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Sleep Doctor: If You Wake Up At 3AM, DO NOT Do This!

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Sleep Doctor: If You Wake Up At 3AM, DO NOT Do This!

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4747 segments

0:00

What are the most popular questions

0:02

people come to you with as a sleep

0:03

doctor?

0:04

>> There's three biggies. Number one is,

0:06

"What do I do if I fall asleep, okay,

0:08

and I wake up in the middle of the night

0:09

and I can't fall back asleep?"

0:10

>> And you can help people with that.

0:11

>> Absolutely. The second question is,

0:13

"What pillow should I buy?" And I'm

0:15

going to walk you through which pillows

0:16

make sense for which people. And then

0:18

another one that people ask me all the

0:20

time is, "What's the best time to have

0:22

sex?"

0:22

>> That's a strange thing for somebody of

0:24

your profession to be

0:26

>> about. Well, let me explain why. So,

0:27

I've been an actively practicing sleep

0:29

specialist for 26 years. I take care of

0:31

people's sleep problems like apnea,

0:32

insomnia, and I'm really interested in

0:34

the things that you might be doing right

0:36

now that are messing up your sleep that

0:37

are easy to fix. So, for example, most

0:39

people don't know that they have a

0:41

genetic sleep code inside them called

0:42

their chronoype, which decides when your

0:45

brain releases things like melatonin,

0:46

cortisol, adrenaline, and dopamine. And

0:49

so I can show you based on your

0:50

chronotype when it's bedtime, but also

0:52

the perfect time of day to do almost any

0:54

activity, including the perfect time to

0:56

have coffee and alcohol. Crazy. There's

0:59

even data to show that your ability to

1:02

understand complicated concepts improves

1:04

when you're more in line with your

1:06

chronoype. Now, there are three known

1:07

chronotypes, but what I'm famous for is

1:10

discovering a fourth one, which I think

1:12

might be you. So, we're going to talk a

1:14

lot about that. We're also going to talk

1:15

about dreams because dreams can tell you

1:18

things about yourself that you may not

1:20

want to know. And then there's how to

1:21

fix jet lag, whether you should sleep

1:22

with a TV on, the truth about melatonin

1:24

supplementation, and my favorite way to

1:26

get magnesium.

1:27

>> Before we get into all of that, shall we

1:29

go and look at the best possible sleep

1:30

position?

1:31

>> Yeah, let's check it out.

1:35

>> Guys, I've got a quick favor to ask you.

1:37

We're approaching a significant

1:38

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1:40

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ever done anything for you, given you

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1:52

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1:54

much to myself, but also to my team cuz

1:55

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1:56

as a team and celebrate. And it's the

1:58

thing, the simple, free, easy thing you

2:00

can do to help make this show a little

2:01

bit better every single week. So that's

2:04

a favor I would ask you. And um if you

2:06

do hit the subscribe button, I won't let

2:08

you down. And we'll continue to find

2:10

small ways to make this whole production

2:11

better. Thank you so much for being part

2:14

of this journey. Means the world. And uh

2:15

yeah, let's do this.

2:20

>> Dr. Bruce, yes. What is it you do? Why

2:24

does it matter so much now? And what

2:28

perspective do you take on what you do

2:30

that is atypical versus other people I

2:33

might have spoken to about this subject?

2:35

>> I'm a sleep doctor. Um I take care of

2:37

people's sleep problems like apnea,

2:39

narcolepsy, insomnia, things like that.

2:42

I've dedicated a good portion of my

2:44

career not just to understanding how to

2:46

treat those disorders which are sleep

2:48

disorders, but what I also I call

2:50

disordered sleep. I'm really interested

2:52

in behavioral habits. What's going on?

2:55

what are the things that you might be

2:56

doing right now that are kind of messing

2:58

up your sleep that are easy to fix um

3:00

and be able to maybe change how things

3:02

are going forward? You know, I I didn't

3:04

start out thinking I was going to become

3:05

a sleep doctor if I'm going to be honest

3:07

with you. Like that that was not on the

3:08

on the path. Um I was actually going in

3:11

a completely different direction. And

3:13

one of the things I really discovered

3:15

was when you change someone's sleep,

3:17

dude, you change their life. Like it is

3:19

fundamental to who they are. And it's

3:22

important for me to be a sleep educator

3:24

in a way, shape, and form that's

3:25

practical so that people can actually

3:27

get something from what I'm talking

3:28

about and apply it right then and there.

3:30

>> And there's probably a couple of million

3:32

people that have clicked onto this

3:33

conversation to listen.

3:34

>> Yeah.

3:35

>> Who is this conversation for?

3:37

>> I think it's for anybody out there who's

3:39

either curious about sleep or wants to

3:41

try to improve their sleep or maybe

3:43

suspicious that they could have a

3:44

problem with their sleep. I think any

3:46

one of those three types of people would

3:48

find tremendous value here. And what are

3:50

we going to be able to do for those

3:51

people today specifically?

3:53

>> So, I'm going to give people um several

3:54

different like plans, if you will, uh

3:57

maybe even a five-step plan of things

3:58

that they can absolutely learn how to

4:00

do. They're also going to learn about a

4:01

genetic sleep code that they have inside

4:03

them called their chronoype. A lot of

4:05

people don't even know that they have a

4:07

chronoype or maybe they've heard of the

4:08

of the idea, but they haven't ever heard

4:10

of the term. We're going to learn a lot

4:12

about that. We're also going to talk

4:13

about dreams a little bit. Um I'm

4:15

excited to have the opportunity to do

4:17

that. I've spent the last year and a

4:18

half learning more about how to use

4:20

dreams in my clinical work as a

4:22

psychologist, which is very interesting

4:24

stuff. So, I'm excited to share some of

4:26

that. So, I think people are going to

4:27

learn a whole bunch.

4:28

>> And dreams matter.

4:29

>> Oh, yeah. They absolutely matter. I'm I

4:31

call dreams emotional metabolism, right?

4:34

And so, when you're dreaming, what is

4:36

you what is the function? What is the

4:38

purpose? What are you doing? You're

4:40

actually working through your emotional

4:42

states that you had during the daytime.

4:44

Um this is why we have nightmares,

4:46

right? And so in a nightmare, it's a

4:47

scary scene and all a sudden it gets so

4:49

emotional, you wake up. That is

4:51

officially called a nightmare. That

4:53

awakening, but you stop processing. And

4:56

when you go back to sleep, you go back

4:57

to the dream and you get to that scary

4:58

point, you wake up again and you get

5:00

caught in this loop, right? And so

5:02

dreams matter because they can be

5:04

incredibly disruptive. Also, they can

5:06

tell you things about yourself that you

5:09

may not want to know or may not have in

5:12

the front of your mind at all times.

5:14

Right? Sometimes people have very

5:15

interesting dreams like dreams of being

5:17

chased or dreams of their teeth falling

5:19

out or all these different things and

5:20

they can mean a whole host of different

5:22

things. But I want to be super clear.

5:24

There's no guide book that says, "Hey,

5:26

you know, if you're if you're dreaming

5:27

of that you're in water, you hate your

5:29

mother." Like, it doesn't really work

5:30

that way. Dreams mean something to the

5:32

dreamer. And so the goal is to

5:34

understand the context within that. So

5:36

who is the dreamer? What is the dream?

5:39

And then how do those two work together?

5:41

And what is the experience that you're

5:43

drawing from academically but also

5:46

professionally? Give me a view of how

5:47

many people you've worked with and

5:50

the range of things people come to you

5:52

with.

5:52

>> Yeah. So I've been an actively

5:53

practicing sleep specialist for 26

5:55

years. So I work in offices with medical

5:58

doctors cuz I'm not a medical doctor. I

6:00

have a PhD and I work with them on their

6:02

patients. lot of insomnia patients but

6:04

also the apneas, the restless legs, the

6:06

narcolepsies of the world because I have

6:08

kind of a unique distinction in that I'm

6:10

one of 168 people in the world who took

6:12

the medical boards without going to

6:14

medical school and passed. So I can work

6:16

within that framework and really

6:18

understand a lot of what's going on. I

6:20

don't prescribe medication, but if I'm

6:21

honest with you, most people don't need

6:23

sleep medication as far as I'm

6:25

concerned. I can get them to sleep

6:26

usually without any medication at all.

6:28

>> And you're a psychologist as well?

6:29

>> I am. I'm a clinical psychologist. And

6:31

how does those two worlds make 1 plus 1

6:34

equal three?

6:34

>> Sure. So when you talk about sleep,

6:36

psychology is all over the place. I

6:38

would argue 75% of the reason people

6:41

don't sleep is anxiety or fear. That

6:43

really falls well within the range of

6:45

psychology for sure. Um, and it's

6:47

different kinds of fears. It's fears

6:49

that you know about that are right in

6:50

your face, like something that's going

6:52

on in your daytime, but it could be

6:53

other fears. It could be fears of your

6:55

relationship. It could be financial

6:56

fears. It could be a whole host of

6:58

different things. So, I think there's a

6:59

lot of psychology that gets to be played

7:01

in all of this kind of thing.

7:02

>> I got two more questions before we

7:03

really get into the details and

7:05

specifics and start really helping the

7:06

audience with whatever they're dealing

7:07

with.

7:08

>> The first is we have lots of props here.

7:11

>> Yes.

7:12

>> Give me a a topline view of the types of

7:14

things you're going to show me and why

7:16

you've brought all of these wonderful

7:17

props.

7:17

>> Absolutely. So, I get asked a lot of

7:19

questions as you might imagine and um

7:21

one of the big questions that I get

7:23

asked is what bed and pillow should I

7:25

buy? So, sitting next to you is a large

7:27

stack of pillows, all different types,

7:29

actually. And I want to be able to show

7:30

some of your viewers how you look at

7:32

pillows and which pillows make sense for

7:34

which people. Believe it or not, there's

7:36

like a fitting process. We're going to

7:37

go through that. This device right here

7:39

is a sleep test, believe it or not. So,

7:42

it used to be we'd have to send you to

7:43

the hospital. Yeah, you can unwind it.

7:45

Uh, you have to send you to the

7:46

hospital. We'd put 27 electrodes all

7:49

over your body, respiratory belts across

7:51

your chest. We'd have cameras zoomed in

7:52

on you. And then, by the way, you're

7:54

supposed to be able to go to sleep,

7:55

right? And we're supposed to be able to

7:56

monitor you. Now, historically, we were

7:58

able to do that pretty well. But once

8:00

COVID hit, nobody wanted to sleep in the

8:02

same bed that somebody else had been

8:04

sleeping in the day before. So, now we

8:05

have what are called HSTS or home sleep

8:08

tests.

8:09

>> Wow.

8:10

>> Yeah. We'll talk about how to use it and

8:11

and what it can tell you.

8:12

>> My last question before we get into the

8:14

details is what are the most popular

8:16

questions that people come to you with

8:18

as a sleep doctor?

8:20

>> Yeah. So, I'd say there's probably three

8:22

biggies, right? Number one is, "Hey, Dr.

8:24

Bruce, I fall asleep just fine, but I

8:27

wake up somewhere between 1 and 3:00 in

8:29

the morning, and it either takes me 20

8:31

minutes or 3 hours to fall back asleep.

8:33

What the heck is going on there?"

8:35

>> And you can help people with that.

8:36

>> Absolutely. I'm going to give everybody

8:38

a exactly what I do in clinic. Like, I'm

8:40

going to explain to everybody exactly

8:42

what I say to my patients and how to go

8:44

about getting through that particular

8:45

problem because it's it's so flagrant.

8:48

Everybody needs to know how to how to

8:49

work with that. The second question

8:51

would be um what bed should I buy or

8:53

what pillow should I buy? I think we're

8:54

going to address that over here. Um and

8:57

then another one that people ask me all

8:59

the time is, you know,

9:02

is there some kind of timing? Is there

9:04

some like I feel like my body is off.

9:06

They say this all the time. They're

9:07

like, if I just lived in a different

9:09

time zone, I feel like everything would

9:11

work out well. So the very basics of

9:14

sleep.

9:14

>> Uhhuh.

9:15

>> What do I need to know about what sleep

9:16

is, the role it solves for us to even

9:19

understand the context of the things

9:20

we're going to talk about today?

9:21

>> Yep. There's only a few things that are

9:23

truly important to understand about

9:24

sleep. One is how does sleep work in the

9:26

brain. It turns out that there's two

9:28

separate systems in the brain. One is

9:30

called your sleep drive. The other is

9:32

called your sleep rhythm. And they both

9:34

work uh in an interesting way. They're

9:35

both a little bit like hunger, right? So

9:37

sleep drive is like hunger because right

9:39

I'm hungry. I'm hungry. I'm hungry. I

9:40

eat something. that hunger begins to

9:41

dissipate. Same holds true with sleep.

