UVA

100:30

and UVB penetrating that cloud.

100:33

>> Okay,

100:33

>> so that does mean that you can make some

100:35

vitamin D on a day that it's cloudy.

100:39

And the only way to know how much

100:41

vitamin D you are actually making is to

100:43

do your vitamin D levels over time.

100:45

Looking at some data here, it says that

100:47

um you can make a little bit of vitamin

100:49

D during overcast times. Um up to 80% of

100:53

UV radiation still penetrates light

100:55

cloud cover. So, you can absolutely

100:56

still make vitamin D, though it might

100:58

take a few minutes longer than it would

100:59

on a completely clear day. When it's

101:01

thick, dark, and overcast, or dense

101:03

storms or clouds, that can block up to

101:05

70 to 90% of UVB rays. On these days,

101:08

it's incredibly difficult for your skin

101:10

to produce any meaningful amount of

101:12

vitamin D. You know these like lamps

101:14

that they put on desks and stuff? Can

101:16

you get vitamin D from that?

101:17

>> No. But make let me make you a point

101:19

here that's not in my field but in the

101:21

infrared field.

101:24

There are so many other wavelengths of

101:26

energy that you receive when you're

101:27

outside. So you can be sitting on a

101:29

porch where you're not in direct

101:30

sunlight and you are still receiving

101:32

infrared. And infrared is one of the

101:35

most important

101:38

uh wavelengths that we know about that

101:40

penetrates the body several centimeters

101:42

and actually gives energy to the

101:44

mitochondria. Our bodies are like little

101:47

batteries that we receive energy from

101:50

sunlight and we can do that sitting on

101:52

the porch without being in direct

101:53

sunlight. and fire. Also, the reason why

101:57

it looks red is because it has infrared

101:59

and incandescent bulbs, which we've now

102:01

stopped using.

102:03

>> So, what's the advice here?

102:04

>> Some people believe that you should use

102:06

incandescent bulbs on a lamp that's on

102:08

your desk. The problem is

102:09

>> incandescent bulb,

102:10

>> it gives you rays of light. like LED is

102:13

an electron

102:16

um producing light source which the

102:20

government has suggested that is better

102:23

than incandescent lights. It's very

102:25

difficult to buy incandescent bulbs like

102:27

the bulbs that we used to use. Now

102:30

you'll get H hallogen or LEDs and they

102:33

do not give off infrared light uh

102:36

energy. So, an incandescent bulb is the

102:38

old school glass light bulbs. Um, the

102:40

kind Thomas Edison used to use. It

102:43

creates light by running an electrical

102:44

current through a metal filament until

102:46

it gets so hot that it glows. Because it

102:48

relies on raw heat, an incandescent bulb

102:49

bulb behaves exactly like a miniature

102:52

fire or a tiny piece of the sun. H. So,

102:55

yeah, those incandescent bulbs are hard

102:56

harder to come by these days, but yeah,

102:58

my fiance, she's a big fan of them.

103:00

>> Yeah.

103:00

>> And she's trying to fill our house with

103:01

them.

103:02

>> Yeah, she's right.

103:03

>> So, is there anything else? You know,

103:05

also I've got these prebiotics here.

103:07

Prebiotics. Probiotics. A lot of people

103:09

say that you should take prebiotics.

103:10

Probiotics. Have you tried giving them

103:11

to your patients?

103:12

>> I was on probiotics and so are my

103:14

patients when we started and it had not

103:15

corrected the microbiome. It was just a

103:17

try. We're going to dump the bacteria

103:19

down there and maybe they'll get back to

103:21

normal. Okay. That is what a probiotic

103:25

is considered. They have the actual

103:27

bacteria freeze-dried and you eat the

103:30

bacteria. kind of gross when you think

103:32

about it as being poop bacteria, but

103:35

that's what it is. Okay. Now, what

103:37

prebiotic has that's different is that

103:40

you feed the bacteria and they feed you.

103:44

That's really what happens. What I love

103:46

about this is there are different things

103:49

that they're feeding the bacteria. We're

103:51

kind of interested in what they think.

103:54

How do we know what they think? Well,

103:56

what if I change to carnivore

103:59

and all of a sudden my belly gas goes

104:02

away?

