The Muscle Growth Doctor: Exercise At Night Is A Terrible Idea! Grip Strength = Disease! Andy Galpin
4088 segments
I've never seen a single paper that
shows you can't lose weight you can't
get stronger all of it can be done but
you paying attention to things that just
do not matter Dr Andy gpin one of the
most highly respected exercise
physiologists in the field today he is
the director of the center for sports
performance and he's a coach to many
professional athletes I'm going to talk
about how do I lose weight and how do I
improve my performance mood sleep but if
you want to live as well as possible for
a long time it comes down to a couple of
things number one you can't not pay
attention to grip strike and in fact we
can actually PR dicts Alzheimer's and
Dementia risk via grip strength testing
and then leg strength and do2 Max those
things will out predict how long you're
going to live more than almost any
metric and I'm saying leg strength
because one of the most significant
issues that we face during aging it's
our Falls if you look at the risk of
dying after a hip break and those are
over 60 years old there is a 70% chance
of death of the next 15 years wow what
is V2 Max your maximum ability to bring
in and utilize oxygen there was actually
a study with 750,000 people and found
smoking and diabetes at a 40% increase
risk of dying and V toax is 300% oh
what do I need to be doing comes down to
a couple of things if you can do this
stuff consistently you're going to be
just fine first of all but why' you care
most people will go through challenges
at some point in their life this is
going to give you the ability
to not be in those situations
anymore sorry I need to collect myself a
little bit here just just a lot of part
of my story that the world doesn't know
um it's absolutely crazy to me that so
many of you have decided to watch our
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[Music]
episode Dr Andy Galpin if someone's just
clicked on this podcast right now and if
you were to speak freely about the
things that you care about the most what
exactly is it that they would walk walk
away from this
conversation with in terms of value that
would positively impact their
life I've done hundreds of podcasts and
I have never had that
question and I've certainly never had it
coming right at the gates so I love
it the way I would capture it would be I
want to enhance Human
Performance and when I say that I want
to make sure that you're not hearing
sport performance that means sport to
you fine that's great but I really break
that down into three categories people
want to look a certain way whatever that
means to you I don't care people want to
feel a certain way and people want to
perform a certain way you set the ground
rules you want to look this way when you
say perform and you think perform that
means X to you when you say you want to
feel that means why to you great let's
establish all that and then my goal is
simply to help you achieve all of those
goals so you want to be bigger and
stronger and have more energy throughout
the day great you want to think more
clearly you want to be a better leader
athlete spouse parent that's great you
want to be out of pain you want to have
a certain functionality in a certain all
those things are on the table so when I
say perform I mean cognitively
physically in whatever area of
Department that matters for you all
those are on the table we we analyze all
that we break it down and we say okay
this is the targets we're going after
and then my mission is just to help
anyone I'm working with but really
broadly the world get better at that I
don't think I've ever seen any paper
that has shown any genetic combination
that shows you can't grow muscle I've
never seen a single paper that shows you
can't lose weight never seen a single
indication of any physiological marker
that says you can't get stronger
whatever you're interested in nothing
should stop you from making some
progress in some area of your physical
health and if you do that you got a
chance why do you care why' you care
about human performance and exercise and
cognitive performance where did that
come from what was the like first Domino
that fell in your
life sorry I need to collect myself a
little bit here
um
I've been on a lot of podcasts and
there's just I've been in the media a
lot and there's just a lot of part of my
story that the world doesn't know
um the shortest answer to that question
was I grew up with sports being
everywhere right and and I played Sports
growing up everyone I knew played Sports
growing up and I personally was an
adequate athlete which
means I was good but not exceptional but
I wasn't terrible
either I was told uh as a teenager and
by the people around me and my parents
and my
grandparents that you you know you
deserve nothing not in the negative way
but in terms of like no one owes you
anything in this world if you want to
get better at sports you better train
you better work harder and in in the
most positive loving like way possible
Right my I was very fortunate my parents
were incredibly positive and supportive
and there's no negativity there and so
it was just as simple as a matter of
fact of hey you say you want to win then
why aren't you working hard than
everybody else just the way that my
parents raised us and the way that my
grandparents and my siblings um there
was just a sense of
like
my sorry I'm trying to it's okay give it
more genuine answer but um there's only
so most people will go through
challenges at some point in their life
and
uh I'm no
different
I was just very fortunate to where my
parents were in a position that my dad
was a construction worker my
grandparents were construction workers
we grew up in the country my mom did
whatever she could to you know keep our
house and things like
that and they raised us in a very
positive way they always said you're
going to go to college I don't care what
you do what you spend your career on
whatever but you're just not doing what
we did just because they wanted us to
have an easier and better life
um so so for me Human Performance was
that hey here's your chance like here's
your chance to get out and do something
um this is going to give you the ability
to not be in those situations
anymore and I get to do that by being
around Sports all the time which is is
pretty great so why I
care
what is the emotion
Andy sorry I've never been on this road
in real public before
um there's a lot of things that people
will go through in life that are out of
their
control to me this represents stuff that
will be within your
control and so I give you the chance to
make changes that you can control your
strength and your health at least you
got
that you tell me where the parameters
are here because I want to make sure
that you're comfortable but from that I
understand that in your childhood there
were things that you you couldn't
control and in in what I heard there was
that this was something that you could
give you that
control I don't want to overplay my own
situation
I had a tremendous childhood had a
tremendous
life again especially never being around
alcohol or violence and things like that
like I had a lot of great breaks and
still had loving parents support
positivity there were a number of years
you know as a child that were really
difficult and just being like man my
parents never did anything like again
never violence never alcohol never
negative never hate just okay fine that
was really horrible really bad break
what are we going to do we're going to
work harder financially difficult yeah
for sure
um in other
ways but the the thing I appreciate is
like many of the things the biggest one
is just like it doesn't matter we're
moving forward like not in terms of like
ignoring it we're letting it go but like
okay great bad deal here got real bad
luck but we're we're we're pressing on
we are going to overcome this
stuff when we start talking about
exercise and health and performance and
all these
things what have what's been your
academic and life experience that has
built the foundation of everything that
you know can you give me a little bit of
a
walkr yeah so I have an undergraduate
degree in what's called exercise science
can you iology it's same thing I got a
master's in human movement sciences and
then my PhD is in what's called human
bioenergetics and what happened
professionally once you graduated from
there so as soon as I finished my PhD I
started my lab at Cal State Fullerton um
so I work and I'm now one of the
directors of What's called the center
for sport performance there so within
that we've got multiple
Laboratories biome mechanics strength
conditioning um motor control motor
learning Etc and they all study the the
mission of that Center actually is to
study and disseminate research that
enhances Human Performance what is the
range of people that you work with that
come to you and say Dr Andy Galpin I
need help with this oh oh my gosh so we
have traditionally spent most of my
career working with our pro athletes um
I've been fortunate to work with Olympic
gold and silver medalists world
champions the highest contract in Major
League Baseball and golf All Pro that
every position in the NFL etc etc but by
far in terms of numbers wise we've
worked with more executive clients and
than professional athletes so our
coaching program rapid health and
performance is like what if we took what
we've been doing for a decade in only
these Elite athletes and put a system
together for non-athletes and that's
exactly what we've done with that
company and it's gone exceptionally well
people that tend to come in for that uh
kind of fall into a couple of buckets a
lot of times it's kind of like your your
adult athletes if you will so I want to
run a marathon I want to do something
like that but the overwhelming majority
of people are just going hey I want to
just feel better I want to look better
and I want to perform better and I want
to minimize my likelihood of missing
what I mean by that is you can try a
diet you can try a thing and like see
what happens for six weeks and that's
very effective but some people have more
money than they have time and some some
people have been through the ringer I've
been trying for a year two years five
years I haven't slept in a decade what's
it going to take I don't want to miss
anything and so we do extremely
comprehensive testing uh it takes a very
long time to finish all of our testing
we can get a volumetric measurement of
each muscle on your body so I can look
at the size of each ind1 we can look at
your V2 Max we can look at cognitive
performance we're running very in-depth
sleep assessments we're looking at
environmental factors in your house like
we're running everything possible that
we go through with our highle athletes
and by doing that we're able to see and
find what we call Performance anchors so
these are things that are putting the
most constrain on your
physiology and so the analogy I'll say
is imagine you want to drive a car
faster people's initial inclination is
to hit the gas pedal that's great my
inclination is to look at your left foot
which is I want to make sure your foot
isn't on a break
somewhere so before I you the gas pedal
let's make sure our left foot's off the
brick and in this case that is a
constraint what are you doing to hold
back your own biology and so we can able
to find those things and then because of
that we can give them extremely specific
Solutions and our program tends to be so
effective because we can go through all
this
analysis that allows us to
then give them very simple and hypers
specific plans when you talk about that
left foot on the break analogy which I
thought was a really nice sort of
crystallizing
analogy what are the most common um
things that we have our left foot on the
break with in terms of are there
fundamental things that you see most
most often that are kind of getting in
the way of us reaching our Optimal
Performance yeah you want to think about
these in a couple of buckets we call
these stressors yeah so the way that
your body works at all times in fact I
think this is one of the traits that
separates human physiology from any
other
animal we have a better ability to adapt
and respond to our environment that's
the single thing your body is trying to
do at all times right put pushing and
pulling it's always reading and sensing
trying to get to a certain place
stressor comes in and it adjusts okay
great that's a good thing we categorize
those stressors into two major areas
what we call Visible stressors and then
hidden stressors visible stressors are
things you're doing that you are visible
and aware of so you went and worked out
you felt that great that's a stressor
you drank alcohol you felt that you
didn't sleep tonight you feel these
things right you can see them you smoke
cigarettes like you have all these
things you your diet your nutrition so
all those are analyzed from a
perspective of there one of the most
common ones well the obvious ones youve
probably covered countless times right
don't drink alcohol in excess and don't
drink um try to have quality water and
sunlight and honestly like
the the you know
15-year-old Health like could probably
tell you like what are the five pillars
in of health and like that would you
would line those things up pretty well
now where things get more interesting in
our stuff is the hidden stressors so
these are things that are putting equal
or greater stress on your system but you
can't see or feel them so this could be
things like a vitamin or mineral
insufficiency you no one wakes up and
goes ah man like my vitamin D is low
today you know you don't see that you
don't feel that right where you know
like man I ate all you could eat pizza
last night like I know why I feel this
way because of that thing I did last
night um if there is a pathogen if there
is an something suppressing your immune
system If U endocrine system is not
happy with something going on oxidative
stress something like that could be
happening um a lot of times these can be
falling into sleep as well we've seen a
number of times where people have a um a
self-
perceived I sleep okay I sleep pretty
decent and then we can actually run real
true in depth analysis and we can see hu
in fact we've had multiple times where
we've like very likely saved somebody's
life because there's self-perceived
sleep was pretty good and we were able
to actually see like your your steps
away from a heart attack um and
effectively put them basically in a
hospital within a few weeks and and
we're told many times like you basically
saved this guy's life that's happened
countless times so there are things that
are going on that are beyond your
perception that we can see um whether
it's through some of our molecular
biomarkers whether it's again our brain
analysis like a lot of the stuff that we
can see um other ones that are common
are things like muscle strength muscle
performance people don't realize how
telling those can be over your overall
physiological Health but you don't
necessarily see them a really easy
example is most people um are somewhat
aware that grip strength yeah is a
incredibly important predictor of in
fact there's a really cool paper it's
titled something like grip strength is
an indispensable marker of Aging
something like that right which is
basically saying like you can't not pay
attention to grip strike and we've
actually published a paper last year
Tommy wood um from the University of
Washington neuroscientists LED this
project and we've got a couple of them
going but one of the things things we
found there is is we can actually
predict um Alzheimer's and Dementia risk
via grip strength
testing and strongly we actually have a
project right now that we validated in
the UK biobank which is 500,000 people
or so we validated it in the American
equivalent which is called n Hanes um we
can actually predict muscle quality from
four blood markers and we can also
predict the risk of dementia as well
from those four basic biomarkers and
those are also directly tied to grip
right and so looking at things like that
is saying okay you have some potential
signs of of either short-term or
long-term physiological stress that's
happening and you don't necessarily feel
it yet because you're 35 or 45 and you
don't feel super weak but we're seeing
these early signs one other example of
that and I and I'll caution to say that
there's only been one paper on this so
in science that's a way of
saying we'll see like okay but just as
one example this paper came out last
year and it showed that the asymmetry in
your grip strength so the difference in
strength between your right and left
hand is actually an early predictor of
neurological
Decline and the reason is think about
this in order for your muscles to
contract they have to be sent a signal
from your central nervous system your
brain and brain stem and if you're
having significant asymmetries from one
side to the other and by this they meant
over 10% so if you have a grip strength
of 40 kilos on the right hand 10% of
that would be 4 kilos so if your left
hand is 30 kilos that's way more than
10% difference that may be an early sign
of of early denervation of that left
side and so neurologically I'm
potentially losing ground there so just
things like that are are things were
able to detect this is hey we're seeing
things that are putting stress on your
system whether you realize that or not
so they can be these molecular
biomarkers but they can also be other
things that people just either don't
have a technology or they don't know how
to or or they're not aware that that can
give you tremendous insights into the
overall stress as scientifically we call
this allostatic load or
allostasis but that's the marker where
after ultimately and in the case of grip
strength I find that so fascinating
because I was reading about that in your
work um a while ago that it could also
be the case that I've just trained one
side to totally it could so it's if
you've trained one side then you're yeah
then if you've only gone after one side
you've done either a sport
or you have a lifestyle or an occupation
that is really one side dependent it
could be as simple as but for the
typical person we tend to yeah be fairly
even and asymmetrical sorry symmetrical
with our grip strength yeah remember
these are population averages sure right
this is one study it's you know the
individual person always uh means less
to the individual person than it does to
the population when we were talking
about some of these invisible stresses
um my partner came back to the house two
days ago and said babe I've just found
