Sleep Doctor: If You Wake Up At 3AM, DO NOT Do This!
4747 segments
What are the most popular questions
people come to you with as a sleep
doctor?
>> There's three biggies. Number one is,
"What do I do if I fall asleep, okay,
and I wake up in the middle of the night
and I can't fall back asleep?"
>> And you can help people with that.
>> Absolutely. The second question is,
"What pillow should I buy?" And I'm
going to walk you through which pillows
make sense for which people. And then
another one that people ask me all the
time is, "What's the best time to have
sex?"
>> That's a strange thing for somebody of
your profession to be
>> about. Well, let me explain why. So,
I've been an actively practicing sleep
specialist for 26 years. I take care of
people's sleep problems like apnea,
insomnia, and I'm really interested in
the things that you might be doing right
now that are messing up your sleep that
are easy to fix. So, for example, most
people don't know that they have a
genetic sleep code inside them called
their chronoype, which decides when your
brain releases things like melatonin,
cortisol, adrenaline, and dopamine. And
so I can show you based on your
chronotype when it's bedtime, but also
the perfect time of day to do almost any
activity, including the perfect time to
have coffee and alcohol. Crazy. There's
even data to show that your ability to
understand complicated concepts improves
when you're more in line with your
chronoype. Now, there are three known
chronotypes, but what I'm famous for is
discovering a fourth one, which I think
might be you. So, we're going to talk a
lot about that. We're also going to talk
about dreams because dreams can tell you
things about yourself that you may not
want to know. And then there's how to
fix jet lag, whether you should sleep
with a TV on, the truth about melatonin
supplementation, and my favorite way to
get magnesium.
>> Before we get into all of that, shall we
go and look at the best possible sleep
position?
>> Yeah, let's check it out.
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yeah, let's do this.
>> Dr. Bruce, yes. What is it you do? Why
does it matter so much now? And what
perspective do you take on what you do
that is atypical versus other people I
might have spoken to about this subject?
>> I'm a sleep doctor. Um I take care of
people's sleep problems like apnea,
narcolepsy, insomnia, things like that.
I've dedicated a good portion of my
career not just to understanding how to
treat those disorders which are sleep
disorders, but what I also I call
disordered sleep. I'm really interested
in behavioral habits. What's going on?
what are the things that you might be
doing right now that are kind of messing
up your sleep that are easy to fix um
and be able to maybe change how things
are going forward? You know, I I didn't
start out thinking I was going to become
a sleep doctor if I'm going to be honest
with you. Like that that was not on the
on the path. Um I was actually going in
a completely different direction. And
one of the things I really discovered
was when you change someone's sleep,
dude, you change their life. Like it is
fundamental to who they are. And it's
important for me to be a sleep educator
in a way, shape, and form that's
practical so that people can actually
get something from what I'm talking
about and apply it right then and there.
>> And there's probably a couple of million
people that have clicked onto this
conversation to listen.
>> Yeah.
>> Who is this conversation for?
>> I think it's for anybody out there who's
either curious about sleep or wants to
try to improve their sleep or maybe
suspicious that they could have a
problem with their sleep. I think any
one of those three types of people would
find tremendous value here. And what are
we going to be able to do for those
people today specifically?
>> So, I'm going to give people um several
different like plans, if you will, uh
maybe even a five-step plan of things
that they can absolutely learn how to
do. They're also going to learn about a
genetic sleep code that they have inside
them called their chronoype. A lot of
people don't even know that they have a
chronoype or maybe they've heard of the
of the idea, but they haven't ever heard
of the term. We're going to learn a lot
about that. We're also going to talk
about dreams a little bit. Um I'm
excited to have the opportunity to do
that. I've spent the last year and a
half learning more about how to use
dreams in my clinical work as a
psychologist, which is very interesting
stuff. So, I'm excited to share some of
that. So, I think people are going to
learn a whole bunch.
>> And dreams matter.
>> Oh, yeah. They absolutely matter. I'm I
call dreams emotional metabolism, right?
And so, when you're dreaming, what is
you what is the function? What is the
purpose? What are you doing? You're
actually working through your emotional
states that you had during the daytime.
Um this is why we have nightmares,
right? And so in a nightmare, it's a
scary scene and all a sudden it gets so
emotional, you wake up. That is
officially called a nightmare. That
awakening, but you stop processing. And
when you go back to sleep, you go back
to the dream and you get to that scary
point, you wake up again and you get
caught in this loop, right? And so
dreams matter because they can be
incredibly disruptive. Also, they can
tell you things about yourself that you
may not want to know or may not have in
the front of your mind at all times.
Right? Sometimes people have very
interesting dreams like dreams of being
chased or dreams of their teeth falling
out or all these different things and
they can mean a whole host of different
things. But I want to be super clear.
There's no guide book that says, "Hey,
you know, if you're if you're dreaming
of that you're in water, you hate your
mother." Like, it doesn't really work
that way. Dreams mean something to the
dreamer. And so the goal is to
understand the context within that. So
who is the dreamer? What is the dream?
And then how do those two work together?
And what is the experience that you're
drawing from academically but also
professionally? Give me a view of how
many people you've worked with and
the range of things people come to you
with.
>> Yeah. So I've been an actively
practicing sleep specialist for 26
years. So I work in offices with medical
doctors cuz I'm not a medical doctor. I
have a PhD and I work with them on their
patients. lot of insomnia patients but
also the apneas, the restless legs, the
narcolepsies of the world because I have
kind of a unique distinction in that I'm
one of 168 people in the world who took
the medical boards without going to
medical school and passed. So I can work
within that framework and really
understand a lot of what's going on. I
don't prescribe medication, but if I'm
honest with you, most people don't need
sleep medication as far as I'm
concerned. I can get them to sleep
usually without any medication at all.
>> And you're a psychologist as well?
>> I am. I'm a clinical psychologist. And
how does those two worlds make 1 plus 1
equal three?
>> Sure. So when you talk about sleep,
psychology is all over the place. I
would argue 75% of the reason people
don't sleep is anxiety or fear. That
really falls well within the range of
psychology for sure. Um, and it's
different kinds of fears. It's fears
that you know about that are right in
your face, like something that's going
on in your daytime, but it could be
other fears. It could be fears of your
relationship. It could be financial
fears. It could be a whole host of
different things. So, I think there's a
lot of psychology that gets to be played
in all of this kind of thing.
>> I got two more questions before we
really get into the details and
specifics and start really helping the
audience with whatever they're dealing
with.
>> The first is we have lots of props here.
>> Yes.
>> Give me a a topline view of the types of
things you're going to show me and why
you've brought all of these wonderful
props.
>> Absolutely. So, I get asked a lot of
questions as you might imagine and um
one of the big questions that I get
asked is what bed and pillow should I
buy? So, sitting next to you is a large
stack of pillows, all different types,
actually. And I want to be able to show
some of your viewers how you look at
pillows and which pillows make sense for
which people. Believe it or not, there's
like a fitting process. We're going to
go through that. This device right here
is a sleep test, believe it or not. So,
it used to be we'd have to send you to
the hospital. Yeah, you can unwind it.
Uh, you have to send you to the
hospital. We'd put 27 electrodes all
over your body, respiratory belts across
your chest. We'd have cameras zoomed in
on you. And then, by the way, you're
supposed to be able to go to sleep,
right? And we're supposed to be able to
monitor you. Now, historically, we were
able to do that pretty well. But once
COVID hit, nobody wanted to sleep in the
same bed that somebody else had been
sleeping in the day before. So, now we
have what are called HSTS or home sleep
tests.
>> Wow.
>> Yeah. We'll talk about how to use it and
and what it can tell you.
>> My last question before we get into the
details is what are the most popular
questions that people come to you with
as a sleep doctor?
>> Yeah. So, I'd say there's probably three
biggies, right? Number one is, "Hey, Dr.
Bruce, I fall asleep just fine, but I
wake up somewhere between 1 and 3:00 in
the morning, and it either takes me 20
minutes or 3 hours to fall back asleep.
What the heck is going on there?"
>> And you can help people with that.
>> Absolutely. I'm going to give everybody
a exactly what I do in clinic. Like, I'm
going to explain to everybody exactly
what I say to my patients and how to go
about getting through that particular
problem because it's it's so flagrant.
Everybody needs to know how to how to
work with that. The second question
would be um what bed should I buy or
what pillow should I buy? I think we're
going to address that over here. Um and
then another one that people ask me all
the time is, you know,
is there some kind of timing? Is there
some like I feel like my body is off.
They say this all the time. They're
like, if I just lived in a different
time zone, I feel like everything would
work out well. So the very basics of
sleep.
>> Uhhuh.
>> What do I need to know about what sleep
is, the role it solves for us to even
understand the context of the things
we're going to talk about today?
>> Yep. There's only a few things that are
truly important to understand about
sleep. One is how does sleep work in the
brain. It turns out that there's two
separate systems in the brain. One is
called your sleep drive. The other is
called your sleep rhythm. And they both
work uh in an interesting way. They're
both a little bit like hunger, right? So
sleep drive is like hunger because right
I'm hungry. I'm hungry. I'm hungry. I
eat something. that hunger begins to
dissipate. Same holds true with sleep.
The longer you stay awake, the more the
more sleepy that you get. When you look
at it from a biology standpoint, it's
kind of interesting. So, when a cell
eats a piece of glucose, something comes
out the back end. One of those things is
called a denisonin. It works its way
through your system and goes to a very
specific receptor area, as a denisonin
accumulates, you get sleepier and
sleepier and sleepier. Now, why am I
going into so much detail? Turns out
when you look at a denisonin and you
look at caffeine, they're off by one
molecule. So, here's a little tip or
trick early in the pod for everyone. I
call it the nappa latte. So, what you do
is you take a cup of drip black coffee,
just throw in a couple of ice cubes,
right? Merely to cool it down, drink it
as fast as you can, and immediately take
a 25minute nap. The adenosin that's
built up in your brain will burn through
while you're napping. Caffeine, since
it's so close in molecular structure,
can fit into that receptor site. It
blocks any new adenosin. You're good for
four hours, guaranteed. I use it with
every CEO that I work with. So, let's
say you only got three hours of sleep
the other night and you've got a big
presentation to do or an awards ceremony
or something like that. You can do a
nappa latte for about 25 minutes or so
and you will feel much better. That's
sleep drive.
>> Let me just
>> Sure.
>> I want to make sure I really understand
this. Can you explain this to me again
as if I'm a 16-year-old? by having a
coffee and then taking a nap would make
me feel energetic because one would
think that having a coffee and taking a
nap are like
>> would be almost impossible, right? So,
number one, the caffeine doesn't kick in
before the end of the nap. So, a lot of
people think when I drink coffee, boom,
it just kind of spins up and all a
sudden I'm able to, you know, I get a
lot of energy from it. That's really not
actually how caffeine works. It has to
go down, has to get absorbed, has to be
digested. And so while all that's going
on, which takes approximately 25 to 30
minutes, you're actually taking a nap to
lower the amount of adenosin that has
built up in your brain. Let's say it's 2
o'clock in the afternoon and you only
slept for 4 hours and you are dragging,
right? All that adenosine that's built
up when you take that 25minute nap,
you'll burn through a lot of it and then
caffeine fits in and blocks any
additional adenosin from coming in. So
that way you're actually adding caffeine
to the situation and boom, your energy
goes straight. Okay. So adenosine is
makes me tired when it's docked in my
brain.
>> Exactly.
>> So I have 4 hours sleep which means
there's lots of adenosine and sleep get
clears the adenosine.
>> Correct. And then caffeine comes in
because it fits so perfectly into that
receptor site
>> and off you go. That's sleep drive.
Sleep rhythm has to do with your
circadian rhythm. Right. And so lots of
lots of information about that. But
basically your circadian rhythm is also
a lot like hunger. Right? You ever
notice you're hungry around breakfast
time, around lunchtime, around dinner
time, right? That's your circadian
rhythm for hunger. For sleep, most
people, at least here in North America,
have a tendency to fall asleep somewhere
between 10:30 and 11:00, 11:30 at night.
So, that's kind of the circadian rhythm
there. So, when your circadian rhythm is
high and your drive is high, you sleep.
But if either one of them is off, that's
when you have a sleep disorder or
disordered sleep.
>> My circadian rhythm is high.
>> When your circadian rhythm is on point,
high is probably not the right word. On
point. So meaning you are abiding by
your circadian rhythm. Now another
question you might say to me is well how
do I know what my circadian rhythm is?
And we're going to talk a lot about
chronotypes cuz that's what your
circadian rhythm is.
>> Okay. So let's do chronotypes then.
You've got some cards in front of you.
>> I do. I kind of like these cards. So
when we talk about chronotypes, a lot of
people may have heard of the idea but
not actually heard the term chronoype
before. So if anybody out there has ever
been called an early bird or a night
owl, those are chronoypes. So, we've got
early birds. These are people who, by
the way, this is genetic. You don't you
don't actually get to choose this.
There's a special area on your genome
called the PER3 area. And when you have
something called a single nucleotide
polymorphism or a snip. If it's flipped
one way, you're an early bird. If it's
flipped another way, you're a night owl.
If it's not flipped, you're in the
middle. Okay? So, so far, I haven't told
anybody anything new. Like, this is this
is all stuff that we've already learned.
The new part is this irregularity that
seems to happen for people during for
their sleep schedule. Specifically, an
irregularity in their melatonin and
cortisol production. So, all of this is
predicated on when does your body make
melatonin. So, if you're an early bird,
your body makes melatonin earlier in the
night starting at around 8:00 in the
evening. Makes you want to go to bed
around 9:30. You have a question.
>> So, melatonin is a hormone
>> it is
>> that
>> you produce inside of your body that
actually helps you sleep. It guides, it
tells your body when it's bedtime, which
is a little bit different than the
adenosine, which makes you feel sleepy.
>> I guess people listening now would be
asking themselves, why does it matter to
know my chronotype? Like, as it relates
to my productivity, the way I live my
life, my relationships, whatever matters
to me, why does it matter?
>> Because I can show you based on your
chronoype the perfect time of day to do
almost any activity. So if you f if you
know when your body is doing certain
things, when it has melatonin or when it
has cortisol or adrenaline or all these
other things, if you know the schedule,
you can actually just change your
activity to when your body is naturally
producing the hormone and then you do
the hormone better.
>> Okay,
>> so let's talk about the easy one, which
is sex, right? So a lot of people want
to know, "Hey, Michael, what's the best
time to have sex?" By the way, I think
that might be the third question that I
get asked most um often other than uh
the insomnia one and the mattress one I
think is what's the best time for sex
might be the the other question that I
get asked more than anything.
>> Must be tricky if you the time you want
to have sex and the time your partner
wants to have sex are off.
>> Well, think about it like this. What if
your partner's an early bird and you're
a night owl?
>> Yeah, I think that's me.
>> Don't worry, we're we're going to be
able to fix you. So, first of all,
there's a couple of different answers to
this question. So, number one is you
want to have a time. So, first of all,
most people are intimate between 10:30
and 11:30 at night. That's just a survey
that we did. So, it makes kind of a lot
of sense. But here's what's interesting
is your hormone profile doesn't look too
good at 11:30 at night for having sex.
In order to have successful sex, you
want to have estrogen, testosterone,
progesterone, adrenaline, and cortisol
all to be high and melatonin to be low.
What do you think your hormone profile
looks like at 10:30 at night?
>> It's literally the opposite, right?
Melatonin is high and all those other
things are low. That's hint number one
as to when would probably be the best
time to have sex. Hint number two, if
you happen to be having sex with
somebody who was born biologically male,
what do most men wake up with in the
morning? An erection. If that's not
mother nature telling you when to use
that thing, I don't know what is. Right?
So, when you start to look at it, and we
actually did the surveys, we discovered
that people actually have greater
connection and greater performance in
their sex when they have sex in the
morning time. Now, do you have to brush
your teeth and throw in a little
mouthwash first? Yes, of course you do.
Like, let's be fair to your partner
here. But you end up learning quite a
bit. Again, your body is telling you
this is actually the perfect time to do
something like this. Did you know
there's like a perfect time to have
coffee?
>> I didn't.
>> Yeah, there's absolutely a perfect time
based on your chronoype, too. One of the
first things that I ask people all the
time, I'll ask you, um, is the first
liquid that crosses over your lips in
the morning caffeinated?
>> Yes. So, let's talk about why that's
probably not the best idea. So, most
people don't know, sorry, most people
don't know, but uh sleep in and of
itself is a dehydrative event. You lose
almost a full liter of water just from
the humidity in your breath by by
breathing all night long. Caffeine is a
diuretic, which mean it makes you have
to go pee. So, when you're already lost
a liter, now you add a couple of cups of
caffeine, which makes you have to pee,
you're going to turn into a raisin
before this whole thing is through.
Okay? So, we need to get some water
inside of you. And so, one of the big
recommendations that I give all of my
patients is don't have caffeine for the
first 90 minutes you're awake. Now,
you're going to sit here and say, "9
minutes? That's a Michael? That's a long
time not to have any caffeine." Like,
how am I going to do that? Like, I've
got my morning routine. I can smell the
coffee in the morning. It smells so
good. Everything's going. How's how's
this going to work? Let me explain the
biology. In order to exit a state of
unconsciousness, you need two hormones,
and you need a lot of them. You need
adrenaline and cortisol and they both
wake you up. When you have a brain
that's full of adrenaline and cortisol
and you add caffeine to it, it's like
it's like adding weak tea to somebody
who's taking cocaine. Okay? It's not a
very powerful stimulant compared to the
hormones that are in your brain that are
a powerful stimulant. But if you just
wait 90 minutes, cortisol and adrenaline
naturally drop. If you have your
caffeine, then it actually boosts the
cortisol and gives you a bigger bang for
your buck. M
>> so you hydrate before you caffeinate and
about the amount somewhere between 15
and 20 ounces of water if you can get
that down in the first hour and a half
that you're awake.