104:03

>> The carnivore diet where you just eat

104:04

meat

104:05

>> carniv mostly meat. Let's say 90% meat

104:09

and most of my belly complaints go away

104:11

and I poop regularly. Then you've just

104:13

been very successful at making your

104:16

bacteria very happy.

104:18

What if the next client who I have is a

104:21

mostly plant-based?

104:24

Then I have to change the way I think

104:27

and the way I help them and encourage

104:30

them to recognize that when we're

104:32

feeding mostly plant-based, we have a

104:35

different set of bacteria. Now, let me

104:37

propose something to you. Humans cover

104:40

the globe like cockroaches.

104:43

We are very successful and we have a

104:46

hugely varied diet. I would claim that

104:49

that means you should eat the diet that

104:53

works for you.

104:55

The place where you see something that

104:57

is really important for the US is the

105:00

original articles about vitamin

105:01

deficiency states were in two groups

105:04

that ate a pure carbohydrate diet. So

105:07

the claim right now for most the people

105:10

that are interested in healthy diets is

105:12

if you eat a fully carbohydrate diet,

105:15

you're set up for failure in a million

105:17

different ways. And then they talk about

105:19

the diet you should eat. There are two

105:21

incidences from the 1940s

105:24

where the first vitamin deficiency

105:26

states were described and both of them

105:27

turn out to be purely carbohydrate

105:29

diets. One of them was in the Japanese

105:32

prisoner of war camps and the batan

105:35

[clears throat] death march in World War

105:38

II where they had rice, rice, rice.

105:42

That's it. And they're outside all the

105:44

time. They're not vitamin D deficient.

105:47

They're discovered to have berry berry.

105:49

And berry berry is an old disease

105:50

described in Japan when you take off the

105:53

rice casing. So ultimately they gave

105:56

back meat and vegetables and berry berry

105:59

is described as heart failure,

106:01

non-healing ulcers of the legs, bright

106:05

shiny red skin and burning in the feet

106:07

that we see in the elderly in the US all

106:09

the time in the hospital

106:13

that is now ignored. But you can

106:16

actually get to a state where you're

106:18

feeding only carbohydrates. But now the

106:20

lens you're looking through is I was

106:22

feeding my bacteria a purely

106:24

carbohydrate diet. I therefore selected

106:27

for bacterial populations that were not

106:30

producing the B vitamins that I needed.

106:33

It's seeing it through a slightly

106:34

different lens. The same thing about

106:37

pelagra which is actually a niacin

106:40

deficiency in adults and children that

106:42

were institutionalized in the south of

106:44

the United States in the 30s and 40s and

106:47

fed corn grl as their only food. So

106:52

there's still a piece of information

106:54

there that is your diet absolutely

106:56

affects who lives inside you. And once

107:00

you have a purely carbohydrate diet for

107:03

many years and you're D deficient, it is

107:05

very likely you're going to have to do

107:07

something more aggressive,

107:09

either change your diet and do fermented

107:12

foods and change to a meat and plant

107:15

diet and you're going to have to watch

107:17

what your body does. And if you're not

107:19

able and in and my claim would still be

107:22

the sleep that you have should still be

107:24

your best measure of whether you've

107:27

succeeded in what you'd like to do.

107:30

>> And again, to track your sleep, there's

107:31

lots of different ways to do that.

107:32

Obviously, none of them are perfect. Um,

107:34

but you can buy sleep trackers and those

107:36

kinds of things and see how you're

107:39

doing.

107:39

>> Yes. And I would also say use your sleep

107:42

tracker. I don't use mine regularly

107:44

because I get obsessed by it. I I start

107:46

to think, "Oh, I only had an hour and a

107:49

half of RAM. I'm dying." And I just get

107:51

spiral downward. Okay. So, what your

107:54

body is saying to you is still very

107:56

important. I didn't have sleep trackers

107:58

when I was seeing all these things that

107:59

were happening to Meline and and

108:01

Natalie. I would listen to what they

108:03

said about their sleep.

108:05

>> I imagine a lot of people clicked on

108:07

this conversation because they are

108:08

struggling with sleep or they have a

108:09

partner or friend or maybe just because

108:11

they want to optimize their sleep a

108:12

little bit. And what I've really taken

108:14

away is that um a lot of sleep related

108:17

issues start in the gut microbiome. Yes.