out from the doctor because she did a
bunch of tests and she hadn't been
feeling so great but one of the things
we found out was that she was very
deficient in vitamin D and it made me
wonder how many people are walking
around and you must have seen this in
some of the the lab work you've done
with a deficiency in things like vitamin
D and what is what is then the symptom
of that
deficiency so vitamin D is one of the
more common deficiencies you will
see you will not see or feel that oh
this is another example of potentially
hidden stressor right what could you be
experiencing vitamin D is associated
with low bone mineral density low muscle
size low muscle strength cognitive
function uh immune
function mental health so you could be
experiencing any number of things and
vitamin D being low could be
contributing to that it's very likely to
be the sole explainer of any individual
thing but it could be playing a larg
impact vitamin D is also one of the
higher safety profiles and so typically
what I tell people is I don't like when
people go after supplements specifically
vitamins and minerals you can get away
with vitamins a little bit more minerals
be really careful of but vitamin D
honestly you can go pretty wild with it
and the chances of you being deficient
or even just subclinically low as we'll
call that chances are pretty high and
the chances of you running into issues
with the vitamin D are also very low so
it's one of those ones that mask like
pretty good chance to be effective
pretty low risk I'm okay with people
really pushing vitamin D obviously
supplements the better answer is the
sunlight right yeah but if if you want
to take a supplement and you don't have
the don't have money for or availability
to get blood testing done and you're not
sure going after a little bit of vitamin
D is there are worse things you could do
we'll put it that way so I'm okay with
that one are there other deficiencies
that you're more concerned about in
terms of um vitamins yeah well well I
you should be concerned about vitamin D
being low because it is so effective in
so many areas that's generally how
vitamins and minerals work it's also
very very very common I maybe I I sort
of inadvertently blew past that so much
because there there are things that we
are going after much more that people
are unaware of um when you see vitamin D
on a blood panel and if it is low you
can take vitamin D that said you do want
to be really careful if you get blood
work done of trying to just move those
numbers up and down and I'm going to say
this for a couple of reasons vitamin D
is one of those ones that's okay if it's
low take vitamin D directly move it up
no problems there that said when you go
to interpret blood work you have to
realize most of those values when you're
being told that number is high or that
number is
low I won't say they're irrelevant but
they're misleading at the least and that
to
say you've got some blood work done
right
and it gives you a whole bunch of things
back let's say you did a basic thing
like what we'll call a CBC and CMP so a
complete blood count and a cardom
metabolic panel those are like the most
common things you'll get and you'll see
all kinds of stuff in there white blood
cell counts and vitamins and and
hormones and things like that okay great
and then on the as you look over at the
paper on the right side it's going to
tell you a reference range that
reference range is going to tell you
whether you're high or low right and so
on that test you did right um it
probably said you know your vitamin D
level is 20 and it should be between 30
and 100 something like that great well
it's that 30 to 100 part where things
get
squarely because did they take into
account
ethnicity okay those numbers differ
based on your ethnic background right
what is normal as we said earlier is
also not the same as what is common okay
and it's definitely not the same as
optimal now remember and I'll try not to
say this too many times I don't deal
with disease I disee I deal with like
I'm not not in a disease state but I
want to get better and optimized and why
I'm drawing that distinction is because
on a blood test you're looking for do
you clinically flag for an actual
metabolic disease or otherwise okay most
of those things are set against that and
so their reference ranges are built off
of databases like the UK biobank like
and hannes here who are generally not
healthy people and the people that are
in those data in fact we actually ran
this and published this last year that
in the and haes database in America at
least the people that had the muscle
mass had no association between their
muscle mass and their exercise
history which means these people did not
gain muscle by
exercising now some people exercise in
these databases but you're talking very
very small numbers in addition when they
build reference ranges so they're
building it off of populations that are
not the healthiest and as you're aware
our our world is not getting healthier
mhm so those numbers are moving okay now
when they build a reference range they
use typically most companies by the way
every company that you get your blood
draw from has a different
range so they're not all the same okay
so that it's not like they're not
nefarious it's not it's just like they
have different databases to pick from
many companies will give you a reference
range based on their own database okay
so all you're seeing is like what's
normal for the people that bought their
lab right not population okay and they
use a 95% curve which is to say 95% of
people
land within this spell curve and so if
you were within that you're normal 2 and
a half% at the top 2 and a half% low so
what that could mean is you could be in
like the 94th
percentile and be told you're in the
reference range easy example is
something like blood glucose okay now a
normal blood glucose is going to be in
the mid or mid 80s rather 80 85
something like that okay technically
you're not going to flag on most
people's databases until you get past
like 110 120 130 plus you're actually
diabetes and so you can come and flag
for like
108 and technically medically you're not
diabetic yet you're not pre-diabetic yet
but there's no world on this Earth where
somebody has a fasting blood glucose of
108 and they are healthy or they are
optimally healthy we'll say right that
is in fact we have strong evidence you
get past 95 you're starting to increase
your risk of oxidative stress
retinopathy tons of issues happen with a
consistent blood fting blood glucose
over 95 and so a great example that
would be you would be within the
reference range there you'd be told your
normal and then I would look at and be
like that's absolutely suboptimal is it
clinically officially diabetic no but
I'm telling you right now to have to
perform at your absolute best that's not
the range you want to be in I'm going to
make it worse for you so the reference
ranges are one particular concern the
second one is and the reason I brought
this up with vitamin D vitamin D is okay
it's low you push it up no problem most
your markers you don't want to do that
with though because physiology is
responding to physiology which means
something moves something up and then it
moves something else down in the way
it's the push pull thing so if you don't
know what you're pushing up you might be
pulling something else down you're
pulling something else down it might be
pushing something else up you don't know
what you're doing there so you don't
want to treat those markers as Like A
and B and C are low I should make them
all go up you need to understand why
they're doing that low testosterone is
an easy example low testosterone is
often times a symptom of something going
on you need to go backwards and figure
out why is your testosterone low to
begin with right because if you can do
that then then you get out of the way
testosterone will go up we've done this
a countless times with people right
we've we've doubled testosterone more
times than I could even count without
using hormones at all again I'm not
against hormone therapy like at all but
you don't always necessarily need it if
you can understand well why is your
testosterone suppressed as it is if it
truly is sometimes it's not like we you
know there are normal ranges for
different people but if we can see
something going on where you've got
immunosuppress depression or something
else happening that's again subclinical
so you're not sick all the time you're
not like in a hospital bed it's like oh
okay we can see a and C happening those
are known to be associated with you know
compromising testosterone clear those
things up and then back out of the way
and watch testosterone just take off
easy example this one is um my my
colleague Dan Garner he did this one
famously he had an athlete or a client
who actually had a a number of markers
that are in a blood test so basophil
specifically that are associated with
allergic reactions not an allergy test
okay but he noticed that this particular
individual was doing everything right
but that number was off the chart found
that actually was happening is there was
a a tree in this gentleman's
neighborhood that was causing him a
little bit of a response so he had to
make sure he stayed away from that tree
his basil fill number went back to
normal and this testosterone rocketed
really
absolutely it gets more complicated okay
so take something like albumin albumin's
a protein it's the uh it's actually the
protein on egg whites which is great it
does a lot of things it's a carrier
protein though so it carries um breed
blood cells it carries cortisol through
your body it's also what's called an
acute phase reactant mean it it will
respond to acute changes in your body
albumin is is a really good way to
measure hydration most people have no
idea about that right it's because when
you get dehydrated a little bit albumin
is measured based on concentration so
how much is there relative to how much
blood so if you take the total amount of
blood down then the concentration of
albumin looks like it goes up right you
see what I'm saying so in when you're
dehydrated albumin levels will go up
however when you're
inflamed it goes the opposite
direction and so if you look on a blood
test if you're a little bit dehydrated a
little bit inflamed what's albumin going
to look like level dead in the middle
yeah this is exactly what happens when
people do things like I feel suboptimal
or terrible or just not at my best but
my labs look okay nothing's off the
markers that much like I don't I'm not
clinically deficient or excessive to
something so everything can be within
the reference ranges but given the
reference range problem given the
association problem and giving other
things that we uh really happen as that
multifaceted approach we can absolutely
see what's explaining why you're feeling
what you're feeling dead in your blood
panels without anything ever being off
your reference range in that particular
case if your alumin was up or down and
then you went in and did something
specifically to change your alumen
you've actually now messed with the
entire system when it had nothing to do
with alumen it was just the fact that
you needed to drink some more water and
lower overall inflammation so I say that
to caution folks of saying like be
really careful about especially if
you're going to go to minerals and then
absolutely with medications please let a
qualified physician or somebody that
understands blood work at this level
really make sure that they're helping
you um One More Time vitamin D is a good
example of something that's okay you
push that one up no problem there for
the most part there there are times when
it is but the rest of them folks like be
a bit careful there so what are the if I
if I stay away from the temptation of
the industry that says like drugs and
minerals and supplements are the answer
to everything and I come back down to
the sort of fundamentals of health and
performance sleep is one of the
fundamentals right oh it pro arguably
the core yeah so thinking about sleep
then so many of us are suffering with
sleep my sleep for whatever reason is
really really good in terms of duration
I don't know about quality we can you're
making a face on me I don't know about
quality but the duration is great and I
speak to so many people I think
increasing numbers that are struggling
with sleep for whatever reason if
someone comes to your Labs you know and
you realize that there's an issue with
sleep a how do you realize there's an
issue and what are the first steps you
take to help correct that so that they
can get that foundation in place so I
want to know exactly how you're sleeping
so I know exactly why you're sleeping
that way so then we know exactly what to
do about it and this is why frankly our
success rates are so high okay what do
we want to do I want to run the most
in-depth analysis of your sleep
absolutely possible so I have a company
called absolute rest and so what we do
is we actually build full functional
sleep labs in people's
houses and this is all Wireless so we
can run full full clinical grade FDA
approved sleep studies in your house you
don't have to go to a hospital you don't
have to go to anywhere else right um
we're going to run that we're going to
run this all wirelessly and we're going
to run uh we're looking at not only
depth of sleep um the the the the gold
standard in science is called
polysomnography right so it's the like
the wires attached to your brain all
that stuff actually don't think
polygraphy is the best way there's a
better way to do it called
cardiopulmonary coupling where we can
actually look at your autonomic nervous
system and how that's actually
responding so I prefer that method we'll
do both we we actually run full PSG and
um cardiopulmonary coupling as well but
we're looking at that so we can look at
are you do you have brexis like are you
are your jaw clenching at night uh we're
looking at you are your leg moving we're
doing that also while we're looking at
position so we're having this on your
right side on your left side on your
back where you at um we can actually do
a whole bunch of other fancy stuff with
ocular metrics with eye tracking with
facial scanning and like all kinds of
other stuff but we want to most
specifically look at how you're sleeping
we're looking at then why and so in
terms of why you're sleeping that's in a
bunch of different buckets one of the
buckets is environmental and so we
actually run full-time environmental
scanning of your sleep environment we
actually have a little device I take
take it with me like everywhere I go so
we have our athletes always checking the
environment when they're in hotels and
places like that we can always run
environmental scans to make sure that um
it's an optimal thing so we're looking
for temperature humidity but carbon
dioxide dander pollen allergens molds
things like that we can all measure in
real time instantaneously on that thing
so we want to make sure nothing in the
environment is causing the sleep if we
can check off environment then we're
looking at behaviors um you've probably
heard a lot about sleep hygiene and you
know don't watch exciting TV Thrillers
before night don't get on your laptop
and work and answer emails and then fall
asleep try to fall asleep five minutes
later that's all behavioral stuff right
and I'm happy to talk about as many of
those as possible um but that that's the
like stuff people have kind of shared
the world a lot right but then those are
very true and very real outside of
Behavioral then we're looking at
physiological so what are your actual
melatonin concentrations how much
serotonin are you making dopamine are
there what is it in your blood
biochemistry uh precursors what is
actually happening so we're taking
salivary markers and blood markers to
see what is going on in your physiology
that is U potentially causing or as a
result iron concentrations B vitamins
like a ton of stuff that are that are
needed for proper sleep physiology we're
measuring all of that we also are
measuring psychology so we have a very
in-depth um way to to evaluate
psychology of sleep so previous trauma
and PTSD and associations there's a
funny enough there is a ton of actual
Sleep Disorders caused by people's
psychological state of their
sleep
meaning we have had a lot of success you
know fixing sleep problems because
people just have such a negative
association with their sleep because
they've s slept so poorly for so many
years that they actually start getting
anxiety when it starts getting late at
night because they just know they're not
going to sleep well and so now actually
the the problem is gone but they have
have such a problem they get into this
is a common one of like I get so tired I
get so tired I can't I fall asleep on
the couch and then I get in bed I lay
there for hours or the the classic one
we get here is I fall asleep immediately
but then two to three hours in the night
I wake up and then I'm shot awake okay
great like those are all like pretty
clear solu or causes a lot of the times
so they have very clear Solutions um
that are not not very often supplements
what do you do in those cases cuz I a
lot of people that have messaged me
speak to exactly what you've described
that yeah so we would go back and
actually figure out uh again is this
behavioral so are you doing the no
offense the idiot proof stuff like are
you drinking are you like doing all
those things so a lot of times it is
simple as that a lot of the times you
don't need to spend a dollar on any
assessment it is really truly do the
stuff people have told you 100 times to
stop doing I mean on the psychological
Point yeah if it's just an anxiety
reaction well I started there for a
reason because that can be causing it
okay so it is an actual sleep problem
you're happening you're having because
of your behaviors okay now let's say
it's not all those things remember
earlier when I said your body's
superpower is adapting responding right
that's exactly what's happening if you
get into bed and you learn a pattern of
continuing to lay there and stay awake
or wake up in certain hours that pattern
will be recognized and that pattern will
be repeated you have to break that
pattern so how do you do it this is not
very common but I'll give you like an
extreme example okay there's a thing
called Sleep restrict rtion training
okay it's very effective but it is
brutal we don't go to it often one more
time but we have gone to it I have used
it it can be successful this is the same
for people who wake up after a few hours
or struggle to fall asleep so what you
do is let's say um you want to get up at