9:43

The longer you stay awake, the more the

9:45

more sleepy that you get. When you look

9:47

at it from a biology standpoint, it's

9:49

kind of interesting. So, when a cell

9:50

eats a piece of glucose, something comes

9:52

out the back end. One of those things is

9:53

called a denisonin. It works its way

9:55

through your system and goes to a very

9:57

specific receptor area, as a denisonin

9:59

accumulates, you get sleepier and

10:00

sleepier and sleepier. Now, why am I

10:02

going into so much detail? Turns out

10:04

when you look at a denisonin and you

10:06

look at caffeine, they're off by one

10:08

molecule. So, here's a little tip or

10:12

trick early in the pod for everyone. I

10:14

call it the nappa latte. So, what you do

10:17

is you take a cup of drip black coffee,

10:20

just throw in a couple of ice cubes,

10:21

right? Merely to cool it down, drink it

10:23

as fast as you can, and immediately take

10:25

a 25minute nap. The adenosin that's

10:28

built up in your brain will burn through

10:30

while you're napping. Caffeine, since

10:31

it's so close in molecular structure,

10:34

can fit into that receptor site. It

10:36

blocks any new adenosin. You're good for

10:38

four hours, guaranteed. I use it with

10:41

every CEO that I work with. So, let's

10:43

say you only got three hours of sleep

10:44

the other night and you've got a big

10:46

presentation to do or an awards ceremony

10:48

or something like that. You can do a

10:49

nappa latte for about 25 minutes or so

10:52

and you will feel much better. That's

10:55

sleep drive.

10:56

>> Let me just

10:57

>> Sure.

10:57

>> I want to make sure I really understand

10:58

this. Can you explain this to me again

11:00

as if I'm a 16-year-old? by having a

11:03

coffee and then taking a nap would make

11:06

me feel energetic because one would

11:08

think that having a coffee and taking a

11:10

nap are like

11:11

>> would be almost impossible, right? So,

11:13

number one, the caffeine doesn't kick in

11:15

before the end of the nap. So, a lot of

11:17

people think when I drink coffee, boom,

11:19

it just kind of spins up and all a

11:21

sudden I'm able to, you know, I get a

11:23

lot of energy from it. That's really not

11:24

actually how caffeine works. It has to

11:26

go down, has to get absorbed, has to be

11:27

digested. And so while all that's going

11:29

on, which takes approximately 25 to 30

11:32

minutes, you're actually taking a nap to

11:34

lower the amount of adenosin that has

11:36

built up in your brain. Let's say it's 2

11:38

o'clock in the afternoon and you only

11:40

slept for 4 hours and you are dragging,

11:42

right? All that adenosine that's built

11:44

up when you take that 25minute nap,

11:45

you'll burn through a lot of it and then

11:47

caffeine fits in and blocks any

11:50

additional adenosin from coming in. So

11:52

that way you're actually adding caffeine

11:55

to the situation and boom, your energy

11:57

goes straight. Okay. So adenosine is

12:00

makes me tired when it's docked in my

12:02

brain.

12:02

>> Exactly.

12:03

>> So I have 4 hours sleep which means

12:05

there's lots of adenosine and sleep get

12:08

clears the adenosine.

12:09

>> Correct. And then caffeine comes in

12:10

because it fits so perfectly into that

12:12

receptor site

12:13

>> and off you go. That's sleep drive.

12:16

Sleep rhythm has to do with your

12:17

circadian rhythm. Right. And so lots of

12:20

lots of information about that. But

12:21

basically your circadian rhythm is also

12:24

a lot like hunger. Right? You ever

12:25

notice you're hungry around breakfast

12:26

time, around lunchtime, around dinner

12:28

time, right? That's your circadian

12:29

rhythm for hunger. For sleep, most

12:31

people, at least here in North America,

12:33

have a tendency to fall asleep somewhere

12:35

between 10:30 and 11:00, 11:30 at night.

12:38

So, that's kind of the circadian rhythm

12:39

there. So, when your circadian rhythm is

12:41

high and your drive is high, you sleep.

12:44

But if either one of them is off, that's

12:45

when you have a sleep disorder or

12:47

disordered sleep.

12:48

>> My circadian rhythm is high.

12:50

>> When your circadian rhythm is on point,

12:52

high is probably not the right word. On

12:54

point. So meaning you are abiding by

12:56

your circadian rhythm. Now another

12:58

question you might say to me is well how

12:59

do I know what my circadian rhythm is?

13:01

And we're going to talk a lot about

13:02

chronotypes cuz that's what your

13:03

circadian rhythm is.

13:04

>> Okay. So let's do chronotypes then.

13:05

You've got some cards in front of you.

13:07

>> I do. I kind of like these cards. So

13:09

when we talk about chronotypes, a lot of

13:11

people may have heard of the idea but

13:15

not actually heard the term chronoype

13:17

before. So if anybody out there has ever

13:19

been called an early bird or a night

13:21

owl, those are chronoypes. So, we've got

13:23

early birds. These are people who, by

13:25

the way, this is genetic. You don't you

13:27

don't actually get to choose this.

13:29

There's a special area on your genome

13:31

called the PER3 area. And when you have

13:34

something called a single nucleotide

13:35

polymorphism or a snip. If it's flipped

13:38

one way, you're an early bird. If it's

13:40

flipped another way, you're a night owl.

13:42

If it's not flipped, you're in the

13:43

middle. Okay? So, so far, I haven't told

13:46

anybody anything new. Like, this is this

13:47

is all stuff that we've already learned.

13:49

The new part is this irregularity that

13:52

seems to happen for people during for

13:54

their sleep schedule. Specifically, an

13:56

irregularity in their melatonin and

13:58

cortisol production. So, all of this is

14:01

predicated on when does your body make

14:03

melatonin. So, if you're an early bird,

14:05

your body makes melatonin earlier in the

14:08

night starting at around 8:00 in the

14:09

evening. Makes you want to go to bed

14:11

around 9:30. You have a question.

14:12

>> So, melatonin is a hormone

14:14

>> it is

14:14

>> that

14:15

>> you produce inside of your body that

14:17

actually helps you sleep. It guides, it

14:19

tells your body when it's bedtime, which

14:22

is a little bit different than the

14:23

adenosine, which makes you feel sleepy.

14:26

>> I guess people listening now would be

14:27

asking themselves, why does it matter to

14:28

know my chronotype? Like, as it relates

14:30

to my productivity, the way I live my

14:32

life, my relationships, whatever matters

14:33

to me, why does it matter?

14:35

>> Because I can show you based on your

14:36

chronoype the perfect time of day to do

14:38

almost any activity. So if you f if you

14:41

know when your body is doing certain

14:43

things, when it has melatonin or when it

14:45

has cortisol or adrenaline or all these

14:47

other things, if you know the schedule,

14:49

you can actually just change your

14:50

activity to when your body is naturally

14:52

producing the hormone and then you do

14:54

the hormone better.

14:55

>> Okay,

14:56

>> so let's talk about the easy one, which

14:58

is sex, right? So a lot of people want

15:00

to know, "Hey, Michael, what's the best

15:01

time to have sex?" By the way, I think

15:03

that might be the third question that I

15:04

get asked most um often other than uh

15:07

the insomnia one and the mattress one I

15:09

think is what's the best time for sex

15:10

might be the the other question that I

15:12

get asked more than anything.

15:12

>> Must be tricky if you the time you want

15:14

to have sex and the time your partner

15:15

wants to have sex are off.

15:17

>> Well, think about it like this. What if

15:18

your partner's an early bird and you're

15:20

a night owl?

15:21

>> Yeah, I think that's me.

15:23

>> Don't worry, we're we're going to be

15:24

able to fix you. So, first of all,

15:26

there's a couple of different answers to

15:27

this question. So, number one is you

15:30

want to have a time. So, first of all,

15:31

most people are intimate between 10:30

15:33

and 11:30 at night. That's just a survey

15:35

that we did. So, it makes kind of a lot

15:37

of sense. But here's what's interesting

15:38

is your hormone profile doesn't look too

15:41

good at 11:30 at night for having sex.

15:43

In order to have successful sex, you

15:44

want to have estrogen, testosterone,

15:46

progesterone, adrenaline, and cortisol

15:48

all to be high and melatonin to be low.

15:51

What do you think your hormone profile

15:52

looks like at 10:30 at night?

15:54

>> It's literally the opposite, right?

15:55

Melatonin is high and all those other

15:57

things are low. That's hint number one

16:00

as to when would probably be the best

16:01

time to have sex. Hint number two, if

16:03

you happen to be having sex with

16:04

somebody who was born biologically male,

16:07

what do most men wake up with in the

16:08

morning? An erection. If that's not

16:10

mother nature telling you when to use

16:12

that thing, I don't know what is. Right?

16:15

So, when you start to look at it, and we

16:16

actually did the surveys, we discovered

16:18

that people actually have greater

16:20

connection and greater performance in

16:23

their sex when they have sex in the

16:25

morning time. Now, do you have to brush

16:27

your teeth and throw in a little

16:28

mouthwash first? Yes, of course you do.

16:30

Like, let's be fair to your partner

16:31

here. But you end up learning quite a

16:34

bit. Again, your body is telling you

16:36

this is actually the perfect time to do

16:38

something like this. Did you know

16:39

there's like a perfect time to have

16:41

coffee?

16:42

>> I didn't.

16:42

>> Yeah, there's absolutely a perfect time

16:44

based on your chronoype, too. One of the

16:46

first things that I ask people all the

16:47

time, I'll ask you, um, is the first

16:50

liquid that crosses over your lips in

16:51

the morning caffeinated?

16:53

>> Yes. So, let's talk about why that's

16:55

probably not the best idea. So, most

16:57

people don't know, sorry, most people

16:59

don't know, but uh sleep in and of

17:00

itself is a dehydrative event. You lose

17:03

almost a full liter of water just from

17:06

the humidity in your breath by by

17:08

breathing all night long. Caffeine is a

17:11

diuretic, which mean it makes you have

17:12

to go pee. So, when you're already lost

17:15

a liter, now you add a couple of cups of

17:17

caffeine, which makes you have to pee,

17:19

you're going to turn into a raisin

17:21

before this whole thing is through.

17:22

Okay? So, we need to get some water

17:24

inside of you. And so, one of the big

17:25

recommendations that I give all of my

17:27

patients is don't have caffeine for the

17:29

first 90 minutes you're awake. Now,

17:33

you're going to sit here and say, "9

17:35

minutes? That's a Michael? That's a long

17:37

time not to have any caffeine." Like,

17:39

how am I going to do that? Like, I've

17:40

got my morning routine. I can smell the

17:42

coffee in the morning. It smells so

17:43

good. Everything's going. How's how's

17:45

this going to work? Let me explain the

17:46

biology. In order to exit a state of

17:48

unconsciousness, you need two hormones,

17:50

and you need a lot of them. You need

17:51

adrenaline and cortisol and they both

17:53

wake you up. When you have a brain

17:55

that's full of adrenaline and cortisol

17:56

and you add caffeine to it, it's like

17:59

it's like adding weak tea to somebody

18:01

who's taking cocaine. Okay? It's not a

18:04

very powerful stimulant compared to the

18:06

hormones that are in your brain that are

18:08

a powerful stimulant. But if you just

18:10

wait 90 minutes, cortisol and adrenaline

18:13

naturally drop. If you have your

18:14

caffeine, then it actually boosts the

18:17

cortisol and gives you a bigger bang for

18:19

your buck. M

18:20

>> so you hydrate before you caffeinate and

18:23

about the amount somewhere between 15

18:25

and 20 ounces of water if you can get

18:27

that down in the first hour and a half

18:29

that you're awake.

18:30

>> What's that in English terms?

18:32

>> Oh, I don't know what that we'll have to

18:33

look it up.

18:33

>> Is it one cup? Is it two cups?

18:35

>> Oh, I would say it's probably 3 to four

18:37

cups of water.

18:38

>> Okay. Well, that's a lot.

18:39

>> Well, don't forget you've lost a lot of

18:41

water while you're sleeping and you

18:43

might have lost it the previous day

18:44

because let's say you worked out or

18:46

things like that.

18:47

>> So, let's get into these chronotypes

18:48

then.

18:48

>> Yeah. So, let's start off with the lion.

18:51

So, lions are my early birds. Um, you

18:54

know you've got a lion in your midst

18:56

when you get an email at 6:00 a.m.,

18:58

right? That's somebody who's been up for

19:00

a while and who's got their brain kind

19:01

of cooking. Um, lions like to make a

19:03

list and go from step one to step two to

19:05

step three every single day. They get a

19:07

lot of confidence and they get a lot of

19:09

pleasure following uh this list. But, if

19:12

I'm honest with you, being a lion isn't

19:13

all it's cracked up to be because dinner

19:15

and a movie is out for a line. They've

19:17

been up since like 4:30, 5 o'clock in

19:19

the morning, right? They don't want to

19:20

go see a concert late at night. They

19:22

want to go to bed at like 8:30, nine

19:24

o'clock. So, when you're looking at

19:26

lions or what I early birds, what I call

19:28

lions, they've got some very interesting

19:30

characteristics. They make up between 10

19:32

and 15% of the population from a

19:34

biological characteristic standpoint,

19:36

their melatonin stops early and their

19:38

cortisol starts early. So, their

19:41

melatonin stops at about 4:30, 5:00 in

19:43

the morning, and that's when cortisol

19:44

starts. And that's the reason why they

19:46

wake up so early.

19:47

>> What sort of window do the lions wake up

19:49

in?