108:19

So we want to try and fix the gut

108:20

microbiome. And how we fix the gut

108:22

microbiome is can be dietary. It can be

108:24

through supplementation.

108:26

>> But we want to try and do it through

108:27

diet first and fermented foods.

108:29

>> Um and then the other thing is sunlight

108:32

plays a big role. You're smoking again.

108:34

>> You're doing a fabulous job.

108:36

>> Oh, you're so sweet. Um the other the

108:38

other thing is sunlight plays a big role

108:39

because it produces vitamin D and

108:41

amongst other things which also can

108:43

improve that balance and help us sleep

108:45

better.

108:45

>> Yes.

108:46

>> And we also want to try the stuff that

108:47

everybody talks about Matthew Walker

108:49

talks about temperature and

108:50

>> yes

108:51

>> eye masks and all that kind of stuff. I

108:52

guess the big insight here is that

108:54

vitamins play a really important role in

108:57

sleep.

108:57

>> Yes.

108:58

>> As you've seen through the thousands of

109:00

patients that you've spent time with and

109:02

helped to uh restore to a healthy sleep

109:05

state.

109:05

>> Yes. That's a beautiful summary.

109:07

>> What is the most important thing we

109:08

haven't talked about that we should have

109:09

talked about? Is there anything at all?

109:12

>> We have skipped the people who have been

109:14

told they have

109:17

a disease narcolepsy

109:20

or sleep apnoa

109:22

um where they're told there's a specific

109:25

this is a genetic thing and you have to

109:28

do these specific things. For instance,

109:30

for narcolepsy,

109:32

this is an attack of sleep that takes

109:34

you out and you become I'm sitting here

109:37

talking to you and I fall asleep.

109:40

That turns out to be

109:43

treatable in the same way.

109:44

>> You're saying a lot of it can be about

109:46

vitamins.

109:47

>> Yes, you can sleep deprive anyone to the

109:49

point of falling asleep when I talk to

109:50

you. All you have to do is, you know,

109:52

two or three nights that you miss and

109:54

you can still become taken down by an

109:57

attack of sleep. That really is what

109:58

narcolepsy means. That means medicine in

110:02

its attempt to classify things have said

110:05

this is a disease and the idea that they

110:09

are all about our body falling out of

110:13

its normal state.

110:16

What's different about people who have

110:19

that a a specific diagnosis like sleep

110:21

apnnea and narcopsy is they are unlikely

110:24

to be able to cure that with going

110:26

outside and kimchi. They are at an end

110:29

stage. Your body was really set up to be

110:33

able to deal with different diets,

110:35

getting up in the middle of the night,

110:36

take care of your baby, traveling long

110:39

periods of time, all these stressors

110:41

that we've had for the last 300,000

110:43

years. It was set up to do that and to

110:47

get back to sleeping again.

110:50

And people lived for long periods of

110:52

time. That wasn't the average, but there

110:54

were people that lived to be 75 years

110:55

old 20,000 years ago. That means that's

110:59

the best we can do. If you have a

111:02

disease of your sleep switches, you are

111:05

really severely affected. And my

111:08

experience would say that that person is

111:11

not going to be able to approach it by

111:13

just going outside and doing kimchi.

111:15

That person is going to need some extra

111:17

help and they're going to need sometimes

111:21

professional help with someone who's

111:22

seeing it through this lens

111:25

because they go through changes. They

111:27

for instance when when you get them a

111:29

little bit better

111:30

so that they're sleeping at night, they

111:33

actually start to have nightmares.

111:35

What that means in a setting like that

111:37

is they've actually gotten into REM

111:40

sleep, but they haven't gotten perfect

111:43

chemistry so that they sleep through the

111:45

REM

111:47

phase, finish up, go into light sleep,

111:49

and then go to the next. They've

111:51

awakened, so they can't keep themselves

111:53

in REM. There are transition states

111:56

where they actually feel like they're

111:57

getting worse. So, there are all sorts

111:59

of things that I've been able to see

112:01

that are not talked about at the sleep

112:03

meetings that are totally fascinating

112:05

that are halfway better and that people

112:09

can cure their narcopsy. I have one gal

112:11

right now who just called me to become a

112:15

client. She has narcopsy and she has

112:17

completely cured herself by using

112:21

nicotine patches around the clock.