we'll make the math easy here 5 o'clock
in the morning okay great and you
typically get in bed at 10: and you lay
there and you're kind of up all night
and you have all these sleep issues
right and then you wake up at 5: you're
exhausted so you have to have Cafe
caffeine all day and then you're up from
your caffeine so then you have to have
melatonin right I can't tell you how
many times we've looked at people's next
morning melatonin concentrations and
seeing them 20 30 or 40 times higher
than the upper limit on the reference
range value so then what happens when
you're walking around with extreme
amounts of melatonin the next day like
you're sedated great so how do you break
this cycle well one of the ones is you
stop those Habits Like not that much
caffeine that late and stop the
Melatonin okay I don't like melatonin
like at all very much for almost
anything but we're going to set the
clock and you're going to wake up at 5
o'clock in the morning I don't care what
happens you're waking up at 5: in the
morning period and we're not even going
to get into bed until
11:59 so you're going to have five hours
of sleep at most and you know what
happens night one you lay there and you
don't fall asleep because you're in that
pattern right and you're also staring
the clock knowing I have to get up at 5
and you're laying there worrying and
thinking about how you're not sleeping
and it is brutal and you're going to
have a couple of hours of sleep and
you're going to wake up at 5: and you
are going to get up at 5: every single
day period no sleeping in a weekends
okay you're also going to not get into
bed no matter how tired you are you're
not getting into bed until
11:59 you do that for a week what will
happen very quickly is your body will
start to realize a new pattern of yo the
second she lets us lay down you better
fall asleep and you better not mess
around during those 5 hours cuz we're
not getting any naps or not getting
anything else right you will start to
fall asleep quickly and you will jump
right into deep sleep and you'll you'll
go through a a pretty compressed but a
proper sleep
architecture every week then you add
back 10 to 15 minutes so next week you
go to bed at 11:45 and you know what
happens next week when you get into bed
at 11:45 you lay around falling trying
to fall asleep no chance right cuz now
you've got a week with pretty gnarly
sleep restriction you fall asleep
immediately 10 or 15 minutes a week
after that and so what you end up doing
is you backfill until you get back up to
your eight or eight and a half hours but
the pattern you're learning the entire
time is when I go to sleep I fall asleep
and I do not wake up until that next
time so you stop the overnight wakings
you stop the struggling to fall asleep
it takes a couple of months clearly and
it is brutal but it is very very
effective how effective from your
research we've never had a problem with
somebody and not working really putting
it that way now again we don't use it
very often yeah you don't need to yeah
you can do a subtler version of those
things um so I want to acknowledge that
as an extreme sort of thing and I don't
recommend doing it especially if you
have legitimate health concerns like you
want to have an MD or walk through that
something like that on you you can do it
on a more condensed scale though if you
generally if you're laying there
struggling to fall asleep uh almost
every sleep scientist is going to tell
you you get out of
bed because you don't want to set that
pattern of like every night I toss and
turn for an hour and a half that's a
problem right and so you want to break
out of that pattern one way or the other
to not just set up that routine and the
same thing would be this is why it's
important to not do things first thing
in the morning that are deleterious to
sleep so rolling over waking up and
immediately turning the TV on or
immediately looking at social media
because your body will anticipate that
response it will then start a Cascade
prior to that that kicks you up and
starts waking you up earlier and earlier
every morning because it knows that
stimulation coming at 6 am. and so
instead of you waking up at 600 am with
your alarm and then checking your phone
your body starts to wake you up at 5:45
5:30 5:15 because it just knows that
thing is coming at 6 and so making sure
that your morning is not jump started um
in that direction that it really does
wake up appropriately is really
important to those that like wake up
super early and they just can't get back
to sleep there's obviously a a
well-known might be a myth I don't know
that says we should sleep for eight
hours a
night well anytime you throw out numbers
like that again you're talking on
average for most people most of the time
uh we certainly have some people that
are high performing at seven maybe seven
and a half um we certainly have plenty
that need nine 15 need more um there's
actually excellent research on um it's
called Sleep extension research when you
look at so this I love this this is a
great example of going from like are you
talking about risk of long-term health
or are you talking about maximizing
performance okay now the research is
clear going from like s and a half hours
to 9 hours is probably not needed to
minimize your risk of brain health over
there okay like seven out probably fine
however if you're trying to maximize
your performance it's a different answer
the Sleep extension research will show
you that the most classic one share M's
work out of Stanford many years ago now
but she took the Stanford basketball
team and she had them sleep an
additional 2 hours a night in season
right they asked them to sleep for 10
hours a night the end result was I think
like 1.8 hours of additional sleep per
night for five to eight weeks in season
okay now there's no control group
there's there's lots of potential
criticisms I'll acknowledge all that but
it doesn't matter because what we're
getting at here you you'll see the
bigger point and so she did this in high
level athletes in season right now these
also were not chronically sleep deprived
so they didn't go through like three
hours of sleeping like that they were
sleeping seven hours or whatever and
said go from seven to or uh eight hours
go from8 to 10 on average those numbers
different for every person but that's
what she did and what she saw was a 9%
Improvement in free throw
percentage enormous right wow about a 9%
Improvement in three-point shooting
percentage Improvement m in Reaction
Time reduced sleepiness um improved mood
and a handful of other markers improved
in season in division one basketball
players now probably would have gotten
better in season anyways right like that
tends to happen again no control group
so I don't want to oversell it but I
think it's pretty powerful saying hey
going from okay sleep to maximizing your
sleep pretty big improvements um in all
these tests in some of the tests like
the the reaction time test they did
daily for the whole season so it wasn't
just like well the one time they did a
test they happen to get better that day
same thing the free throw and
three-point shooting percentage stuff
was done like in a weekly practice and
so they measured it you know weekly over
the season in pretty marked improvements
that's been repeated in tennis swimming
cycling it's been done in as little as
45 minutes of extra sleep per night for
3 days and we're seeing improvements of
reductions in cortisol by 20% as been
shown in rugby players uh reductions in
body fat improvements in V2 Max all this
stuff has been shown when you go from
this like even seven to 7 and a half
hour range to eight eight plus um
there's been there's actually evidence
of 30 additional minutes per night uh
reduces likelihood of getting a cold by
four
times so good to great it's not the same
thing now I run many companies in a lab
I have two small children like I I I
know some of you out there like oh my
God if I could only sleep for 10 hours
like trust me like my wife will murder
me just hearing that but my point is not
that my point is to say look what if
what if that work at Stanford was
exaggerated okay so instead of improving
3point percentage by 9% it was actually
5% or four like I don't know but who
cares right pretty powerful and look at
all the other studies like they're
they're all generally in science when
you see multiple
studies from different Labs different
scientists different groups different
populations and they're all generally
pointing towards the same thing the
numbers aren't exact and the mechanisms
yeah yeah yeah but that is when you
start to get real confidence and with
sleep extension that's where I believe
the collective research is it's like
there's a lot of studies from a lot of
different scientists and a lot of
different athletes measuring different
things and you see this 3 to 10%
Improvement in most measures when you go
from anywhere between 45 to an
additional two hours per night for as
little as 3 Days To up to 5 to seven
weeks so uh from a normal person
perspective if you can sleep even 30
more minutes it's probably going to
matter if you can if you need it if
you're person who needs a nap and does
well with napping that can be your
additional 30 minutes or 45 minutes or
90 minutes or whatever um so different
people will get this differently I
personally hate napping like as as a
personal human but we'll use it a lot a
lot of actually in our um like our
Executives and CEOs we do a ton of of
very concentrated like intentional
napping that's super super effective so
whatever it is for you um I personally
do better if I just go to bed earlier I
can't sleep in like that that will never
happen but if I can definitely go to
sleep earlier I can't nap those things
so whatever works for you in your
situation and your physiology but it's
generally a good idea um I can't make
the argument that you'll live longer by
going from 8 hour hour to sleep to
8:30 not at all but I can make a strong
argument that it will make you perform
better what about sleep debt you know
because there's a lot of misconceptions
that if I sleep for four hours today I
just make it up tomorrow by sleeping
another four hours and I think I've
lived under that illusion for a certain
several years of my life yeah it's an
excuse I tell myself I'll just make it
up on the weekend the here's the
misconceptions about sleep
debt um one of the guys that works for
us at Absolute rest Steven lley from
Harvard he he will always laugh about
this and you'll say yeah man you can't
time travel as in like you can't go
backwards and make the debt up so if you
only suff for four hours you'll never
get those additional four hours back but
that's not what we're saying with sleep
Deb okay you can't do that but you can
absolutely go from consistent diminished
sleep to getting back out of that sleep
debt so when you think about sleep debt
that way you absolutely can do it you
phrased it well though a second ago
which is to say it is a huge mistake to
think I'll have inconsistent sleep short
sleep and then just sleep more and over
the course of seven days as long as the
total amount of hours add up to the same
I'm fine and that is is a terrible
strategy and I don't think a single
sleep scientist in the world would
disagree with me there trust me we
interact with as many of these people as
you can so one of the things um you
mentioned earlier you said your total
sleep duration is good okay great that's
only one component of sleep you also
mentioned Sleep Quality that's another
really important component I would argue
the overwhelming majority of people have
never had an accurate assessment of
Sleep Quality but that's another thing
right what people also don't realize the
Sleep consistency and in fact a lot of
the data will suggest that sleep
consistency is more important than Total
Sleep Time meaning you need to be going
to bed and waking up at roughly the same
time plus or minus 30 minutes is the
goal I'm a human too I will stay up you
know later and you know occasionally do
things like that so we'll give our
people typically 45 minutes a grace
period but as like a your default State
you should be trying to go to bed and
waking up plus or minus 20 to 30 minutes
most of your nights um if you can do
that you will see many of the benefits
of longer duration by simply getting
more consistent the other major
component of sleep here is sleep
timing so um the performing at the same
time of day the same type of
tasks is as important as sleep duration
and Sleep Quality meaning we we take
advantage of this with athletes all the
time you can predict winning percentage
of NFL games NBA games NHL games and
Major League Baseball games the big four
in America over a 30-year span can be
predicted by simply looking at who
performed not in their time zone but who
performed in the time that was their
normal circadian
time what I mean by that is let's say
you had a West Coast team whether they
travel to the East Coast or not doesn't
matter but if they played on the East
Coast at the same time of day that they
normally play on the west coast it
doesn't matter that they got on a plane
for three hours they they performed at
the same time of day that they normally
did they have a competitive Advantage
somewhere between two to 4% depending on
the study maybe a little higher over the
team that is playing at home in their
same building if they're playing at a
different time than they normally play
so I'll give you like one example we
worked with the univ University of
Washington football team this year on
their sleep and so if they play a normal
West Coast game at
1:00 um in normal West Coast Football
Time 1 p.m. and then we had to go to the
east coast which we didn't have to too
often but next year we're going to start
having to go there right and we got
there and we played a game in Ohio but
we played it at 4 o'clock Ohio time
which is still one o'clock our time then
we don't have any concerns with jet
lager travel but in fact in that case
the Ohio team who typically plays at you
a different time is having to compete
way earlier or way later then they're
actually at a at a circadian
disadvantage because we're playing at
the same local circadian time so it's
not the time change that gets people we
do the same thing by the way with with
our executive professional clients when
especially like negotiations if you're
doing like a team meeting you have to
think well that's great but if you're
going to like actually have to battle
somebody like negotiation or make really
hard decision I want you making that
decision on your local schedule and I
want your opponent off
schedule don't don't tell anybody who
said that you'll have an
advantage so you get the East Coast
person to have to have a a a 400 PM or
5:00 p.m West Coast meeting that's 8 or
N9 o'clock their time their their
cognitive performance is going to be
lower than yours or the inverse so we
make sure we give our people advantages
I was thinking about the gym because the
time that I go to the gym fluctuates
wildly sometimes I go in the morning and
I'm going to be honest because it's what
I have to do sometimes I go at midnight
terrible idea I know you're gonna say
that Yeah we actually have we
encountered this a number of times where
we see uh sleep issues we see energy
issues we see struggling to lose body
fat issues things like that and they
come in and they think they want this
like secret recipe of supplements and
you know blood markers and they want all
this stuff and I'm like we do it I'm
like yo you got to stop training at
night and we start looking at things
like their respiratory rate their HRV
other markers of Sleep Quality and it
can be as simple as the fact that you
are doing too much high intensity stuff
in the evening that has a carryover that
carryover can be a couple of hours for
some people it could be six hours for
other people and so if you are doing a a
training session at 10 p.m. you better
expect not to sleep very well that's
going to happen now some people are a
little bit more resilient to that and
others it's really really really
damaging and so we have to pull people
off of exercise a lot at that time or
minimum go hey yo for you if you're
going to train at night it needs to be
restorative training short duration get
a little sweat going don't get your
heart rate up too high don't do anything
too neurologically fatiguing and then
get out of there we got to do our harder
work in the morning um I'm just Mak it's
not always the case but it's more often
than not that we have to peel people
back that said again I work with
professional athletes we play major
league baseball games at 7 o'clock we're
not done till 10 or 11 whether it's like
hey they literally can't control it
that's their job or you know schedule
wise whatever you you can work around it
the world is
not perfect but in an ideal scenario you
really want to pay attention to that
because that can can seriously affect
what are the topics on sleep that most
people just aren't talking about because
you're right there's a theit proof stuff
we all know about um but but from your
research you must have discovered
another set of issues that just don't
get the same level of Spotlight and
attention yeah um I mean I could I could
go on about this stuff for a long time
we've mentioned the environmental piece
of it really important we actually have
a a literature review in review right
now that that should be published fairly
soon entirely on environmental factors
Rel I've never thought about it before
when you start talking about sort of
pathogens in the environment I thought
Jesus Christ is that I didn't know that
was an issue oh oh yeah yeah CO2 I
didn't think that was an issue when I
was asleep oh absolutely so think about
it this way when you take a breath in
you breathe in oxygen when you take an
exhale and you breathe out you're
breathing out CO2 so the difference is
O2 and CO2 is the carbon molecule now
your tissue is breaking down car carbon
for all the metabolism in fact the way
that you produce all of your energy
doesn't matter if you're using
carbohydrates or fat remember fat is
just a big long chain of carbon that's
what fat molecules are carbohydrates are
a carbon that has a water on it it is a
carbon that is been hydrated so the
chemical equation for like glucose blood
sugar is C6
h126 which means six carbons and six H2O
that's all carbohydrates are right
they're big chains of carbon so whether
you're using carbohydrates or fat it
doesn't matter their the end product of
metabolism is going to be three things
water ATP which is the central energy
currency and carbon dioxide great so it