>> What's that in English terms?
>> Oh, I don't know what that we'll have to
look it up.
>> Is it one cup? Is it two cups?
>> Oh, I would say it's probably 3 to four
cups of water.
>> Okay. Well, that's a lot.
>> Well, don't forget you've lost a lot of
water while you're sleeping and you
might have lost it the previous day
because let's say you worked out or
things like that.
>> So, let's get into these chronotypes
then.
>> Yeah. So, let's start off with the lion.
So, lions are my early birds. Um, you
know you've got a lion in your midst
when you get an email at 6:00 a.m.,
right? That's somebody who's been up for
a while and who's got their brain kind
of cooking. Um, lions like to make a
list and go from step one to step two to
step three every single day. They get a
lot of confidence and they get a lot of
pleasure following uh this list. But, if
I'm honest with you, being a lion isn't
all it's cracked up to be because dinner
and a movie is out for a line. They've
been up since like 4:30, 5 o'clock in
the morning, right? They don't want to
go see a concert late at night. They
want to go to bed at like 8:30, nine
o'clock. So, when you're looking at
lions or what I early birds, what I call
lions, they've got some very interesting
characteristics. They make up between 10
and 15% of the population from a
biological characteristic standpoint,
their melatonin stops early and their
cortisol starts early. So, their
melatonin stops at about 4:30, 5:00 in
the morning, and that's when cortisol
starts. And that's the reason why they
wake up so early.
>> What sort of window do the lions wake up
in?
>> So, it's interesting because I've got
some lions who are kind of extreme, like
they're getting up at 4:30 in the
morning, which is not really probably
the best idea. But generally speaking,
my lions get up right around 5 5:15 up
until about 6:00 6:30, but they are
definitely my early risers. They have a
small breakfast. They don't like to eat
a lot of food early in the in the
morning time because a lot of these
people like to go work out fairly
quickly after they've uh after they've
woken up. um which is very different
than some of my other chronotypes. My
night owls don't like to work out in the
morning. They don't like to do anything
in the morning. So, my lions like to
work out early in the morning. A light
breakfast. And also, their best work
window is usually somewhere between like
9:30 and 11:30. Like, that's when all
the good stuff gets done. Like when they
have if they have to get details or if
they have to do brainstorming or things
like that, that's really kind of where a
lot of the magic happens for them. By
about two o'clock in the afternoon,
there's not a lot of stuff left inside
the lion to be able to do do a lot of
good things. That's when I have lions do
more physical activities that don't
require a lot of cognition. So maybe you
go for an afternoon walk or maybe you
have uh you know you're you're meeting
with your folks that may not be really
detail oriented but more processoriented
in the afternoon
>> admin and stuff.
>> Yeah, absolutely. I actually had one uh
fellow chronotype his entire company and
then move meetings based on who was
going to be in the meeting. Like it like
he had all the early birds and he had
meeting at 8:00 in the morning and then
all the night owls he had a meeting at
4:00 in the afternoon. He said it was
amazing. He said it worked out really
really well.
>> Wow. What's the next one?
>> So the next one is the bear. So bears
are representative of people that are in
between early birds and night owls,
right? So bears are the best. Honestly,
dude, I wish I was a bear because the
whole schedule of life works on a bear
schedule. 9 to5 is perfect for a bear.
And they make up between 50 and 55% of
the population. So, literally one out of
two people is a bear.
>> And when's their peak work time?
>> So, their peak work time has a tendency
to be sort of in the noon to 2:00 range.
Um, they're a little bit later than what
you would see the line. Some of them, I
think, can actually be better at 11.
It's kind of interesting. And we've had
almost 3 million people take the quiz
and we've discovered that inside of
bears, there appear to be early bears
and later bears. So there are people who
fall into that category but like to get
up a little bit early. So for them their
productivity window is probably 10:30,
11. But for the later bears, it's more
like 11:30, 12, and then it's about a
2hour window after that.
>> For the people listening, um on screen
at the moment is a grid showing you the
different chronotypes, the weight times,
the peak work window, and the sort of
afternoon slump time. What's the next
chronotype?
>> So, the next chronotype is me, the wolf.
>> I think I'm a wolf.
>> You might be a wolf.
>> I love lions. I get it. I get a wolf.
>> Well, you might be. Hey, look, join me.
It'd be great. So, wolves represent the
night owls, right? And so, wolves are my
artists, my actors, my creatives. If you
know a creative, when do they get their
biggest idea? It's not 2 o'clock in the
afternoon, it's 2 o'clock in the
morning. Wolves are my highest
risktakers. I know that that probably
you fall into that category as well.
Wolves are the folks that show up at the
party at 11 o'clock at night, but they
stay till 2 o'clock in the morning and
they help you clean up and they hate
mornings more than anything.
>> So, should we talk about dolphins?
>> What's the next one? Yeah,
>> dolphins. This is the category that you
fell into. So, let's talk about who are
the dolphins and and what does this
actually represent? So, dolphins are
usually highly intelligent. They're
usually people who are fast-talking,
well- read. These are people who are a
lot like a lion in terms of they like to
get up. They crave longer bouts of
sleep, but unfortunately their body just
doesn't have a long sleep drive and so
they get really frustrated a lot of
times. Um, also I think they have just a
teeny bit of anxiety behind them. So a
lot of them, for example, the details
really matter to a dolphin, right?
Versus other people where details might
not matter nearly as much. I think a lot
of my dolphins have got just a little
bit of obsessivecompulsive disorder. So
they're kind of focused in on the on the
different things. Like if I ask a
dolphin to do a project, generally
speaking, they're never finished with it
until I say, "Can you just give me the
project back now because they're always
working on a little detail here or
working on a detail there." Um, but
dolphins are my favorite. They're the
people that I actually wrote the book
for. Um, they're the ones that I I enjoy
working with the most. Um, because
they're actually the easiest to work
with because we can once I explain to
them how their hormones can be up and
down and sideways, it can it starts to
make a lot more sense for them. And for
anyone trying to figure out which one of
these they are, where do they go to do
the test and how long does it take?
>> Yeah, you can go to my website. It's
called chronoquiz.com.
Uh, and uh, it takes about 3 4 minutes.
It's not very long at all. It's going to
ask you a bunch of questions about your
sleep, about timing, things like that.
>> Okay, I'll put that in the description.
So, after you finish listening, you can
all go take it and let me know your
thoughts in the comments section as
well. So, once you figure out what your
chronosype is, come back to the episode
and and let me know below,
>> please.
>> And does my sleep change with age,
Michael? It does. Absolutely.
>> So, do my do my chronotypes change with
age?
>> They do, actually. So, believe it or
not, you've gone through all the
chronotypes already. When you're an itty
bitty baby, you're a lion. You go to bed
really early. You wake up really early,
right? Then you're a toddler, right? And
in in like grammar school, you're a
bear. You're going to bed around 7:30.
You're waking up around 7:30. Then
adolescence hits, right? What do you
want to do? Stay up until midnight and
sleep until 2, right? You become a wolf.
Then at about 23 24 your chronotype has
a tendency to set into one of those
three or four things and then you stay
there for an extended period of time
like 25 30 years until you hit my age.
So I'm going to be 58 soon and right
when you hit in the mid-50s what we see
is melatonin production can either slow
down or get earlier. So as an example if
your parents are still alive and you
said hey mom dad I want to go for
dinner. What time would they want to go
for dinner?
>> Early.
>> Right? four o'clock in the afternoon,
4:30 in the afternoon, you're like,
"What is wrong with you, mom? What's
going on?" That's her chronoype is going
backwards and your sleep changes over
the course of time. To be clear, at once
you hit like age probably 50, 45 or 50,
we start to see a slowdown in production
of melatonin. We also see an increase in
what are called EEG arousals. So things
that break up your sleep and make it so
it's not so continuous. That can be
problematic as well. So there's a lot of
things that can happen as you age.
>> So do I start sleeping less as I get
older? You start sleeping poorer
quality. I'm not convinced that it's
always less.
>> And is that going to make me grumpy?
>> Yes, it is.
>> Really?
>> Absolutely. Poor quality sleep is, I
would argue, is much worse than poor
quantity sleep. I I would rather I've
got somebody who got 5 hours of really
great sleep versus seven hours of really
light crappy sleep every time.
>> Does that mean that as I get older, I'm
going to be more grumpy?
>> It depends on the quality of your sleep.
So, what I can teach you is how to not
get poor quality sleep as you age.
Perfect example, a lot of folks who are
a little bit on the older side are used
to drinking coffee late in the day.
Well, if you change that habit, then you
don't have as many sleep problems.
>> And I shouldn't I shouldn't be having
coffee late in the day at all.
>> Probably you want to stop by about 2
p.m., right? So, if you stop around 2
p.m., the halfife of caffeine is between
6 and 8 hours. So, 8 hours later is
roughly 10, which is roughly when people
are kind of wanting to go to sleep. So,
I would say that that would probably be
the the time to do it. I think about my
siblings and us all being woken up for
school and I think about my performance
in school
>> and of all my siblings, there's four of
us.
>> I was the one that always struggled with
being woken up in the morning in part
because I'd gone to bed later.
>> But then I was also the one that
struggled with school the most.
>> Yeah. That characteristic of a wolf
characteristic of this night person. If
I'm honest with you, dude, like most
kids should not be waking up at the time
they're waking up to go to school,
right? I mean so many kids are waking up
at real like you know 5:30 6:00 in the
morning they have an hourong bus ride
then they get there and if you're an
adolescent I don't think anything could
be worse
>> right
>> so we have to really start to try to be
a little bit more thoughtful and look at
like what are some of the activities
that kids are doing how can we get them
to maybe take naps during the day if
they need them um athletic performance
can depend on sleep academic performance
can depend on sleep it's it's
unbelievable all the different things
yes
>> has there ever been any research done
>> there has on different chronotypes
academic performance.
>> There has been actually they haven't
they labeled it directly as chronotypes
but they've looked at it based on age
range and we know that for example here
in the United States there's a big push
for to change school start times so that
way high schoolers aren't starting at
7:00 in the morning because high schools
shouldn't be starting at 7 o'clock in
the morning. Preschoolers should be
starting at 7 o'clock in the morning
because their body naturally wakes up at
that time. So, we've actually seen there
was a great study um that was done at
the University of Minnesota that
discovered that um when they just had
people come in 1 hour later from their
first period, they improved by one full
letter grade, meaning they went from
being C students to being B students or
from B students to A students merely by
changing the timing of their first
class. So that should give you pretty
good insight as to sort of these big
area like and and all children are
vulnerable to this. Like this is not
like I'm not telling you anything that's
new. This is these are studies that have
been going on for quite a while. And
there's actually a whole movement trying
to get school start times to to slow
down now.
>> Looking at some of the research here, it
says research consistently shows that
morning types, which is the
>> lion,
>> the lion, earn higher grades not due to
higher IQ, but because exams are
scheduled during their peak alertness
windows. You got it.
>> That's crazy.
>> Sometimes wolves turn out to be much
smarter, but because they're they can't
perform at those early times, nobody
knows. Remember, wolves are my
creatives. Like, where do you think some
of these create great creative
innovations and ideas come from in the
tech world, right? Like, these are the
wolves that are out there that are up
late at night coding and trying to
figure out what's going on.
>> It's pretty cool when you think about
it. And I just there's this thing called
the synchronous synchrony effect from a
study in 2020 where nearly 800 students
found a clear synchrony effect. Students
performed significantly better when
their class schedule matched their
chronotype.
>> Exactly.
>> Those morning people dominated in
morning classes and and the owls um or
the wolves often caught up and
outperformed the morning people when
tested in the afternoon or evening.
>> Exactly.
>> It's pretty fascinating. Now think about
it like this. Could you imagine a school
system where if we identified children's
chronotypes during their particular age
range and then we changed the testing so
that they got tested when they're at
their peak hours?
>> Yeah.
>> They'd actually do better.
>> People don't know this, but I never do p
podcasts in the morning.
>> I don't blame you ever.
>> You shouldn't. Yeah.
>> It's it's not your time. Yeah.
>> Right. Like you have a very specific
subscribed time that I think works well
for you. So I think you should abide by
that.
>> Duration of sleep. There's lots of
conversation around how long you're
supposed to sleep for. What what's the
truth? Yeah.
>> 8 hours is a myth. Let's be fair. Like
we came up with that from like the 30s.
There was a great study at Stanford that
came up with 8 hours and 13 minutes plus
or minus. And that's kind of where we
came up with that as an idea. The truth
of the matter is somewhere between 7 and
9 hours really is kind of the amount
that people should be looking for. But
some people don't have that luxury. Some
people don't have that much time that
they can put towards sleep and so they
get a little bit less sleep. But for the
lower level limit, I don't like anybody
getting less than 6 hours. When somebody
gets less than 6 hours sleep, their
driving is off. And so you can't operate
machinery. So if you're driving to work
or god forbid, carpooling your kids to
school and you're only you only got, you
know, less than 6 hours of sleep on on
board, it's probably not going to go
well.
>> We we do have to stop here and talk
about parents because listen, you're
either a parent now, you might be
someday. Absolutely.
>> Maybe you won't be. But for those I've
just got a huge amount of respect for
parents because you know I've gone I'm
not a parent yet. I hope I will become
one. But when I see what my brother who
has three kids under the age of what
seven now um
>> how much sleep has he lost?
>> A lot and and and his wife as well. But
um you must get parents coming to you
all the time being like what the hell do
I do? Like I've got the I've got to wake
up when the kids wake up and but I'm
it's destroying my my relationship, my
marriage, my sex, whatever it might be.
>> Yeah. So parenting children and sleep
are difficult to coexist, but they're
not impossible. It really has to do with
discipline and kind of thinking through
some ideas for yourself. When my So I
have a 23-year-old son and a 22-year-old
daughter, so I'm a little bit out of the
the realm of having to deal with them
every day. Um, but I was, like I said
before, I was in charge of mornings uh
at our house waking them up. And it's a
lot, right? And so the very first thing
that I try to explain to parents,
especially if they have a child who has
an irregular sleep pattern and is really
causing chaos for the rest, like one
child who won't go to sleep and it's
keeping every the whole house up. First
thing you want to do, educate the kid,
right? A lot of kids don't know what
they're doing is causing a lot of
problems. They they're just kids.
They're just hanging out having fun. You
know, they're they've got energy. They
want to be awake. So that you want to
educate them and say, "Hey, now is a
particular time to wind down. This is
where your body recovers. this is how
you get to do sports the next day or
theater the next day or ac whatever your
computers whatever your thing is you can
tie it to sleep and performance pretty
easily and so getting them to understand
that becomes very very critical number
two is have some guidelines right have
bedtimes have wake up times and follow
them as quick as closely as you can for
parents oftentimes what I try to tell
them to do is like look after your child
goes to bed if you've got a child that
has problems for sleeping
take turns. Do what I call the on call
method. So, as a doctor, sometimes, you
know, you get a call in the middle of
the night because you you're covering
patients at the hospital for your buddy
or something like that. You're on call.
So, when you've got two people who are
managing one child, one person handles
Monday night, Wednesday night, Friday
night, the other one handles Tuesday,
Thursday, Saturday. You flip a coin for
Sunday. So, if the kid wakes up at 2
o'clock in the morning, both parents
aren't awake. One parent has that
responsibility. the other one can keep
their eyes closed and go to sleep.
Interesting study was done looking at
men and women in bed when a child cries.
So women take care of the child whereas
men lie there and fake sleeping in order
to be able to stay asleep, right? That's
problematic. Um in a lot of
>> they know in the study that they were
fake sleeping
>> because they asked the men afterwards
what were you doing and they all said
they woke up and they were faking it.
It's pretty crazy when you think about
it. But this is a big this is a big deal
for parents, right? A lot of parents
turn to me and they're like, "This is
killing our marriage." Like, "We haven't
had sex in, you know, three years
because we've got a child who maybe the
child has special needs or maybe the
child doesn't have special needs, but
has other things going on or maybe it's
just normal development and and you
know, they're worried about it." And so,
what I like to sit down with parents and
do is number one, let's figure out when
your kid needs to sleep and let's set
some guidelines and rules. But number
two, let's do the same for you.
>> Right? A lot of parents when they're
super stressed out, one of the first
things they do, grab a glass of wine,
right? Wine's about the worst thing you
could possibly do for sleep to be fair.
Now, I'm going to teach people how you
can still have a glass or two of alcohol
and not completely destroy your sleep.
But I want to be very clear about
something. If you're using alcohol as a
stress relief tool at night before bed,
it's messing up your sleep probably
pretty bad.
>> You might be asleep, but the quality of
your sleep is
>> is [ __ ] It's awful, right? And
interestingly enough, during the one
stage of sleep that alcohol knocks out,
which is stage three and four sleep,
what's the most interesting is that dur
during that particular stage of sleep,
there's something called the
glimpmphatic system that comes in and
scoops out these proteins that have a
tendency to accumulate in your brain.
And when proteins accumulate in your
brain, they wrap around the nerves and
that's called Alzheimer's disease.
>> So stage four sleep is imperative to
avoid Alzheimer's disease. And when you
drink alcohol, you destroy stage four
sleep. H.
>> So, it would be great if nobody drank
alcohol, but I'm not so stupid as to
think that. Plus, I like bourbon. I like
whiskey. I enjoy a glass of champagne
every once in a while. So, how can you
successfully still drink alcohol and
still get a decent night's sleep? I'm
going to give you a quick one, right?