112:24

Why? because there is only one drug that

112:27

duplicates acetylcholine completely and

112:30

it's nicotine.

112:32

So she stopped smoking and she uses

112:34

nicotine patches. Nicotine is the

112:38

duplicate of acetylcholine.

112:40

Acetylcholine allows us to focus, pay

112:43

attention, be distracted, and come right

112:45

back during the day. It is in control of

112:48

our ability to concentrate. At night, it

112:52

allows us to get into REM sleep. That

112:54

one chemical does wake and sleep,

112:56

doesn't it, in different parts of the

112:58

brain.

112:59

That means she is using something that

113:01

has been terribly vilified. Tobacco is

113:04

considered to be the cause of all evil.

113:07

It turns out, oddly enough, the guys

113:10

with Parkinson's disease who smoked

113:12

throughout the last 30 years have been

113:15

shown to do better because Parkinson's

113:17

disease is an acetylcholine deficiency

113:19

state. First

113:20

>> to give a bit of background on I guess

113:21

the the problem we've really talked

113:22

about. Um I have this little paragraph

113:24

here which I thought summarizes the

113:26

nature of the problem and the sleep

113:28

epidemic. It says while while

113:30

industrialization first disrupted our

113:32

natural rhythms by moving society

113:34

indoors, the true explosion of sleep

113:36

disorders occurred in two modern phases.

113:38

A medical boom in the 1980s and a

113:40

digital epidemic in the 2000s. In the

113:42

1980s, the formal recognition of sleep

113:44

medicine and the intervention of the

113:46

CPAP machine diagnosed millions with

113:49

obstructive sleep apnea, sparking a

113:51

surge in clinical treatments. The

113:53

medicalization transformed into into a

113:55

cultural crisis by the 2000s as

113:58

sedentary indoor lifestyles starved us

114:01

of natural daytime sunlight. Sunlight

114:03

exposure is vital because its

114:05

high-intensity brightness resets the

114:07

brain's master internal clock and

114:09

suppresses daytime melatonin, which

114:11

establishes a definitive biological

114:13

countdown for deep sleep at night.

114:16

Deprived of this anchoring cue and

114:19

bombarded by a 24/7 hustle culture and

114:21

smartphones pumping blue light into our

114:24

bedrooms, society succumbed to a

114:26

devastating double-edged sword. too

114:28

little sun by day to synchronize the

114:29

brain and too much artificial light by

114:31

night to allow it to rest. The modern

114:34

circadian mismatch culminated in an

114:36

acute spike during the 2020 pandemic

114:38

lockdowns, solidifying an era where our

114:42

indoor environments are fundamentally at

114:43

war with our evolutionary sleep biology.

114:46

>> I love that. Who wrote that? Is that AI?

114:50

>> It was AI that wrote that.

114:51

>> Yeah. Now, that's the fascinating part

114:53

of this. AI doesn't care whether or not

114:56

my colleagues think I'm crazy. AI is not

114:59

affected by what the endocrine society

115:02

says about D. AI is just giving us the

115:06

raw data. Okay. Then if you put in there

115:09

something like what does Dr. Gmanac

115:11

think about whether or not um sun

115:14

exposure is the whole story for sleep?

115:16

you'll start to see my stuff leaking

115:18

through there saying, "Yes, it's true

115:20

that the pineal gland makes melatonin

115:23

and that that's part of how we get to

115:26

the 1000 p.m. to 6:00 a.m., but it's

115:28

also true that vitamin D has receptors

115:30

in the brain stem. That means that we

115:34

are at the edge of about

115:37

a big change where some of these ideas

115:40

that we talked about today that are very

115:41

deep and very wide are going to be there

115:45

available in a beautifully written way

115:47

by AI. And I think in this particular

115:50

case we've

115:52

jumped around medicine and its craziness

115:56

and its conservative feeling.

115:58

It's been taken over by an

116:03

an electronic thing that's not affected

116:05

by our cultural ideals of who's smart

116:08

and who's not.

116:09

>> What is the central idea that you

116:11

believe that most of the mainstream

116:12

industry don't believe? I will I will do

116:14

as you say and I will ask the AI. Most

116:17

of the sleep disorders including sleep

116:19

apnea, narcolepsy, all the ones that the

116:21

neurologists have described are really

116:23

related at basis by D and multiple

116:28

things that are made by the microbiome

116:29

that the microbiome and the D deficiency

116:31

are very much linked and that there are

116:34

hundreds of things that are playing a

116:35

role in our sleep switches that are

116:37

supplied by the microbiome.