doesn't matter what you're using for
fuel it doesn't matter what you're using
the fuel for exercise digestion building
your immune system thinking it doesn't
matter remember your brain is a massive
suck of of energy right uses the
majority of your ATP throughout the days
is to power your brain so great doesn't
matter what it's coming from or what
it's being used more metabolism for any
reason from any Source results in more
carbon dioxide buildup you take the
carbon dioxide out of your organs and
tissue and you put it in your blood your
body is paying attention to carbon
dioxide deeply right that's one of the
primary ways in which you regulate your
pH your body will regulate PH almost
over almost anything else that it has uh
blood sugar pH um blood pressure things
like that are like the tight things that
want to mess with ph is arguably the
number one thing and the reason is if
you get too alkaline or too acidic
enzymes don't work so everything shuts
down so you want to keep your pH will
stay very very very tight you could do
basically whatever you want you could
eat and drink you could do anything you
want and it's going to keep pH like
really really tight right it's hard hard
hard to change so it's watching that CO2
you take a breath in of O O2 you're
pretty much using that to run and
regulate cellular
metabolism you're managing O2 by
altering respiration and so if you were
to hold your breath right now and you
were to 10 seconds 15 seconds 20 seconds
would go on right now I you could
actually do this at home I would
encourage you to hit pause and do this
if you can not while
driving if you don't breathe what's
going to happen is you're going to not
breathe in oxygen okay fine but really
you're going to start building up CO2
because the way that you do is you build
it up in the blood you get it to the
pulmonary system and then you exhale and
you get rid of it so you're breathing
your respir ation rate is entirely
determined by how much O2 or how much
CO2 you want in your system that's what
regulates respiration such to say that
air hunger you're feeling when you
holding your breath it's not that you're
running out of oxygen you have anerobic
metabolism you can produce bolt loads of
energy without oxygen you have enough
oxygen in your system currently to go
extensive amounts of time you're not
running out of oxygen what you're
feeling is a buildup of CO2 it's the CO2
that drives your respiration so when you
then breathe out you've exhaled and then
you're probably going to go and breathe
pretty hard for a few times because what
you're saying is there was too much CO2
build up I need to dump it so I can
lower that level okay now
physiologically we call that hypo Capa
Capa is is carbon dioxide and hypo is
low if you breathe a
bunch hyperventilate you're getting CO2
concentrations very very very low bring
it back if you hold your breath and hypo
ventilate you let CO2 concentrations go
up CO2 concentrations have a
bidirectional relationship between
Psychology and
Physiology okay so if CO2 Rises not only
do you feel a physical sensation in your
chest you feel a physical panic but
you'll feel a psychological change right
it is telling you you need to move into
what's called sympathetic drive this is
your fight flight or freeze right and
this is great if you think about this
from a normal electric perspective we'll
get to a more interesting one here a
second if I start moving and start
expending energy I start building up CO2
I want my brain to know hey this is
potentially a fight or flight situation
doesn't matter if it's that extreme
right it's just a gradient be more
focused be more alert be more aroused be
more intent your vision literally
Narrows right be more focused um I'm on
task I'm like right now I guarantee you
our respiratory rates are higher than
they need to be um I HRV is a little bit
lower right HRV is heart rate
variability that's a measure of where
I'm at in the sympathetic
parasympathetic drive right I'm more
focused our vision is very narrow right
now I got four feet to look at right and
I'm a tune I'm paying attention like all
of our senses are really heightened
right now when we're done we're probably
going to go the exact opposite direction
right our vision is going to open back
up I'm not going to be paying things Etc
I'm going to go into parasympathetic
parasympathetic is rest digest it is
chill it is Z it is depressed it's
lethargic it's all these things right so
parasympathetic sympathetic is not good
or bad you as a normal human want High
resilience on both sides when you go to
bed tonight I want you to feel lethargic
I want you to feel no motivation I want
you to feel Zen great I want digestion
and things like that right now I I don't
want you to feel super Zen like I want
you to be a little bit like May same way
right a little bit alert speaking a
little faster than you'd like to be but
really focus driven and motivated that's
great I don't want you feeling that
though before going to sleep I don't
want you feeling lethargic when it's
time to wake up I don't want you feel
largic when we got to go to the gym so
it's about just making sure we're on
when we want to be on and not we want to
be on so your CO2 is going to tell you
that so a physical stressor like the
exercise elevates CO2 tells the brain
sympathetic drive a psychological
stressor does the exact same thing so we
could be not doing anything we're
experiencing that right now we're not
moving at all for the most part but I
guarantee you our cortisol levels are
higher or glucose is being dumped into
the blood elevated uh I guarantee you
our strength right now is higher our our
speed our power our muscle endurance is
higher right now than in the exact same
situation if we were watching TV okay
it's like we are primed and ready our
nervous system is actually literally
primed you set out neurotransmitters
into the system already that are there
ready to activate so it's faster okay so
that's awesome that's telling us to to
go the direction we want to be in now if
CO2 goes the opposite direction we have
the opposite feeling okay so we get
super Zen super chin so what you want to
be doing is breathing at a rate to where
your supply meets your demand if I'm my
Supply is up a little bit and I have a
little more demand then I'm going to
breathe a little bit more normal
respiration rate at night should be
something like 11 10 breaths per minute
okay if you're looking at your overnight
sleep tracker and you're seeing you're
breathing 16 17 18 breaths per minute
couple of things are probably happening
number one you may have some form of
sleep apnea you can't get enough
oxygen so you're ventilating more than
you need to be number two you could be
in sympathetic drive more than you need
to be okay now that could be happened
for a number of different reasons but
you're over breathing you shouldn't be
breathing that much because your demand
of energy is very very low and so you're
dumping
CO2 by doing that your CO2
concentrations get too low this puts you
in a little bit of a state we call
respiratory
alkalosis your kidneys will often times
not always often though respond by
trying to put you into metabolic
acidosis and so there's a lot of
research showing that people that are
diagnosed with metabolic acidosis it's
actually misdiagnosed in reality it's
respiratory
alkalosis that caus it's the over
breathing that caused the problem the
metabolic acidosis um you'll start
changing how much bicarbonate you
recycle electroly light um we see
hydration issues with this constantly so
if you're an over breather like you're
going to have all kinds of hydration
problems all that's going on over there
okay so getting back now that we have a
little bit of foundation to what's
really happening with CO2 in your room
if you are what we call CO2
sensitive and you're intolerant to CO2
so a little bit of CO2 starts building
up and your body already kicks you into
a position where it thinks you're way
too high it then will tell you to start
breathing you'll start over breathing
that whole Cascade I just explained then
kicks in so what happens to your
hrb gets worse what happens to your
ability to fall asleep gets worse oh I
wake up and then I can't get back to
sleep you look at your respiratory rate
you you check your CO2 tolerance you're
going to know exactly why right now I'm
about to finish the
circle if it's not those
things and you simply are sitting there
let's imagine you and your partner are
in your room um do you guys have any
other living things in your room this
sleep with you my dog your dog yeah what
size of dog uh not big not not big a
foot and a half okay now um without
getting too personal here what does your
uh room look like when you guys are
asleep how big is the room roughly um
it's about the same size of the space
we're in now okay fantastic and is your
door shut is it closed always closed
always closed yeah perfect you you
couldn't be seeing me up better here
so you're at night laying there
breathing in and you're breathing out
and you're breathing out CO2 and your
lovely little Bulldog is breathing out
CO2 and your partner is breathing out
CO2 so what's happening to the CO2
concentration in that room as that door
is closed it's rising right it's going
up generally not an issue not a huge
deal but what of you is maybe a little
bit CO2 sensitive the amount of CO2 in
your room is rising you're rebreathing
that CO2 right back
in CO2 is then getting too high that's
going to cause your entire system like
we said earlier when when CO2 levels
increase this kicks off sympathetic
Drive puts you into fight or flight now
all a sudden HRV goes down a little bit
resting heart rate goes up a little bit
arousa goes up a little bit your body
temperature changes you're not getting
into the same sleep stages and we're
having either a struggle falling asleep
staying asleep Etc in addition to that
um there's a handful of studies now we
need way more research here but there's
a handful of studies that have taken
people at what's called 900 parts per
million so that's the CO2 concentration
that's the level right below 9900 parts
per million we have no issue and so
normally like I'll check my house um if
if our doors are closed and stuff all
day I myself two uh Shephard mix you
know rescues um wife two kids ours will
easily get up to 15,00 parts per million
now the research on this stuff has done
experiments where they take people up to
like 3,000 okay so can I make a strong
claim that if you're at 1100 parts per
million it's really going to screw up
your sleep well I I I don't think
so but now we're playing a game of like
the studies have gone to the extreme and
what they will see is a huge reduction
of Sleep Quality both subjective and
objective so actually measured on like a
a PSG system or similar as well as
subjects saying like I did not sleep
well last night next day cognitive
function memory reaction time um
sleepiness um wakefulness um next day
executive function decision- making at
work all this stuff is significantly and
when I say significant here I want to
make sure I'm saying not only like
research statistically significant but
of a magnitude That Matters to your life
right so it's both clinically relevant
and statistically significant so we're
seeing real reductions in Sleep Quality
in fact there's a thing called something
to do with like a building sickness MH
um where people like they they have
headaches and they have uh they feel
like you know brain fog and all that
stuff because they're in large like
apartment buildings and the quality of
the air gets so low and by that I
specifically referring to CO2 that they
feel these issues and once they get Co2
out of the room then this building
sickness thing goes away so if you're in
that situation and that starts to rise
and it does get up to 22,000 or 2500
which is not that crazy you're
absolutely going to see reductions in
Sleep Quality um sleep onset again was
is a time it's called latency the time
takes you to fall asleep waking events
disturbances and then next day
sleepiness wakefulness and cognitive
function will be compromised certainly
up to 3,000 to 3500 parts per million um
what happens at 2,000 I don't know like
again we need more research like where
is the exact line that starts to matter
I do know you get up that high it starts
to matter and that number is not crazy
especially for people who close their
door yeah I just thinking damn right
people who live in apartment buildings
uh or hotels where they can't control
people that live in environments where
they can't open up their Windows because
it's too hot or too cold or rainy or the
air quality is really poor whatever the
case is so if that happens a couple
steps you can take take one you're not
going to do cuz I don't do it either
which is don't have your
dog in the room uh I have two dogs and I
sleep right on the end of my bed like
not on my bed but on the floor below it
so that that's out of the question but
making sure you have a lot of
ventilation in your room if you can and
you want to use a fan in your room
that's fine don't make it too loud if if
you want to download there's all kinds
of apps you can download on your phone
that allow you to measure the decimals
of noise keep it under 35 35 decimal um
same thing by the way if you're using
like a white noise machine white noises
will actually compromise Sleep Quality
they'll make it worse if they're too
loud the other thing to do is if you can
get away with having your doors and
windows open during times the day where
you can at least let that clear out a
little bit and then if you can shut them
you know even if you can open up up for
half an hour or something like that um
all those steps will help manage CO2
that's just CO2 we haven't even gotten
into the other stuff in your environment
so is there any other big ticket sleep
items that are unobvious cuz CO2 for me
that's a revelation for me yeah sticking
with the environmental theme there are
some things you can do for travel okay
that are not super well understood one
of them is we've talked a lot about
patterning if you can pattern your sleep
environment at home with your sleep
environment on the road you're going to
have much more
success many people are aware of the
first night phenomenon which is the
first night you get into a new place you
tend to struggle go sleep so the first
in a hotel or other place doesn't matter
how comfortable it is cuz the body's on
edge Bingo right so how do you take that
away well make the body think it's at
home so how can you do that the sound
the smell the temperature all of this is
all these sensors are going in your
brain If you artificially design your
sleeping environment in your house any
way that can be transported with you
then you can cut that problem down in
large parts so if there's a particular
scent I don't mean like have a a plugin
that there but some um like lavender is
very common Lavender is highly
associated with Sleep Quality um so a
lot of people will do like a little bit
of a lavender spray on the bottom of
their bed or in the corner of their room
or just something very very subtle that
you're not paying attention to um there
are companies that make little lavender
sprays right and so then you have that
lavender scent at your house again
something that you would barely even be
conscious of when you walk in then you
take that scent on the road with you
when you get in your hotel room you can
spray it around a little bit and now
your body will go oh okay we're at home
not going to fix it entirely but these
things can you can start stacking little
behaviors like that trying to stay in
the same Rhythm do the same thing the
the 90 minutes before sleep that you did
at home when you're on the road so don't
all of a sudden you know like switch out
and shower at a different time or eat at
a different time like try to be as
consistent with your sleep routine as
possible will be the bigger ticket but
then little things like you know having
the same setup if if you have a noise
machine machine take that thing with you
and try to bring that environment as
much as you can but the smell is a very
big one because it's very high reward
very low risk and you know pretty easy
to take a couple of ounces of a spray or
something with you on the road is sleep
equal to recovery because I'm thinking K
now I'm really well slept sometimes I
wake up like last night in fact and I'd
had eight and a half hours sleep I'd
flown in from London landed here in La
my recovery on my whoop band here was 10
12% it was really really low and I was
shocked even though my HRV was quite
high it was quite confusing I I spend a
lot of time thinking about my HRV I'm
pretty obsessed with it and I spend a
little bit less time thinking about my
my recovery but my HRV me and my friends
Almost are like competitive with it we
all have a little league table me and my
girlfriend it's one of the first things
we talk about in the morning every
morning do these things really really
matter hrb is a very very strong metric
it is effectively telling you the
overall balance of your autonomic
nervous system and that is very strong
there's a lot there's I don't know 50
plus years of research on HIV it's not
new it's not like it's very well
established it's highly associated with
actually um long long-term
cardiovascular risk Strokes hypertension
blood glucose hyper cholesterolemia like
lots of things that are associated with
with HRV um mental health anxiety
depression tons of stuff we also know uh
interventions that are generally
Associated to be positive for you
exercise um stress regulation breath
work meditation all generally improve
HRV and things that are associated as
poor for your health like lack of
exercise low quality nutrition alcohol
use are also things that are going to
reduce in December about December the
20th or 30th around that time that 10day
window my HIV was fantastic and then I
went keto for about four four or five
weeks for the entire time I was keto my
HIV was in the bin and then I came out
of keto and my HIV was still in the bin
and to be honest it's only in the last
three days and we're in February now
we're like mid mid-February when my HIV
has started to recover and I was like
what the hell happened was it the keto
that I did was it I don't know um again
a lot to say on that uh depends on how
far you want me to go down this
road I'm not surprised um I I would love
to see your blood work I could probably
tell you exactly what's happening from
that that will explain a lot of what's
going on the reason I'm saying that is
we have seen uh many many times
situations which people are fatigued HRV