Let's say you're having dinner at 6:30,
have your first glass of wine, then have
a glass of water, right? Then your
second glass of wine starts at, let's
say, almost 7:00, right? Then you have
your second glass of water. Then you
stop everything by 7:30. You wait 3
hours, which would be 10:30, and then
you can go to bed.
>> Why the water? Why the weight?
>> So, the water helps wash it through the
system. Also fills your stomach up so
you don't have too much. So, you you've
got more fluid in there so that way you
don't drink extra wine. Um, and it makes
you have to pee, which flushes the
system out as well. The 3 hours.
>> And it hydrates you.
>> It does. Okay.
>> Absolutely. Because remember, wine pulls
uh both magnesium and uh most water out
of your system because it makes you have
to go pee.
>> Helps with the hangover. So, there's a
couple of different things that I would
say. Number one, this definitely helps
with the hangover because you've got
water going in. For a lot of my
patients, what I tell them is the very
last thing that you could do is have a
little bit of coconut water. So, coconut
water is loaded with zinc, magnesium,
and vitamin B. And those are some of the
things that get pulled out of your
system uh when you're drinking. By the
way, did you know that there are happy
hours specific to your chronoype?
>> Didn't know that. No.
>> Yeah. So, it's kind of interesting. So
here's what's cool about it is your body
produces something called alcohol
dehydrogenase which is how you
metabolize alcohol but it does it at a
particular time and the time is
different for each chronotype.
>> So your body is most efficient at
drinking between basically the hours of
4 and 8 happy hour as a lot of people
know it.
>> And how do you think about what time you
eat at night time?
>> Such a great question. So 3 hours before
bed, you want to stop fluids including
alcohol um and food. You want to just
stop it all 3 hours before bed. So it
takes your body about that level of time
to number one digest, clear all the
food, and then have all the mechanisms
that are working towards digestion now
be able to be refocused onto the
recovery process of sleep. However, I I
will tell you that there's this uh I've
seen a couple people and there are
people out there that are claiming that
if they stop eating at 11:00 in the
morning that it helps their sleep
dramatically at night. And it turns out
it has to do with your heart rate. So,
one of the big metrics that is very
important that all of our viewers and
listeners want to know is you need a
heart rate of 60 or below in order to
enter into a state of unconsciousness.
And when you've got food in your
stomach,
>> your heart rate is up.
>> That's right.
>> So, right. So if the longer you can
wait, the lower your heart rate is, the
easier it gets into sleep. And so when
we're talking about So a great example,
let's get back to parents for a second,
right? You feed your kids at an earlier
time and then what do you do? Oh, then
you go back and have dinner with your
spouse, right? Maybe that's not the best
idea because you're having dinner so
late. Maybe you should have dinner with
your kids, right? And and enjoy that
time with them and eat earlier because
that gives you more space later on to be
able to relax and go to bed. I said that
tracks because I remember I've told this
story once or twice before. I remember
when I was doing some podcasts over here
in LA, we had Seth Rogan on.
>> Sure.
>> And the day before in the hotel before I
lived here, I had a cookie from the mini
bar. I'm going to admit it. I had the
cookie and
>> they're so good.
>> It was And then I went to bed pretty
quickly.
>> Oh god,
>> we were just terrible. And I was looking
at my whoop the next day ad
>> and it my heart rate
>> was like 75 or 80 for the first 2 to 3
hours after I got into bed.
>> Isn't that crazy?
>> And I woke up feeling like hell.
>> Yep.
>> Terrible day the next day. I was
terrible during the conversation
>> and I looked at my go, "Oh my god, it
was that cookie. It put my heart rate
high."
>> So also on top of that is sugar.
>> Yeah. I mean, [ __ ] me. Yeah.
>> Right. So sugar turn so sugar actually
slows production of melatonin. Remember
melatonin is kind of the key that starts
the Yeah. The key that starts the engine
for sleep.
>> So is there anything else that I can do
to make sure my heart rate is low as I
get into bed?
>> Absolutely. Meditate.
>> Okay.
>> Breath work. All kinds of brings my
heart rate down.
>> Yeah. Absolutely. So what a lot of
people don't realize is just because
we're breathing doesn't mean we're
actually breathing in a way, shape, and
form that can be helpful for us for
sleep. So, in my most recent book,
Sleep, Drink, Breathe, I talk a lot
about breath work and what is it and how
does it work for you. But I'd love to
teach you my favorite form of breath
work and meditation. Um, that I think
you'll you'll get a lot out of. So,
>> and I do this before bed.
>> Exactly.
>> Okay.
>> And you can, by the way, you can do it
in the middle of the night if you wake
up as well. Right. So, let's talk about
how to get how to fall asleep and do
some relaxation exercises for that. And
then I'm gonna give you some different
ones for in the middle of the night. So,
let's talk beginning of the night. So,
number one, you need runway to land the
plane. Okay? So many people think
they're just waiting for their head to
be bobbing in front of the TV and then
they go brush their teeth and they get
in bed and then all of a sudden they're
wide awake and they don't know what's
going on, right? So, you need time for
your system to shut down. It's not an
onoff switch. It's more like slowly
pulling your foot off the gas and slowly
putting your foot on the brake. There's
a process. It should take you about 12
to 15 minutes to actually fall asleep.
Okay? So number one, what I ask people
to do is take the last hour before bed
and chop it up into three 20 minute
segments, right? So let's say you're
going to bed at 11, starting at 10:00.
And by the way, set an alarm on your
phone to to tell you that it's 10:00
because it's really easy to slide by
your bedtime and then all of a sudden
it's like all bets are off. So set the
alarm 20 minutes for [ __ ] you just got
to do. So, in our house, it used to be
getting backpacks together for school
for our kids, finding sports equipment,
maybe laying out my stuff for work the
next day or getting last emails sent,
something like that. 20 minutes for
hygiene, right? Brush your teeth, wash
your face, maybe take a shower,
something along those lines. And then 20
minutes for some form of meditation,
relaxation, prayer. I don't care what
you do, but it has to be something
that's calming to get you there. Okay?
So, my one of my favorite techniques to
do is meditation. Now, I'm going to be
honest with you. I'm a terrible
meditator. I have never been able to do
it. I've actually gotten kicked out of
meditation retreats because I'm the guy
that's like, "What's going on?" Like, am
I doing it right? You know, I'm kind of
that that person. And so, I was I was
told about this tool called a Muse
headband. We have one right here. So,
this is my personal Muse. I actually
brought it from home. And um you'll
notice on the inside there are sensors
here. And there are sensors along the
earpiece here. And so what happens is is
you wear it on your head, right? And
it's measuring your brain waves. And so
when we're Yeah. Check it out. And so
when we're when we're doing it and we're
measuring brain waves. Yep. Exactly. And
that goes on the back part. Yeah. There
you go. So what's cool about this is
it's attached to an app. And then while
it's measuring your brain waves, you're
listening to a particular music. It
could be a guided meditation. It could
be any of those things. And while you're
doing this, the volume gets lower. And
then you know you're getting closer to a
meditative state.
>> The volume comes down when
>> on the app when your brain wave starts
to relax.
>> Oh, okay.
>> So, you're immediately getting feedback.
We can try it if you want. Um, but it's
pretty interesting. And then when you
get to the alpha state, little birds
start chirping.
>> The alpha state.
>> Yeah. The alpha state is when your eyes
are closed and you're at the most
relaxed state of your brain waves. It's
called the alpha state. And that's
really what people are trying to get to
for meditation.
>> And are you affiliated with this company
in any way?
>> I am not.
>> And how much does it cost? I think it's
around $275
I think is the headband.
>> Okay. Interesting.
>> It's pretty fascinating. Um I I've been
pretty impressed with them.
>> So that's meditation.
>> You talked about breath work as well
before.
>> Yeah. Let's talk about it. So one of the
other things that I do is I do something
Well, this isn't breath work. This is
called progressive muscle relaxation. So
this is where you tense and relax
muscles starting from your feet and
going all the way up your body. And as
you tense and relax the muscles, you
feel that relaxation from releasing that
tension and it helps you fall asleep.
Um, actually, you know what I can do is
I can send you a an audio file that has
me walking through progressive muscle
relaxation that we can make available
for everybody if you want. We for free.
It's no big deal.
>> Amazing. I'll put that in the
description below as well.
>> Yeah. Yeah. People will really dig it. I
think they'll really enjoy it. So,
that's another thing that we do. But
now, let's talk about the middle of the
night, right? So, by the way, do you
have this as an issue? Have this has
this happened to you before? It it
happens sometimes and it's typically
when like my sleep is somewhat
disordered or disruptive or when there's
really something on my mind.
>> Yes. So that that precipitatory anxiety
like before a flight like if I have an
8:00 in the morning flight like I sleep
like [ __ ] the night before because I'm
constantly worried about that. Right.
But a lot of times what people do
normally is they just wake up in the
middle of the night and they can't
return to sleep and they're really not
sure why. So number one there's biology
involved. So your core body temperature
rises rises rises and when it hits a
peak it drops. That drop is then a
signal to your brain to release
melatonin. Right? Again, the key that
starts the engine for sleep. However,
your core body temperature continues to
drop, drop, drop. By the way, this is
the reason why we tell people you want
to sleep in the cool, not the warm
environment. Because again, your core
body temperature is dropping. If it's
too hot, your core body temperature
can't go down and you can't get to
sleep,
>> which tracks with evolution.
>> Exactly. So, here's where it gets
interesting is it keeps going, going,
going, and then at some point in time,
your body has to heat up. And if it
doesn't heat up, you go hypothermic.
Guess what time that is? Between 1 and 3
o'clock in the morning.
>> Oh, your body starts heating up at 1 1
and 3.
>> Every single person's body on Earth does
this. Everybody on Earth wakes up
between 1 and 3:00 in the morning.
However, most people burp, roll over,
get comfortable, and fall back asleep in
30 seconds. However, there's a select
group of people who end up being my
patients who don't have that. And there
here in lies the problem. So, here are
the steps you want to take in the middle
of the night to be able to solve this
issue. So number one, don't go pee. I
know, I know, I know people like, "What?
What are you talking about, Michael?" So
here's what ends up happening is when
people wake up in the middle of the
night, they say to themselves, "Well,
I'm up. I might as well go pee." Right?
Here's the problem. Remember I told you
the big metric was in order to enter
into a state of unconsciousness, you
need a heart rate of 60 or below. Right?
What do you think happens to your heart
rate when you go from a lying position
to a seated position to a standing
position? You walk across the room, your
heart rate goes straight up. So what we
want to do is keep your heart rate down.
So, if you don't really have to go to
the bathroom, don't go to the bathroom.
75% of people sleep on their sides and
they kind of squunch up, which means
they're putting pressure on their
bladder. So, my guess is is that most of
those people, if all you did was when
you woke up is lie and get on your back
for about 25 seconds and see if you
still need to pee. If you don't need to
pee, stay in bed and keep your heart
rate down. If you need to pee, please go
pee. Right? If you're going to go to the
bathroom, have a strategically placed
nightlight along the way so you don't
have to flip on the light in the water
closet because if you do that, you just
told your brain it's morning and it
stops producing melatonin. But let's say
you don't have to pee. The second thing,
don't look at your phone. Now, this
turns out to be very difficult for 99%
of the people out there because the
first thing they do is they grab their
phone and they head to the bathroom,
right? and they're either checking
emails, looking at Facebook or Twitter
or whatever social media they're on,
>> or we're just trying to figure out what
time it is
>> or and that's where the problem is is as
soon as you see the time, you instantly
do the mental math and now you're pissed
off, right? It's 3:30 in the morning. I
got to get up at 6:00. Sleep, sleep,
sleep. And you try to force your brain
to sleep. Dude, in the history of time,
nobody has been able to force their
brain to sleep, okay? Because your heart
rate's going in the wrong way, right? It
needs to be coming down. So, if you can,
don't look at the clock. All right, so
you haven't peed, you haven't looked at
the clock, but you're still awake and
nothing's going on. Here's where the
breathing technique comes in. It's
called 478
breathing. I did not develop this
technique. It was developed by Dr.
Andrew Wild, Harvard trained natural
doctor, super smart dude. Um, and uh, he
did it for the military to teach them
how to lower their heart rate during
stressful situations. We use it because
it helps lower our heart rate past 60.
And it's super simple. I'm going to get
you to try it. So, go ahead and sit up
straight. Okay. And so all you're going
to do is breathe in for a count of four.
You're going to hold for a count of
seven. And you're going to breathe out
for a count of eight. And I'm going to
walk you through it. I want you to have
your eyes closed. And what I also want
you to do, you're going to go in through
the nose, out through the mouth. And
then what I also want you to do is
picture the number in your head. So when
I say breathe in two, three, four, you
should picture the two, the three, the
four in your mind's eye. Okay?
>> With my eyes closed.
>> With your eyes closed. You ready?
>> Yep. Breathe in. 2 3 4. Hold. 2 3 4 5 6
7. Push. 2 3 4 5 6 7 8. Good. You want
to get through about 20 cycles of that.
It's incredibly relaxing. I actually did
it before I came out here to do the pod
because it helps lower my heart rate and
gets me centered.
H. It's pretty remarkable. Now, there's
some problems with the technique. Number
one, sometimes it's hard to hold for
seven, and sometimes it's really hard to
push for eight. So, I tell people you
can do this four, five, six, 4, 6, 7, or
478. So, just work your way up to it,
right? If if it's too hard to hold your
breath for 7 seconds or it's too too
hard to push your breath for eight, you
can do a little bit less just while
you're getting used to it. And then the
other big thing is it's hard to figure
out where the 20 cycles is because you
need to get to 20 cycles of this. So,
what I have people do is take their
hands and make light fists while they're
doing this. And when they do one cycle,
they put out a finger. Another cycle,
put out a finger. And before you know
it, you got 10. And when you bring it
back, you've done 20 cycles.
>> It's funny. I just did two and I start
yawning.
>> I know. I just saw that. I'm telling
you, dude, this thing works, right? And
so, I have people do this technique.
Here's the best part is it avoids monkey
mind, right? So, what is monkey mind?
Monkey mind is I'm thinking about stuff
that I have no business thinking about
in the middle of the night for
absolutely no reason. Like what's on the
grocery list or what did I say to my
spouse or did that podcast go okay or
any of the things that might be floating
through your head? You cannot count and
worry at the same time.
>> And why does it work? What's going on in
my physiology? Uh-huh. You're
distracting the brain from the thing
that's stressing you out and it's
lowering your heart rate and then the
natural sleep process comes in after it.
So, all these are are distraction
techniques to be clear. Now, there's
there's several of them out there. One
of the other ones I use for some of my
patients is I tell them, "Hey, count
backwards from 300 by threes. It's
mathematically so complicated you can't
think of anything else and it's so damn
boring. You're out like a light." On
that point of distractions, a lot of
people go to bed listening to podcasts
or movies. Jack was just saying that,
you know, he he needs to listen to
something to fall asleep. I'm the same.
I listen to like serial killer stuff,
>> which is, you know,
>> that's interesting.
>> Don't don't judge me.
>> Wait till we get to the dreams part of
the podcast. I can't wait to hear what
you dream about. I
>> I don't I think I always try and figure
out why it is. And I My sister's the
same, my sister Amanda, and she
>> she listens to serial killer stuff to
fall asleep. I think it's because this
is just hypothesis. My mom would always
ask me to put on forensic files, which
was this like serial murder documentary
thing when we were younger cuz she
couldn't use the remote. So my mom would
say she'd pass me the remote, say, "Put
on forensic files." And I'd like put on
the number for her, right?
>> And so that was always playing in our
house at night time. And we all had TVs
in our bedroom that just mirrored what
was ever what was playing downstairs,
course.
>> So when I got into bed,
>> I'd watch
fall asleep.
>> This explains a lot about you.
>> I know, right? You say that to people,
they think you're yours. Yeah.
>> So, let me tell you what it's like in my
house. And actually, you and I have a
commonality. So, in my house, we have a
big screen TV. It's on all night long.
>> Where? In which room?
>> In my bedroom.
>> Okay.
>> Okay. When I met my wife, she said to
me, "Michael, if you ever happen to
spend the night, I want to let you know
that I sleep with the television on." I
said, "Don't worry about that, Lauren.
I'm gonna be a sleep doctor. I'm gonna
fix that." We we met when I was uh 30,
so uh known her for quite a while. And
uh you ever tried to change something in
your bed partner? Yeah, good luck.
>> Yeah, good luck. So I took the TV out.
She said, "If you ever want to come back
in here again, I suggest you put the I
put the TV back in." And then I studied
her to learn what was going on. And it
turns out that she's listening to it out
of what I call the corner of her ear.
Her eyes aren't even open. And half the
time it's a episode of Seinfeld or
something like that. My wife actually
likes murder mysteries and so it's
usually forensic files or something
along those lines that's going on. But
for her, it's a perfect distraction
technique. Now, there's a second thing
that's important uh in our bedroom that
happens uh is we have two dogs. They
sleep in the bed with us. I'm the
freaking sleep doctor, dude. Like, it's
insane. But the point here is sleep is
flexible. Okay? Just because it works
for you doesn't mean it works for your
bed partner. And and vice versa is also
true, right? Like just because some
people can't sleep with the TV on
doesn't mean that it's going to mess up
your sleep forever to have the
television on cuz it's not. And by the
way, 99% of TVs have timers built into
them. Like if you don't know what it is,
ask your kid. I had to ask my son. He
showed me how to use it. We turned it
off. It wasn't a problem, right? So
creating a sleep environment that is
conducive to sleep for you and your bed
partner can have a lot of variation to
it. And I don't think people there's no
hard and fast rule that says, "Hey,
nobody should ever sleep with the TV
on." I mean, there are people out there
who say that, but quite frankly,
everybody sleeps with the TV on.