19:49

>> So, it's interesting because I've got

19:51

some lions who are kind of extreme, like

19:52

they're getting up at 4:30 in the

19:54

morning, which is not really probably

19:56

the best idea. But generally speaking,

19:58

my lions get up right around 5 5:15 up

20:01

until about 6:00 6:30, but they are

20:03

definitely my early risers. They have a

20:06

small breakfast. They don't like to eat

20:07

a lot of food early in the in the

20:08

morning time because a lot of these

20:10

people like to go work out fairly

20:11

quickly after they've uh after they've

20:13

woken up. um which is very different

20:15

than some of my other chronotypes. My

20:16

night owls don't like to work out in the

20:18

morning. They don't like to do anything

20:20

in the morning. So, my lions like to

20:21

work out early in the morning. A light

20:23

breakfast. And also, their best work

20:25

window is usually somewhere between like

20:27

9:30 and 11:30. Like, that's when all

20:29

the good stuff gets done. Like when they

20:31

have if they have to get details or if

20:33

they have to do brainstorming or things

20:35

like that, that's really kind of where a

20:37

lot of the magic happens for them. By

20:39

about two o'clock in the afternoon,

20:40

there's not a lot of stuff left inside

20:42

the lion to be able to do do a lot of

20:44

good things. That's when I have lions do

20:46

more physical activities that don't

20:48

require a lot of cognition. So maybe you

20:50

go for an afternoon walk or maybe you

20:52

have uh you know you're you're meeting

20:53

with your folks that may not be really

20:55

detail oriented but more processoriented

20:58

in the afternoon

20:58

>> admin and stuff.

20:59

>> Yeah, absolutely. I actually had one uh

21:02

fellow chronotype his entire company and

21:05

then move meetings based on who was

21:07

going to be in the meeting. Like it like

21:09

he had all the early birds and he had

21:11

meeting at 8:00 in the morning and then

21:12

all the night owls he had a meeting at

21:14

4:00 in the afternoon. He said it was

21:16

amazing. He said it worked out really

21:17

really well.

21:18

>> Wow. What's the next one?

21:19

>> So the next one is the bear. So bears

21:22

are representative of people that are in

21:24

between early birds and night owls,

21:26

right? So bears are the best. Honestly,

21:29

dude, I wish I was a bear because the

21:31

whole schedule of life works on a bear

21:33

schedule. 9 to5 is perfect for a bear.

21:35

And they make up between 50 and 55% of

21:38

the population. So, literally one out of

21:40

two people is a bear.

21:41

>> And when's their peak work time?

21:44

>> So, their peak work time has a tendency

21:45

to be sort of in the noon to 2:00 range.

21:48

Um, they're a little bit later than what

21:50

you would see the line. Some of them, I

21:51

think, can actually be better at 11.

21:54

It's kind of interesting. And we've had

21:55

almost 3 million people take the quiz

21:57

and we've discovered that inside of

21:58

bears, there appear to be early bears

22:00

and later bears. So there are people who

22:02

fall into that category but like to get

22:04

up a little bit early. So for them their

22:06

productivity window is probably 10:30,

22:08

11. But for the later bears, it's more

22:10

like 11:30, 12, and then it's about a

22:12

2hour window after that.

22:13

>> For the people listening, um on screen

22:16

at the moment is a grid showing you the

22:18

different chronotypes, the weight times,

22:20

the peak work window, and the sort of

22:21

afternoon slump time. What's the next

22:24

chronotype?

22:25

>> So, the next chronotype is me, the wolf.

22:27

>> I think I'm a wolf.

22:29

>> You might be a wolf.

22:30

>> I love lions. I get it. I get a wolf.

22:32

>> Well, you might be. Hey, look, join me.

22:34

It'd be great. So, wolves represent the

22:36

night owls, right? And so, wolves are my

22:40

artists, my actors, my creatives. If you

22:42

know a creative, when do they get their

22:44

biggest idea? It's not 2 o'clock in the

22:46

afternoon, it's 2 o'clock in the

22:47

morning. Wolves are my highest

22:49

risktakers. I know that that probably

22:51

you fall into that category as well.

22:53

Wolves are the folks that show up at the

22:55

party at 11 o'clock at night, but they

22:56

stay till 2 o'clock in the morning and

22:58

they help you clean up and they hate

23:00

mornings more than anything.

23:03

>> So, should we talk about dolphins?

23:04

>> What's the next one? Yeah,

23:05

>> dolphins. This is the category that you

23:07

fell into. So, let's talk about who are

23:09

the dolphins and and what does this

23:11

actually represent? So, dolphins are

23:13

usually highly intelligent. They're

23:15

usually people who are fast-talking,

23:17

well- read. These are people who are a

23:19

lot like a lion in terms of they like to

23:21

get up. They crave longer bouts of

23:23

sleep, but unfortunately their body just

23:25

doesn't have a long sleep drive and so

23:27

they get really frustrated a lot of

23:29

times. Um, also I think they have just a

23:31

teeny bit of anxiety behind them. So a

23:34

lot of them, for example, the details

23:36

really matter to a dolphin, right?

23:38

Versus other people where details might

23:40

not matter nearly as much. I think a lot

23:42

of my dolphins have got just a little

23:43

bit of obsessivecompulsive disorder. So

23:46

they're kind of focused in on the on the

23:48

different things. Like if I ask a

23:50

dolphin to do a project, generally

23:51

speaking, they're never finished with it

23:53

until I say, "Can you just give me the

23:55

project back now because they're always

23:57

working on a little detail here or

23:58

working on a detail there." Um, but

24:00

dolphins are my favorite. They're the

24:01

people that I actually wrote the book

24:02

for. Um, they're the ones that I I enjoy

24:04

working with the most. Um, because

24:06

they're actually the easiest to work

24:08

with because we can once I explain to

24:10

them how their hormones can be up and

24:11

down and sideways, it can it starts to

24:13

make a lot more sense for them. And for

24:15

anyone trying to figure out which one of

24:17

these they are, where do they go to do

24:19

the test and how long does it take?

24:20

>> Yeah, you can go to my website. It's

24:22

called chronoquiz.com.

24:24

Uh, and uh, it takes about 3 4 minutes.

24:26

It's not very long at all. It's going to

24:28

ask you a bunch of questions about your

24:29

sleep, about timing, things like that.

24:31

>> Okay, I'll put that in the description.

24:33

So, after you finish listening, you can

24:34

all go take it and let me know your

24:35

thoughts in the comments section as

24:36

well. So, once you figure out what your

24:38

chronosype is, come back to the episode

24:39

and and let me know below,

24:40

>> please.

24:41

>> And does my sleep change with age,

24:43

Michael? It does. Absolutely.

24:45

>> So, do my do my chronotypes change with

24:47

age?

24:47

>> They do, actually. So, believe it or

24:49

not, you've gone through all the

24:50

chronotypes already. When you're an itty

24:53

bitty baby, you're a lion. You go to bed

24:55

really early. You wake up really early,

24:56

right? Then you're a toddler, right? And

24:58

in in like grammar school, you're a

25:00

bear. You're going to bed around 7:30.

25:02

You're waking up around 7:30. Then

25:03

adolescence hits, right? What do you

25:05

want to do? Stay up until midnight and

25:08

sleep until 2, right? You become a wolf.

25:10

Then at about 23 24 your chronotype has

25:13

a tendency to set into one of those

25:15

three or four things and then you stay

25:17

there for an extended period of time

25:19

like 25 30 years until you hit my age.

25:22

So I'm going to be 58 soon and right

25:24

when you hit in the mid-50s what we see

25:26

is melatonin production can either slow

25:29

down or get earlier. So as an example if

25:32

your parents are still alive and you

25:33

said hey mom dad I want to go for

25:35

dinner. What time would they want to go

25:36

for dinner?

25:37

>> Early.

25:38

>> Right? four o'clock in the afternoon,

25:39

4:30 in the afternoon, you're like,

25:40

"What is wrong with you, mom? What's

25:42

going on?" That's her chronoype is going

25:44

backwards and your sleep changes over

25:46

the course of time. To be clear, at once

25:48

you hit like age probably 50, 45 or 50,

25:52

we start to see a slowdown in production

25:53

of melatonin. We also see an increase in

25:56

what are called EEG arousals. So things

25:58

that break up your sleep and make it so

26:00

it's not so continuous. That can be

26:02

problematic as well. So there's a lot of

26:03

things that can happen as you age.

26:04

>> So do I start sleeping less as I get

26:06

older? You start sleeping poorer

26:08

quality. I'm not convinced that it's

26:09

always less.

26:10

>> And is that going to make me grumpy?

26:12

>> Yes, it is.

26:13

>> Really?

26:13

>> Absolutely. Poor quality sleep is, I

26:15

would argue, is much worse than poor

26:17

quantity sleep. I I would rather I've

26:19

got somebody who got 5 hours of really

26:21

great sleep versus seven hours of really

26:24

light crappy sleep every time.

26:26

>> Does that mean that as I get older, I'm

26:27

going to be more grumpy?

26:30

>> It depends on the quality of your sleep.

26:31

So, what I can teach you is how to not

26:34

get poor quality sleep as you age.

26:36

Perfect example, a lot of folks who are

26:38

a little bit on the older side are used

26:39

to drinking coffee late in the day.

26:41

Well, if you change that habit, then you

26:42

don't have as many sleep problems.

26:44

>> And I shouldn't I shouldn't be having

26:45

coffee late in the day at all.

26:46

>> Probably you want to stop by about 2

26:48

p.m., right? So, if you stop around 2

26:50

p.m., the halfife of caffeine is between

26:52

6 and 8 hours. So, 8 hours later is

26:55

roughly 10, which is roughly when people

26:56

are kind of wanting to go to sleep. So,

26:58

I would say that that would probably be

27:00

the the time to do it. I think about my

27:01

siblings and us all being woken up for

27:03

school and I think about my performance

27:05

in school

27:06

>> and of all my siblings, there's four of

27:08

us.

27:09

>> I was the one that always struggled with

27:11

being woken up in the morning in part

27:12

because I'd gone to bed later.

27:14

>> But then I was also the one that

27:15

struggled with school the most.

27:17

>> Yeah. That characteristic of a wolf

27:19

characteristic of this night person. If

27:22

I'm honest with you, dude, like most

27:24

kids should not be waking up at the time

27:25

they're waking up to go to school,

27:27

right? I mean so many kids are waking up

27:29

at real like you know 5:30 6:00 in the

27:31

morning they have an hourong bus ride

27:33

then they get there and if you're an

27:35

adolescent I don't think anything could

27:37

be worse

27:38

>> right

27:39

>> so we have to really start to try to be

27:41

a little bit more thoughtful and look at

27:42

like what are some of the activities

27:44

that kids are doing how can we get them

27:45

to maybe take naps during the day if

27:47

they need them um athletic performance

27:49

can depend on sleep academic performance

27:51

can depend on sleep it's it's

27:52

unbelievable all the different things

27:54

yes

27:54

>> has there ever been any research done

27:56

>> there has on different chronotypes

27:58

academic performance.

27:59

>> There has been actually they haven't

28:00

they labeled it directly as chronotypes

28:03

but they've looked at it based on age

28:04

range and we know that for example here

28:06

in the United States there's a big push

28:08

for to change school start times so that

28:11

way high schoolers aren't starting at

28:13

7:00 in the morning because high schools

28:15

shouldn't be starting at 7 o'clock in

28:16

the morning. Preschoolers should be

28:18

starting at 7 o'clock in the morning

28:19

because their body naturally wakes up at

28:20

that time. So, we've actually seen there

28:22

was a great study um that was done at

28:24

the University of Minnesota that

28:26

discovered that um when they just had

28:28

people come in 1 hour later from their

28:31

first period, they improved by one full

28:33

letter grade, meaning they went from

28:35

being C students to being B students or

28:37

from B students to A students merely by

28:40

changing the timing of their first

28:42

class. So that should give you pretty

28:45

good insight as to sort of these big

28:47

area like and and all children are

28:50

vulnerable to this. Like this is not

28:51

like I'm not telling you anything that's

28:53

new. This is these are studies that have

28:54

been going on for quite a while. And

28:56

there's actually a whole movement trying

28:57

to get school start times to to slow

29:00

down now.

29:01

>> Looking at some of the research here, it

29:02

says research consistently shows that

29:04

morning types, which is the

29:06

>> lion,

29:07

>> the lion, earn higher grades not due to

29:09

higher IQ, but because exams are

29:11

scheduled during their peak alertness

29:12

windows. You got it.

29:13

>> That's crazy.

29:14

>> Sometimes wolves turn out to be much

29:16

smarter, but because they're they can't

29:18

perform at those early times, nobody

29:20

knows. Remember, wolves are my

29:21

creatives. Like, where do you think some

29:23

of these create great creative

29:24

innovations and ideas come from in the

29:26

tech world, right? Like, these are the

29:28

wolves that are out there that are up

29:30

late at night coding and trying to

29:32

figure out what's going on.

29:34

>> It's pretty cool when you think about

29:35

it. And I just there's this thing called

29:37

the synchronous synchrony effect from a

29:40

study in 2020 where nearly 800 students

29:42

found a clear synchrony effect. Students

29:45

performed significantly better when

29:47

their class schedule matched their

29:49

chronotype.

29:49

>> Exactly.