goes down sleep like we see all these
issues right and you'll see kind of a
interesting combination here and I've
used this example a lot because it's
come up so many times where testosterone
starts to go a little bit low and you
start looking at another thing called
sex hormone binding globulin it's one of
the hormones it's a sex hormone binding
glob globulin is like a collection of
proteins right so it's a protein that
holds on to sex hormones like
testosterone so when that gets really
really high the amount of free
testosterone goes down that's what free
testost how much is not being globbed up
and so you see this combination of like
sex hormone binding L globulin gets
really high testosterone gets super low
and then you start poking around and you
look at insulin and insulin's low and
you're like oh okay great and we have we
know that there's a known Association
there's an inverse relationship between
sex hormone binding globulin and
Insulin okay now could be a million
things you don't know anytime like this
is one of the the reasons why I love
blood chemistry so much because it
allows you to be in little bit of a ATT
Ive now you're always working off the
human you're always working off
symptoms you don't treat or coach blood
markers it's it's a bad way to go about
it right but you're looking for Clues
okay so you're looking around you're
poking around there and like trust me
like you can check the record I've given
this example plenty times so I'm not I'm
not just saying this for you it's just
going to work you're teaming me up man
like you're just lighting me up here so
in this particular case you think okay
why is insulin low again could be many
many many things you start asking
additional questions but what we've seen
a lot is you start poking around looking
what carbohydrate intake is like and if
carbohydrate intake is insufficient and
lower than what that person needs now
that number is different for every
person situation all context but if it's
lower than what you need in that
particular instance then your insulin
can start getting too low as a result of
that sex hormone binding globulin goes
up as a result of that testosterone
starts going down as a result of that
you start feeling the feelings of low
testosterone so the solution in that
particular case we give people
carbohydrates do you know what it feels
like when they have some carb hydrates
back insulin starts going up
testosterone starts going up they start
feeling incredible in addition they
start sleeping better right so we know
there's an association between
carbohydrate intake and serotonin
concentrations this is the molecule that
helps you fall asleep at night there's
also metaanalyses that'll show a pretty
tight correlation between carbohydrate
intake and sleep onset and Sleep
Quality that is not at all to say you
can't be Ketone and sleep great that is
not at all to say you can't be K in
ketosis and have high testosterone
absolutely possible I'm not against it
we just see that one often enough to
where um this is a good example of it
just didn't work for you in that
situation doesn't mean it doesn't work
for anybody else or any other situation
plenty of times to go after it we
actually just put one of our clients in
our coaching program um on a ketogenic
diet for like a very specific brain
health reason actually at brain cancer
um but nonetheless the other times is
sort of like okay great this not working
for you right now why isn't how are you
feeling not feeling there how is your
your HRV how is your sleep how's your
respiratory rate how's your performance
how's your training like I want to know
all these things how's your nutrition in
these particular cases it's like all
right sometimes as subtle as an
additional 50 grams of carbohydrate at
night Wham feel amazing sleep goes up
testosterone goes way up body
composition doesn't change at all right
you're not going to gain any additional
fat as long as you reduce the calories
elsewhere right um and you feel great so
we use carbohydrates at night a lot um
not not like right before bed but you
know in your normal thing high quality
carbohydrates um as long as the total
amount of carbohydrates throughout the
day are counting for all that so you're
just you're just switching you're saying
okay great we're going to pull a little
bit from morning or lunch put a little
bit more that in the afternoon and
changing the order here if needed and in
that particular case um that's why I
would love to have seen your blood work
there I don't know that that was
happening but that brought me up because
you've seen that one so many times now
where we're like all right to step back
and watch here without knowing some
having this sort of
blood markers from me or having any
tests done on me or anyone that's
listening now what are the like the
first things you would look at if I'm
trying to whoop my friend's ass at HRV
in our little HRV League table what are
the like fundamentals of HRV are you
sure you want me to tell them you want
me to just tell you afterwards yeah cuz
I can cut this out and no one needs to
hear it so I can just so I can know cuz
this is a big thing it's like a big
thing in my family now there's like a
family leag table and there's like my
best friend's League table then me and
my girlfriend so I'm trying to and I'm
losing right now cuz this bloody keto
thing that I did
it really honestly my honest answer I
hate to do this but it does come back to
what is your biggest anchor so we're
going to figure out because this going
be different for everybody if let's
assume you've eliminated all the what we
call 88 practices all that stuff is gone
okay now we start getting to kind of
level two like level B level things all
right um I would want to see what that
respiratory rate looks like I would want
to see what's the Sleep data actually
look like that's your starting place no
question um you want to think about it
this way okay maybe I'll back up little
bit easier when go to solve this problem
I'm using what's called first principles
okay so I'm going to very very
fundamental things saying what's causing
stress and then what's causing stress
relief two sides that equation and I
want to see what's going on where's the
problem too much in or not handling
enough of what we currently have need
thoughts is one of two areas so coming
in was there is there any changes we can
make in your total stress that is a
non-specific stressor right so things
that are not helping you achieve an
adaptation that not
business can we solve those things right
relationship wise like great um
something in the environment like is
there some other non-specific are there
any hidden stressors if I can remove
these hidden stressors all of a sudden
the stress bucket just got lowered now
Len you're automatically having your HRV
and so I'm going hunting right I I'll
take you through the full battery kit
and Kaboodle and I will find like what
are the non-specific stressors that are
in there and we're dialing those things
up okay let's assume you either can't do
all that stuff or or you done all that
now how do we modify how we handle the
stress the stress resilience is the
piece okay great what are we doing for
Stress Management um how much time are
you spending
decompressing I mean physically and
physiologically okay um one of the
things I love is we are in a state right
now uh For Better or For Worse I'll just
assume better where we have way more
arousal in our daily lives than we've
probably had in human history in the
past okay great so how do we how do we
address that we need
intentional times when we're removing
input a mistake that some folks will
make is okay I'm working and then
sometimes I listen to music or a podcast
and that's great that's part of your day
and then what do you do after work okay
I go to the gym okay awesome love you
there what do you listen to oh I listen
to more podcasts okay great so arousal
Rous arousal all right then what are you
doing when you're done like oh okay
great um watch tv okay great like all
what kind of TV
all right and you see the you see that
the calculus I'm going through what are
we doing the time of our day what do you
do if you get done with work early for
an hour what are you do in the weekends
right I'm not judging but I'm I'm trying
to run the calculus of going like where
is our time where we don't have input
coming in and so sometimes I'm not I
listen to music and stuff when I train
occasionally not against it I I've said
this stuff before and people have been
like oh man Andy's like you shouldn't
never listen to podcast like no no no no
they please listen to
podcast definitely and like And
subscribe you know absolutely R can we
five star R please please come on now we
got kids to feed dogs to take care
of just when is the time when we don't
have sensory input coming in so one of
the things we'll do often is saying okay
great can we do one to three 10minute
walks with no input nothing in your
ears if you want to make it a 45 minute
walk great if you want to do one I don't
really care what it is but we need some
time where you can I like three a day
because I want to start your day like
that mhm de compress get focused you're
going to notice I'm sure your brain
works similar to mine we're like if you
go 20
seconds he like all of a sudden and
you're getting back and you're gonna
fire off 50 emails and texts and like
you're you're on right which is great
but you need that time I like doing it
lunch same thing you've been on on on on
on on on give yourself 10 minutes if you
want to do actual breath work if you
want to do actual just closed eyes if
you want to do meditation if you I
prefer to just like walk outside
personally what whatever it is but you
need some time where we just stop the
world it's like torture for me it's
horrible right it's so awful for me you
know how you know how much I have to
like force myself to do those that part
my girlfriend's a breath practitioner so
she finds it so easy of course she
she'll wake up in the morning and she'll
do like an hour and a half yoga breath
work in front of me never yeah and she
doesn't she doesn't she hasn't even gone
and got her phone off charging she'll
then walk into the kitchen and drink her
water make her little tea with the herbs
thing in it and she'll drift back and
she'll go and she sits on the balcony
and just sits in the sun me whatever the
opposite of that is is me yeah I know I
wake up like the second My Eyes Are Open
I'm like I'm like 100% I'm raging to
like get after something or I actually
tend to wake up with a huge creative
explosion so I don't have just like have
anxiety of like stuff I have to do but I
have excitement of like oh I got an idea
like this is really cool like I want to
like I want to get raging right and but
I don't I'm like I play with my kids and
stuff like that right so can you give me
five minutes right can what can you give
me in the morning of just down can we do
the same thing at some point during the
day and trust me that midday one is like
awful for me right cuz the whole time I
sit there just going all I'm doing is
wasting time right now
but it it is a it is a worthwhile
investment because even that amount of
time like to reenter um I don't close my
eyes I don't do breath like I don't I
don't even try it's just like okay great
I'm gonna literally walk outside like
I'm gonna take one lap around my house
like I'm doing something to like bring
it back down and then I love it for guys
like you and I at night because there
has to be some sort of physiological
signal that we're done M I have to have
a thing if not I'm like boom kids dinner
playing with them get them to bed and
then I'm
like everything I can do to not walk
back in my office like everything I can
do the wife just has to be like nah so
if I can finish that with like fine
we're going to do dinner and then we're
going to go play outside we're going to
take the dogs for a walk we're going to
go on a nature walk or something I have
to have something that tells me you're
done um the last thing I'll say on this
is there's actually really interesting
research that will find a
disassociation between HRV and
respiratory rate and Sleep
Quality and the reason I'm saying that
is they are all entwined but they are
all so different there's actually a
study that came out last year and found
for every breath rate per minute so one
breath per minute rate increase this was
in college freshman there was a 25%
increase in likehood of experiencing
moderate to high
stress but it wasn't found in HRV and it
wasn't found in any sleep objective or
subjective markers what that's telling
you is again those are associated
but they are independent variables to
pay attention to and so just because
you're like oh I sleep enough and just
because and the last one to get to is is
we actually use scientifically validated
questionnaires to look at mental health
and in every people every person we work
with it's not our expertise that we have
somebody in our team that that does that
but really we're looking for red flags
if we need to refer out right but we do
that because there's just no way you can
optimize a human experience with just
total disregard for mental health right
but what happens often is we see people
who are fine or just not like major
issues in mental health but they can
still have an extremely stressed
physiology and so understanding stress
when I say stress I do the same thing I
associate that with like oh I'm not
stressed I'm not stressed but then when
we look at your HRV and we look at all
these other markers we're looking at a
bunch of blood markers and other
molecular markers we're seeing like well
you have a very stressed physiology now
for whatever reason you're handling it
fine
psychologically or it's not making an
impact
whether it is or not or I don't know
that's not my area but we can see it
physiologically and so coming into your
equation it goes okay we have levers to
pull here um you asked a few minutes ago
is sleep and Recovery the same thing
they are not they're Associated but this
is a good example you could be sleeping
fine but if you're not physiologically
recovering enough that can be a separate
issue there's a ven diagram here there's
an overlap but they are not necessarily
just the same thing and a lot of people
you you'll see the same pattern with CO2
tolerance respiratory rate sleep and HRV
they'll be highly Associated but in some
people you might have to disang one from
the other one or another one and really
pull something apart so that's what we
would do for you is to go in to with
this HRV game is to say okay great
where's the place we have to go and
usually you'll see something poking out
there that says okay here's our
opportunity um to go after something and
improve and to work on and this is where
we're going to get the most bang for the
buck for you does red light play a role
because for Christmas she got me two
massive red light um I don't even know
what they are they're just like panels
yeah there's a lot of data on H on red
light therapy this is actually a good
example of something that um that I
missed the boat on like I've changed my
tune on this one big time I I didn't
think that there was anything here and I
I was wrong about that one there there's
a lot of research um what is red light
therapy doing I'm in my head I was like
maybe it's mimicking the Sun or
something I don't know okay so there's a
couple of wavel there's one around like
640 is nanometers and another about 850
nanometers plus or minus here and what
what we're looking at here is red light
therapy in those wavelengths have an
ability to cross and get into tissue so
they can get past your skin lever and
they activate a whole series of Cascades
um of things that are that are
beneficial for skin Health um we've seen
injury um we actually seen changes in
endocrine system hormone balances for
them um there's that again it's pretty
impressive what it's actually doing
because it can get in and stimulate um
it absolutely can mimic there's actually
data on uh it potentially improves
Vision when actually like in the eye um
work with your your eye doctors on that
one please your opthalmologist and stuff
but you can actually see that you'll see
this a lot for overall Global recovery
again for muscle soreness and muscle
damage um it can actually benefit those
as well I have them there there's a
bunch coming out but they actually get
hypers specific and like focus it on a
certain area of your body that that is
damaged and tissue um we've used them a
l a lot with athletes coming back from
surgery specifically so one of our
quarterbacks this year had a pretty um
gnarly lower body injury at the very
beginning of the season and we were able
to get him back in pretty good shape
pretty fast and and we used many
different things but red light was
certainly one of them I haven't found
many people yet where I'm like you
definitely have to go get red light it's
one of those things where I'm like oh
you got it oh cool like I would do it or
like hey you have a $60 million contract
this year on the line well we're doing
everything like like bring it all on um
that that's kind of where I I stand with
it so it's it's another area that I am
paying attention to more and more to see
what more things come out but really the
ability for those um those wavelengths
to penetrate skin to actually get into
tissue is what's causing active change
uh inside your actual
physiology I'm someone that works out
every day I I got to be honest not all
the workouts are great workouts some of
them are pretty terrible workouts
because this by the way is the next
place I was going with your HRV question
okay another uh thing where we could
potentially see some improvements at
your HRV is breaking down how you're
training what types of training you're
doing and what time of day you're doing
them typically lower intensity longer
duration stuff oftentimes increases HRV
over time higher intensity stuff can put
people in the hole and what I mean by
that is people that have very high
demanding jobs and then they couple that
with really high-intensity high
sympathetic Drive training well now
we're wondering you're like you're high
sympathetic drive all day and then the
only break from you had from that you
went higher sympathetic drive and now we
wonder why your total drive is pretty
high sympathetic well you know when I
think I think about training you always
talk about these trade-offs that you're
making one of the questions I have is
can I
achieve it all at once and being more
specific I want to gain muscle mass and
I want to stay superan at the same time
and there's a school of thought that