>> Well, a lot of people do. I I I wouldn't
put the TV on in our bedroom. I mean,
we've done it once or twice or whatever,
cuz we're watching something and we slip
off to sleep and I wake up and I realize
it's on and I turn it off.
>> But I I also really think it's an
important point to say that people will
listen to podcasts like this. They'll
listen to the like biohackers of the
world and then they'll get so militant
about how they fall asleep that it will
cause friction because one partner is
different.
>> Don't do that. And I had this problem in
my relationship which was
>> my girlfriend sleeps in silence and is
has like just such a glorious routine to
everything she does.
>> And I am
>> completely the opposite
>> and the opposite like I need to like I
want to listen to a murder. I could be
on my phone. It's like when I look at my
Whoop scores
>> works for me.
>> Yeah.
>> It's like I am getting I have I get
great sleep even if I'm listening to a
serial killer documentary.
>> So
>> but not if you eat a cookie before bed.
>> Not if I eat a cookie. That's that's
gone. But I so what I do is I put one
AirPod in in my right ear. So whichever
ear is not going to be on the pillow
>> and it means I can listen to her if she
says something.
>> But when it's silence, all I hear is the
thing that I'm listening to.
>> So I've got a trick for you.
>> And I wake up in the morning and dig the
AirPod out of the bed where it ended up.
>> Right. So now I'm going to help you with
the digging of the AirPod. So first of
all, they now make these things called
pillow speakers.
>> Oh, interesting.
>> Right. So it's a it's a it's a Bluetooth
speaker that will attach to your phone
that you can just slide and it's just
under your pillow so only you can hear
it. So, that's number one. You might
want to consider that. And they're
pretty inexpensive. Number two, they now
make specifically earbuds designed to be
slept in.
>> Oh, nice.
>> So, there's a a new company out called
Next Sense. Um, and they have developed
an earbud that actually measures your
brain waves while you are sleeping. And
when you move into a lighter stage of
sleep, it sends in a frequency signal to
help you go back to sleep or to stay in
that depth of sleep. Brand new company.
Next sense. I have nothing to do with
them. I mean, it's a friend of mine who
owns the company, but I'm not on their
own.
>> I would like something to do with them
>> if we'll figure that out.
>> So, does it allow you to play your music
as well or your or your podcast or
whatever?
>> I can listen to Diary of a CEO every
single night while I fall asleep and it
will make sure that I don't wake up from
any dreams.
>> And you can still like and subscribe and
stuff.
>> Even through the earbuds, of course. I
think everybody should like and
subscribe.
>> That's a good feature like an AI agent
that helps you subscribe. Okay, so
that's that's you woke up in the middle
of the night. You don't pee. You don't
check your phone. You're doing these
breathing exercises. You don't give
yourself a hard time.
>> And then what happens? It doesn't work.
What do you do? Yeah. Right. So, there's
the new research on something called
non-sleep deep rest. We call it yoga
nidra. Okay? It's been around for
thousands of years. When you lie relaxed
in like a corpse pose like this, you're
actually doing something that's valuable
for your sleep. Now, I want to be clear.
It's not the same as sleep, but if you
lie there for an hour, it's like 20
minutes worth of sleep. So everybody
should know that even lying relaxed and
calm is very very helpful right but if
you start to get anxious and your heart
rate starts to tick up you need to get
yourself out of bed because that's when
because all you're doing then is
thinking hey this bed is this place
where I get anxious and pissed off. This
is not a place to sleep. So as long as
you stay nice and quiet the non-sleep
deep rest absolutely the thing to do.
The other big thing that I do and by the
way this happens to me on occasion too
like I'm not immune to it just because
I'm a sleep doctor. You have to stay
positive. And what I what do I mean by
that is everybody when they wake up in
the middle of the night, your brain is
set to negativity. There's no reason you
should be up at 3:00 in the morning that
something good is going on, right?
Nobody's coming in wishing you happy
birthday at 3:00 in the morning.
Something terrible has happened. And
your brain has gotten accustomed to
that. So when it wakes up, it
immediately goes to the negative and you
start thinking about bad things. You
can't stop your first thought, but you
can stop your second thought, right?
Right? And so when you wake up and you
think negative, what I want you to
replace that with is, "Okay, Michael,
for some reason, your body has decided
to wake up at 3:00 in the morning, it's
not the game that I wanted to be playing
tonight. However, I think I'm going to
be okay. I'm just going to lie here and
relax and let the natural sleep process
take over. If I feel my heart rate
increasing, I'm going to go to another
room in the house where I've already got
a book and a light set up so I can do a
little bit of light reading and then
come back to sleep." And I just tell
myself that I give myself permission to
just chill, just relax. And then you
know what happens? The natural sleep
process comes over. As soon as your
heart rate starts to go down, your body
wants to get back to sleep. And so it
really has a lot to do with heart rate.
>> I love having these conversations on the
diio because I have a huge amount of
sympathy and concern for people that
don't get sufficient sleep. And I know
there's a lot of people that don't. And
I actually think it's to some degree
it's somewhat increasing because of the
way we live our lives. I was looking at
some of the stats around the increase
and there's a study done in 2025 and
early 2026 that revealed we're in a
global sleep crisis.
>> Oh yes, we are.
>> Both the CDC and Stanford Medicine
report said that one in three adults and
nearly 80% of teenagers are now
chronically sleepdeprived.
>> Correct. A 2026 survey by the American
Academy of Sleep Medicine found that 93%
of Gen Z admit to regularly losing sleep
due to social media usage. And 71% of
employed respondents globally have said
>> that they sometimes call in sick at
least once or twice due to poor sleep.
>> Just to sleep. Yeah. When I was down in
Australia doing some work down there, a
lot of Australians they take holiday and
they just sleep.
>> Yeah.
>> Just to catch up. Like it's it's pretty
remarkable. We're in a very sleep-d
deprived society and I think there's a
couple of different reasons why that is.
Number one,
>> have you seen what's going on outside in
the world today? It's pretty crazy out
there. Well, I can understand why people
are getting a little anxious.
>> I think one could argue it's been
crazier through history, but we never
knew about it,
>> right? Well, I mean, the media getting
it to getting us this information so
quickly, I think, is definitely what I
would agree with you. It was much
crazier during like World War II, you
know, and stuff like that. Now we're
getting information so quickly and
people are getting so ratcheted up about
it. I think that has something to do
with it. But if I I think the bigger
culprit is people being overweight. You
know, when you look here in the United
States and you look at the obesity
epidemic and you look at people being
overweight, it's something close to like
70s something percent of people in
America are overweight. When you're
overweight, that puts you in line for
potentially having something called
sleep apnea. Now, I want to be clear,
not everybody with sleep apnea is
overweight, but a a large percentage of
the people with sleep apnnea are bigger
people. And so, when you look at a
society that's getting bigger and all
the unhealthy food that we've got going
on, like all this highly processed food,
things of that nature, that isn't
helping anybody, it's adding the pounds.
And specifically, like for men, we gain
weight through our necks. Like I I don't
know if you've ever noticed it, but like
if you ever were heavy and you lose
weight, the first thing somebody says
is, "Oh, it looks like you lost weight
cuz I can tell from your face, right?"
and they're like, "Oh, your neck looks,
you know, different now." And so, we see
a lot of what's going on in the world
from a weight perspective and a food
perspective could be driving some of the
sleep problems. Then there's the anxiety
perspective that I spoke of earlier that
I think comes in. And again, I I agree
with you. I don't think we have more
crazy stuff going on. I think we know
about more crazy stuff that's going on,
>> but also work is now largely digital.
And I imagine for my great-grandfather,
he would go to, I don't know, the
factory or wherever he works. His work
would finish at 6.
>> Yes. Your work doesn't finish at 6 now.
It finishes when you're awake.
>> Yeah. Absolutely. It finishes when you
go to sleep.
>> Yeah. Exactly.
>> Yeah. And and that becomes problematic,
right? Because a lot of times also, by
the way, you need to have dividers in
your home. Like let's say you live in a
studio apartment and your bed is your
couch is your kitchen, right? You have
no designated spot for sleep. Your body
needs to know, hey, this is the spot
where I can chill out and finally get
some rest. And I think a lot of times
our environments just aren't that way.
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>> Which sleep disorder should we start
with?
>> Sleep apnea and insomnia. Sleep apnea,
for folks out there who may not know
what it is, is when you are snoring at
night. Almost everybody who has sleep
apnea snores. Not everybody, but almost
everybody. And when you're sucking air
in, you pull your tongue to the back of
your throat and you cut off your air.
And you literally stop breathing, right,
for a few seconds. And then all a sudden
you and you make all this kind of
grunting, groaning noises. and then you
wake up. This can happen hundreds of
times a night and it can be very
problematic because of course it wakes
you up every single time that you have
one of these events, right? And so as an
example, we measure the events per hour.
So as an example, somebody with sleep
apnnea could have between five and 15
times per hour that they stop breathing
and that's mild.
>> So how are they going to get into the
deep sleep that clears out their brain?
>> That's the problem, right? And so apnea
prevents them from getting into a lot of
that deep sleep. And so their brain
doesn't clear out and then they got
they're they're kind of screwed. So at
the end of the day, the the goal here is
to get as many people to number one
identify if they have a sleep disorder
and then be able to try to figure out
what to do about it. And the percentage
of people in the US that have
undiagnosed sleep apnea is pretty big.
It's like somewhere between I think like
18 to 20%.
>> This is crazy. I was just looking at the
stats. It says according to 2026 data
approximately
936
million people to 1 billion adults
worldwide have obstructive sleep apnnea
which is what one in seven
>> yeah that's about right
>> making it as common as diabetes. One in
seven people listening have sleep
apnnea.
>> Yes.
>> Wow.
>> As popular as diabetes. Let that sink in
for like half a second. Everybody knows
what diabetes is. Almost nobody knows
what sleep disorders are. Specifically
sleep apnnea. And it says 80 to 90% of
those people remain undiagnosed. That is
correct.
>> So there's people listening right
there's actually a huge percentage of
people listening right now
>> that have sleep apnea and have no idea
that they have it.
>> Exactly. Right.
>> How would they know?
>> Do the sleep test.
>> This thing here.
>> Yeah.
>> And what would this show?
>> So this would this actually collects
what is your oxygen levels throughout
the night? What is your heart rate
throughout the night? How many times do
you actually stop breathing? And also
the depth of your sleep, which stages of
sleep you get when you fall asleep,
things like that. And what would this
So, you know, because people are going
to be like, "How do I know if I need to
do the test?"
>> So, great question. So, you want to
think about the symptoms that you might
have. So, do you snore? Do you wake up
gasping for air? Has anybody told you
that your snoring stops for brief
periods of time or that they've heard
you gasping for air? Do you wake up with
a headache in the morning? Do you find
your moods are up and down? All of those
are signs and symptoms of sleep apnnea.
>> And this test, are you affiliated with
this company at all? I am not. But um we
do have that test on my website. We sell
it to people so that way we can test
them.
>> And how much does it cost?
>> $189.
>> Okay. So it's not
>> it's not exorbitantly expensive. And it
also is covered by insurance.
>> And it connects to an app.
>> Uh-huh. Absolutely. So you'd put it
through your sleeve.
>> So I' I'd put that there and like this.
>> Yeah. Exactly. And that's it. You go to
bed, wake up, then the information ports
over to your phone and then tells us
exactly what's going on. Now, here's
where it gets even better. I know,
right?
>> Can you imagine me getting in bed with
my fiance and being like, "Come on,
babe. Let's
>> We're recording all kinds of good stuff.
Who knows what she might like?
>> Is this going to help my sex life?"
>> It's absolutely it will because getting
into bed and knowing how well you sleep
and knowing if you have sleep apnea or
not will definitely affect your sex
life. Also, by the way, I've saved more
marriages as a sleep doctor than I ever
would have as a marital therapist
dealing with snoring in the middle of
the night and things like that. So,
you'd be you'd be surprised. But what's
nice about this is it's one night. You
don't have to do it multiple nights.
It's super easy. Um, and again, believe
it or not, that's disposable. You can
actually throw that whole thing away
after it's all said and done.
>> And on that point, before we just go a
little bit further into sleep apnnea,
should should we be sleeping in bed with
our partners? And I know that's an
interesting thing.
>> Great question. Great question. The
strength of your relationship has
nothing to do with where you sleep.
Okay? So, lots of people are like, "I
got to sleep with my partner otherwise
my relationship's going to go to [ __ ]
and everything's going to go terrible
and we're never going to have sex and
we're not true." Okay. So, a lot of
times for people that I have, so for
example, I've got people who um have
sleep apnnea and they use a a machine to
help them sleep called a CPAP machine,
right? And um that noise for some people
can be disruptive and so they sleep,
let's say, in a different room, right?
So, is that is that detrimental to your
marriage? No, it's not. Because here's
what you do is you vacation on the
weekends in your bedroom, right? I can't
count the number of people who sleep
separately during the week and then
together on the weekends. And it turns
out that they get much better sleep
during the week. And then guess what?
Intimacy shows up much faster on the
weekends because they're not so tired.
Used to be, you know, not tonight I have
a headache. It was really not tonight
I'm exhausted. When you allow your
partner to get good sleep during the
week, there's a reasonably good shot
that you're going to be able to be
intimate over the weekend if they got
good sleep. So, wearing that to bed
might not be the sexiest thing in the
universe, but it's better than having
sleep apnnea and eventually ending up
dead.
>> Are the symptoms of sleep apnnea
different for men and women?
>> They are. Great question. So, it turns
out that men and women are quite
different, but we've historically been
scoring them the same. So women don't
have a tendency to have as much snoring
as men do. Um women have a tendency to
have more arousals where they wake up
constantly. Women have a tendency to
report headaches in the morning more so
than men do. So it's actually different
types of symptoms for women versus men
when it comes to sleep apnea to the
point where we're now considering using
different testing devices. So this
testing device um would not necessarily
measure EEG and in women EEG might be
important. That's what we're learning.
So, as an example, our company is
finding a device specifically to send to
women so that way we can more accurately
measure sleep apnea in women. Now,
there's a lot of questions about
treatment for sleep apnea. And the
biggest reason why nobody gets sleep
tested is because they're afraid that
they're going to end up sleeping with a
CPAP machine on their face at night. And
so, let me describe to your audience
what that is. Also, full disclosure, I
have sleep apnea. I don't look like
somebody who has sleep apnea. I stop
breathing in my sleep. I think it's 26
times an hour. I know, right? Kind of
crazy. And I wear a CPAT machine and it
helps me sleep every single night. Let
me explain what it is. So, when your
throat closes here, CPAT machine is a
little air compressor with a tube and a
mask that sits on your nose, pushes a
just thin stream of just air, and when
it hits that blockage, it ever so
slightly opens it up, shoots air
straight down to your lungs. Now, you
might be saying to yourself, "That
sounds barbaric. That is insane. That's
a haird dryer blowing up my nose all
night long. Here's what I can tell you
is when you have a severe case of sleep
apnea, this can be a lifesaver. This can
be one of the biggest, most important
things that you possibly do. Now, a lot
of people say, "Oh, I don't think I
could sleep with a mask on my face."
Well, that's not the only treatment.
There are other treatments called oral
appliances. This is like a a mouthguard
like you see the footballers wear, but
it's an upper and a lower. and the lower
slowly brings your jaw forward which
opens up your posterior airway space.
The same way that air pushes things
aside, the oral appliance structurally
moves your jaw slightly forward thereby
opening up your airway. So that works
well and there's no mask on your face.
There's a third device that you can wear
on your tongue that vibrates that
shrinks your tongue by a couple of
millimeters which opens up this
posterior airway space and allows you to
breathe better.
>> Have you tried all of them?
>> I have as a matter of fact. And why did
you choose the apnea machine?
>> So for me, the apnea machine worked the
best and made the most sense for me
right now. But I'll be honest with you,
I will probably get the uh mouthguard
for when I travel. There's a lot that
can be done out there. And by the way,
there's also surgeries and surgeries are
a little bit more permanent fix. Um, but
in many cases, those surgeries can be
quite effective. Also, by the way,
they're working on a pill
>> for sleep apnnea now. And that's just
apnea. We haven't even talked about
insomnia yet.
>> I was just reading about the FDA
approving a drug. Yeah, it's it's quite
remarkable. And there's actually two I
think there's actually three different
companies that are working on different
drugs right now for sleep apnea. And I
mean to be clear, when that happens, I
think it's pretty much game over for
sleep apnea, right? I mean once we can
get it in a pill form, which means
compliance increases dramatically, we
can help a lot of people with sleep
apnea, which I think would be pretty
amazing.
>> And women are heavily undiagnosed,
right? Because we heavily
>> we think of it as I mean I've heard it
being referred to as a sort of an old
man's disease.
>> Yeah. And oh, absolutely. And here's the
thing. Many women have a tendency to
report insomnia types of symptoms over
sleep apnea types of symptoms when in
fact they actually have under
undiagnosed sleep apnnea, which we can
catch.
>> We talked a little bit earlier, but um
from many of the conversations I've had
on the show about Alzheimer's,
>> yes,
>> your chance of um getting Alzheimer's, I
imagine, is going to increase, right?
Because absolutely you have sleep
apnnea.