29:50

>> Those morning people dominated in

29:51

morning classes and and the owls um or

29:54

the wolves often caught up and

29:56

outperformed the morning people when

29:58

tested in the afternoon or evening.

30:00

>> Exactly.

30:01

>> It's pretty fascinating. Now think about

30:03

it like this. Could you imagine a school

30:04

system where if we identified children's

30:07

chronotypes during their particular age

30:08

range and then we changed the testing so

30:10

that they got tested when they're at

30:11

their peak hours?

30:12

>> Yeah.

30:13

>> They'd actually do better.

30:14

>> People don't know this, but I never do p

30:16

podcasts in the morning.

30:17

>> I don't blame you ever.

30:19

>> You shouldn't. Yeah.

30:20

>> It's it's not your time. Yeah.

30:22

>> Right. Like you have a very specific

30:24

subscribed time that I think works well

30:25

for you. So I think you should abide by

30:27

that.

30:28

>> Duration of sleep. There's lots of

30:30

conversation around how long you're

30:31

supposed to sleep for. What what's the

30:32

truth? Yeah.

30:33

>> 8 hours is a myth. Let's be fair. Like

30:36

we came up with that from like the 30s.

30:38

There was a great study at Stanford that

30:40

came up with 8 hours and 13 minutes plus

30:42

or minus. And that's kind of where we

30:43

came up with that as an idea. The truth

30:45

of the matter is somewhere between 7 and

30:47

9 hours really is kind of the amount

30:49

that people should be looking for. But

30:52

some people don't have that luxury. Some

30:53

people don't have that much time that

30:55

they can put towards sleep and so they

30:57

get a little bit less sleep. But for the

31:00

lower level limit, I don't like anybody

31:02

getting less than 6 hours. When somebody

31:04

gets less than 6 hours sleep, their

31:06

driving is off. And so you can't operate

31:08

machinery. So if you're driving to work

31:09

or god forbid, carpooling your kids to

31:11

school and you're only you only got, you

31:13

know, less than 6 hours of sleep on on

31:15

board, it's probably not going to go

31:17

well.

31:17

>> We we do have to stop here and talk

31:19

about parents because listen, you're

31:20

either a parent now, you might be

31:22

someday. Absolutely.

31:23

>> Maybe you won't be. But for those I've

31:25

just got a huge amount of respect for

31:26

parents because you know I've gone I'm

31:28

not a parent yet. I hope I will become

31:30

one. But when I see what my brother who

31:33

has three kids under the age of what

31:35

seven now um

31:37

>> how much sleep has he lost?

31:39

>> A lot and and and his wife as well. But

31:42

um you must get parents coming to you

31:44

all the time being like what the hell do

31:45

I do? Like I've got the I've got to wake

31:46

up when the kids wake up and but I'm

31:48

it's destroying my my relationship, my

31:50

marriage, my sex, whatever it might be.

31:52

>> Yeah. So parenting children and sleep

31:55

are difficult to coexist, but they're

31:57

not impossible. It really has to do with

31:59

discipline and kind of thinking through

32:01

some ideas for yourself. When my So I

32:04

have a 23-year-old son and a 22-year-old

32:06

daughter, so I'm a little bit out of the

32:08

the realm of having to deal with them

32:09

every day. Um, but I was, like I said

32:12

before, I was in charge of mornings uh

32:14

at our house waking them up. And it's a

32:16

lot, right? And so the very first thing

32:17

that I try to explain to parents,

32:19

especially if they have a child who has

32:21

an irregular sleep pattern and is really

32:23

causing chaos for the rest, like one

32:25

child who won't go to sleep and it's

32:27

keeping every the whole house up. First

32:29

thing you want to do, educate the kid,

32:31

right? A lot of kids don't know what

32:32

they're doing is causing a lot of

32:33

problems. They they're just kids.

32:35

They're just hanging out having fun. You

32:36

know, they're they've got energy. They

32:37

want to be awake. So that you want to

32:39

educate them and say, "Hey, now is a

32:41

particular time to wind down. This is

32:43

where your body recovers. this is how

32:44

you get to do sports the next day or

32:46

theater the next day or ac whatever your

32:48

computers whatever your thing is you can

32:50

tie it to sleep and performance pretty

32:54

easily and so getting them to understand

32:56

that becomes very very critical number

32:58

two is have some guidelines right have

33:00

bedtimes have wake up times and follow

33:02

them as quick as closely as you can for

33:05

parents oftentimes what I try to tell

33:07

them to do is like look after your child

33:10

goes to bed if you've got a child that

33:11

has problems for sleeping

33:14

take turns. Do what I call the on call

33:16

method. So, as a doctor, sometimes, you

33:18

know, you get a call in the middle of

33:19

the night because you you're covering

33:20

patients at the hospital for your buddy

33:22

or something like that. You're on call.

33:24

So, when you've got two people who are

33:26

managing one child, one person handles

33:28

Monday night, Wednesday night, Friday

33:29

night, the other one handles Tuesday,

33:31

Thursday, Saturday. You flip a coin for

33:33

Sunday. So, if the kid wakes up at 2

33:34

o'clock in the morning, both parents

33:36

aren't awake. One parent has that

33:38

responsibility. the other one can keep

33:40

their eyes closed and go to sleep.

33:43

Interesting study was done looking at

33:44

men and women in bed when a child cries.

33:47

So women take care of the child whereas

33:50

men lie there and fake sleeping in order

33:53

to be able to stay asleep, right? That's

33:56

problematic. Um in a lot of

33:58

>> they know in the study that they were

33:59

fake sleeping

33:59

>> because they asked the men afterwards

34:00

what were you doing and they all said

34:02

they woke up and they were faking it.

34:04

It's pretty crazy when you think about

34:05

it. But this is a big this is a big deal

34:07

for parents, right? A lot of parents

34:08

turn to me and they're like, "This is

34:10

killing our marriage." Like, "We haven't

34:12

had sex in, you know, three years

34:13

because we've got a child who maybe the

34:15

child has special needs or maybe the

34:17

child doesn't have special needs, but

34:18

has other things going on or maybe it's

34:20

just normal development and and you

34:22

know, they're worried about it." And so,

34:23

what I like to sit down with parents and

34:25

do is number one, let's figure out when

34:27

your kid needs to sleep and let's set

34:28

some guidelines and rules. But number

34:30

two, let's do the same for you.

34:32

>> Right? A lot of parents when they're

34:33

super stressed out, one of the first

34:34

things they do, grab a glass of wine,

34:37

right? Wine's about the worst thing you

34:38

could possibly do for sleep to be fair.

34:41

Now, I'm going to teach people how you

34:42

can still have a glass or two of alcohol

34:44

and not completely destroy your sleep.

34:46

But I want to be very clear about

34:47

something. If you're using alcohol as a

34:49

stress relief tool at night before bed,

34:52

it's messing up your sleep probably

34:53

pretty bad.

34:54

>> You might be asleep, but the quality of

34:56

your sleep is

34:57

>> is [ __ ] It's awful, right? And

35:00

interestingly enough, during the one

35:01

stage of sleep that alcohol knocks out,

35:03

which is stage three and four sleep,

35:05

what's the most interesting is that dur

35:06

during that particular stage of sleep,

35:08

there's something called the

35:09

glimpmphatic system that comes in and

35:10

scoops out these proteins that have a

35:12

tendency to accumulate in your brain.

35:14

And when proteins accumulate in your

35:16

brain, they wrap around the nerves and

35:17

that's called Alzheimer's disease.

35:19

>> So stage four sleep is imperative to

35:22

avoid Alzheimer's disease. And when you

35:24

drink alcohol, you destroy stage four

35:26

sleep. H.

35:28

>> So, it would be great if nobody drank

35:30

alcohol, but I'm not so stupid as to

35:32

think that. Plus, I like bourbon. I like

35:34

whiskey. I enjoy a glass of champagne

35:36

every once in a while. So, how can you

35:38

successfully still drink alcohol and

35:40

still get a decent night's sleep? I'm

35:42

going to give you a quick one, right?

35:43

Let's say you're having dinner at 6:30,

35:45

have your first glass of wine, then have

35:47

a glass of water, right? Then your

35:49

second glass of wine starts at, let's

35:51

say, almost 7:00, right? Then you have

35:53

your second glass of water. Then you

35:54

stop everything by 7:30. You wait 3

35:57

hours, which would be 10:30, and then

35:59

you can go to bed.

36:00

>> Why the water? Why the weight?

36:02

>> So, the water helps wash it through the

36:04

system. Also fills your stomach up so

36:06

you don't have too much. So, you you've

36:07

got more fluid in there so that way you

36:09

don't drink extra wine. Um, and it makes

36:11

you have to pee, which flushes the

36:12

system out as well. The 3 hours.

36:14

>> And it hydrates you.

36:15

>> It does. Okay.

36:16

>> Absolutely. Because remember, wine pulls

36:18

uh both magnesium and uh most water out

36:21

of your system because it makes you have

36:22

to go pee.

36:23

>> Helps with the hangover. So, there's a

36:25

couple of different things that I would

36:27

say. Number one, this definitely helps

36:28

with the hangover because you've got

36:29

water going in. For a lot of my

36:32

patients, what I tell them is the very

36:33

last thing that you could do is have a

36:35

little bit of coconut water. So, coconut

36:37

water is loaded with zinc, magnesium,

36:39

and vitamin B. And those are some of the

36:40

things that get pulled out of your

36:42

system uh when you're drinking. By the

36:44

way, did you know that there are happy

36:46

hours specific to your chronoype?

36:48

>> Didn't know that. No.

36:49

>> Yeah. So, it's kind of interesting. So

36:50

here's what's cool about it is your body

36:52

produces something called alcohol

36:53

dehydrogenase which is how you

36:55

metabolize alcohol but it does it at a

36:57

particular time and the time is

36:58

different for each chronotype.

37:01

>> So your body is most efficient at

37:03

drinking between basically the hours of

37:06

4 and 8 happy hour as a lot of people

37:09

know it.

37:09

>> And how do you think about what time you

37:11

eat at night time?

37:12

>> Such a great question. So 3 hours before

37:15

bed, you want to stop fluids including

37:18

alcohol um and food. You want to just

37:20

stop it all 3 hours before bed. So it

37:23

takes your body about that level of time

37:25

to number one digest, clear all the

37:28

food, and then have all the mechanisms

37:30

that are working towards digestion now

37:32

be able to be refocused onto the

37:34

recovery process of sleep. However, I I

37:37

will tell you that there's this uh I've

37:39

seen a couple people and there are

37:40

people out there that are claiming that

37:42

if they stop eating at 11:00 in the

37:44

morning that it helps their sleep

37:46

dramatically at night. And it turns out

37:48

it has to do with your heart rate. So,

37:50

one of the big metrics that is very

37:52

important that all of our viewers and

37:54

listeners want to know is you need a

37:55

heart rate of 60 or below in order to

37:58

enter into a state of unconsciousness.

37:59

And when you've got food in your

38:00

stomach,

38:01

>> your heart rate is up.

38:02

>> That's right.

38:03

>> So, right. So if the longer you can

38:05

wait, the lower your heart rate is, the

38:08

easier it gets into sleep. And so when

38:10

we're talking about So a great example,

38:12

let's get back to parents for a second,

38:14

right? You feed your kids at an earlier

38:16

time and then what do you do? Oh, then

38:18

you go back and have dinner with your

38:19

spouse, right? Maybe that's not the best

38:21

idea because you're having dinner so

38:23

late. Maybe you should have dinner with

38:24

your kids, right? And and enjoy that

38:26

time with them and eat earlier because

38:28

that gives you more space later on to be

38:30

able to relax and go to bed. I said that

38:32

tracks because I remember I've told this

38:34

story once or twice before. I remember

38:35

when I was doing some podcasts over here

38:37

in LA, we had Seth Rogan on.

38:39

>> Sure.

38:39

>> And the day before in the hotel before I

38:42

lived here, I had a cookie from the mini

38:44

bar. I'm going to admit it. I had the

38:46

cookie and

38:47

>> they're so good.

38:47

>> It was And then I went to bed pretty

38:49

quickly.

38:50

>> Oh god,

38:50

>> we were just terrible. And I was looking

38:52

at my whoop the next day ad

38:55

>> and it my heart rate

38:57

>> was like 75 or 80 for the first 2 to 3

39:02

hours after I got into bed.

39:03

>> Isn't that crazy?

39:04

>> And I woke up feeling like hell.

39:06

>> Yep.

39:07

>> Terrible day the next day. I was

39:09

terrible during the conversation

39:11

>> and I looked at my go, "Oh my god, it

39:12

was that cookie. It put my heart rate

39:14

high."

39:14

>> So also on top of that is sugar.

39:17

>> Yeah. I mean, [ __ ] me. Yeah.

39:18

>> Right. So sugar turn so sugar actually

39:20

slows production of melatonin. Remember

39:22

melatonin is kind of the key that starts

39:24

the Yeah. The key that starts the engine

39:25

for sleep.

39:26

>> So is there anything else that I can do

39:27

to make sure my heart rate is low as I

39:30

get into bed?

39:31

>> Absolutely. Meditate.

39:33

>> Okay.

39:33

>> Breath work. All kinds of brings my

39:35

heart rate down.