says you've got to like load up and then
you've got to cut but I don't want to do
that I just want to gain muscle mass but
stay lean MH is that possible yes oh
good great yeah couple things to think
about here it depends on your Baseline
Fitness and your how lean you are to
start okay now you're pretty lean as it
is already and I assume you're
reasonably fit and clearly you work out
and stuff like okay
great it's going to be a little harder
for you right if you're really really
unfit and you're really overweight it's
much easier to gain muscle and lose fat
at the same time right so it's going to
be challenging for you especially you
got a number three years of training uh
that's still kind of like early in your
training age right that's a pretty young
training age we got some newbie games
that we'll still be able to take
advantage of especially you don't have
like a specific plan and intention with
your training you to kind of just you
you know working out all right great we
would be able to have pretty good
success with that physiologically it's
possible it's never going to be 100%
though there's no way I can put
especially without exogenous
testosterone there's just no way I can
put 15 pounds of muscle on you and zero
fat like that's just not going to happen
could we put on seven or eight pounds of
muscle and one pound of fat oh yeah we
could do that like that would not be a
crazy thing you would see that pretty
consistently in the research and
certainly thousands of coaches and
practice like oh yeah like I've seen
that countless times and so it's it's
kind of like what are the reasonable
expectations there um so what I would do
is for you is recommend saying you don't
have to go like 40 pounds and like you
know but how much you really want to be
at what's that number right we would
figure that out maybe run analysis on
you see where you're actually at all
right great and then we set reasonable
expectations so you want to end up being
you know you want to put on five kilos
total okay tremendous you willing to
accept you know 5 kilos 4 and a half
kilos of muscle and maybe one of fat oh
okay we get reasonable expectations and
then what you would want to do there is
train consistently you would want to be
in a close to caloric slight Surplus as
possible we have to add calories to gain
Mass right but how we're going to do
that is 10% Surplus something like that
so if your normal maintenance with all
your exercise is 3,000 calories I don't
need you to go to 6,000 calories that's
a recipe to put on some muscle but a lot
of fat too now we don't know the exact
number here there's a lot of studies
going on actually friends of mine Eric
Helms in New Zealand has done a handful
of studies like this recently trying to
figure out what is that number 5% 10%
20% where is the number in terms of
caloric excess that you want to be on to
put the most amount of lean muscle mass
and the least amount of fat on because
it's not going to be zero right 10 or so
percent which for you would be 10% of
3,000 would be 300 extra calories maybe
15% maybe going to 500 extra calories
we're not going to 5,000 calories we're
not making these crazy jumps in your
situation there we'd make sure protein
is really really high uh at least 2 gam
per kilogram right something like that
maybe even higher making sure we have
enough extra on there but we're hedging
on if we're going to miss the mark i'
rather you miss by 15% too high than 2%
too low there's just no advantage of
being down there and then we'll regulate
chloric intake in terms of your calories
and fat we would play with those ratios
if you wanted a little more fat little
less carbs we could do that if you want
to do the empite we could play with that
stuff but those would be the standards
we'd said does it matter what time I eat
in terms of exercise because I've always
heard that you should eat sort of
immediately after you do a workout
doesn't matter in terms of protein
timing if you're just looking at muscle
growth none of the other human factors
which there are many then timing of
protein is pretty irrelevant you're fine
timing of carbohydrates does start to
matter though specifically for recovery
now that typically happens in athletes
that train multiple times a day that
said with both of them you have options
again look at the research on
intermittent fasting you don't see
especially if you look at the the
classic kind of like 168 which is you
you know you have a condensed eating
window of just six hours a day and the
other 18 you're fasting um that is not
any more advantageous for fat loss than
non-fasting there doesn't seem to be any
difference at all when you account for
calories and protein so if you want to
eat six meals a day great you want to
eat one meal a day won't matter for fat
loss so that still though tells us
timing of protein it's just not super
important for someone like you for
muscle mass gains the only practical
challenge is this if we need you at that
two grams of protein per kilo or maybe
higher can you get enough food in during
your timing of eating
sometimes yeah um you know in our study
we had plenty of participants that had
no issue eating all their food and
calories in a caloric Surplus in a six-
hour window they had no problem others
really struggled and so now we're not
talking science or physiology we're
talking practical application you in
your own personal life ah my stomach is
so full or timing of work or whatever
but if that's not the case then I'd be
like great we're going to have no
problem so I wouldn't be super concerned
with the timing of either of your or any
of your macronutrients
um outside of personal preference real
world situations things like that if I'm
just a normal guy which I very much am
and I'm maybe a busy business person or
I just have a you know job as a manager
or something and I'm thinking about the
types of training that are going to help
me perform at my best cognitively in my
work but then just be healthy over time
in my life what is the like blend of
training types and styles and durations
that are optimal for me to just be a
great average Joe mhm you need a handful
of
physiological skills to age super well
okay so if you want to live and live as
well as possible for a long time and it
comes down to a couple of things you
need to move well what's that mean
different definitions but you need to
move in a way that is not getting hurt
causing pain great that comes down to
movement skill there's some flexibility
in there there's some mobility and
there's also just like do you know how
to stand up do you know how to walk
right so we need to move well so
something where you're addressing I
don't need you to be the most talented
Sprinter in the world but we just can't
have glaring holes can have huge
problems in Mobility flexibility posture
range of the motion because we have to
stay out of pain so number one biggest
key to successful aging when it comes to
exercise is not missing
training we can't miss training for big
chunks in time months and years because
we're hurt we have to stay active Okay
see what I'm saying yeah so Mobility
means that we can be consistent if it
does yeah right so um there's no like
strong tie there of like hey the more
range of motion your hamstring the less
injuries you'll have I'm just talking if
you have some really bad issue where all
of a sudden you're 40 years old and
you're in so much back pain you can't
walk okay you're that's going to be a
problem so don't get hurt step number
one number two is now speed and power
and I'm saying that because if you look
at one of the most significant issues
that we face during aging it's our Falls
risk you can't fall if you look at the
data I don't know what it is off the top
of my head but if you look at the risk
of dying after a hip break in those that
are over 60 years old it's something
alarming like a 50% chance of death over
the next 15 years like it's absurd and
you could whatever the number is it
doesn't matter when you look up the real
ones you're going to be like wow it's
just as bad as as I exemplified there so
you you can't afford to do that why do
you fall when you're over 60 well
sometimes a dog just walks out in front
of you and okay great but the things
that you can control you can't lose your
balance don't like you need to train
balance okay great secondly if you lose
your balance you need to have the foot
speed and the Hand speed to move your
appendices out in front of you to stop
that fall from happening right this is a
foot speed this is a hand speed mostly
since your legs are the way that you
interface with the world most of the
time
we always start with our lower body
right we can't can't have bad knees
can't have bad ankles and we can't lose
foot speed and power let's assume that
freak accident happened you had um a
slip and you had the ability to get your
foot out in front of you and you're
falling right so you're tripping you're
falling forward and then you flung your
right foot out in front of you and you
planted it to stop yourself from falling
so you didn't smash your hip you then
need to have the Ecentric
strength to stop yourself from
collapsing on that foot so you had the
foot speed to get it out there but did
you have enough strength to actually
stop yourself from
falling physical strength uh is one of
these strongest predictors of
mortality of any metric in the entire
world the only one that is sort of close
to it is your V2 Max those things will
out predict how long you're going to
live more than almost any metric if you
look at them stacked up directly against
clinical uh traditional clinical risk
factors uh blood pressure um
cardiovascular disease markers coronary
artery disease smoking diabetes things
like that those are all bad but leg
strength and V2 Max typically will
predict survival rate more so than those
other markers there's actually a couple
of studies um that come to mind one of
them out of Jonathan Myers lab the
famous One 750,000 people in the studies
like big studies and over the course of
it I think
174,000 people died you know these are
retrospective studies and stuff like
that right but what you're looking at is
like who stayed alive and who didn't not
like a surrogate marker not some sort of
like direct marker right and you will
definitely see what's called a hazard
ratio which is to say okay 1.0 is
neutral below one is reduced risk of
dying above one is increased risk and
you'll look at things um you you'll see
smoking and diabetes put you at a HR of
like 1.3 1.4 so 30% in increase Hazard
ratio 40% increase like that's not good
and then you start to see the things
like V to Max and you start seeing like
4X increases 5x increases like they just
outpace smoking and Diabetes by massive
amounts it's not like uh smoking is 30%
and BO2 Max is 40% it's like smoking is
30% and V2 Max is 300% what is V2 Max
for anybody that doesn't know your
maximum ability to bring in and utilize
oxygen um cardiovascular fitness if you
want to think about it like that when
you compare leg strength in those same
studies
depending on the studies it's comparable
if not higher of a predictor than the
VO2 max can I just think about that when
I get older because a lot of people you
know I'm 30 years old great question you
can you're welcome to but here's what
happens we know that VO2 max will drop
something like 1% per year after the age
of around 40 to
45ish right now you can you can amarate
or attenuate a lot of that Sor it will
drop automatically yeah with aging okay
for sure regardless of what I I mean
obviously my work will go against it yes
but if if left alone it kind of drops
itself not even if left alone um we
actually did a study years ago in
Stockholm Sweden where we took we ran
VO2 max tests on cross country skiers
and these people were world champions in
the 1940s and 50s and they were still
competing in
2010 so they're on year 50 55 60 of
continuous training and competing is
really really cool to get these people
in there a little like again you're your
studs in the 1950s and you're they
haven't stopped
competing and we compared them to age
matched um individuals in in back here
in in the States now all these people
were over 80 some of them were up to 92
years old and we ran their V2 Max test
and there a bunch of fun stuff we' did
there but when you look at the V2 Max um
our group average was something like 35
38 milliliters per kilogram per minute
those people we didn't have their data
from the 1940s but if you're going to
win a world championship in cross
country skiing you're probably going to
be in the 80s or 90s your V to Max so
they were way up there in the 80s or 90s
presumably when they were in their 20s
and 30s we're down to the
mid-30s you know 50 years later but
people their age that don't
train typically on average V2 Max is
about
20 so it is way higher with training the
slope in terms of the decrease can
really be blunted but it will still go
down you'll never see an
80-year-old who can outrun a 30-year old
if they're equivalently like trained and
talented right so it goes down the same
thing will happen with muscle strength
and muscle size how is this linked to
mortality though what is it about my V2
Max that ends up you know putting me in
a grave yeah so here's what happens when
men cross below 18 milliliters per
kilogram per minute for women it's about
15 to 16 it's what we call the line of
Independence and what that means is
basic tasks of everyday living represent
so much oxygen utilization that you
can't do anything as an example if your
V2 Max is 15 things like getting dressed
in the morning are about 12 okay uh
getting up from the toilet 12 or 13
walking 14 15 you imagine doing a
workout where you're at literally at
your maximum heart rate just walking up
your stairs you shut down right and so
what happens is it's multifaceted number
one cardiovascular your heart is just no
longer fit right the amount of blood
pressure and the amount of stress your
heart is under all day just surviving um
is is enormous so what do you think
happens to your HRV what do you think
happens to your sleep what do you think
happens to your glob it's a very
stressed physiology it gets worse than
that though you tend to stop doing
things so you you socially light you
stop being around people you stop having
purpose and drive because you can't do
anything mental health can decline
because you you don't feel like you're
worth anything so selfworth goes really
low because you can't do anything by
yourself you can't even make your own
breakfast you can't and so you start to
just re and so this thing just catapults
so it is a it is a again multifaceted
problem you can talk about just the
ability to you can't bring any utiliz
oxgen you can't feel your brain you
start to deteriorate but then you can go
all the way to the other the Spectrum
that I just said of like social
isolation because you can't walk you
can't be in the world you can't get out
in the sunlight like you you can't
physical activity starts to plummet once
leg strength leg strength specifically
will tell you how long you'll be
physically active once your legs get
weak you stop being Physically Active
because everything gets really really
down hard so you're like I'm not even
going to go for a walk why because I'm
going to be exhausted because my legs
are going to be shaking because my legs
are so weak so you tend to stop you tend
to sit you tend to not want to move and
then all those other problems exist and
now what we what we call this is atrophy
leads to atrophy so atrophy is a loss of
muscle but now because we're weaker we
want to do less things which makes it
worse and worse and we just spiral down
so not ever getting into that cycle is
critically important so why can't you
wait until you're old first of all
trainability is still really high we've
done training studies on people 80 years
old you can grow muscle and strength at
80 no question in fact almost as well as
you can when you're in your 20s
but if you're starting at a V2 Max of
35 when you're 40 years
old how long until you cross below 20
well 1% per year you can run the math
there pretty quickly you're going to
cross that line of independence by 60 65
and now I guess you can start working
out but right really really challenging
alternatively you drive it as high as
possible now so when you see that
decline over time your buffer is much
higher last point I'll make I'm sure you
got a 100 questions there if you run
that Gamble and you get to 50 and you
have any little thing go wrong you got
to have a hip replacement you got to
have something going on and now you're
bedridden for six
weeks boom you just fall off the cliff
um you get really busy at work you got
to take care of your mom who now need
all these things that happen in real
life and you can't work out as much
great so the the way that we say this
like one of the uh the golfers I work
with Donn ROM we were talking about this
a couple weeks ago as well I bring it up
and he was like yo look one of the
strategies is we always control the
things we can control so there are parts
of the golf game that you can't control
the weather and what your opponents are
doing and so he always makes sure he
gets really good at the things he can
physically control I would say the exact
same thing right here if you have the
time right now and there's never a good
time but you can control it you you can
work out you have the ability then you
want to put that as high as possible
because when things then come out of
your control and you get hurt or work
or all the gyms in the world shut down
like you know all these things that can
happen then then you've got some buffer
but if you got no buffer you're running
a pretty high risk and you're running a
risk of losing your health which means
you're not going to be able to do
anything reminds me of a conversation I
had at Christmas with a dear relative of
mine who to scen set of Christmas we've
got three little kids below the age of
six running around which my brother's
kids um we've got all the generations
there and then we've got the oldest
generation and a member of that
generation isn't able to move for many
of the reasons you've described anymore
there's not an injury there but just
going up the stairs even will make them
out of breath and we sat down as a as a
family at Christmas trying to figure out
whether this was reversible or not and
oh yeah and we all concluded you know
again being Optimist and trying and
loving this person very much that in
fact it was a part of a downward spiral
and this individual had kind of accepted
that it was their fate they said like
they had blamed on something that was