>> Yeah. Well, because when you have sleep
apnnea, it keeps you out of the deeper
stages of sleep. the deeper stages of
sleep is where that lymphatic system
comes in and scoops out those proteins
and that's really probably one of those
big causes for it. So that's one of the
things that we always want people to
understand. But there's also something
else that I think is important to maybe
talk about which is on the other side
not sleep apnnea side but on the
insomnia side which is there's a lot of
people who go and they go to the
drugstore and they buy an
over-the-counter sleep aid. Right now
I'm not talking about supplementation
yet. We can get into supplements in a
minute if you want to, but I'm talking
about things like the PM medications,
right? You know, they so here in
America, we have them where there's like
there's like an analesic plus a PM. So
there's Tylenol PM, Advil PM, and what
it is is it's a pain reliever, but they
add something called dyenhydramine and
it makes you feel sleepy and it makes
you fall asleep. Dyenhydramine is
actually an antihistamine, right? So
it's used for congestion and things like
that. But there's now data to suggest
that daily use of the PM part of this,
not the pain relieving part, but the PM
part can lead almost directly to
Alzheimer's.
>> Oh, wow.
>> Right. So, if people can just go to bed
and follow a couple simple rules and go
to bed naturally, you'd be shocked at
how much better your world is going to
be. The Queensland Brain Institute um at
the University of Queensland found that
people with untreated apnea have a 45%
higher risk of developing Alzheimer's
disease.
>> Like I said,
>> which is crazy.
>> Soant here's the thing is we've got all
these people who are watching your show
right now. They need to start thinking
in their head like maybe I have sleep
apnea, maybe I don't, but maybe I should
take a look at what are some of the
symptoms and see if that's something
that could be going on for me. Because
again, testing is available. And to be
clear, it's not like I'm the only guy
out there testing people. I mean, there
are sleep doctors all over the world
that are testing people. My
encouragement to people is, hey, figure
it out. If if you can't figure it out,
you know, shoot us an email. We'll find
a sleep center for you to go to. But if
you think there's something going on,
it's definitely worth checking out
because, by the way, you can stay with
undiagnosed sleep apnnea for your entire
life. And it all it does is basically
break down everything that's going on
inside. And that's not what you want.
Like remember sleep is recovery, right?
This is how your body still functions.
Like if you want to lead a nice
prosperous life, you want to sleep.
>> Insomnia has become a bit of a word that
people throw around
>> for sure,
>> right? They they kind of self diagnose
themselves. We kind of think of it as
this one specific thing. I think people
say, "I have insomnia when they just
don't sleep well."
>> Right.
>> What is insomnia and what's the big myth
around it?
>> Yeah. So, number one, there's a couple
of different flavors of insomnia.
There's the I can't fall asleep. There's
the I can't stay asleep, which we talked
about quite a bit. There's the I wake up
too early, and then there's just the I
wake up from unrefreshing sleep. So, we
really think that there are four sort of
types of insomnia, right? And um when
people I would say some of the biggest
myths that a lot of people have
surrounding insomnia is or like the
biggest problem that they do is when
somebody has a really crappy night then
what they try to do is the next evening
go to bed early and try to catch up on
some of that sleep that they missed. So
to be clear this is a terrible idea
because your circadian rhythm isn't
ready to go to bed early. So you lie in
bed and you're exhausted but you can't
fall asleep. you're what I call wired
and tired, right? And so what we want
people to do is if you do have a bout of
insomnia where you have difficulty
falling asleep or difficulty staying
asleep, number one, don't overcaffeinate
during the daytime. So many people are
like, "Oh, I'm dragging. I got to get a
coffee," you know, and and they and they
caffeinate, caffeinate, caffeinate, and
then they caffeinate so late into the
day that they have shitty sleep that
night, and now we're in the washing
machine cycle going over and over and
over. It sounds like you might be
relating to this uh a little bit maybe
yourself. And then so we want to avoid
that. The other thing we want to avoid
is over stimulation at night, right? So
a lot of pimps people get that nervous
energy and so they're just doing doing.
Again, you need runway to land the
plane. So give yourself some kind of
that space. Um and then just make sure
that you've got some level of
regularity. I would argue for my
insomnia patients, but quite honestly
for anybody who's watching this, the
number one sleep tip that I can give
people is to wake up at the same time
seven days a week. Not go to bed. I
don't actually care when you go to bed
that much. I know there's a lot of sleep
specialists out there who are like, you
got to go to bed at the same time and
wake up at the same time. I'm not of
that ilk. I don't really care that much
about the going to bed time. I really
only care about the wake up time. Let me
explain why. When you wake up in the
morning, sunlight hits your eye and you
have a special cell in your eye called
the melanopsin cell which sends a signal
to your brain to turn off the melatonin
faucet in your head. But it sets a timer
for exactly 14 hours later. It's called
the melatonin phase response curve. So
if you're waking up at 6, melatonin
turns off until about 8:00 p.m. Then it
takes about a couple hours for it to get
up and in. So then you start to get
sleep around 9:30 and you go to bed. But
if you did that and now it's Saturday
and you sleep in until 8, melatonin
doesn't kick off until 10:00 Saturday
night. So what I'm saying is the time
that you wake up directly determines
when your internal melatonin kicks into
gear. So if everybody woke up at the
exact same time every single day, seven
days a week, automatically you would get
tired at the right time and you would
start going to sleep.
>> And is there two different types of
insomnia? Sometimes I hear primary,
secondary insomnia. I think you have
that on your YouTube channel.
>> So when you look at primary insomnia
versus secondary insomnia, the way we
categorize that, secondary insomnia is
usually due to something else that's
going on in your life. So
>> psychology,
>> so maybe caffeine abuse.
>> Okay?
>> Right? Um maybe something along those
lines. Whereas primary insomnia is
there's nothing else. You the only thing
you've got going on is sleep disorder.
Another example of of something where
insomnia might be secondary would be
pain.
>> Right? So if you have a pain syndrome,
if you have fibromyalgia or low back
pain, that could prevent you from
sleeping. That would be secondary
insomnia, secondary to pain.
>> And I hear that the most common
treatment for insomnia is CBT therapy.
>> So yes and no.
>> Okay.
>> So I would say that the most common
therapy for insomnia is alcohol.
>> More people drink themselves to sleep
>> than any other single thing out there.
Um and then you start to get into the
pharmacy of it all. And there's a lot of
pharmaceutical drugs out there that
people utilize for for sleep. And I want
to make a point if I can is there's
nothing wrong with needing a pill to
sleep. Okay? I want to be very clear
about this. There are people out there
who need pills, right? All kinds of
different ones. Thank you. There's a
whole host of reasons why you and your
doctor may have come to the conclusion
that a sleeping tablet is good for you.
The problem comes when those sleeping
tablets are overprescribed. So insomnia
is in the in the sleep world, we call it
a door handle diagnosis because when the
doctor has their hand on the door and
they're just about to leave, that's when
the patient says, "Oh, and by the way,
I'm not sleeping."
>> And then the doctor usually pulls out
the prescription pad and says, you know,
ambient or trazadone or something like
that, writes it up, says, "Here, come
back in 30 days." Well, you haven't
really done anything for this person.
You've handed them a pill. And by the
way, now they're probably either
psychologically or physiologically
addicted to said pill right now. Once
again, if you've got a major mental
health issue, I don't think I care. I
think it's okay for you to have your
AMVN and be fine. And
>> and a lot of people that do have
insomnia have depression.
>> Oh, I think it's one of the biggest
things that we see. But I would argue
anxiety might be a little bit more than
depression. But yes, anxiety and
depression, I would argue, make up 75%
of insomnia at any given time. Right? I
work with people and I do something
called cognitive behavioral therapy for
insomnia which you correctly identified
as CBTI, right? And so I work with
patients all the time. Um, and that's
exactly what we do is we reschedule
them. So that's the behavioral part. And
then the cognitive part is we talk to
them about how do you think about sleep?
Because a lot of people think about
sleep in disastrous ways. They're like,
if I don't get eight hours, my old day
is screwed and everything's going to
happen. It rarely happens that way. Like
it's called catastrophizing. You just
make it worse and worse and worse. And
so we look at those cognitive
distortions and we help fix them in
therapy by really kind of what I call
doing the math. And so I say, "Well,
have you ever had four hours of sleep?"
"Yes." "Did you do something terrible
the next day?" "No." "So where's your
evidence?" Right? And you start to get
people to challenge themselves and all
of a sudden they kind of they can kind
of get there. There's also another area
of that a lot of people go to somewhere
in between the pills and therapy, and
that's supplementation. So there's a lot
of people out there who like to use
supplements and try to understand how to
fix quote their insomnia with
supplementation. So if we can let's talk
a little bit about supplements and sort
of what's good and what's bad.
>> What is the difference between a
supplement and a pill or is it you
talking about the same thing here? So
under the context of this conversation,
a supplement is a non FDA regulated
thing that you can purchase at any
drugstore and a pill is a by
prescription only from a doctor.
>> Okay,
>> that's how we're going to make the
distinction for this particular
conversation.
>> Okay, so those pills that are in front
of you there,
>> so right in front of me, these are most
these are actually all supplements. So
these are different. So these are not
pharmaceuticals. These are different
things. So, we've got
>> I mean, in different countries, it's
different, right?
>> Great point. So, let's talk about
melatonin since that's kind of the
biggie that a lot of people like to know
about. So, number one, melatonin is by
prescription only almost everywhere
other than the United States,
>> right? So, in England, in Australia, in
Europe, you can't just walk into the
drugstore and buy melatonin. And there's
a reason. A lot of people don't realize
it, but melatonin is a hormone. There's
a reason you can't go to the CVS and get
testosterone and estrogen, right?
Because hormones affect the entire
system. They affect all three almost 300
different things in your body. So what
you don't want to do is have somebody
just willy-nilly grabbing a hormone and
starting to pop it without somebody
understanding what's going on with them.
More importantly, melatonin in
particular, and the point I wanted to
make earlier about depression, melatonin
interacts with all SSRI medication. An
SSRI is a serotonin specific reuptake
inhibitor, an anti-depressant. So things
like Prozac, Zoloft, um, Selelexa, all
of those are medications that will be
affected by melatonin ingestion and
nobody knows that it is. In addition,
melatonin affects birth control. Yes,
you heard it here, birth control. It
affects blood pressure medication and it
affects diabetes medication. So, one of
the problems is that people go into the
local drugstore and they're like, "Oh,
I'm going to grab some melatonin and I'm
going to make my sleep better because
I'm sleeping poorly." So, first of all,
that's not what melatonin does.
Melatonin is a sleep regulator, not a
sleep initiator. Melatonin doesn't
affect sleep drive. Melatonin affects
sleep rhythm. So, remember in the
beginning of our conversation, we're
talking about the two systems. Melatonin
only affects your brain telling it when
it's time to go to bed. It does not make
you sleepy. That's a denisonin. We
already talked about adenosin and
caffeine and how similar their molecular
structures are. So when you look at
something like melatonin, you need to
really be thoughtful about using it.
Number two, melatonin is not to be used
in children. Okay? So a lot of people
are like, "Michael, I've got
pediatricians all over the country
telling my telling me to give my
children melatonin." I'm going to say it
right here in front of everybody. That
is the dumbest idea I have heard in a
long time because you just taught your
child that they need a pill to sleep.
Normally, no child needs pills to sleep.
And by the way, most children make
almost four times the amount of
melatonin that their brain even needs.
So, giving them extra melatonin doesn't
do you any good. There is, however, one
group of children where melatonin does
work well, and that's in kids on the
autism spectrum. um we don't know
exactly why but um or at least I don't
but there is data to suggest that at
five six seven milligrams that that can
be very helpful for them. Dosage also is
a problem like if you go to the
drugstore you can you almost can't find
it in the appropriate dose. The
appropriate dose is anywhere from about
half a milligram to one and a half
milligrams. Maybe top out at three but
that's about as high as you want to go.
But when you go to CVS you find a
gummies in 10 and 20 milligrams. And
people tell me all the time, "Oh, I
can't take melatonin. It gives me crazy
dreams." Number one side effect of
overdosing on melatonin is crazy dreams.
>> On this point of going to a supermarket
and picking some melatonin off the
shelf,
>> FDA approval and the lack of FDA
approval in melatonin means that there's
less clarity on what's actually in
there. Right.
>> That's exactly right. I was reading
about a study in 2024
um where they looked at different
melatonins that were found on the shelf
>> and they found very different things
inside the bottle.
>> Very very different things. They looked
at an analysis of melatonin gummies
marketed for children and found that the
actual amount of melatonin ranged from
0%
>> right
>> to 667%
of what was listed on the label.
>> Yep. See it all the time. And in the
same study, melatonin gummies, some
melatonin gummies contained absolutely
no melatonin, while others contained
hazardous contaminants like CBD that
were not disclosed on the label.
>> Yep.
>> Because melatonin is sold as a
supplement in the US and not a drug, the
FDA does not test it for safety or
accuracy before it hits the shelf.
>> You are 100% correct. And that's a huge
problem. Just think about that for a
second. I mean, the market for melatonin
is tremendous. It's huge in the
supplement world. Yet, there's no
regulation. whatsoever. Nobody knows
about these interaction effects which
are big, big, big. And by the way, most
people are using it wrong. There's
really only three maybe four different
instances when melatonin would be
useful. I would use melatonin for jet
lag, and we should talk about jet lag.
>> Um I I would use uh melatonin for shift
workers, right? So for people who work,
you know, night shift who have to sleep
during the daytime, they would be
excellent people to use melatonin.
people with a melatonin deficiency. A
lot of people don't think about that,
but right around age 50 is when if
you're going to have a melatonin
deficiency, we start to see that
happening for people is it their the
ability to produce melatonin begins to
decline. So, I think those three
situations absolutely would be on board
for melatonin. Believe it or not,
there's some data to show that in ADD
and ADHD there's uh some use for
melatonin and then also for a very
specific sleeping disorder called REM
behavior disorder.
>> We're going melatonin crazy as a
society, aren't we?
>> Absolutely. We don't need it. It's
completely unnecessary.
>> I was looking at the data. In 1999, 0.4%
of Americans said they used melatonin.
Today, it's almost 30%. So, 70 million
Americans up, dude. That is problematic.
And again, they have no idea what it's
doing to them, right? And they're giving
it to their kids. Like, I can't think of
anything worse for a young female
developing body than to add a
contraceptive when it's not necessary.
Like, it just doesn't make sense to me.
The rise in children overdosing on sleep
gummies is the fastest growing trend in
poison control data.
>> Yeah, I think it's like almost 600%
increase or something crazy like that
for kids who have uh gotten uh who've
overdosed on melatonin like within there
was a study that came out maybe a year
ago, year and a half ago showed like
almost 600% of uh increase in uh
overdoses for kids. Like that's pretty
messed up when you start to think about
it. And here's the thing, kids know how
to sleep,
>> right? You just got to stop. You just
got to let them sleep, right? You got to
give them some parameters. Here's when
you go to bed. Here's when you wake up.
Don't get out of bed. You know, don't
come in and ask for 12 glasses of water.
You know, all the all the stuff that
goes on there. I mean, it this isn't
hard.
>> So, when and how So, I used melatonin
once in my life.
>> Okay.
>> And I got to be honest, it [ __ ]
worked.
>> Yeah. Oh, if you use it right, it works,
bro.
>> And it was it was actually about a week
ago because I'd been struggling with
lots of jet lag. I'd flown from the UK
to the LA to UK to LA to Cape Town to
Middle East to wherever and I was
getting to bed every night at like 4:00
or 5 a.m. and still waking up at, you
know, having to wake up at about 10:00.
>> So, I thought, I need to correct this.
It's been going for two weeks and I need
to correct this.
>> Absolutely.
>> So, I thought, [ __ ] it, I'm going to
cave. I g I took the melatonin and
corrected it.
>> Yes, it does. So, let's talk about jet
lag. So, it's a bit of a story, but I
got involved with a company that um has
got an app, which is very interesting.
Okay. Um I don't have any like I'm not
invested in the company, just to be
clear, but it's one of my close friends
who developed this. So, I'm kind of a
space nerd.
>> It's not Time Shifter.
>> It is Time Shifter.
>> Oh, really?
>> It is.
>> I also like an affiliation with Time
Shifter
>> because I used to Yeah, I will get you
that. So, here's what's fascinating is
the way the whole time shifter started
was um so aren't you kind of a space
guy? Like, aren't you
>> I'm an investor in SpaceX and
>> Okay. So, I'm a space nerd myself,
right? So, you know, the the ISS is
moving around at 17,500 miles an hour
around the Earth. It's cooking.
>> ISS meaning the International Space
Station. It's whipping around, right?
>> Can you imagine how many sunrises and
sunsets they get in a given day?
>> Oh, no. How many?
>> Every two hours. So, they basically get
12.
>> Wow. Think about how messed up their
circadian rhythms would be from seeing
the sunrise and seeing it go and see it
gets really messed up, right? And by the
way, you don't want to make big mistakes
in the space station. Like you don't
leave the air lock open, you know, or
[ __ ] like that. Like that's when things
get really really bad. So they called
down to NASA and they were like, "Hey,
we got a problem up here. Everybody
wants to use the lab at the same time
like people seeing the sun. Like what's
going on?" So they called a buddy of
mine named Steven Lachley over at
Harvard. Stephen is arguably the one of
the best circadian researchers in the
world. um super smart dude and he was
like, "Well, let's send up a lighting
kit and let's create ships on the space
station."
>> Mhm.
>> Right. So that's exactly what they did.
So they sent up a lighting kit. I think
it was on the Colombia um shuttle before
it got decommissioned. And they set up
lighting and then they set up timing for
lighting. And so there was a morning
shift, a midshift, and a night shift for
the astronauts. Once they got the
algorithm working, they brought it down
terrestrially and they put it into the
Mercedes-Benz uh Formula 1 race car
team. So they gave it to Lewis Hamilton.