39:36

>> Yeah. Absolutely. So what a lot of

39:38

people don't realize is just because

39:40

we're breathing doesn't mean we're

39:41

actually breathing in a way, shape, and

39:43

form that can be helpful for us for

39:44

sleep. So, in my most recent book,

39:46

Sleep, Drink, Breathe, I talk a lot

39:48

about breath work and what is it and how

39:50

does it work for you. But I'd love to

39:52

teach you my favorite form of breath

39:54

work and meditation. Um, that I think

39:57

you'll you'll get a lot out of. So,

39:58

>> and I do this before bed.

40:00

>> Exactly.

40:00

>> Okay.

40:01

>> And you can, by the way, you can do it

40:02

in the middle of the night if you wake

40:04

up as well. Right. So, let's talk about

40:06

how to get how to fall asleep and do

40:08

some relaxation exercises for that. And

40:10

then I'm gonna give you some different

40:11

ones for in the middle of the night. So,

40:13

let's talk beginning of the night. So,

40:15

number one, you need runway to land the

40:17

plane. Okay? So many people think

40:20

they're just waiting for their head to

40:21

be bobbing in front of the TV and then

40:22

they go brush their teeth and they get

40:23

in bed and then all of a sudden they're

40:24

wide awake and they don't know what's

40:26

going on, right? So, you need time for

40:28

your system to shut down. It's not an

40:30

onoff switch. It's more like slowly

40:32

pulling your foot off the gas and slowly

40:34

putting your foot on the brake. There's

40:36

a process. It should take you about 12

40:37

to 15 minutes to actually fall asleep.

40:40

Okay? So number one, what I ask people

40:42

to do is take the last hour before bed

40:43

and chop it up into three 20 minute

40:45

segments, right? So let's say you're

40:47

going to bed at 11, starting at 10:00.

40:49

And by the way, set an alarm on your

40:50

phone to to tell you that it's 10:00

40:52

because it's really easy to slide by

40:55

your bedtime and then all of a sudden

40:56

it's like all bets are off. So set the

40:58

alarm 20 minutes for [ __ ] you just got

41:00

to do. So, in our house, it used to be

41:02

getting backpacks together for school

41:04

for our kids, finding sports equipment,

41:06

maybe laying out my stuff for work the

41:08

next day or getting last emails sent,

41:10

something like that. 20 minutes for

41:12

hygiene, right? Brush your teeth, wash

41:14

your face, maybe take a shower,

41:16

something along those lines. And then 20

41:18

minutes for some form of meditation,

41:20

relaxation, prayer. I don't care what

41:23

you do, but it has to be something

41:25

that's calming to get you there. Okay?

41:28

So, my one of my favorite techniques to

41:30

do is meditation. Now, I'm going to be

41:32

honest with you. I'm a terrible

41:34

meditator. I have never been able to do

41:36

it. I've actually gotten kicked out of

41:38

meditation retreats because I'm the guy

41:39

that's like, "What's going on?" Like, am

41:41

I doing it right? You know, I'm kind of

41:42

that that person. And so, I was I was

41:45

told about this tool called a Muse

41:46

headband. We have one right here. So,

41:49

this is my personal Muse. I actually

41:50

brought it from home. And um you'll

41:52

notice on the inside there are sensors

41:54

here. And there are sensors along the

41:56

earpiece here. And so what happens is is

41:58

you wear it on your head, right? And

42:01

it's measuring your brain waves. And so

42:03

when we're Yeah. Check it out. And so

42:04

when we're when we're doing it and we're

42:06

measuring brain waves. Yep. Exactly. And

42:08

that goes on the back part. Yeah. There

42:10

you go. So what's cool about this is

42:11

it's attached to an app. And then while

42:13

it's measuring your brain waves, you're

42:15

listening to a particular music. It

42:17

could be a guided meditation. It could

42:19

be any of those things. And while you're

42:21

doing this, the volume gets lower. And

42:24

then you know you're getting closer to a

42:26

meditative state.

42:27

>> The volume comes down when

42:28

>> on the app when your brain wave starts

42:30

to relax.

42:31

>> Oh, okay.

42:32

>> So, you're immediately getting feedback.

42:33

We can try it if you want. Um, but it's

42:36

pretty interesting. And then when you

42:37

get to the alpha state, little birds

42:39

start chirping.

42:40

>> The alpha state.

42:41

>> Yeah. The alpha state is when your eyes

42:42

are closed and you're at the most

42:44

relaxed state of your brain waves. It's

42:46

called the alpha state. And that's

42:47

really what people are trying to get to

42:48

for meditation.

42:49

>> And are you affiliated with this company

42:50

in any way?

42:51

>> I am not.

42:51

>> And how much does it cost? I think it's

42:53

around $275

42:56

I think is the headband.

42:57

>> Okay. Interesting.

42:58

>> It's pretty fascinating. Um I I've been

43:00

pretty impressed with them.

43:01

>> So that's meditation.

43:03

>> You talked about breath work as well

43:04

before.

43:04

>> Yeah. Let's talk about it. So one of the

43:06

other things that I do is I do something

43:08

Well, this isn't breath work. This is

43:09

called progressive muscle relaxation. So

43:12

this is where you tense and relax

43:14

muscles starting from your feet and

43:16

going all the way up your body. And as

43:18

you tense and relax the muscles, you

43:20

feel that relaxation from releasing that

43:22

tension and it helps you fall asleep.

43:24

Um, actually, you know what I can do is

43:25

I can send you a an audio file that has

43:28

me walking through progressive muscle

43:30

relaxation that we can make available

43:31

for everybody if you want. We for free.

43:33

It's no big deal.

43:34

>> Amazing. I'll put that in the

43:35

description below as well.

43:36

>> Yeah. Yeah. People will really dig it. I

43:37

think they'll really enjoy it. So,

43:39

that's another thing that we do. But

43:41

now, let's talk about the middle of the

43:42

night, right? So, by the way, do you

43:44

have this as an issue? Have this has

43:46

this happened to you before? It it

43:47

happens sometimes and it's typically

43:49

when like my sleep is somewhat

43:50

disordered or disruptive or when there's

43:52

really something on my mind.

43:54

>> Yes. So that that precipitatory anxiety

43:57

like before a flight like if I have an

43:59

8:00 in the morning flight like I sleep

44:00

like [ __ ] the night before because I'm

44:02

constantly worried about that. Right.

44:04

But a lot of times what people do

44:05

normally is they just wake up in the

44:07

middle of the night and they can't

44:07

return to sleep and they're really not

44:09

sure why. So number one there's biology

44:11

involved. So your core body temperature

44:13

rises rises rises and when it hits a

44:15

peak it drops. That drop is then a

44:17

signal to your brain to release

44:19

melatonin. Right? Again, the key that

44:21

starts the engine for sleep. However,

44:22

your core body temperature continues to

44:24

drop, drop, drop. By the way, this is

44:25

the reason why we tell people you want

44:27

to sleep in the cool, not the warm

44:29

environment. Because again, your core

44:31

body temperature is dropping. If it's

44:32

too hot, your core body temperature

44:33

can't go down and you can't get to

44:35

sleep,

44:35

>> which tracks with evolution.

44:36

>> Exactly. So, here's where it gets

44:38

interesting is it keeps going, going,

44:40

going, and then at some point in time,

44:42

your body has to heat up. And if it

44:43

doesn't heat up, you go hypothermic.

44:45

Guess what time that is? Between 1 and 3

44:48

o'clock in the morning.

44:49

>> Oh, your body starts heating up at 1 1

44:50

and 3.

44:51

>> Every single person's body on Earth does

44:54

this. Everybody on Earth wakes up

44:56

between 1 and 3:00 in the morning.

44:58

However, most people burp, roll over,

45:01

get comfortable, and fall back asleep in

45:02

30 seconds. However, there's a select

45:05

group of people who end up being my

45:06

patients who don't have that. And there

45:09

here in lies the problem. So, here are

45:10

the steps you want to take in the middle

45:12

of the night to be able to solve this

45:14

issue. So number one, don't go pee. I

45:17

know, I know, I know people like, "What?

45:20

What are you talking about, Michael?" So

45:21

here's what ends up happening is when

45:23

people wake up in the middle of the

45:24

night, they say to themselves, "Well,

45:25

I'm up. I might as well go pee." Right?

45:28

Here's the problem. Remember I told you

45:29

the big metric was in order to enter

45:31

into a state of unconsciousness, you

45:33

need a heart rate of 60 or below. Right?

45:35

What do you think happens to your heart

45:36

rate when you go from a lying position

45:37

to a seated position to a standing

45:38

position? You walk across the room, your

45:40

heart rate goes straight up. So what we

45:42

want to do is keep your heart rate down.

45:44

So, if you don't really have to go to

45:45

the bathroom, don't go to the bathroom.

45:47

75% of people sleep on their sides and

45:49

they kind of squunch up, which means

45:50

they're putting pressure on their

45:52

bladder. So, my guess is is that most of

45:54

those people, if all you did was when

45:56

you woke up is lie and get on your back

45:58

for about 25 seconds and see if you

46:00

still need to pee. If you don't need to

46:02

pee, stay in bed and keep your heart

46:05

rate down. If you need to pee, please go

46:07

pee. Right? If you're going to go to the

46:09

bathroom, have a strategically placed

46:11

nightlight along the way so you don't

46:12

have to flip on the light in the water

46:13

closet because if you do that, you just

46:15

told your brain it's morning and it

46:16

stops producing melatonin. But let's say

46:18

you don't have to pee. The second thing,

46:20

don't look at your phone. Now, this

46:23

turns out to be very difficult for 99%

46:26

of the people out there because the

46:27

first thing they do is they grab their

46:28

phone and they head to the bathroom,

46:30

right? and they're either checking

46:31

emails, looking at Facebook or Twitter

46:33

or whatever social media they're on,

46:35

>> or we're just trying to figure out what

46:36

time it is

46:36

>> or and that's where the problem is is as

46:39

soon as you see the time, you instantly

46:42

do the mental math and now you're pissed

46:44

off, right? It's 3:30 in the morning. I

46:46

got to get up at 6:00. Sleep, sleep,

46:48

sleep. And you try to force your brain

46:50

to sleep. Dude, in the history of time,

46:53

nobody has been able to force their

46:54

brain to sleep, okay? Because your heart

46:56

rate's going in the wrong way, right? It

46:58

needs to be coming down. So, if you can,

47:00

don't look at the clock. All right, so

47:01

you haven't peed, you haven't looked at

47:03

the clock, but you're still awake and

47:04

nothing's going on. Here's where the

47:06

breathing technique comes in. It's

47:07

called 478

47:10

breathing. I did not develop this

47:11

technique. It was developed by Dr.

47:13

Andrew Wild, Harvard trained natural

47:14

doctor, super smart dude. Um, and uh, he

47:17

did it for the military to teach them

47:19

how to lower their heart rate during

47:21

stressful situations. We use it because

47:23

it helps lower our heart rate past 60.

47:25

And it's super simple. I'm going to get

47:26

you to try it. So, go ahead and sit up

47:28

straight. Okay. And so all you're going

47:30

to do is breathe in for a count of four.

47:32

You're going to hold for a count of

47:33

seven. And you're going to breathe out

47:35

for a count of eight. And I'm going to

47:36

walk you through it. I want you to have

47:38

your eyes closed. And what I also want

47:39

you to do, you're going to go in through

47:41

the nose, out through the mouth. And

47:42

then what I also want you to do is

47:44

picture the number in your head. So when

47:46

I say breathe in two, three, four, you

47:49

should picture the two, the three, the

47:51

four in your mind's eye. Okay?

47:53

>> With my eyes closed.

47:54

>> With your eyes closed. You ready?

47:56

>> Yep. Breathe in. 2 3 4. Hold. 2 3 4 5 6

48:04

7. Push. 2 3 4 5 6 7 8. Good. You want

48:12

to get through about 20 cycles of that.

48:14

It's incredibly relaxing. I actually did

48:17

it before I came out here to do the pod

48:19

because it helps lower my heart rate and

48:21

gets me centered.

48:24

H. It's pretty remarkable. Now, there's

48:27

some problems with the technique. Number

48:28

one, sometimes it's hard to hold for

48:30

seven, and sometimes it's really hard to

48:31

push for eight. So, I tell people you

48:33

can do this four, five, six, 4, 6, 7, or

48:37

478. So, just work your way up to it,

48:40

right? If if it's too hard to hold your

48:41

breath for 7 seconds or it's too too

48:43

hard to push your breath for eight, you

48:45

can do a little bit less just while

48:46

you're getting used to it. And then the

48:48

other big thing is it's hard to figure

48:50

out where the 20 cycles is because you

48:51

need to get to 20 cycles of this. So,

48:53

what I have people do is take their

48:54

hands and make light fists while they're

48:56

doing this. And when they do one cycle,

48:58

they put out a finger. Another cycle,

49:00

put out a finger. And before you know

49:01

it, you got 10. And when you bring it

49:02

back, you've done 20 cycles.

49:04

>> It's funny. I just did two and I start

49:05

yawning.

49:06

>> I know. I just saw that. I'm telling

49:07

you, dude, this thing works, right? And

49:09

so, I have people do this technique.

49:11

Here's the best part is it avoids monkey

49:14

mind, right? So, what is monkey mind?