unchangeable and I was there on YouTube
trying to find videos to prove that you
know if you start I'll get you an
exercise bike and if you start moving it
can it can
change there's extensive evidence to
show you're right okay good tons um
again you can look at our any of our
work or any other groups of scientists
that have done training studies in
untrained 70 year olds uh men women 80
year olds plus there's the reason I'm
saying 80s because of a study that came
out last I think it was last year the
year before on that strength training in
80 plus year olds that are not currently
active huge improvements in strength
muscle growth like you're I can't
remember the exact one but you're I
think it was like over 15% increase in
muscle Sid like numbers that that matter
so yeah you absolutely you could pick
your study you would have dozens to pick
from that would show work now can you
get that person did do it that's the
hard part that's the ultimate hard part
A lot of it starting starts with it even
believing it it's possible which most
people don't believe it's possible they
think once you get to 60 it's kind of an
inevitability and there's nothing I can
do to change it yeah absolutely
fundamentally not true in fact if you
look at the papers that have been done
on the rate of
decrease I don't remember the exact
numbers right now um but it's stunning
what percentage of physiological
decrements are stopped
entirely um like specifically with V2
Max your V2 Max will remain high highly
stable the the kind of number we always
play with is 50 at 50 which is at 50
years old I want your V to Max to be at
least
50 if you train consistently you'll see
tons of people who I remember I said
earlier it tends to start dropping
around 45 to 50 you'll see people who do
not drop into their 60s from their 20s
if they consistently train and that that
is a very real phenomenon so you have a
huge control over it the earlier start
the better but if you've already missed
that window it's no problem whatsoever
your ability to change like really never
stops in response to exercise plasticity
in tissue is extraordinarily high and it
responds very well the training and and
there's just no reason to think you
can't make huge progress at any age what
kind of training for v2 Max I understand
leg strength I figure I can kind of
figure out what I need to do there but
to improve my V2 Max what do I need to
be doing yeah think of a couple of
things you need to challenge your heart
to pump consistently over time what that
means is if you want to think about that
as lower intensity more continuous work
that's great the mode running swimming
cycling pushing a sled doing a circuit
joining a group activity class those
things don't matter that much in terms
of they all work great so something that
continue makes your heart rate elevated
for let's just call it 20 minutes
minimum somewhere between 20 and 60
minutes so if all you can do is 20 let's
start at 20 no problem um what zone
should you be in I don't care what heart
rate I don't care elevated great I'll
take that as a win win that's all I need
then we need to do something that
requires your heart rate to get closer
to Max what heart rate what's I don't it
doesn't matter go up high I would Bank
on those two things something that is a
lower intensity longer duration and then
something that is a higher intensity
shorter duration if you want to do
something like 30 seconds as hard as you
can and 30 seconds of rest for four to
six rounds great no problem there right
if you want to do something that's a
little bit different if you want to not
even worry about that and again go to a
group activity class go to a spin class
go to a kettle bell circuit class great
you want to go to cardio kickboxing all
that's gonna fine great that alone will
check the boxes off for a lot of people
so when you think about this uh people
get like as an exercise scientist people
get way too caught up in like the
specific protocol how many reps exactly
when you ask a question like how do I
improve my VO2
max specificity always matters towards
the end but at the highest level it's
like yo just get your heart rate
up there's a there's a principle in
science we call said Sid specific
adaptation to imposed demand that is to
say if your physiology is challenged it
will adapt that's all it has to be if
you want your heart to improve just
challenge it that's as complicated as we
have to be you do that consistently
ideally you overload a little bit over
time it will adapt your V toax will
improve and does that also count for
muscles because I've been really Keen to
ask you I go to the gym every day and I
think I'm not growing my muscles very
well because I'm basically doing the
same thing yeah I'm like I know that I
should be doing something differently
here we can do better than that what are
the fundamental things I need to be
thinking about I'm going to go to the
gym tomorrow morning now but what do I
what do I need to be thinking about what
you've kind of described is playing a
game of
variation against
specificity okay like everything Pro and
cons here it's not much better if you
were to go hypers specific you did the
exact same workout every single time you
would drive a lot of adaptation because
you're seeing exactly what you're going
after at the same time though you've
increased our chance of overuse
injury problems because we're we're
putting all of our load and stress in
the same movement patterns the same
joints Etc if you go the other direction
which is like I literally just make up
my workouts every single time right
chance of overuse of a specific movement
pattern goes down
but progress also goes down because
there's not enough stimulus in the same
pattern so we need consistency we need
to drive a Groove and get better at
something but we don't want to be there
so how do we play the game a little bit
well we want to have what's called
variation we want to have for you some
sort of progressive overload how do we
achieve that we can go up and load or
wait okay we can go up in reps per set
we can go up in sets we can go up in
number of exercises we can go up on
what's called frequency so how many days
per week we could do a combination we
could reduce your rest intervals how
much time you resting between reps any
combinations right but we have to have
some strategy we can't do it all and
what we want to think about is 10% which
is no more than a 10% increase week to
week okay that'll be enough to where we
can progressively overload you but also
not really uh make our injury RIS too
high so we would want a a fairly
consistent plan for maybe 6 to 8 weeks
or so that we can watch and monitor and
going get great what I would recommend
you doing is having say 50 workouts all
planned out and you're going to get to
the end of 50 whenever you get to the
end of 50 we're not doing like you
workout legs Monday you do upper body
Wednesday no no here's your workout and
this is the order you're going to do
them in and here's the 50 you're going
to complete and we're going to write a
new program when you're done with 50 but
if you can get EX workout one done today
and tomorrow you can get workout number
two done great and then it's 3 days
before you get to number three fine
number four so instead of thinking about
this on like a 7day micro cycle is what
we called it no no no we just have this
much work to get done ideally we want to
get this 50 done in the next 100 days
okay great whatever you're going to go
three four days in a row because you're
like hey actually I got a trip going on
I'm not going be able to train those two
days so I'm going to train four days in
a row well that's not ideal but it's
better than skipping 3 days okay great
then you're going to come back and go
hey I'm actually home for 10 days I got
to stretch I'm going to go three days a
day off oh okay great but that's what we
would do as a system somewhere like that
where we you know what the end goal is
but that allows us to then construct
those 50 days with intentional overload
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CEO I had a big debate this Christmas
with my girlfriend about creatine so
we're in Cape Town in South Africa and I
went and bought creatine and I put it on
the table and I was like I'm going to
start taking creatine right that's so me
not really knowing what it is what it's
for that's right and she picked it up
and then looked at the label and gave it
back to me and she said crea's not for
work women oh and she she felt and I
think a lot of people feel this this is
why I wanted to ask you it is she thinks
that she thought creatine was for
bodybuilders and I Googled it and
Googled it and showed her the Google
thing and she was oh amazing and she
started taking creatine but I imagine
there's a lot of people out there that
think creatine is for people that want
to just get stacked great question um
sometimes you you get deep in your own
world and you forget you know what the
people are really think out of that the
world so there's a website and company
called
examine.com I have no affiliation with
them but is it is an unbiased place you
can go to and you can ask that question
for any supplement you can ask about
or you can ask about Arginine or
tongat Ali or whatever you want you can
also ask it by the adaptation so what
are the best supplements for fat loss
for brain function for cardiovascular
health and it'll give you answers based
on there so it's a really phenomenal
site so when you ask does it
work well work for what and work how
much
that's the two questions right work for
what so in the case of creatine it
improves say muscle strength probably
why she had that muscle size okay what's
the weight of the evidence lots of
studies hundreds and hundreds of studies
men women young old children all kinds
of stuff right of astronauts space
flight um bed rest tons and tons of
research okay check that box What's the
magnitude of effect you're probably
looking at somewhere between a three to
12% okay
that's a pretty good magnitude of effect
um for something that has an insanely
good risk profile meaning like you can't
cause imbalances with it it's not a
hormone um it's not a mineral so it's
not causing oxidative stress anywhere
it's like really really robust in there
and so when you look at it you go okay
great pretty easy Choice here
um I'm not it's not like the hormone
stuff like I said where like you're
turning on something it's a fuel source
so in fact remember earlier when I said
metabolism you're either using
carbohydrates or fat as a fuel actually
creatine is the third one it's a faster
one so the sto geometry is one to one so
you can break down one molecule of
phosphor gives you one molecule
of ATP it's the fastest one but it gives
you the lowest energetic output so it's
a fuel and because of this there is
extensive research on Performance Based
things this is where it started in fact
I remember as a kid when the entire
Valco and steroid thing hit baseball in
the early
2000s creatine was like on that list and
that's where this entire Association
came because Mark Maguire and Barry
Bonds were using all of of course
allegedly whatever performance enhancing
drugs they were not using and they were
also using things like creatine and so
that just kind of got lumped in as like
oh it's a steroid it's like a because it
came from that world and most of the
evidence and most of the research was on
that fortunately the last 20 years
honestly people have sort of left that
with because we know the answer
there more interesting stuff is coming
in things like bone health now my friend
Darren kando just finished a really
great study two-year study on post mopal
women at 20 grams a day typical dosage
for is five grams so your typical
bodybuilder at the gym is using five
grams a day he put this in post
menopausal women 4X the dose and did it
for two years no adverse effects no
kidney issues no problems
uh improved some of the bone markers I
think in the actual like the femur area
I remember exactly it didn't improve
others it's not a miracle it's not a
Panacea but it was like hey didn't do
anything bad potential to help bone M
density and a in a a population that
really needs it from just a simple fuel
it's kind of rather than thinking about
it like a mineral or a vitamin or
hormone think it more of like protein
powder like it's just it's a it's a
nutrient that you get that that fuels it
in addition there's been at least two
trials that I can think of at the top of
my head that have shown that it may
enhance things like
mood uh there's a ton of research on
traumatic brain injury long-term
physical brain health um because it is
such a fast fuel source it's actually a
preferred fuel source in your
brain the your asro sites which are kind
of like the the central nervous system
cells thrive on Creatine so they
absolutely love it so it is it is U um
neurological as well so it'll help the
neurological system nervous system um as
brain and tons and tons of stuff going
is an antioxidant anti has some like
mild antioxidant properties and a bunch
of other stuff so um while I understand
a lot of people still here and think
about as like the muscle thing that's
because that's where it's came from and
the dominant research but really I would
encourage people to look at um more of
the last 20 years what people that are
doing creating research the topics
they're actually studying and it's not
muscle growth in young healthy
guys there's two most replayed moments
these most replayed moments are
basically from the podcast and
interviews you've already done the thing
that people replayed the most and I I I
was looking at what those moments were
because I find it quite interesting and
I thought I'd just let you know what
they are the first one was um people
overrating burning fat in Anor robic
exercise as a method of fat loss and
this is really what I want to talk about
is I've definitely grown up my whole
life thinking that the way that you burn
fat is by running h i mean this is what
most people think right they think you
want to burn fat around here the belly
fat the best way to do is go for a run
and a lot of people have very little
luck with that and end up beating
themselves up so to close off on this
conversation I'd like to hear your take
on
that you need to think about fat
loss in a broader approach than most
people give it to which is to say when
you say fat loss let's get specific what
we're meaning is we're losing fat and
ideally we're preserving
muscle that's what that's what we
typically want okay we're also talking
about losing fat so that it stays off as
long as possible those are baked into to
that phrase but oftentimes forgotten so
the advice I'm going to give you is with
those two assumptions in mind you're
trying to keep as much lean Master as
you can and you're trying to make this a
successful journey and not something you
have to repeat again Time and Time
totally right yo-yo dieting in fact one
of the
more I probably the highest
most cited paper I've ever published was
on yo-yo dieting like a review article
on that so you you can go read that
people love that paper I was just a
co-author um Jackson wrote that paper so
credit goes to Jackson for that um but
making sure you're paying attention to
say those parameters in mind how do I
lose weight you can look across meta
analyses and review articles and you
will see the number one predictor of
long-term successful weight loss and by
again weight less I mean fat loss is
always
adherence it's adherence to your workout
program and it's adherence to your
nutrition program so step number one
before we worry about any change in diet
we s we start arguing about which method
of exercise is best before we start
really going way down the line to things
like genetic testing like you're really
wasting your time here and a lot of that
stuff especially if you're not paying
attention to what's going to make you
adhere
the longest amount of time in fact if
you just stopped right there that's
enough for most people can you put
yourself in a position where you're able
to feel abundant with your nutrition
approach and notice I'm I'm trying not
to say diet here right should be a
nutritional approach you have a balance
between living life and flexibility but
then also figuring out what triggers you
and maybe you don't have a trigger maybe
you can be more flexible maybe you need
more stringent like all the things that
go into it you got to figure out a
system so you're not people will not be
on a diet very long collectively right
on average diets don't work quote
unquote for those exact reasons right
you got to get to a caloric deficit
somehow okay but you got to do that in a
way where you still are happy and
sustainable totally right and you still
feel energy and you're you're there and
that it's working for you right and
that's different for every physiology
okay great and you got to me exercise
system the same thing right if you hate
running there's no reason you don't have
to run a step to lose a ton of weight if
you love running
you should run if you hate lifting
weight fine I can work with any
parameter you give me if all we're
concerned about is preserving lean
muscle mass and losing fat over the long
term that's really what we have to to
consider the most okay now within that
does that mean every training and
nutrition program is the same no no no
not at all there are fundamental
differences here's the problem to think
about if I said hey you're going to do
the same training program the rest of
your life you'd probably be like
well
but if I told you that with
nutrition people are like well yeah of
course like there's you know magic diets
that do like no keto great meditranian
great high carb great great great you
can do them all they can all work for
you some people taking on gluten help
some people great great great sure all
of it is possible right we come from
very different backgrounds if you look
at any of the research for example like
a really interesting point on genetic
testing
if you're not taking account genetic
background on that genetic testing for
things like nutrition Precision
Nutrition is entirely worthless because
we see classic markers that are
associated with say more effective um
carbohydrate utilization or fat
utilization or or body composition and
they might predict a decent percentage
of variance in European conasi you apply
those exact same things to West African
or east African and those variants go to
zero
people forget that part when they start
talking genetic testing they have not
been validated across all ethnic
backgrounds and the ones that have have
shown they range from like 40% variance