>> Mhm.
>> Right. Because when you think about it,
think about what he has to do, right?
He's on or off the podium on hundreds of
a second, right? And he's in a different
country every 3 weeks,
>> right? So this guy's got jet lag like
you wouldn't believe. And so once we
were able to get it going there, then we
created the time shifter app. And so
it's an app you can get it on your
phone. And what you do is you put in
your flight number and it automatically
pulls up the flight and knows where you
are. This is why I think that jet lag is
a math problem. Let me explain. We
learned about 20 years ago that when you
take a certain frequency and intensity
of light and you shine it in somebody's
eyes, you can move their circadian
rhythm by about eight hours if you want
to.
>> That circadian rhythm again being
>> being that internal biological clock,
the time when your body wants to go to
bed and wants to wake up. We can
actually move that by about 8 hours with
about 10,000 lux, which is the
brightness level of blue light,
particular frequency of light. Okay? So
when you hit that, if you start in LA
and you're going to Manchester, right,
and there's a big time difference and
you know what time it is in LA and you
know what time it is in Manchester, it's
a math problem of when do you get the
light.
>> So that's what time shifter is, is it
determines when do you need that light
and then on the times when you don't
need light, it has you use caffeine,
right? Or to keep you awake or if it's
time to sleep, then you use a little bit
of melatonin. That's when melatonin
becomes so valuable.
>> It also tells you when to eat.
>> It does. It tells you all of these
different things. And it's kind of nice
because it kind of shows up on your
phone. It's like, "Hey, do this then. Do
this then." And it works really, really
well. But yeah, Time Shifter is one of
my favorites. Uh I've been uh using it
literally for 15 years.
>> Wow.
>> And it solves jet lag, bro. Like we're
going to fix that for you. No, no
question.
>> How often should someone be having
melatonin? Is there like too often?
Because some people literally have it
every day. Yeah, I would argue it's a
bad idea. So, if you have a melatonin
deficiency, sure, have it every day.
But, um, or if you're a shift worker,
probably. But I I use it only for jet
lag myself. Otherwise, I'm not using it
on the regular.
>> And what's the risk there of having it
every day? Is it?
>> Uh, it's a good question. So, when you
start to look at melatonin overdose and
you start to look at melatonin on board
for long periods of time, there's been
some conflict in the in the research.
Um, there's a group of people that say
if you stay on melatonin for extended
periods of time, your body stops
producing it. There's another group of
people that have looked at research and
have said actually that's not the case.
So, right now we have we have studies
that lead out to about a year or so on
melatonin. And when you stop their
melatonin production after they've been
taking it for a year, their body seems
to start back up no problem. It's
different than testosterone, right? So
with testosterone, we know that when men
start taking testosterone, their body
actually stops producing it. With
melatonin, that does not appear to be
the case, but we don't have studies that
go out past, you know, that yearong. And
so if somebody's been taking melatonin
every day for 5 10 years, you know, you
you kind of start to wonder uh what's
going to happen. Also, don't forget that
that melatonin is different than the
melatonin that's actually produced in
your head. I think it was Andrew
Huberman who I was speaking to a couple
of weeks ago that was was saying about
not giving kids an overdose of
melatonin. And I think afterwards I I
was doing some research on it and I read
something that said it has an impact on
puberty potentially.
>> So in high dosages melatonin is a
contraceptive.
>> So that would pause puberty.
>> Exactly. Or change it
>> and ways we may or may not know. So, I
agree with Andrew on that point that
again, melatonin is not something that
kids need unless you've got kids on the
spectrum, which is again where I find it
to be helpful and I've treated kids with
that before, but generally speaking, I
don't put melatonin on anybody under the
age of 18.
>> Am I more likely to have nightmares if
I'm having lots of melatonin?
>> If you're overdosing, you are. So, the
number one side effect of a high dose of
melatonin is super vivid dreams and then
eventually nightmares.
>> Why? I'm not really sure. If I was
garnering a guess, then what I would say
is that part of the reason why that you
have crazy vivid dreams from melatonin
is because it probably does put you into
REM sleep a little bit quicker than you
normally would and might keep you there
a little bit longer. I don't have any
data to support that. So, I want to be
clear. Um, this is more of a hypothesis
on my end, but that might make intuitive
sense to me.
>> Just on a quick search, um, Sure. You're
right. It says it keep keeps you in REM
sleep a little bit longer and more
intensely.
>> There you go.
>> This leads to vivid highly vivid dreams
or night terrors which paradoxically
makes you wake up feeling more
exhausted.
>> Right. I can't count the number of
people who tell me
>> I need to go back to sleep because I'm
so exhausted from my dreams.
>> Oh wow.
>> Right.
>> So let's finish off on these supplements
then.
>> Yeah. Absolutely. So we talked a little
bit about melatonin which like I said
select usage. Um a couple of other ones
that we've got here um one of them is
Valyan. Right. So when we talk Valyan is
probably the most studied it's a root um
it's called the Valyrian root but to be
clear it's an anti-anxiety medication
right so what it is is it's it helps
lower your level of anxiety um and that
is the reason why it has a tendency to
work interestingly when you look at the
data it works better when combined with
hops like what you'd find in beer so a
lot of times when you're looking for a
preparation you should look for Valyan
plus hops as the preparation also we
should talk for a talking about
supplements. A lot of people don't
understand this, but a lot of people
will put a whole bunch of different
supplements together and put it into a
capsule. I don't think that's the best
idea. I think you should have single
ingredient supplementation.
>> Why?
>> Well, number one, you get the correct
dose so you know it's actually working
for you. There's a lot of companies out
there that are uh that make a powder or
something and they put a bunch of stuff
in it and they put just enough in there
to be able to say it on the ingredient
profile, but not enough for it to
actually do any good for the patient.
So, I like using single ingredient pro
uh supplement profiles because I know
exactly how much of each thing that I'm
going to get in there and I can make
sure that it's the correct dosage for
the what the person needs. So, I prefer
single ingredient supplementation.
>> Okay. So, val Valyan.
>> Yep. Valyan root.
>> Not going to mess up my hormones?
>> Nope. It's not going to mess up your
hormones.
>> Going to help me with overthinking?
>> Probably not. What it'll probably do is
slow your thinking down a little bit
depending upon how much of it you take.
Um, I think if you were looking for a if
you're looking for something that's
going to slow down your thinking, then I
would say we don't have the the thing
here, but it's called GABA, GABA. Um,
gamma amunobbuteric acid. So, this is a
substance that your body makes. It's
kind of the breaks of the brain, and you
can buy it um as a supplement. I've had
several people use that, and that seems
to help calm people down in the evening
times.
>> What about ashwanaganda or whatever it's
called?
>> Ashwagandha.
>> Ashwagandha.
>> Exactly. I just kind of like saying it.
So, here's my theory on supplementation
is the first thing I tell people to do
is go do blood work. Okay? What
deficiencies do you have? Fix your
deficiencies first before we start going
to the valyians and the melatonins of it
all. If you're deficient in vitamin D,
magnesium, iron, fix those three things
first. Dude, I can't tell you. I pro 15%
of the people that show up at my
doorstep we do blood work on and all I
do is fix their deficiencies and their
sleep magically gets better.
>> What are some of the surprising things
though that you discover like blood
sugar like diabetes that impacts sleep?
No,
>> it absolutely does. I also think that a
lot of people who have uncontrolled
diabetes, it wakes them up in the middle
of the night um because their blood
sugar gets so low and then they're
hungry in the middle of the night. Then
they up eating in the middle of the
night then they have a sleep eating
syndrome which is kind of a pain.
>> There's this one here that I've never
heard of before. What's this uh it's
called tryptophan. So uh elptophan in in
particular. So tryptophan is the
substance that we find in turkey that
has a tendency to make people sleepy.
However, when you really look at the
data, you'd have to eat a 46 pound
turkey in order to get enough tryptophan
to make you sleepy. Even in my best days
in college, dude, I couldn't eat a 46
pound turkey. Okay? Same holds true with
milk. Um, tryptophan is the thing in
warm milk that supposedly makes people
uh, sleepy, but once again, you'd have
to drink almost a half a gallon of warm
milk, which is kind of disgusting um, in
order to do it. Tryptophan can be
helpful for people if you have a
tryptophan deficiency, but it's
definitely something that lowers a
little bit of anxiety and can make you
feel a little bit sleepy, but it is a
naturally occurring amino acid in your
system.
>> Calcium.
>> So, calcium turns out is interesting
because when you mix calcium with
magnesium, it's easier to absorb. So for
some people mag we what we've discovered
is if you have a magnesium deficiency
and you fix the magnesium deficiency in
many cases it can actually help with
overall sleep and calcium is one of the
things that can be added to it that
helps with absorption. Now unfortunately
the big problem is that there are 13
different kinds of magnesium out there
and so people don't know what's been
studied and what hasn't. So, I'm here to
let you know there's only a couple of
brands out there that have actually been
studied for magnesium. The ones I like
is there's one called magnesium 308,
which is made by a company called Magen.
Um, they actually have a published
research study in the journals. That's
why I mentioned their brand name. I have
no association with them. There's also
another company called Upgraded
Formulas. They make a magnesium. And
kind of funny story is the guy who runs
mag uh upgraded formulas told me he says
my magnesium is the best in the world. I
can make anybody fall asleep. And I
said, "Hey, you want to put your money
where your mouth is? Let's do a clinical
trial." He handed me a check for 75
grand. I went and did a clinical trial
and he was right. His magnesium really
made people sleep better.
>> What is magnesium doing?
>> So, we're not 100% sure. In the
deficient people, it's it's obviously
clearing up the deficiency of magnesium.
And then magnesium is used in about I
think almost 300 different functions in
the body. So it probably lets the body
work more efficiently and probably that
helps to overall sleep. But I'm not
convinced that we have the whole
mechanism of action worked out. I will
tell you that when people take magnesium
they tell me that they introspectively
feel calmer and we definitely know that
it can definitely help uh cause a
relaxation response in the musculature.
So I think that might have something to
do with that.
>> Why did you bring a banana and a knife
and a teapot? Ah, this is my favorite
way to get magnesium.
>> A lot of people want to know, "How
should I take my supplements? I'm tired
of taking a fistful of pills every
morning, Michael. There's these powders.
Like, what what's the best way?" The
best way So, number one, supplementation
is when you're not getting all of the
things, the vitamins and minerals that
you need from your food. So, the best
place to get it from is food. Generally
speaking, turns out magnesium is one of
the best ones, but it's problematic
because we have to eat our magnesium.
Our body doesn't actually produce it.
themselves. And by the way, you could
eat a bushel of kale and still not get
enough magnesium because here in the
United States, the soil has been
overtilled, which means the magnesium
isn't in the soil. So, it's not coming
up through the root stocks and allowing
people to have it. So, a lot of people
require magnesium supplementation.
Believe it or not, between magnesium and
vitamin D, I'd say we've probably
covered most of America in terms of
having a deficiency. Bananas are loaded
with magnesium, but it turns out it's
not the fruit, it's the peel.
>> Oh. itself. So, no, I'm not going to
make you eat the peel. Don't worry. So,
I developed a recipe that I call banana
tea. All this is is a regular old
banana. So, what I what you do is you
cut off the stem, right? And cut it in
half and then you drop it in to some
boiling water. Okay? So, we've already
done this, right? And you can see the
banana has turned brown, right? It's
been soaking in the boiling water. So,
it's not really tea. It's just basically
hot banana water. But with the banana
from the skin, you also get these things
called phytostereroids that actually
help you absorb the magnesium better
than if you just had it from a
supplement. So you have to really like
bananas. My daughter says it's very
banana e. Dad, the flavor, I mean.
>> Oh, it does smell like bananas.
>> I'm telling you, if you like bananas,
>> it's nice.
>> I know it's nice. And you can use this
as a like an evening ritual and you can
make banana tea and have it in the
evening with, you know, a biscuit or
what have you and have a nice and read a
book and just be chill.
>> How do I know the magnesium is actually
in there?
>> Cuz it came through from the from the um
steeping in the water.
>> Okay.
>> Well, you could test it if we want, but
I can assure you it's in there. You need
to leave it in there for about 5 minutes
and we've been talking for a while, so
I'm pretty sure it's there.
>> And and how long before sleep to get
those effects?
>> I would say about 2530 minutes. You
don't want to have too much, by the way,
because then you're gonna have to wake
up and pee. So try if you can
>> to be able to have it about 30 40
minutes before bed.
>> So you can put it in anything. A lot of
people have different types of teas. So
you could just use that as the water
instead.
>> Yeah. Oh, without question. Actually,
that would be a really good idea. And
you could, if you did it, if you mix it
with like a fruit tea, like an herbal
fruit tea, that would be really
delicious.
>> Are there any other supplements that
you, you know, you do encourage people
to take if they're struggling with sleep
that we haven't talked about yet?
>> We haven't talked about vitamin D, and
that's a big one. So it turns out that
vitamin D is a circadian pacemaker. So
when light comes into your eyeballs, it
helps change your whole uh circadian
system. And if you're if light is coming
in for a certain amount of time, about
15 minutes, your body will start to
produce vitamin D. Vitamin D does a
whole host of important things to your
body. But most importantly from a sleep
perspective, is it helps regulate
melatonin and when your body produces
it. So by taking vitamin D every day or
getting 15 minutes of sunshine, either
way, you're going to be in better shape.
So, like as an example, my morning
routine that I have all my patients do
is I have them when they wake up in the
morning, I have them uh go outside if
it's if it's, you know, nice out, sit in
a chair and have 15 deep breaths merely
to wake up the respiratory system, then
15 ounces of water cuz once again,
remember, you're dehydrated, and then 15
minutes of sunshine. So, they can do all
of this together at the same time. And
it's a nice way to wake up in the
morning.
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>> So, let's talk about waking up in the
morning.
>> Sure.
>> Morning routines.
>> Yep.
>> A lot of people talk about what's the
perfect morning routine? Do you need to
have a morning routine? What's your take
on that? So, it depends upon how
disciplined you want to be and it
depends upon how much time you have. I
can tell you what my morning routine is
because it's very specific and I I've
discovered that it works really really
well for me. So, I wake up naturally
somewhere between 6:10 and about 6:25 or
so. My body just seems to naturally wake
up. I do 15 minutes of red light
therapy. So, I have a red light uh in my
office that I sit in front of and I do
my meditation at the same time in the
morning time. So, I have about 15
minutes of meditation. Sometimes what
I'll do is um I'll sit on the floor and
the boys will come and sit on my lap and
then we'll all meditate together. I know
that sounds a little weird. Then um we
use a we do a 15-minute walk. I try not
to have any music or any telephone or
anything like that uh up at all up until
this point. I put the dogs away and then
I hit the gym. I'm at the gym from about
8 till about 9:30, 10:00. I do a sauna
every day afterwards and then I'm in
front of my desk by about 10:30 and
that's is when I have my breakfast. And
so I make the same breakfast almost
every morning. I do uh ground turkey
with uh a third of a pound of ground
turkey, three eggs and broccoli and I I
put it all into a skillet and I make it
every morning.
>> Do you use any sleep trackers?
>> In the past I've used uh a few of them.
I I try them out because a lot of my
patients try them out. Um, I think if I
was going to be looking at them, I think
the aura ring probably does the best
job. I really don't think they've gotten
there quite yet because remember depth
of sleep is based on brain waves and
it's hard to get brain waves from your
finger, right? And so what they're doing
is they're creating a proxy. So they're
looking at heart rate or oxygen or pulse
or something along those lines and then
saying, "Okay, when Stephven's at this
pulse, we think he's in REM sleep, so
we're going to label every time that REM
sleep." when in fact they don't really
know because they're not measuring your
brain waves. So I think until we get to
the point where we can measure brain
waves from distally, I think we'll have
a little bit better shot at it. However,
>> there's some interesting things that are
going on kind of in the sleep tracker
world. And some people get a little too
into the whole tracking of it all, if
you know what I mean. Like I can't count
the number of people that are like, "Oh
my god, Dr. Bruce, you know, this says I
only slept 14 minutes last night. Like
what do I do?" And I'm like, "Well,
number one, how much did you sleep the
night before?" And they say, "Oh, 16
minutes." I'm like, "Okay, well, let's
check you tomorrow." They come back
tomorrow, it's even worse, 12 minutes.
I'm like, "Oh, you're fine." They're
like, "What?" I'm like, "Look, it's
being consistently inaccurate. There's
no way you only got 14 minutes of deep
sleep, right? That's just not how the
body works, right? But if you got 14
minutes, 14 minutes, and then one night
you look at your score and it's 407
minutes.
>> I want to know what happened on that
night."
>> My friend was a big fan of Whoop. So, he
told me to try a Whoop. I tried a Whoop.
the the most I think critical thing it's
done for me is it allowed me to create
some understanding of like causation and
like associations with my sleep. So one
of the ones that completely changed my
life when I first wore my Whoop, which
by the way I'm an investor in the
company so I have to disclaimer that
>> um was I didn't realize how impactful
sleep alcohol was on my sleep.
>> It's massive.
>> Like it blew my mind cuz I had had one
glass of wine.
>> Yep. And then the bloody whoop thing
said you're either really sick um really
stressed or you drank alcohol. And then
I watched a video online where they
compared all of the devices to the
hospital grade stuff.
>> Yep. Poly synography
>> and the Whoop 4 was the closest to the
hospital grade. And then I contacted the
company and said can I invest etc etc.