49:17

Monkey mind is I'm thinking about stuff

49:19

that I have no business thinking about

49:21

in the middle of the night for

49:22

absolutely no reason. Like what's on the

49:24

grocery list or what did I say to my

49:26

spouse or did that podcast go okay or

49:29

any of the things that might be floating

49:30

through your head? You cannot count and

49:33

worry at the same time.

49:36

>> And why does it work? What's going on in

49:39

my physiology? Uh-huh. You're

49:40

distracting the brain from the thing

49:42

that's stressing you out and it's

49:44

lowering your heart rate and then the

49:45

natural sleep process comes in after it.

49:48

So, all these are are distraction

49:49

techniques to be clear. Now, there's

49:52

there's several of them out there. One

49:53

of the other ones I use for some of my

49:54

patients is I tell them, "Hey, count

49:56

backwards from 300 by threes. It's

49:59

mathematically so complicated you can't

50:01

think of anything else and it's so damn

50:02

boring. You're out like a light." On

50:05

that point of distractions, a lot of

50:07

people go to bed listening to podcasts

50:09

or movies. Jack was just saying that,

50:11

you know, he he needs to listen to

50:12

something to fall asleep. I'm the same.

50:13

I listen to like serial killer stuff,

50:15

>> which is, you know,

50:16

>> that's interesting.

50:17

>> Don't don't judge me.

50:18

>> Wait till we get to the dreams part of

50:20

the podcast. I can't wait to hear what

50:21

you dream about. I

50:22

>> I don't I think I always try and figure

50:24

out why it is. And I My sister's the

50:25

same, my sister Amanda, and she

50:28

>> she listens to serial killer stuff to

50:30

fall asleep. I think it's because this

50:32

is just hypothesis. My mom would always

50:35

ask me to put on forensic files, which

50:37

was this like serial murder documentary

50:39

thing when we were younger cuz she

50:41

couldn't use the remote. So my mom would

50:43

say she'd pass me the remote, say, "Put

50:44

on forensic files." And I'd like put on

50:46

the number for her, right?

50:47

>> And so that was always playing in our

50:49

house at night time. And we all had TVs

50:51

in our bedroom that just mirrored what

50:52

was ever what was playing downstairs,

50:54

course.

50:54

>> So when I got into bed,

50:56

>> I'd watch

50:57

fall asleep.

50:58

>> This explains a lot about you.

50:59

>> I know, right? You say that to people,

51:01

they think you're yours. Yeah.

51:03

>> So, let me tell you what it's like in my

51:04

house. And actually, you and I have a

51:06

commonality. So, in my house, we have a

51:09

big screen TV. It's on all night long.

51:12

>> Where? In which room?

51:12

>> In my bedroom.

51:13

>> Okay.

51:14

>> Okay. When I met my wife, she said to

51:16

me, "Michael, if you ever happen to

51:17

spend the night, I want to let you know

51:19

that I sleep with the television on." I

51:20

said, "Don't worry about that, Lauren.

51:22

I'm gonna be a sleep doctor. I'm gonna

51:23

fix that." We we met when I was uh 30,

51:26

so uh known her for quite a while. And

51:29

uh you ever tried to change something in

51:31

your bed partner? Yeah, good luck.

51:32

>> Yeah, good luck. So I took the TV out.

51:34

She said, "If you ever want to come back

51:35

in here again, I suggest you put the I

51:37

put the TV back in." And then I studied

51:39

her to learn what was going on. And it

51:41

turns out that she's listening to it out

51:44

of what I call the corner of her ear.

51:45

Her eyes aren't even open. And half the

51:47

time it's a episode of Seinfeld or

51:49

something like that. My wife actually

51:51

likes murder mysteries and so it's

51:52

usually forensic files or something

51:55

along those lines that's going on. But

51:57

for her, it's a perfect distraction

51:59

technique. Now, there's a second thing

52:00

that's important uh in our bedroom that

52:03

happens uh is we have two dogs. They

52:05

sleep in the bed with us. I'm the

52:06

freaking sleep doctor, dude. Like, it's

52:09

insane. But the point here is sleep is

52:11

flexible. Okay? Just because it works

52:14

for you doesn't mean it works for your

52:16

bed partner. And and vice versa is also

52:18

true, right? Like just because some

52:20

people can't sleep with the TV on

52:21

doesn't mean that it's going to mess up

52:23

your sleep forever to have the

52:24

television on cuz it's not. And by the

52:27

way, 99% of TVs have timers built into

52:29

them. Like if you don't know what it is,

52:31

ask your kid. I had to ask my son. He

52:32

showed me how to use it. We turned it

52:33

off. It wasn't a problem, right? So

52:36

creating a sleep environment that is

52:38

conducive to sleep for you and your bed

52:41

partner can have a lot of variation to

52:43

it. And I don't think people there's no

52:45

hard and fast rule that says, "Hey,

52:47

nobody should ever sleep with the TV

52:49

on." I mean, there are people out there

52:50

who say that, but quite frankly,

52:52

everybody sleeps with the TV on.

52:54

>> Well, a lot of people do. I I I wouldn't

52:55

put the TV on in our bedroom. I mean,

52:58

we've done it once or twice or whatever,

53:00

cuz we're watching something and we slip

53:01

off to sleep and I wake up and I realize

53:03

it's on and I turn it off.

53:05

>> But I I also really think it's an

53:06

important point to say that people will

53:09

listen to podcasts like this. They'll

53:10

listen to the like biohackers of the

53:11

world and then they'll get so militant

53:14

about how they fall asleep that it will

53:15

cause friction because one partner is

53:16

different.

53:17

>> Don't do that. And I had this problem in

53:19

my relationship which was

53:20

>> my girlfriend sleeps in silence and is

53:22

has like just such a glorious routine to

53:24

everything she does.

53:26

>> And I am

53:26

>> completely the opposite

53:28

>> and the opposite like I need to like I

53:29

want to listen to a murder. I could be

53:31

on my phone. It's like when I look at my

53:33

Whoop scores

53:34

>> works for me.

53:35

>> Yeah.

53:35

>> It's like I am getting I have I get

53:37

great sleep even if I'm listening to a

53:39

serial killer documentary.

53:41

>> So

53:41

>> but not if you eat a cookie before bed.

53:42

>> Not if I eat a cookie. That's that's

53:44

gone. But I so what I do is I put one

53:46

AirPod in in my right ear. So whichever

53:49

ear is not going to be on the pillow

53:50

>> and it means I can listen to her if she

53:52

says something.

53:53

>> But when it's silence, all I hear is the

53:55

thing that I'm listening to.

53:56

>> So I've got a trick for you.

53:58

>> And I wake up in the morning and dig the

53:59

AirPod out of the bed where it ended up.

54:00

>> Right. So now I'm going to help you with

54:01

the digging of the AirPod. So first of

54:03

all, they now make these things called

54:04

pillow speakers.

54:06

>> Oh, interesting.

54:07

>> Right. So it's a it's a it's a Bluetooth

54:09

speaker that will attach to your phone

54:10

that you can just slide and it's just

54:11

under your pillow so only you can hear

54:13

it. So, that's number one. You might

54:15

want to consider that. And they're

54:16

pretty inexpensive. Number two, they now

54:18

make specifically earbuds designed to be

54:22

slept in.

54:23

>> Oh, nice.

54:24

>> So, there's a a new company out called

54:25

Next Sense. Um, and they have developed

54:28

an earbud that actually measures your

54:30

brain waves while you are sleeping. And

54:33

when you move into a lighter stage of

54:35

sleep, it sends in a frequency signal to

54:38

help you go back to sleep or to stay in

54:40

that depth of sleep. Brand new company.

54:43

Next sense. I have nothing to do with

54:44

them. I mean, it's a friend of mine who

54:45

owns the company, but I'm not on their

54:46

own.

54:46

>> I would like something to do with them

54:48

>> if we'll figure that out.

54:50

>> So, does it allow you to play your music

54:52

as well or your or your podcast or

54:54

whatever?

54:55

>> I can listen to Diary of a CEO every

54:57

single night while I fall asleep and it

55:00

will make sure that I don't wake up from

55:01

any dreams.

55:02

>> And you can still like and subscribe and

55:03

stuff.

55:04

>> Even through the earbuds, of course. I

55:06

think everybody should like and

55:07

subscribe.

55:07

>> That's a good feature like an AI agent

55:09

that helps you subscribe. Okay, so

55:11

that's that's you woke up in the middle

55:13

of the night. You don't pee. You don't

55:15

check your phone. You're doing these

55:16

breathing exercises. You don't give

55:17

yourself a hard time.

55:19

>> And then what happens? It doesn't work.

55:20

What do you do? Yeah. Right. So, there's

55:22

the new research on something called

55:24

non-sleep deep rest. We call it yoga

55:27

nidra. Okay? It's been around for

55:28

thousands of years. When you lie relaxed

55:30

in like a corpse pose like this, you're

55:32

actually doing something that's valuable

55:33

for your sleep. Now, I want to be clear.

55:35

It's not the same as sleep, but if you

55:36

lie there for an hour, it's like 20

55:38

minutes worth of sleep. So everybody

55:41

should know that even lying relaxed and

55:44

calm is very very helpful right but if

55:47

you start to get anxious and your heart

55:49

rate starts to tick up you need to get

55:51

yourself out of bed because that's when

55:53

because all you're doing then is

55:54

thinking hey this bed is this place

55:56

where I get anxious and pissed off. This

55:57

is not a place to sleep. So as long as

56:00

you stay nice and quiet the non-sleep

56:01

deep rest absolutely the thing to do.

56:03

The other big thing that I do and by the

56:05

way this happens to me on occasion too

56:07

like I'm not immune to it just because

56:08

I'm a sleep doctor. You have to stay

56:10

positive. And what I what do I mean by

56:12

that is everybody when they wake up in

56:14

the middle of the night, your brain is

56:16

set to negativity. There's no reason you

56:18

should be up at 3:00 in the morning that

56:20

something good is going on, right?

56:21

Nobody's coming in wishing you happy

56:23

birthday at 3:00 in the morning.

56:24

Something terrible has happened. And

56:26

your brain has gotten accustomed to

56:27

that. So when it wakes up, it

56:29

immediately goes to the negative and you

56:31

start thinking about bad things. You

56:33

can't stop your first thought, but you

56:35

can stop your second thought, right?

56:37

Right? And so when you wake up and you

56:38

think negative, what I want you to

56:40

replace that with is, "Okay, Michael,

56:43

for some reason, your body has decided

56:45

to wake up at 3:00 in the morning, it's

56:47

not the game that I wanted to be playing

56:49

tonight. However, I think I'm going to

56:51

be okay. I'm just going to lie here and

56:53

relax and let the natural sleep process

56:55

take over. If I feel my heart rate

56:56

increasing, I'm going to go to another

56:58

room in the house where I've already got

56:59

a book and a light set up so I can do a

57:02

little bit of light reading and then

57:03

come back to sleep." And I just tell

57:05

myself that I give myself permission to

57:09

just chill, just relax. And then you

57:12

know what happens? The natural sleep

57:13

process comes over. As soon as your

57:15

heart rate starts to go down, your body

57:16

wants to get back to sleep. And so it

57:18

really has a lot to do with heart rate.

57:20

>> I love having these conversations on the

57:22

diio because I have a huge amount of

57:25

sympathy and concern for people that

57:28

don't get sufficient sleep. And I know

57:31

there's a lot of people that don't. And

57:32

I actually think it's to some degree

57:33

it's somewhat increasing because of the

57:34

way we live our lives. I was looking at

57:36

some of the stats around the increase

57:38

and there's a study done in 2025 and

57:42

early 2026 that revealed we're in a

57:44

global sleep crisis.

57:45

>> Oh yes, we are.

57:47

>> Both the CDC and Stanford Medicine

57:49

report said that one in three adults and

57:51

nearly 80% of teenagers are now

57:54

chronically sleepdeprived.

57:55

>> Correct. A 2026 survey by the American

57:57

Academy of Sleep Medicine found that 93%

58:00

of Gen Z admit to regularly losing sleep

58:03

due to social media usage. And 71% of

58:05

employed respondents globally have said

58:08

>> that they sometimes call in sick at

58:10

least once or twice due to poor sleep.

58:13

>> Just to sleep. Yeah. When I was down in

58:15

Australia doing some work down there, a

58:17

lot of Australians they take holiday and

58:19

they just sleep.

58:20

>> Yeah.

58:21

>> Just to catch up. Like it's it's pretty

58:23

remarkable. We're in a very sleep-d

58:25

deprived society and I think there's a

58:27

couple of different reasons why that is.

58:28

Number one,

58:30

>> have you seen what's going on outside in

58:31

the world today? It's pretty crazy out

58:33

there. Well, I can understand why people

58:35

are getting a little anxious.