to
zero so like really like you're way way
way ahead of the cart here paying
attention to things that just do not
matter we got to get you on a system
that works okay great for some people
that might be more nutritionally based
all right you can lose and preserve
muscle mass really well by just going
decently high on protein and then
regulating your calories the example I
gave you earlier you want to go more
carbs less fat great you want to the
opposite like we can play those levers
no problem all right what's your problem
though oh I struggle with um car
Cravings okay great oh I struggle with
hunger pangs okay great I struggle with
okay well then we're going to make those
decisions based on more this more La
based on like where is your pain Point
what's your problem I struggle with the
okay great I have to now we're
personalizing now we're individual izing
it based on things that are going to
matter orders of magnitude more than
other things that I've just talked about
right that stuff will trumpet exercise
the same thing maybe you you hate
exercise okay great maybe we can get you
to walk a few times a day and we'll get
most of our fat loss dur nutrition maybe
the opposite you love training but po
man you just struggle to eat whatever or
not eat something all right great maybe
we'll play the game more with you know
willpower will push the pace on our
exercise high intensity fine low
intensity fine weight great cardiio
great surfing great like don't zone six
to I don't care all of it can be done
okay some of the foundational things
that tend to be
consistent for those two things on most
people is you need to make sure protein
is
adequate hard to maintain muscle mass
with lower protein especially if we're
going hypochloric so keep protein High
you want to do something revolving
strength training at least once week for
the same exact reasons something that
makes you burn a lot of
calories long duration high intensity
either way that's all you really have to
do if you can do that stuff
consistently over time you're going to
get there you're going to be just fine
um where we see problems are people that
put themselves in a positions of
scarcity what you mean by scarcity for
anyone that doesn't know that depriving
themselves of the pr you feel like you
never get to do the thing you want to do
psych this is a psychological thing
right totally which causes the effect
which causes the the problem of
consistency inherence over time right so
making sure you do that I personally
have some go-to standards I like to do
I'll happily share that with you um I
tend to like to have a decent balance
between kind of our Anor robic strength
training high heart rate stuff and our U
more steady state longer duration stuff
so if someone's going to be able to work
out three times per week I'm probably
doing one thing where we're going long
duration call it a hike call it a SW
swim call it a run whatever we can do
and then the other two days I'm probably
doing combination of lifting and then
probably finishing with some high heart
rate thing right so we'll do like a
little bit of strength and hypertrophy
muscle growth work and then we'll do a
circuit or an air assault bike or some
Sprints or like what can we get you into
it's like really really hard if I can
get you in an environment where you're
working out with some other human I love
that is there any reason why you do the
strength first and then absolutely
that's a great question if you do
strength training before endurance work
your strength training will not
compromise your endurance in fact
sometimes it exacerbates it if you do
your endurance first you're going to be
more fatigued and you're going to lose
strength and so you'll have worse
performance in your strength training
what's the most important thing we
haven't spoken about you know if there
was one more thing you could add of all
the things you know that would allow
Jennifer who's a 34y old single mother
or Dave who's a black cab driver in
London the average person I think it is
exciting what's coming in the world of
human
health and I think it's helpful for
people to know that stuff because a lot
of the challenges we're facing going to
get worse we have things that
are going to be possible pretty soon at
kind of the stuff I'm talking about this
idea of precision exercise Precision
Nutrition
it's not really available to many people
too expensive Etc we're going to cross
those barriers pretty
soon we are working on a project right
now called the human digital twin so
this is a combination of you know a
couple of my companies so the Sleep
company absolute rest um our blood work
company Vitality blueprint Springbok um
there's another company called axio
force that actually has four sensors in
your shoe and we can see early changes
potentially in gate so how you're
walking which could potentially and
research is needed here but potentially
be early signs of Parkinson's
development neurological disorders so
we'll see this in Gate before we'll see
this in symptoms companies that are
involved in this entire thing we can
take all those data we're actually doing
this right now uh put them together and
make what's called a digital twin this
allows us to make your physiology and so
from our perspective of you know
Vitality we've got all your blood work
and molecular biomark
from absolute rest we've got your sleep
we've got your movement patterns we can
actually work with another company to
watch you physically move and do other
stuff we can take your physiology and
upload it then from there we can run
endless simulations of combinations of
nutrition and training and
supplementation medicine movement
daytime patterns sunlight water all
those things and figure out really
quickly how you're going to respond the
best for whatever outcome we want it's
not ready at all right now but we're
actually again running it right now
we'll have our first cohort done
probably in the next week or
so we really really soon I don't know
how well the model is going to be the
first time through it I don't know if
our group's going to be the best at it
it doesn't matter but this is clearly
going to be something the world is
capable of uh as we get better at Being
Human
sensors and we can bring those data in
we're going to be able to deploy things
like this and say hey yo this is most
likely to work for you the digital twin
is already being used for like the heart
it's in place we have the digital twin
of the the kidneys is is as well the
lungs are coming soon the heart is
coming pretty soon there's lots of
groups I'm I'm not involved in any of
those projects but that's that's coming
on board so the ability to not have to
guess anymore and most importantly try I
tried this for six weeks it didn't work
I tried this for n that's going to go
away really
fast great you still have to go do all
the work the technology won't work out
for
you well
we have some stuff that'll do that
too um what's the cost though like when
you were saying all of that I go you
know what I mean we spent the
entire length of human history with one
maybe arguably two singular
goals one of them at the core was stress
reduction that was what we were after
right you create communities so you're
safer you create homes so you're
environmental and you create agriculture
so we food and we all want to reduce the
stress thing right didn't called that
but that's what it was and then we got
to the year 2000 or so we realized oh
maybe that was the wrong target I
saw on your bookshelf at home there's a
book called The Comfort crisis oh yeah
and that just flash in front of me as
you were saying that yeah shout out
Michael it's a great book
um when we have astronauts come back
from the International Space Station um
getting people to live on
Mars it's a bit of a rocket problem
but it's a bigger physiology
problem and the this HDT project ran is
part of the people we're working with is
Cody burkart runs human works at
Nasa figuring out that line of going hey
you don't want to release
stress if you do like what happens when
we send people up to space because
there's no gravity your physiology tanks
really quickly right uh they come back
often times astronauts come back and
they like they can't physically walk for
a few days because in that case that
aspect now other aspects of stress are
way up but we've lost some of the core
tenants that it means to be a human and
we are not ready for that we are not
ready at all to be able to be told oh
yeah run this scan and here's the exact
culmination of life you need to run not
even counting the ethics behind all that
like the ethics of genetic testing alone
are really really interesting to say the
least
the ethics of doing something like
that we have not thought through this
stuff right collectively
we there is more in our world than our
human experience than just straight
answers right this is one of the
beauties of this ride we get to
take I don't know if we have good
answers I think we've clearly
shown we're not very good at asking
those questions before
never because the incentives in the
short term is so tempting we're seeing
this with AI at the moment it's just so
tempting yeah and then we we figure we
get the results back in 20 years and by
then it's just too late well I mean look
at the current health position that
we're in right we went after that entire
idea of minimizing as many stressors as
we possibly
could and uh oh we it worked yeah oops
now we have to go back and do this weird
thing when we re re-engineer stress back
into our lives you have to be
very
careful and
judicious when you pull things out of a
natural state I'm being very choosy with
my words there if you're not directing
stress you're letting something else
direct that that stress is still coming
one way or the other which means
adaptation is coming so you can be
intentional and point that ship in One
Direction or you can cover your eyes and
think it's not happening at all and
realize you're getting pointed somewhere
else it's better to at
least have the acknowledgement this is
why the word Consciousness is in the
title of of my book it's this is part
of the process right you can be aware of
it or you can not from there you can
choose whatever you want that's entirely
up to you and all that I just want
people to realize you're making a choice
one way or the other so when you involve
technology into the picture AI is is
another really really challenging thing
in a lot of
ways but I'll reiterate we've seen this
already play out and we know the answer
is this gets worse in terms of we're not
going to make very good choices right
away how does that manifest itself in
the end I don't know nobody knows but to
date we're not particularly good at
making that decision so there's lots of
consequences there um I think that we
have there
um the last one of the last thing I'll
say on this is if if you break down okay
the way that we structure it is there's
four pieces okay in order for you to
have more success at your performance
and health you number one have to have
assessment once you have all this data
you have to go to step number two which
is then you have to qualify good bad
great worst ever best in world history
okay we're struggling on that we don't
know what healthy looks like I know what
clinically deficient rickets looks like
I know what obesity and type two
diabetes and we know disease we don't
know what good versus great means there
are no databases I can pull from there
is no metric I can look at and say what
what is a great com what's a great
vertical jump number what does somebody
need to be able to jump in their 40s to
be healthy like we don't know these
things and I don't know it by ethnicity
and I and I mentioned that before that's
a critical component because is clearly
different right there's some markers in
basic blood chemistry that are not
different in southeast Asians or that
are different in southeast Asians versus
Northern Europeans like we don't have
that fully fleshed out and we if we do
it's four disease markers we don't have
the so I don't even know what I'm
judging okay now assessment great where
are we going to get these databases of
super healthy people as the world
continues to get less healthy I'm losing
my population to pull from really really
quickly okay then the next piece is okay
great
you've told me that this marker should
be here pick your marker whatever you
want how do I get it
there and that's really where we're
struggling so the second problem is what
I call Polaris like we have no Northstar
we don't know where this thing should go
the third one is okay how do I get there
what is the intervention what is the
thing that's where I actually think
people in my field are going to not only
in maintain but increase their value
such as like personal coaches physical
therapists athletic trainers people that
are going to nurses because you might
have an AI that can come in and and run
something and say great your numbers are
here and our metrics say you should be
here and then you should go do
X I want somebody there with me I want a
human taking me through X that's going
to feel better because we don't know
there's almost no data on okay great
what is the optimal training for that
marker what is the optimal nutrition or
that is really really Limited
so we have to rely on Expert we have to
rely on people that go I know the
evidence based but then also in my
experience I'm think about this this way
if you were an NFL quarterback and you
tore your
ACL and we ran all that stuff on you you
would still come back and go oh great
there's a coach over there who's
actually run people through ACL
recoveries on 15 starting NFL
quarterbacks like what's it going to
cost you're hiring that person right cuz
like you've done it before fantastic
like the budget doesn't matter at that
point because the person's actually done
it and they will be there fantastic I
really feel like our field is going to
increase um in the value because of that
they're going to want to say okay
awesome the numbers came out on this the
AI told me this this year you've done it
before yeah done a
lot great I trust you the most I want
you by my side I want that companionship
as we lose more and more connection to
other
people it's my biased opinion and my
feel that like this is is a great place
where people want someone there um
online coaching is great that's fine and
all that but you're seeing actually
already a premium coming on like yo I
want to hire an inperson trainer can you
get me that person where like the boom
was the opposite for a while and now
it's already swinging back where people
would rather have somebody there in
person for all those reasons
so uh that is I think an incredibly
interesting
challenge but that's that's the way to
think about it that top one's going to
get better lots of
problems but what are we comparing again
and then what do we do about it that's
going be the real
trick we have a closing tradition where
the last guest leaves a question for the
next guest not knowing who they're going
to leave it for ah who on your team or
in your life can you not function
without who rarely ever gets the credit
they truly deserve oh
man I can't see any scenario how that
answer doesn't go straight to my wife
Natasha I don't want to be you know
cliche on in that one but it's not
cliche in my case it is um like she is
fundamental to so many things about my
life um the success I've had in the last
any number of years is um in large part
like because of her and I mean
tactically but I also
mean like
unfortunately uh I'm not particularly
fond
of talking to people when it comes to
like something crummy happens or
whatever I'm just like okay like I'm
honestly pretty good
about separating those things out so and
I don't like lock to tuck to people
about this stuff but when I do um that's
pretty much going to be her for the most
part and she's also very good
about sometimes because it's you know
when things that affect me affect her
it's the same thing so sometimes it's
like oh she needs me to talk to like I
don't want to talk to I don't care but
it's like okay I have to get in but
she's good about being like this is what
you need and this what you don't so yeah
I me I just there's no scenario in which
she's not the answer to that
question thank you so much you know this
is probably the longest conversation
I've ever had but for good reason
because I could have carried on talking
to you for a very very long time I find
it absolutely fascinating and
you're I've never really met anybody
like you in the sense that you're
so so innately p
passionate Mission driven and so
rigorous in the way that you present
information and you provide really
really important Nuance to everything
you're saying as you're delivering it
and I
think it's really really remarkable it's
really really really remarkable and I
don't say that lightly but I've spoken
about this subject matter before you
know I've had people on this this
podcast to speak about these but I've
never ever learned so much oh man you
know and I really really mean that um
but I've also never felt so empowered
which I think is an important point to
add because sometimes you can learn
something but it can feel disempowering
but to make me feel like I've I'm
intellectually better off in terms of
like my intellectual wealth around these
subject matters but also feel really
really empowered is a real superpower
you know and I just wish we could bottle
you up in a jar use AI to keep you alive
forever because I think you're a real
Force for good in the world so thank you
so much for giving me your time today
it's a real honor oh
man I I don't know how to accept
compliments like that so thank you so
much is all I can say it's an honor
thank you so much dry
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oh
Ask follow-up questions or revisit key timestamps.
Dr. Andy Galpin, a renowned exercise physiologist, discusses the fundamental pillars of human performance, focusing on longevity, strength, and health optimization. He highlights the importance of grip strength and leg strength as key indicators for life expectancy, while explaining how to identify 'performance anchors'—hidden stressors that hinder physiological progress. The conversation further explores sleep architecture, the role of environmental factors like CO2, and evidence-based nutrition strategies. Ultimately, Dr. Galpin emphasizes the need for consistency, a personalized approach to training and diet, and the critical role of maintaining physiological health to ensure independence and quality of life as one ages.
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