I've also tried I've also tried like a
sleep and
>> I would argue that temperature like if
we're talking about what is the easiest
thing to manipulate to change your sleep
either good or bad temperature is it um
and people don't realize it but you can
change the temperature in your bedroom
even in your bed and you can change the
quality of your sleep. You mentioned
eight that's a company that has a a
topper type of thing that can change the
uh the temperature underneath the
covers. There's also taking a look at
the the accutramal that's on. So
pillows, sheets, comforters, all of
those things. But if you can get your
body to cool down, your body will go
down and get into deeper stages of
sleep. If you can stay cool versus
bumping up and down all night long,
let's say you're a woman in menopause,
right? That becomes highly disruptive.
And so by being a by being able to keep
a consistent temperature stimulus to the
body, it ends up sleeping a whole lot
better.
>> Dreams. Let's talk about dreams. People
are so fascinated by dreams,
>> aren't they? I love it.
>> But but so little is known about dreams.
>> Yeah. Well, yes and no. I mean, here's
the thing. Dreams have been studied
honestly since the dawn of time. If you
look in the Bible, you will see that
people are talking about dreams. If you
look at ancient texts, people are
wondering about these crazy movies that
are going on in my head. Right? When you
start to look at dreams, here's the
thing that I will tell you is dreams
mean something to the dreamer. They
don't necessarily mean something to
somebody who is not the dreamer. And so
when I do dream work and so I so to be
clear, just take a step back, I took a
year and a half and I became a dream
therapist. So what does that mean? What
is that even is that even a thing? So
dream therapy, by the way, is not dream
interpretation. That is not here's a
symbol, here's what that means. Dream
therapy is where you use dreams in the
therapeutic context to help people with
things like depression and anxiety.
>> Let me give you an example. A nightmare,
right? So when somebody has, let's say
somebody was in an active theater of war
and they watched one of their friends,
god forbid, something terrible happened
to them and that image is now in their
head and now they constantly have this
image over and over and over. But what
happens is they're going, going, going
going and they wake up. They're going,
going, going going going, they wake up.
We talked a little bit about it earlier
that dreams are emotional metabolism,
right? So dreams are where you work out
all of these different things that are
going on in your head and kind of become
okay with them so that way next day you
can kind of move forward and keep keep
doing your thing.
>> Do we need to explain why we dream
because I think that's the big sort of
>> Sure. So there's a couple of theories.
One theory is is that this is a great
stage for for practice, right? So we
dream about things that we're eventually
going to try in the real world and so we
get a chance to practice them in our
head beforehand to to make sure it
doesn't we don't kind of screw the whole
thing up. So there's that whole idea of
being able to kind of work stuff out in
my head. Then there's the processing
idea that we talked about before where
this is emotional metabolism. So
therapy,
>> right? Exactly. It's like you go to
therapy every single night. I actually
that's a really good way to think about
it. I hadn't thought about it like that,
but I think I'm going to use that. I'm
going to take that from you. Um, I like
that dreams are therapy every single
night because they really are. You're
really moving through a lot of that
emotionality. Some people think dreams
are complete nonsense. Some people think
that's just some crazy movie in your
head and it's just this after effect of
your brain moving into a different mode
and who knows what it could mean. I find
that one hard to believe myself
>> because humans don't do anything.
>> I don't think so.
>> That isn't for some type of survival
benefit
>> for sure.
>> It's a waste of energy or you know
>> Yeah, I agree. And so if we looked at it
from an evolutionary perspective, like
what is the evolutionary purpose of
dreams, I would argue that it probably
has something to do with emotions and
being able to uh move through some
emotionally difficult times and or it's
an early warning system. A lot of people
dream things and uh it helps them
understand something else that's going
on in their life. You ever heard the um
thing uh people say, I before I make a
big decision, I want to sleep on it.
>> Yeah.
>> Right. this is what they're doing is
when they sleep on it all these
desperate pieces of information come
together and work themselves so that you
can come to a solution. So I think the
other thing that reason that we dream is
to come to solutions and to create
innovation
>> that tracks in my life. I I can be going
to bed really thinking about something
quite like you know remunerating about
something to the point that it's like
overthinking and it's a problem. It's
stressing me out.
>> I can get eight hours sleep and wake up
and it's like the clouds have parted,
>> right? It's like magic.
>> It's like magic.
>> It's great. And I only real realized
this in the last couple of years when
you know business my businesses got
bigger and there was more problems to to
work through that like actually I could
use sleep as a weapon against the
problem. Absolutely.
>> Versus trying to stay up all night and
solve the problem. I could focus on the
sleep to solve the problem.
>> Yeah. I do it all the time. And and what
you can actually do it's called priming
is you can think about the problem in a
in a way before you go to sleep and then
it triggers your brain to think about
the problem while you're sleeping. what
you write it down or do you
>> There's a lot of different ways you can
go about doing it. So, for example, what
I have some people do is write down
everything they can remember in their
dream beforehand before they come to
therapy. But what you can do is
something different. If you want to
change your dream, you write it all
down, but that you change the ending.
Okay? And you read it several times
before bed and it will actually change
your dream.
>> So, what am I writing down before bed
then?
>> So, let's say you had a scary dream.
Okay? You're walking through a haunted
house and something terrible is going to
happen when you walk out the back door
>> the night before.
>> Yeah. The night before. Then I have you
write all of that down and then when you
come into session with me, I say, "Okay,
we're going to change the ending because
at the at the very end, you walked out
onto the porch and somebody got you
right." So instead of that happening,
you're going to walk out to the porch
and you're going to pull out a gun and
you're going to shoot the guy. Okay? And
so we change that in the dream in the
right in what you wrote down and then we
talk about it in therapy. And then right
before bed, you read this to yourself
multiple times and it over 7 to 10 days,
you change the ending of the dream.
>> And how does that help?
>> So it makes it more positive. And when
you change the ending, the reason you're
waking up is something is scaring you so
much that you're waking up and you stop
processing. And so when you change the
ending and you don't wake up, you
continue to process and then you move
past the dream. Just like you said when
you wake up and the clouds have cleared.
>> A lot of people wake up and the clouds
don't clear because they have nightmares
and they keep repeating it over and over
and over again.
>> H
>> it's quite remarkable. The process is
very interesting. So what I do is I
bring them into session put them into a
mild hypnotic state uh only by doing
some simple breath work. Right? So let
me give you an example of somebody that
I worked with and tell you exactly how
it went. So I was working with somebody
who had had uh pretty significant
trauma. They had been raped. Right? And
so they were having nightmares about
this. So serious situation, right? So
she had a she had a nightmare of being
in a jungle. And so I had her come in
session, wrote it all down. And when we
got to the end, we were walking through
the jungle. She was actually being
chased through the jungle. So I turn to
her and I say, "Okay, well, we're in the
jungle. Tell me more about this jungle."
And she says, "What do you mean?" I
said, "Well, in jungles there's lots of
tropical plants. There a lot of colorful
flowers." and she'll stop and you can
see she's looking around inside her head
at the dreamscape and then she says,
"Oh, there are there's some beautiful
flowers over there. I've now advanced
the dream, right?" Because she didn't
know there were flowers before. Now
she's imagined that they're flowers. I'm
moving the dream forward. So, we go over
and we smell the flower. And I said,
"Well, you know, usually in jungles
there's there's animals. Are there any
animals?"
"Yeah, there's a lion." "Oh gosh, is the
lion friendly?" "Yeah, the lion is
friendly. Can we go over and talk to the
lion? Yeah, Michael, we can. So, again,
in her head, we walk over. So, I say to
her, "Uh, does the lion have a name?"
And she said, "I don't know. Let me
ask." So, she asked the lion his name.
And she said, "Yeah, his name is Jack."
And I said, "What does Jack mean to
you?" And instantly she says, "Jack was
my uncle and he saved me from getting
raped by my stepfather."
Now, we're getting somewhere. Now, we
understand what's chasing her. Now, we
understand where she's headed to. She's
trying to head to the person that saved
her. Now she starts to understand where
this dream is coming from. And guess
what? In three or four more sessions,
she doesn't have the dream anymore
>> because you did what?
>> Because she now understands where it is.
She's no longer scared in the middle of
her dream. She's able to understand it,
wake up, and move forward.
>> It's remarkable.
It's kind of the coolest thing ever. If
you want to know the truth of the
matter, working with people's dreams is
just ma amazing stuff. And for people at
home that might not have access to you,
>> um is is a is there a simple thing that
they can do to start to sort of get a
hold of these dreams?
>> Yeah. Yeah. Yeah. Number one is you
could actually start a dream journal.
>> So it's just a journal. Um and there's a
couple things that you would write down
in a given dream journal. So you might
write down um what was the theme, right?
So was it was like describe it like was
it dark out? Was it light out? Uh was it
scary? Was it happy? You might describe
the surroundings of it and you might
describe the people that are in it as
well. um and start listing these things
and getting as detailed as you possibly
can. Once you've kind of gotten through
the point of getting the details down of
your dream, then if you want to change
them, you can change the ending. It's
not hard. You just change it the way you
want it to be. Then you start to read it
over for yourself. Now, I want to be
clear, in terrible nightmare situations,
this can be a little bit difficult. And
so, you're probably going to want to
talk with your therapist about it and
maybe work with the therapist while
doing something like this. But it is
absolutely possible to collect
information from in a dream journal u
and be able to do some interesting stuff
with it. I would not recommend taking
your dream and stuffing it into chat GPT
and asking chat GPT what it means. Um
lots and lots of people are doing that
these days. And here's why that's
probably not the best idea. So number
one, unless chat GPT really knows and
understands you there, it's going to
give some very broadbased sort of
encyclopedia. you know, here's a symbol
that means this type of thing, which
once again, we have very little evidence
that that actually works. So, I would
argue that you're better off talking
about your dreams with people who know
you. Um, because they can actually help
you understand a little bit more about
what's going on.
>> There's a few other items on the table
here. Um, I mean, this is I don't use
this exact one, but maybe I should, but
this has been an absolute game changer
for me when I travel, when I'm on
planes.
>> I love a good sleep mask. My wife says
it looks like I'm living in the 50s.
you know, when I'm wearing it. But I
love a good sleep mask. That one in
particular is pretty cool because you
can remove the eye cups and you can
change the sizing of where you want it.
And then these can actually you can
replace these with things that heat or
cool.
>> Um, but I love that that particular eye
mask. It works. Yeah, it's really works
quite well. It's very dark in there. You
definitely can't see up there.
>> Crazy,
>> right?
>> And then I've got one more thing that I
think people will find interesting. I
can't explain how how much of a game
changer it has been to cover my eyes
when I go to sleep because gosh the
amount of nights per week where I don't
know there's like a crack in the in the
curtains or I don't know someone gets up
early and
>> well also for you you're traveling all
the time you're in different you're in
planes you're in different environments
also by the way every time you're in a
different environment you have something
called the first night effect so we see
this with every human on earth when you
sleep in a new place for the first night
you never sleep well because it's new
sounds new sights you know, new smells,
all that stuff is new. So, what's nice
about having this is when I put one of
these on, I don't have to worry about
light. I don't have to worry about
anything.
>> Does CO2 play a role?
>> In what way?
>> In changing sleep. I was thinking if
ventilation, the amount of oxygen in the
room matters at all because sometimes I
go to hotels and they don't have windows
you can open.
>> Right. So, air quality is also a
important thing, not just air quantity,
right? And so number number one thing if
I was to tell people, hey, here's an
easy thing to do to to make your sleep
better, just go out and buy an air
purifier for your bedroom. Think about
it. It's the room you spend more time in
than any other room in the house. You
want that air to be fresh and filtered,
right? And not a big, it's not
expensive. 20 25 bucks. One sits in the
corner, just runs the air, cycles all
day long. That way you know you have
good clean fresh air. Um, also I tell
people open the windows once a week. Um,
it's good to get fresh air in. Now, the
only problem comes is if you have
allergies and the allergens fly in and
there's pollen or dust or things like
that, that can be somewhat problematic.
But generally speaking, if you don't
have enough oxygen going on, you're
definitely not going to sleep well and
your body's going to wake up. So, if you
were in, let's say, a oxygen restrictive
environment, so let's say that you were
underneath the covers,
>> right? And you've got the thing all all
the way over your head, you're not going
to sleep particularly well and
eventually you're going to get so feel
so restricted that you're going to open
up the covers. I want to understand the
best possible sleep position. I do have
a bed um in the room next door that we
can go to and talk about these pillows.
But before we do that,
>> sure.
>> I would like to talk about
>> relationships, arguing with your
partner, sex, all those kinds of things.
What do I need to know
>> to protect my sleep, but also to protect
my relationship? If we start with
talking about I know you wrote about it
in your book, um the power of when you
talked about I think it's on page 10
>> 101. You talk about arguing with your
partner before bed.
>> Yes.
Possibly the worst thing you can
possibly do is argue with your partner
before bed. Um because it's increasing
heart rate, right? What I tell all my
patients to do is if you if you need to
have an important discussion with your
spouse or your partner, do it right
after dinner, right? So like in that
7:00 range, 7 to 8:00 range. So that way
you have enough space and time to be
able to discuss something and not
hopefully go to bed angry if you can
avoid it at all possible. It happens.
Look, I can't say that I've never gone
to bed angry. I'm sure you can't say
that either. Sometimes things are a
bigger deal. But if you can find better
times to schedule those things, they
work out a lot better. For me, the other
thing that I oftentimes ask a lot of my
patients to do is, for example, if
there's known issues that are going on,
like let's say somebody's going through
marital therapy or there's there's an
issue that they're trying to work on,
then maybe that's better off done at
11:00 in the daytime versus starting to
kind of address some of those issues in
the evening time. I like evening times
to be as stressfree as humanly possible.
Now, if you got something you got to
talk about, you got to talk about it.
But generally speaking, I would say the
le the less emotionality that you have
in towards the evening, the better.
Unless it's joy or happiness.
>> So many couples, they have these
difficult conversations on the pillow.
>> Yeah.
>> Including me sometimes.
>> Yeah. Well, and it makes sense like when
else do you see that person, right? You
haven't seen them all day. You're you're
literally face to face like, "Hey, I got
something I got to talk to you about.
This is kind of the best time to do it."
>> It ruins your sex life as well, doesn't
it? absolutely ruins your sex life
unless you have makeup sex afterwards
and then it's great but at the end of
the day it's not a lot of fun to have
those conversations at night. That's
again why I choose to if I'm going to
have that conversation the best time
honestly to do it is right after
breakfast.
>> In my relationship we've banned uh
difficult conversations at night time.
>> Good. That's probably a smart move.
Dude,
>> you're tired and it's going to destroy
your sleep,
>> right?
>> You you can't think straight. You're
probably more emotional
>> and you haven't put all the pieces
together yet of the issues that are
really going on. I can assure you if you
sleep and then have your discussion in
the morning, you'll actually think about
the issue better.
>> It's so crazy. As I've gotten older,
I've realized how much of my mood is
determined by my sleep. Like, it's so
And I think it's got worse with age.
>> Oh, absolutely it does.
>> Because at 25 you could blow [ __ ] off.
Oh, yeah. Or you could drink a monster
or a
mood. Yeah. Sleep matters. And I think
that's what you're that's that's the
button that you're pushing here. And I
think it's important for your audience
to hear that, right? is look, you're 33
years old and you're already seeing
things changing in your sleep that have
a big effect in your life. I'm 58 years
old, okay? I see the same thing
happening. Everybody, sleep is so
fundamental to the human condition that
it's one of those things that we've got
to really pay attention to. And the
thing is, most people don't pay
attention to it because they're like,
"Well, my body does it automatically,
Michael. Like, how tough could this be?"
I walk into that room in the back of the
house, I turn off the lights, h go to
bed, then I wake up, something magical
happens, and I should be great, right?
doesn't always work that way.
>> I was reading in your work about the
best time to fall in love.
>> Yes.
>> That's a strange thing for a
>> somebody of your profession to be
thinking much about was in this book,
was it?
>> Yeah, it was.
>> Yeah.
>> When you think about it, everything is
based on timing, right? So, the timing
when your hormones at a certain point
and you meet that person and their
hormones at a certain point and then all
of the sudden there's a connection,
>> right? That's hard to do when you're
exhausted, right? Try going on a first
date when you're completely like when
it's the worst, right? You know, you're
not giving a good impression of
yourself. You know that you're not
getting a good impression of that person
because your mind is not going where it
needs to be. So, there's timing involved
and understanding your chronoype and
that person's chronoype really leads you
in that positive direction. And I would
argue that it's pretty easy to fall in
love at that time.
>> Okay. So, in your book,
>> um, Power of When,
>> yes.
>> On page 9, uh,4, you say, "Dolphin's
best mood is in the afternoon to
evening." So, the best time for them to
fall in love is 8:00 p.m. Lions
>> 700 a.m.,
>> right? Cuz remember, they're early
morning people. They're exhausted at the
end.
>> Damn. So, they should be going on
morning dates.
>> Yes.
>> Bears,
>> 400 p.m. And the wolf, like me, 11:00
p.m. That tracks.
>> Yeah, I get it. So, should I be doing
my, you know, okay, I'm in a
relationship. I'm about to be married.
But, um, I should
>> you got engaged. Congratulations.
>> Thank you so much.
>> Yeah,
>> but I should be doing my dates later. It
kind of tracks. That's kind of when I
did them.
>> Well, look at your whole schedule, dude.
You don't do a thing before 11.
>> That's true.
>> Right. I think you're exactly like I am.
>> Shall we go and look at the best
possible sleep position?
>> Yeah, let's check it out. And we talk
about pillows, too.
>> Okay. So, I'll bring all the pillows
with me.
>> Okay, great.
>> Okay. Okay. So, we're going to go into
the next room where there's a bed and
you're going to tell me what can you
tell me when we look at the bed. How can
you help?