58:36

>> I think one could argue it's been

58:38

crazier through history, but we never

58:39

knew about it,

58:40

>> right? Well, I mean, the media getting

58:41

it to getting us this information so

58:43

quickly, I think, is definitely what I

58:45

would agree with you. It was much

58:46

crazier during like World War II, you

58:48

know, and stuff like that. Now we're

58:50

getting information so quickly and

58:52

people are getting so ratcheted up about

58:54

it. I think that has something to do

58:55

with it. But if I I think the bigger

58:56

culprit is people being overweight. You

58:58

know, when you look here in the United

59:00

States and you look at the obesity

59:01

epidemic and you look at people being

59:03

overweight, it's something close to like

59:04

70s something percent of people in

59:06

America are overweight. When you're

59:08

overweight, that puts you in line for

59:10

potentially having something called

59:11

sleep apnea. Now, I want to be clear,

59:13

not everybody with sleep apnea is

59:14

overweight, but a a large percentage of

59:16

the people with sleep apnnea are bigger

59:18

people. And so, when you look at a

59:20

society that's getting bigger and all

59:22

the unhealthy food that we've got going

59:24

on, like all this highly processed food,

59:26

things of that nature, that isn't

59:28

helping anybody, it's adding the pounds.

59:30

And specifically, like for men, we gain

59:32

weight through our necks. Like I I don't

59:34

know if you've ever noticed it, but like

59:36

if you ever were heavy and you lose

59:37

weight, the first thing somebody says

59:38

is, "Oh, it looks like you lost weight

59:39

cuz I can tell from your face, right?"

59:41

and they're like, "Oh, your neck looks,

59:42

you know, different now." And so, we see

59:44

a lot of what's going on in the world

59:46

from a weight perspective and a food

59:48

perspective could be driving some of the

59:50

sleep problems. Then there's the anxiety

59:52

perspective that I spoke of earlier that

59:53

I think comes in. And again, I I agree

59:56

with you. I don't think we have more

59:57

crazy stuff going on. I think we know

59:59

about more crazy stuff that's going on,

60:00

>> but also work is now largely digital.

60:03

And I imagine for my great-grandfather,

60:05

he would go to, I don't know, the

60:06

factory or wherever he works. His work

60:08

would finish at 6.

60:09

>> Yes. Your work doesn't finish at 6 now.

60:12

It finishes when you're awake.

60:13

>> Yeah. Absolutely. It finishes when you

60:15

go to sleep.

60:16

>> Yeah. Exactly.

60:16

>> Yeah. And and that becomes problematic,

60:18

right? Because a lot of times also, by

60:20

the way, you need to have dividers in

60:22

your home. Like let's say you live in a

60:24

studio apartment and your bed is your

60:26

couch is your kitchen, right? You have

60:28

no designated spot for sleep. Your body

60:30

needs to know, hey, this is the spot

60:32

where I can chill out and finally get

60:35

some rest. And I think a lot of times

60:36

our environments just aren't that way.

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62:31

>> Which sleep disorder should we start

62:32

with?

62:33

>> Sleep apnea and insomnia. Sleep apnea,

62:35

for folks out there who may not know

62:37

what it is, is when you are snoring at

62:39

night. Almost everybody who has sleep

62:41

apnea snores. Not everybody, but almost

62:42

everybody. And when you're sucking air

62:44

in, you pull your tongue to the back of

62:47

your throat and you cut off your air.

62:49

And you literally stop breathing, right,

62:51

for a few seconds. And then all a sudden

62:52

you and you make all this kind of

62:54

grunting, groaning noises. and then you

62:56

wake up. This can happen hundreds of

62:59

times a night and it can be very

63:01

problematic because of course it wakes

63:03

you up every single time that you have

63:06

one of these events, right? And so as an

63:08

example, we measure the events per hour.

63:10

So as an example, somebody with sleep

63:12

apnnea could have between five and 15

63:15

times per hour that they stop breathing

63:18

and that's mild.

63:19

>> So how are they going to get into the

63:20

deep sleep that clears out their brain?

63:23

>> That's the problem, right? And so apnea

63:25

prevents them from getting into a lot of

63:27

that deep sleep. And so their brain

63:28

doesn't clear out and then they got

63:29

they're they're kind of screwed. So at

63:32

the end of the day, the the goal here is

63:34

to get as many people to number one

63:36

identify if they have a sleep disorder

63:38

and then be able to try to figure out

63:40

what to do about it. And the percentage

63:42

of people in the US that have

63:43

undiagnosed sleep apnea is pretty big.

63:45

It's like somewhere between I think like

63:47

18 to 20%.

63:48

>> This is crazy. I was just looking at the

63:50

stats. It says according to 2026 data

63:52

approximately

63:53

936

63:55

million people to 1 billion adults

63:57

worldwide have obstructive sleep apnnea

63:59

which is what one in seven

64:01

>> yeah that's about right

64:02

>> making it as common as diabetes. One in

64:05

seven people listening have sleep

64:06

apnnea.

64:06

>> Yes.

64:07

>> Wow.

64:07

>> As popular as diabetes. Let that sink in

64:10

for like half a second. Everybody knows

64:12

what diabetes is. Almost nobody knows

64:14

what sleep disorders are. Specifically

64:16

sleep apnnea. And it says 80 to 90% of

64:18

those people remain undiagnosed. That is

64:21

correct.

64:22

>> So there's people listening right

64:23

there's actually a huge percentage of

64:24

people listening right now

64:26

>> that have sleep apnea and have no idea

64:27

that they have it.

64:28

>> Exactly. Right.

64:29

>> How would they know?

64:30

>> Do the sleep test.

64:31

>> This thing here.

64:32

>> Yeah.

64:32

>> And what would this show?

64:33

>> So this would this actually collects

64:35

what is your oxygen levels throughout

64:37

the night? What is your heart rate

64:38

throughout the night? How many times do

64:40

you actually stop breathing? And also

64:42

the depth of your sleep, which stages of

64:43

sleep you get when you fall asleep,

64:45

things like that. And what would this

64:46

So, you know, because people are going

64:47

to be like, "How do I know if I need to

64:49

do the test?"

64:50

>> So, great question. So, you want to

64:52

think about the symptoms that you might

64:53

have. So, do you snore? Do you wake up

64:56

gasping for air? Has anybody told you

64:58

that your snoring stops for brief

65:00

periods of time or that they've heard

65:02

you gasping for air? Do you wake up with

65:04

a headache in the morning? Do you find

65:05

your moods are up and down? All of those

65:08

are signs and symptoms of sleep apnnea.

65:11

>> And this test, are you affiliated with

65:12

this company at all? I am not. But um we

65:14

do have that test on my website. We sell

65:16

it to people so that way we can test

65:18

them.

65:18

>> And how much does it cost?

65:20

>> $189.

65:21

>> Okay. So it's not

65:22

>> it's not exorbitantly expensive. And it

65:25

also is covered by insurance.

65:27

>> And it connects to an app.

65:28

>> Uh-huh. Absolutely. So you'd put it

65:30

through your sleeve.

65:31

>> So I' I'd put that there and like this.

65:33

>> Yeah. Exactly. And that's it. You go to

65:35

bed, wake up, then the information ports

65:38

over to your phone and then tells us

65:41

exactly what's going on. Now, here's

65:42

where it gets even better. I know,

65:44

right?

65:44

>> Can you imagine me getting in bed with

65:45

my fiance and being like, "Come on,

65:46

babe. Let's

65:47

>> We're recording all kinds of good stuff.

65:49

Who knows what she might like?

65:50

>> Is this going to help my sex life?"

65:52

>> It's absolutely it will because getting

65:54

into bed and knowing how well you sleep

65:57

and knowing if you have sleep apnea or

65:58

not will definitely affect your sex

65:59

life. Also, by the way, I've saved more

66:01

marriages as a sleep doctor than I ever

66:03

would have as a marital therapist

66:04

dealing with snoring in the middle of

66:06

the night and things like that. So,

66:08

you'd be you'd be surprised. But what's

66:10

nice about this is it's one night. You

66:11

don't have to do it multiple nights.

66:13

It's super easy. Um, and again, believe

66:15

it or not, that's disposable. You can

66:16

actually throw that whole thing away

66:18

after it's all said and done.

66:19

>> And on that point, before we just go a

66:20

little bit further into sleep apnnea,

66:21

should should we be sleeping in bed with

66:23

our partners? And I know that's an

66:24

interesting thing.

66:25

>> Great question. Great question. The

66:26

strength of your relationship has

66:29

nothing to do with where you sleep.

66:32

Okay? So, lots of people are like, "I

66:33

got to sleep with my partner otherwise

66:35

my relationship's going to go to [ __ ]

66:36

and everything's going to go terrible

66:38

and we're never going to have sex and

66:39

we're not true." Okay. So, a lot of

66:42

times for people that I have, so for

66:43

example, I've got people who um have

66:46

sleep apnnea and they use a a machine to

66:48

help them sleep called a CPAP machine,

66:50

right? And um that noise for some people

66:53

can be disruptive and so they sleep,

66:54

let's say, in a different room, right?

66:56

So, is that is that detrimental to your

66:59

marriage? No, it's not. Because here's

67:01

what you do is you vacation on the

67:03

weekends in your bedroom, right? I can't

67:06

count the number of people who sleep

67:07

separately during the week and then

67:09

together on the weekends. And it turns

67:11

out that they get much better sleep

67:13

during the week. And then guess what?

67:16

Intimacy shows up much faster on the

67:18

weekends because they're not so tired.

67:20

Used to be, you know, not tonight I have

67:22

a headache. It was really not tonight

67:24

I'm exhausted. When you allow your

67:26

partner to get good sleep during the

67:27

week, there's a reasonably good shot

67:29

that you're going to be able to be

67:31

intimate over the weekend if they got

67:32

good sleep. So, wearing that to bed

67:34

might not be the sexiest thing in the

67:36

universe, but it's better than having

67:39

sleep apnnea and eventually ending up

67:41

dead.

67:43

>> Are the symptoms of sleep apnnea

67:44

different for men and women?

67:46

>> They are. Great question. So, it turns

67:48

out that men and women are quite

67:49

different, but we've historically been

67:51

scoring them the same. So women don't

67:54

have a tendency to have as much snoring

67:56

as men do. Um women have a tendency to

67:58

have more arousals where they wake up

68:00

constantly. Women have a tendency to

68:02

report headaches in the morning more so

68:04

than men do. So it's actually different

68:06

types of symptoms for women versus men

68:09

when it comes to sleep apnea to the

68:11

point where we're now considering using

68:13

different testing devices. So this

68:15

testing device um would not necessarily

68:17

measure EEG and in women EEG might be

68:20

important. That's what we're learning.

68:22

So, as an example, our company is

68:24

finding a device specifically to send to

68:26

women so that way we can more accurately

68:28

measure sleep apnea in women. Now,

68:30

there's a lot of questions about

68:32

treatment for sleep apnea. And the

68:34

biggest reason why nobody gets sleep

68:35

tested is because they're afraid that

68:37

they're going to end up sleeping with a

68:38

CPAP machine on their face at night. And

68:41

so, let me describe to your audience

68:42

what that is. Also, full disclosure, I

68:45

have sleep apnea. I don't look like

68:48

somebody who has sleep apnea. I stop

68:49

breathing in my sleep. I think it's 26

68:51

times an hour. I know, right? Kind of

68:54

crazy. And I wear a CPAT machine and it

68:57

helps me sleep every single night. Let

68:59

me explain what it is. So, when your

69:01

throat closes here, CPAT machine is a

69:03

little air compressor with a tube and a

69:05

mask that sits on your nose, pushes a

69:07

just thin stream of just air, and when

69:08

it hits that blockage, it ever so

69:10

slightly opens it up, shoots air

69:12

straight down to your lungs. Now, you

69:13

might be saying to yourself, "That

69:15

sounds barbaric. That is insane. That's

69:18

a haird dryer blowing up my nose all

69:20

night long. Here's what I can tell you

69:23

is when you have a severe case of sleep

69:25

apnea, this can be a lifesaver. This can

69:29

be one of the biggest, most important

69:31

things that you possibly do. Now, a lot

69:33

of people say, "Oh, I don't think I

69:34

could sleep with a mask on my face."

69:36

Well, that's not the only treatment.

69:38

There are other treatments called oral

69:39

appliances. This is like a a mouthguard

69:41

like you see the footballers wear, but

69:42

it's an upper and a lower. and the lower

69:44

slowly brings your jaw forward which

69:46

opens up your posterior airway space.

69:48

The same way that air pushes things

69:50

aside, the oral appliance structurally

69:53

moves your jaw slightly forward thereby

69:55

opening up your airway. So that works

69:57

well and there's no mask on your face.

69:59

There's a third device that you can wear

70:01

on your tongue that vibrates that

70:04

shrinks your tongue by a couple of

70:05

millimeters which opens up this

70:07

posterior airway space and allows you to

70:09

breathe better.

70:10

>> Have you tried all of them?

70:11

>> I have as a matter of fact. And why did

70:13

you choose the apnea machine?

70:14

>> So for me, the apnea machine worked the

70:16

best and made the most sense for me

70:18

right now. But I'll be honest with you,

70:20

I will probably get the uh mouthguard

70:22

for when I travel. There's a lot that

70:24

can be done out there. And by the way,

70:26

there's also surgeries and surgeries are

70:28

a little bit more permanent fix. Um, but

70:30

in many cases, those surgeries can be

70:32

quite effective. Also, by the way,

70:34

they're working on a pill

70:36

>> for sleep apnnea now. And that's just

70:38

apnea. We haven't even talked about

70:39

insomnia yet.