116:40

So, I'll I'll summarize that as are many

116:42

of the sleep disorders

116:45

caused by the microbiome.

116:50

I'm using Gemini Pro, which is the most

116:53

advanced model. I always use it for

116:55

factecking and stuff. So, it says you

116:58

are completely wrong. I'm joking. Didn't

116:59

say that.

117:02

[laughter]

117:04

It says yes, the connection is massive.

117:07

While we can't say the microbiome is the

117:09

sole cause of every sleep disorder,

117:11

scientists now know that a damaged gut

117:13

is a major hidden driver of poor sleep

117:17

because both the melatonin pipeline

117:19

starts in the gut. Manufacturing the

117:21

calm down chemical is in the gut and the

117:25

cortisol alarm system is linked to the

117:27

gut. The trickiest part of the

117:29

microbiome sleep connection is that it

117:32

is a birectional loop. A bad microbiome

117:35

causes poor sleep. Poor sleep alters the

117:37

microbiome. So, while anatomical issues

117:41

like a narrow airway causes sleep

117:42

apnnea, or light mismatch, like the lack

117:44

of near infrared light, play huge roles,

117:47

fixing chronic insomnia often requires

117:49

healing the gut just as much as fixing

117:51

your bedtime routine.

117:52

>> The lack of near infrared light, that's

117:56

amazing. Medicine will [clears throat]

117:58

not be talking about that anytime soon.

118:00

It's too wacky.

118:02

It's too woo woo. And yet that means

118:07

those ideas are available to us.

118:10

>> We have a closing tradition on this

118:12

podcast where the last guest leaves a

118:13

question for the next guest not knowing

118:14

who they're leaving it for. And the

118:15

question left for you is more Yeah, I

118:17

guess it is a question. It says,

118:22

"Describe the best day of your life."

118:32

I I'm gonna have to stick with what pops

118:34

into my mind first, which is relatively

118:37

recently.

118:39

Uh we were in

118:42

Sevilla, I think, and it was very hot

118:46

and my husband and I have been traveling

118:48

for three or four weeks together, which

118:50

is the longest time we've spent together

118:51

in a long time. And we were sitting

118:53

playing canasta

118:55

outside underneath an umbrella that had

118:58

little misters. And we were just sitting

119:02

there playing canasta together. And it's

119:06

not about it was not about

119:07

accomplishment. It was about having this

119:11

marvelous circumstance where we're just

119:15

hanging out together and having a very

119:18

pleasant time together. That was my my

119:22

best day recent memory.

119:26

[snorts]

119:26

>> Dr. Stasha, where should people go to

119:28

learn more from you?

119:30

>> Dr. Gmanac, no period after DR.com

119:34

and I have a YouTube channel where I

119:36

have lots of I have a whole series of 50

119:39

things called sleep chats where I talk

119:42

about if I have carpal tunnel syndrome,

119:45

will right sleep program help me? I have

119:47

this well right and why

119:50

>> I'll link all of that for you below so

119:52

everybody can go to those resources.

119:53

They'll be in linked in the description

119:55

below of this episode.

119:57

>> Thank you so much.

119:59

>> Thank you.

119:59

>> Wonderful to talk about

120:01

YouTube have this new crazy algorithm

120:03

where they know exactly what video you

120:05

would like to watch next based on AI and

120:08

all of your viewing behavior. And the

120:09

algorithm says that this video is the

120:13

perfect video for you. It's different

120:14

for everybody looking right now. Check

120:16

this video out. I bet you, you might

120:18

love it.

Interactive Summary

Dr. Stasha Gominak discusses her unique perspective on sleep disorders, challenging conventional behavioral advice like using blackout curtains. Drawing from her experience as a neurologist, she explains how vitamin D deficiency, linked to modern indoor lifestyles, acts as a hormonal disruptor that impairs sleep quality and brain health. She outlines her 'Right Sleep' protocol, which involves a personalized approach to vitamin D levels and B vitamin supplementation to restore the gut microbiome, which she posits is the key to healthy sleep, mood regulation, and physical repair.

Suggested questions

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