>> So, there's a couple of different
things. So, number one, I'm going to
look at your starting sleep position and
I'm going to give you some feedback
about that. Then, we're going to fit you
for the right kind of pillow for you.
And then there's some cool technology in
there that I want to show you as well
that can help keep you cool all night
long.
>> And do we need to take this with us?
>> Yes, take that one. And then, how many
pillows are there?
>> I think there's five.
>> There's five different pillows. Okay,
great. Let's
>> They all do different things.
>> Okay.
>> Okay. Okay, so we're now downstairs in a
bedroom we have in the house. I have
lots of pillows here, quite a few.
>> And there's a bunch of questions I have
for you. The first is
>> pillows. Do they matter? Is there a
perfect one? Is it different for every
individual
>> sleeping position? Is there a perfect
sleeping position? There is.
>> And the third one is about temperature.
>> You got it. Let's go.
>> So I just grab whatever pillow is in the
bed wherever I travel.
>> Terrible idea.
>> Really
>> terrible idea. So, first of all, a lot
of people need to understand that a
pillow is a bed for your head, right?
And so, the goal here is to keep your
nose in line with your sternum, which is
sort of the center part of your chest,
right? And but you don't want it facing
down and you don't want it facing up.
You want it to be completely in the
center like that. And so, if you have a
pillow that tilts your head to the one
way or tilts your head to the other, it
causes a pain signal from the strain of
the musculature that goes to your brain.
You don't get into deep sleep. So, you
really want to make sure that you've got
a good pillow. Otherwise, you end up
with a crick in your neck. You don't get
good deep sleep. It becomes problematic.
>> Okay. All
>> right. So, the big question is how do
you pick a pillow? Right. So, first
question you want to ask yourself is
squishy or firm? Right. So, let's take a
look at our tower of pillows here.
>> So, for you, let's let's take a look.
So, this is a pretty firm one. This is a
basically a foam based hunk of foam
pillow, right? Versus this one, which is
sort of the normal kind of pillow, much
more squishy. So, which are you? A
squishy or a firm?
>> That one.
>> Okay, perfect. So, you're more on the
squishy, which means you like to
manipulate the pillow. You don't want it
to have a huge form factor where your
like head is on a block of cheese,
right? Got it. So, perfect. So, let's
move this foam pillow out of the way.
>> The second thing you want to look at
from the pillow is when the fabric comes
together here, it forms what's called a
knife's edge. So, it's where the two
pieces of fabric meet. Now, why is that
important? Because when you have your
head on a pillow like this and the
knife's edge is down here, you're not
getting as much support underneath your
neck here, right? So, in order to fix
that, we have something called a gusset.
So, a gusset is this piece of fabric
that comes along here. So, you notice
these two pieces of fabric don't meet.
There's a thickness here. So, when you
were to sleep on it, it actually catches
you all the way down. So, let's say you
would be like this, you it gives you
support all the way down. Now, you don't
like the foam of it all, but you do like
the the gusset, right?
>> Here's one that's got the gusset without
the foam. So, it's squishy and has the
gusset. So, if you were going to use
this,
>> that's good.
>> So, now we've been able to fit you for
the pillow. Now, the next question we
have, uh, well, the last one is there
are some special types of pillows.
Actually, this one has got a cutout. So,
you notice how that's got like a moon
here. It fits perfectly here. here. And
notice, right, this is this is my
personal pillow.
>> Oh, okay. I can So,
>> you have to shift.
>> I know. Sorry. Um, and so you can see it
really comes all the way down to your
neck and it gives you support all the
way from the base of your neck all the
way up through. And that's one of the
reasons that I like it cuz I can cut it
out and put it right there on me.
>> For the average person, if if they had
to pick one pillow without you knowing
anything about them, which pillow would
you pick of these six?
>> So, of all of these six, well, if I had
my choice, I'd pick this one because
this is my favorite. By the way, there's
also another feature of this that I
think is important to that people should
notice is it's got a zipper, which means
I can change the stuffing and I can pull
it out or put it in. So, I can change
the height of my pillow.
>> And what stuffing is that?
>> This is actually a shredded latex.
>> Okay.
>> Which I really like to sleep on.
>> So, what's this pillow called?
>> So, this is by a company called Coupe.
Um, and um I like it because of the
change in the in the shape as well as
the stuffing and the zipper on the side.
It really makes it kind of what I would
argue to be probably the best pillow
out.
>> And what's the worst pillow?
>> The worst pillow that we've got here,
this one. So, almost no support, right?
It's super squishy,
>> right? We don't we don't we have the
knife's edge here. There's not much to
it. Also, by the way, it feels like this
is made with polyester, which is a heat
trapper. Now, let's lie you down on the
bed, get you in your starting sleep
position, and I'm going to show you
exactly where the pillow should go and
what pillow should be for you. So, if
you can lie down for me. Now, what is
your starting sleep position? Are you a
back sleeper? You a side sleeper? You a
stomach sleeper?
>> I start on my stomach and I roll to my
right.
>> Got it. Okay, perfect. Go ahead and get
on your stomach for
>> By the way, how weird is that?
>> Roughly 75% of sleepers are side
sleepers, either right or left. So,
you're definitely not don't fall into
that category. Another 20 or so percent
are back sleepers. You're in the like 5%
category of stomach sleepers. The reason
it's the worst position is when you're
lying on your stomach, right, and the
pillow is here. You're pushing on your
back here and it causes what's called a
spllay, which is extra pressure on your
lower back. And that can give you low
back pain over time.
>> I only do it for the first like 10
minutes
>> and then you rotate.
>> And then I rotate onto my side.
>> Which side? Right or left?
>> My right. This side.
>> Perfect. So in all actuality, you
actually want to be on your left side
because when you lie on your right side,
you're actually all of your organs push
down onto your stomach and it can leak
some of those gastric juices and you end
up with something called
gastroosophageal reflux disease. So the
way I teach people is right is wrong. So
you don't sleep on your right side, you
sleep on your left side if you can. If
you can, but let's fit you anyway. Let's
go ahead and get you down on your what
would be your right side and let's see
how you do. Lie down.
>> How I normally lie down.
>> Yeah.
>> Okay. Okay. This is how I lie down when
I first get in bed for the first time. I
can't wait to see.
>> I'm like this. I move the pillow out the
way
>> and I just learn lay like this for a
while.
>> Okay. And you have no pillow.
>> No pillow.
>> Perfect. And then when you rotate to get
to your side.
>> Yeah.
>> Show me that.
>> I sleep like this on my on my right
side.
>> Like roughly like this.
>> So, what you'll notice is your shoulder
is now up into this part here. So, it's
still being supported. Your head is
fine. And what you'll notice is his head
is in line with his sternum, right? His
nose is in line there. It's not falling
too far. It's not overextended.
>> That's my sternum.
>> Your sternum is the direct center of
your chest. It's the m like your breast
plate is what you would call it, right?
Right. Sort of in the center of So, you
want your nose to be in line with that,
which it basically is. And when I look
at your head, your head is not tilted to
one side or another. So, I know there's
no more neck strain. So, that would be
the perfect pillow for you. But that
happens to be my pillow. So, I'm not
going to give it to you, but I might get
you one if you're nice to me.
>> Thank you. What about these other
pillow? So, the bad one was which one?
The bad one was this one. So now go
ahead and put yourself on that one.
>> Yeah, I'm going too far down.
>> Right. And you're not even trying. Like
you don't even have to push your head
that far. And and you can see and your
and look where do you put your arm? Your
arm's not supported. Like it's becomes
like people don't realize it but pillows
matter. What I try to tell people is I
used to be a runner and when you're a
runner like equipment matters like your
shoes matter, your music matters, your
your dry fit wear matters. The same
holds true with sleep. If you don't have
good pillow, good mattress, good sheets,
you don't have the right equipment,
you're not going to get good sleep.
>> That is a terrible pillow.
>> I'm telling you,
>> really, really bad pillow. Okay, so
sleeping on my left side is the correct
side
>> with a good pillow.
>> With a good pillow.
>> But now, let's talk about temperature.
>> Y.
>> So, while you're lying here, you may
have noticed that there's different
temperature on either side of the bed.
>> So, if you feel here
>> Oh, it's warm.
>> It is.
That's correct. So when you're lying
there, your body will naturally become
more warm. So remember how we were
talking that sleep follows the core body
temperature cycle, right? And so as your
core body temperature drops, you want
your environment to drop with it because
if it doesn't and the environment is too
hot, you can't fall asleep. So this is a
product. It's called an Orion sleep
system, and it's a topper that's you're
lying on top of. Has a thin tube that
goes through it. You can't feel the
tube. should feel cool over there and
warm over here.
>> It's cold here, it's warm here.
>> Exactly. And we and you can rotate it
however you want. But what's so
fascinating about this is you can
actually set it so that it follows your
circadian rhythm and it actually can
help you stay asleep. The only thing
that you as a consumer can manipulate in
your sleep. Like you can't write a
pharmaceutical right prescription. You
can't get a CPAT machine. But what you
can do is control the temperature. So
you might say to yourself, when would I
want to control the temperature for my
sleep? Well, if you were female and you
were 45 years old and you were going
through menopause, you really want to
control the temperature because hot
flashes might wake you up in the middle
of the night. Those types of things
become very, very important.
>> And how much does this cost?
>> So, this runs about a little over 2,000
US. Um, the nearest competitor is
significantly more expensive, almost a
third more expensive.
>> And are you affiliated with them in any
way?
>> I am affiliated with these guys. I am
their chief sleep officer.
>> Oh, nice. Didn't know that was the job
title.
>> I know. I didn't know. I made up the job
title myself. Thank you very much.
>> Okay. Is there anything else I should
know about the broader room that is
pertinent?
>> So when I talk about broader room
aspects, I think of the five senses. So
sight, sound, touch, taste, and smell,
right? So sight is light, right? So
clearly you want the lights down as
we're starting to get towards bed. Maybe
having a dimmer switch or something like
that is a great thing to slowly start to
do that or kept the overhead lights and
just have the bedside table lamps about
30 minutes before bed. Again, setting
the tone. The next one would be sound.
So, it's always better to be quiet, but
at the end of the day, sometimes you can
have that and sometimes you can't. It's
really about the emotionality that you
attach to the sound itself. If you get
annoyed by something, it's just going to
get worse and worse. But if you can
think in your head, hey, this isn't so
annoying anymore, it becomes less
problematic. But to be clear, certain
volume sounds and certain decibel levels
are going to wake you up. And so, you
really, it's hard to sleep next to a big
highway, right? So, you want to have as
much sound buffering as you possibly
can. So, we did sight, we did sound.
Let's do touch. Touch is temperature,
right? We talked about that. You want
the bedroom to be cool. If you can get
the get the um air conditioning on, but
let's say you've got the air
conditioning on, but it's super hot
summer and you're not fortunate enough
to have an Orion sitting underneath your
sheets. What do you do? Go out and buy a
plastic bottle of water, two of them.
Stick them in the freezer. Then put them
into socks and then put them on your
sides. Okay, so frozen water bottle
inside a pair of inside a sock that sits
on your side. It's like a mini air
conditioner underneath the covers. It
works like a charm. I use this when I
travel because a lot of times, you know,
the room you can't necessarily change
the thermostat or things like that and
it's a great way to be able to do that
kind of stuff. Then the final one is
smell. So, people always ask me, "Does
aroma therapy really work?" Believe it
or not, there are at least two
scientifically rigorous studies that
show that aroma therapy can actually be
helpful for you. But I want to be clear,
candles are not the way to do aroma
therapy. Fire and sleep do not mix.
Okay?
>> But a diffuser I'm fine with. Or a
little sache or a pillow mist. All of
those can be quite helpful. And you just
put them, you spray it on your pillow,
or you have it right next to your
pillow. And as you breathe in the aroma,
two aromomas have been shown to be
helpful for sleep. One is lavender.
Surprise, surprise. The other is called
elang elang. Um, that's one that's
actually got some data on it. And I
actually think I saw a study on vanilla.
>> And should I be sleeping naked?
>> Such a good question. So, here's what
I'll tell you is you thermorreulate
better with less clothing on. So, less
barriers allow your body to do exactly
what it should do. So, I would argue you
definitely could sleep naked. And I I
think there's an argument for sleeping
naked will allow you to sleep better and
thermorreulate better. However, be
careful because if you have animals in
the bed and you're sleeping naked, what
looks like a chew toy to them might be
important for you.
>> You're speaking from experience.
>> I'm just letting you know there's
problems out there. I'm not saying that
I had one of those problems myself.
>> Okay. I I think we've covered it, right?
>> Last one. Yeah.
>> Socks.
>> Oh, socks. Everybody wants to know,
should I wear socks to bed? So, here's
what's interesting is you dissipate heat
faster wearing uh with uh unsocked foot
because there's no hair on the bottom of
your feet. You ever notice when you're
hot at night and you stick your foot out
from under the covers, you instantly
cool down and everything's okay. So,
what I do for some of my patients who
have thermmorreulation issues, I have
them start with socks but no clothes and
then they can remove their socks
afterwards as they start to get too
warm.
>> Okay, let's go back upstairs and finish
this conversation.
important question to ask you.
>> So, I want to go back upstairs. Thank
you so much for that. Super, super
useful.
>> Sure.
>> Dr. Michael Bruce, we have a closing
tradition on this podcast where the last
guest leaves a question for the next
guest, not knowing who they're leaving
it for.
>> Oh, I didn't know this. This is awesome.
>> And the question that's been left for
you is, if you could have the power to
change one thing in the US healthare
system, what would it be and why?
>> What I would like to see happen, well,
there's two things. One is a wish and
one is I think a possible reality. So
the possible reality is I'd like to see
everybody in the United States get
tested for sleep apnnea. It's so
underdiagnosed. There's so many people
that are suffering from it. You saw the
statistics. I mean it's it's an
epidemic. So if I could have one thing
that happens in the US health care
system, it would be that somehow or
another somebody the powers that be say,
"Hey, you know what? We need to test
everybody for sleep disorders,
specifically sleep apnea." I think that
would be a great big wish that I would
have. The second wish, which I don't
know would would ever happen, but I'm
going to take my second wish anyway,
even though you didn't offer it, is I
want everybody to get a great night's
sleep, but I wanted to all be on the
same night.
I want everybody in the world to get a
really good night's sleep on the Can you
imagine what would happen the next day?
What if what if what if people actually
found peace in the waring nations
because they actually got a good night's
sleep? What do you think innovations
would happen with if we get some of the
smartest people in the world to just get
a good night's sleep? Like what about
charities? What about philanthropy? Like
every single thing that you do, you do
better with a good night's sleep.
Wouldn't it be cool if everybody got one
just for one night and see what happens?
>> Nine months later, there'd be a lot of
kids. There would be a lot of kids born
for sure.
>> That's so beautiful. Michael, thank you
so much for the work that you do. It's
so incredibly important because as the
numbers and the stats have shown, people
are struggling increasingly in the world
that we live. But through lifestyle
factors and the way that we work and all
these other factors we talked about with
this more than anything and for so many
people, it's the cause of so much
frustration. It is the thing furthest
upstream from a lot of the problems that
they struggle with in relationships, in
their work, in their sex life, and
everything in between. So having great
educators out in the world that help to
demystify this black box is so critical
and you're one of the very very best
I've ever met and in part because you're
so unbelievably engaging. You're a great
storyteller. You've you've been in the
field doing this with patients of wide
varieties but also you bring that
psychology element which is of quite
rare to people that talk about
>> the clinical side of sleep. You have
several great resources if people want
to continue to um learn more. I would
highly recommend um people if you've
gotten to this point in the
conversation, I would highly recommend
going over to your YouTube channel now
and watching some of your top videos
because I found them to be fascinating
and I learned so much more. We we
weren't able to go through everything
today, but if there's specific things
like waking up in the middle of the
night, um your videos about that have
six or seven million views over on your
channel and they're very very focused on
that subject. So, if there's specific
things that you felt weren't covered in
this conversation, right now go over to
Michael's channel. Um, it'll be linked
below and um, watch more there. But
also, if you're a reader and you love to
read and that's your thing, which I know
is great for sleep, two great books here
in front of me. The power of when,
discover your chronotype, and the best
time to eat, lunch, ask for a raise,
have sex, write a novel, take your meds,
and more. And also this book here,
Sleep, Drink, Breathe, which talks
broadly about the simple daily habits
for profound long-term health. Michael,
thank you.
>> Thank you. This has been so much fun. I
wasn't exactly sure what to expect, but
it was lovely. I really enjoyed it.
Everybody here is fantastic, and uh I
just want to wish everybody sweet
dreams. YouTube have this new crazy
algorithm where they know exactly what
video you would like to watch next based
on AI and all of your viewing behavior.
And the algorithm says that this video
is the perfect video for you. It's
different for everybody looking right
now. Check this video out and I bet you
you might love it.
Ask follow-up questions or revisit key timestamps.
The video features a sleep doctor discussing various aspects of sleep, its disorders, and practical tips for improving sleep quality. Key topics include the science behind sleep drive and rhythm, the concept of chronotypes (Lion, Bear, Wolf, Dolphin) and how they influence ideal timings for daily activities like work, sex, and coffee. The doctor addresses common sleep problems like insomnia and sleep apnea, explaining symptoms, diagnosis, and treatment options. He debunks myths around sleep duration and melatonin usage, emphasizing the importance of consistent wake-up times and proper hydration. Practical advice is given on optimizing sleep environment, using breathwork, and managing habits like alcohol consumption and late-night eating. The conversation also touches upon the impact of sleep on relationships, academic performance, and overall health, including the link between poor sleep and Alzheimer's disease. Finally, the doctor shares insights on dreams, proper pillow selection, and sleep positions.
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