70:39

>> I was just reading about the FDA

70:41

approving a drug. Yeah, it's it's quite

70:43

remarkable. And there's actually two I

70:44

think there's actually three different

70:45

companies that are working on different

70:47

drugs right now for sleep apnea. And I

70:50

mean to be clear, when that happens, I

70:52

think it's pretty much game over for

70:54

sleep apnea, right? I mean once we can

70:56

get it in a pill form, which means

70:57

compliance increases dramatically, we

70:59

can help a lot of people with sleep

71:01

apnea, which I think would be pretty

71:03

amazing.

71:03

>> And women are heavily undiagnosed,

71:05

right? Because we heavily

71:06

>> we think of it as I mean I've heard it

71:08

being referred to as a sort of an old

71:10

man's disease.

71:11

>> Yeah. And oh, absolutely. And here's the

71:13

thing. Many women have a tendency to

71:14

report insomnia types of symptoms over

71:17

sleep apnea types of symptoms when in

71:19

fact they actually have under

71:21

undiagnosed sleep apnnea, which we can

71:23

catch.

71:23

>> We talked a little bit earlier, but um

71:25

from many of the conversations I've had

71:26

on the show about Alzheimer's,

71:28

>> yes,

71:28

>> your chance of um getting Alzheimer's, I

71:31

imagine, is going to increase, right?

71:32

Because absolutely you have sleep

71:34

apnnea.

71:34

>> Yeah. Well, because when you have sleep

71:36

apnnea, it keeps you out of the deeper

71:37

stages of sleep. the deeper stages of

71:39

sleep is where that lymphatic system

71:40

comes in and scoops out those proteins

71:42

and that's really probably one of those

71:44

big causes for it. So that's one of the

71:45

things that we always want people to

71:46

understand. But there's also something

71:48

else that I think is important to maybe

71:50

talk about which is on the other side

71:52

not sleep apnnea side but on the

71:54

insomnia side which is there's a lot of

71:56

people who go and they go to the

71:57

drugstore and they buy an

71:58

over-the-counter sleep aid. Right now

72:01

I'm not talking about supplementation

72:03

yet. We can get into supplements in a

72:04

minute if you want to, but I'm talking

72:05

about things like the PM medications,

72:08

right? You know, they so here in

72:10

America, we have them where there's like

72:11

there's like an analesic plus a PM. So

72:13

there's Tylenol PM, Advil PM, and what

72:16

it is is it's a pain reliever, but they

72:19

add something called dyenhydramine and

72:22

it makes you feel sleepy and it makes

72:23

you fall asleep. Dyenhydramine is

72:25

actually an antihistamine, right? So

72:27

it's used for congestion and things like

72:29

that. But there's now data to suggest

72:31

that daily use of the PM part of this,

72:34

not the pain relieving part, but the PM

72:36

part can lead almost directly to

72:38

Alzheimer's.

72:39

>> Oh, wow.

72:40

>> Right. So, if people can just go to bed

72:44

and follow a couple simple rules and go

72:46

to bed naturally, you'd be shocked at

72:47

how much better your world is going to

72:49

be. The Queensland Brain Institute um at

72:52

the University of Queensland found that

72:54

people with untreated apnea have a 45%

72:57

higher risk of developing Alzheimer's

72:59

disease.

73:00

>> Like I said,

73:01

>> which is crazy.

73:03

>> Soant here's the thing is we've got all

73:05

these people who are watching your show

73:07

right now. They need to start thinking

73:09

in their head like maybe I have sleep

73:12

apnea, maybe I don't, but maybe I should

73:14

take a look at what are some of the

73:15

symptoms and see if that's something

73:16

that could be going on for me. Because

73:18

again, testing is available. And to be

73:21

clear, it's not like I'm the only guy

73:22

out there testing people. I mean, there

73:24

are sleep doctors all over the world

73:26

that are testing people. My

73:27

encouragement to people is, hey, figure

73:30

it out. If if you can't figure it out,

73:31

you know, shoot us an email. We'll find

73:33

a sleep center for you to go to. But if

73:35

you think there's something going on,

73:37

it's definitely worth checking out

73:39

because, by the way, you can stay with

73:41

undiagnosed sleep apnnea for your entire

73:43

life. And it all it does is basically

73:45

break down everything that's going on

73:46

inside. And that's not what you want.

73:48

Like remember sleep is recovery, right?

73:51

This is how your body still functions.

73:52

Like if you want to lead a nice

73:54

prosperous life, you want to sleep.

73:57

>> Insomnia has become a bit of a word that

73:59

people throw around

74:00

>> for sure,

74:00

>> right? They they kind of self diagnose

74:02

themselves. We kind of think of it as

74:03

this one specific thing. I think people

74:05

say, "I have insomnia when they just

74:06

don't sleep well."

74:07

>> Right.

74:07

>> What is insomnia and what's the big myth

74:09

around it?

74:10

>> Yeah. So, number one, there's a couple

74:12

of different flavors of insomnia.

74:14

There's the I can't fall asleep. There's

74:15

the I can't stay asleep, which we talked

74:17

about quite a bit. There's the I wake up

74:19

too early, and then there's just the I

74:21

wake up from unrefreshing sleep. So, we

74:23

really think that there are four sort of

74:25

types of insomnia, right? And um when

74:28

people I would say some of the biggest

74:30

myths that a lot of people have

74:31

surrounding insomnia is or like the

74:34

biggest problem that they do is when

74:35

somebody has a really crappy night then

74:37

what they try to do is the next evening

74:39

go to bed early and try to catch up on

74:43

some of that sleep that they missed. So

74:45

to be clear this is a terrible idea

74:48

because your circadian rhythm isn't

74:50

ready to go to bed early. So you lie in

74:52

bed and you're exhausted but you can't

74:55

fall asleep. you're what I call wired

74:57

and tired, right? And so what we want

74:59

people to do is if you do have a bout of

75:02

insomnia where you have difficulty

75:03

falling asleep or difficulty staying

75:04

asleep, number one, don't overcaffeinate

75:07

during the daytime. So many people are

75:09

like, "Oh, I'm dragging. I got to get a

75:11

coffee," you know, and and they and they

75:13

caffeinate, caffeinate, caffeinate, and

75:14

then they caffeinate so late into the

75:16

day that they have shitty sleep that

75:17

night, and now we're in the washing

75:18

machine cycle going over and over and

75:20

over. It sounds like you might be

75:21

relating to this uh a little bit maybe

75:23

yourself. And then so we want to avoid

75:26

that. The other thing we want to avoid

75:28

is over stimulation at night, right? So

75:31

a lot of pimps people get that nervous

75:32

energy and so they're just doing doing.

75:34

Again, you need runway to land the

75:36

plane. So give yourself some kind of

75:38

that space. Um and then just make sure

75:40

that you've got some level of

75:41

regularity. I would argue for my

75:44

insomnia patients, but quite honestly

75:46

for anybody who's watching this, the

75:48

number one sleep tip that I can give

75:51

people is to wake up at the same time

75:53

seven days a week. Not go to bed. I

75:56

don't actually care when you go to bed

75:57

that much. I know there's a lot of sleep

75:58

specialists out there who are like, you

76:00

got to go to bed at the same time and

76:01

wake up at the same time. I'm not of

76:03

that ilk. I don't really care that much

76:04

about the going to bed time. I really

76:06

only care about the wake up time. Let me

76:08

explain why. When you wake up in the

76:10

morning, sunlight hits your eye and you

76:11

have a special cell in your eye called

76:12

the melanopsin cell which sends a signal

76:14

to your brain to turn off the melatonin

76:16

faucet in your head. But it sets a timer

76:19

for exactly 14 hours later. It's called

76:21

the melatonin phase response curve. So

76:23

if you're waking up at 6, melatonin

76:25

turns off until about 8:00 p.m. Then it

76:27

takes about a couple hours for it to get

76:29

up and in. So then you start to get

76:30

sleep around 9:30 and you go to bed. But

76:32

if you did that and now it's Saturday

76:35

and you sleep in until 8, melatonin

76:37

doesn't kick off until 10:00 Saturday

76:40

night. So what I'm saying is the time

76:42

that you wake up directly determines

76:45

when your internal melatonin kicks into

76:48

gear. So if everybody woke up at the

76:50

exact same time every single day, seven

76:53

days a week, automatically you would get

76:56

tired at the right time and you would

76:57

start going to sleep.

76:58

>> And is there two different types of

77:00

insomnia? Sometimes I hear primary,

77:02

secondary insomnia. I think you have

77:03

that on your YouTube channel.

77:04

>> So when you look at primary insomnia

77:06

versus secondary insomnia, the way we

77:07

categorize that, secondary insomnia is

77:10

usually due to something else that's

77:12

going on in your life. So

77:13

>> psychology,

77:14

>> so maybe caffeine abuse.

77:16

>> Okay?

77:16

>> Right? Um maybe something along those

77:18

lines. Whereas primary insomnia is

77:20

there's nothing else. You the only thing

77:22

you've got going on is sleep disorder.

77:24

Another example of of something where

77:26

insomnia might be secondary would be

77:27

pain.

77:28

>> Right? So if you have a pain syndrome,

77:29

if you have fibromyalgia or low back

77:31

pain, that could prevent you from

77:32

sleeping. That would be secondary

77:34

insomnia, secondary to pain.

77:36

>> And I hear that the most common

77:37

treatment for insomnia is CBT therapy.

77:40

>> So yes and no.

77:42

>> Okay.

77:42

>> So I would say that the most common

77:44

therapy for insomnia is alcohol.

77:47

>> More people drink themselves to sleep

77:50

>> than any other single thing out there.

77:52

Um and then you start to get into the

77:53

pharmacy of it all. And there's a lot of

77:55

pharmaceutical drugs out there that

77:57

people utilize for for sleep. And I want

77:59

to make a point if I can is there's

78:02

nothing wrong with needing a pill to

78:05

sleep. Okay? I want to be very clear

78:07

about this. There are people out there

78:09

who need pills, right? All kinds of

78:12

different ones. Thank you. There's a

78:13

whole host of reasons why you and your

78:15

doctor may have come to the conclusion

78:17

that a sleeping tablet is good for you.

78:20

The problem comes when those sleeping

78:22

tablets are overprescribed. So insomnia

78:26

is in the in the sleep world, we call it

78:28

a door handle diagnosis because when the

78:30

doctor has their hand on the door and

78:31

they're just about to leave, that's when

78:33

the patient says, "Oh, and by the way,

78:34

I'm not sleeping."

78:36

>> And then the doctor usually pulls out

78:37

the prescription pad and says, you know,

78:39

ambient or trazadone or something like

78:41

that, writes it up, says, "Here, come

78:42

back in 30 days." Well, you haven't

78:44

really done anything for this person.

78:45

You've handed them a pill. And by the

78:47

way, now they're probably either

78:49

psychologically or physiologically

78:51

addicted to said pill right now. Once

78:53

again, if you've got a major mental

78:55

health issue, I don't think I care. I

78:57

think it's okay for you to have your

78:58

AMVN and be fine. And

78:59

>> and a lot of people that do have

79:00

insomnia have depression.

79:02

>> Oh, I think it's one of the biggest

79:04

things that we see. But I would argue

79:05

anxiety might be a little bit more than

79:07

depression. But yes, anxiety and

79:08

depression, I would argue, make up 75%

79:11

of insomnia at any given time. Right? I

79:14

work with people and I do something

79:15

called cognitive behavioral therapy for

79:16

insomnia which you correctly identified

79:18

as CBTI, right? And so I work with

79:21

patients all the time. Um, and that's

79:23

exactly what we do is we reschedule

79:25

them. So that's the behavioral part. And

79:27

then the cognitive part is we talk to

79:29

them about how do you think about sleep?

79:31

Because a lot of people think about

79:32

sleep in disastrous ways. They're like,

79:33

if I don't get eight hours, my old day

79:35

is screwed and everything's going to

79:36

happen. It rarely happens that way. Like

79:39

it's called catastrophizing. You just

79:40

make it worse and worse and worse. And

79:42

so we look at those cognitive

79:43

distortions and we help fix them in

79:45

therapy by really kind of what I call

79:47

doing the math. And so I say, "Well,

79:49

have you ever had four hours of sleep?"

79:51

"Yes." "Did you do something terrible

79:53

the next day?" "No." "So where's your

79:55

evidence?" Right? And you start to get

79:57

people to challenge themselves and all

79:59

of a sudden they kind of they can kind

80:00

of get there. There's also another area

80:02

of that a lot of people go to somewhere

80:04

in between the pills and therapy, and

80:07

that's supplementation. So there's a lot

80:10

of people out there who like to use

80:11

supplements and try to understand how to

80:14

fix quote their insomnia with

80:16

supplementation. So if we can let's talk

80:18

a little bit about supplements and sort

80:20

of what's good and what's bad.

80:21

>> What is the difference between a

80:23

supplement and a pill or is it you

80:25

talking about the same thing here? So

80:27

under the context of this conversation,

80:29

a supplement is a non FDA regulated

80:33

thing that you can purchase at any

80:35

drugstore and a pill is a by

80:38

prescription only from a doctor.

80:40

>> Okay,

80:41

>> that's how we're going to make the

80:42

distinction for this particular

80:43

conversation.

80:44

>> Okay, so those pills that are in front

80:45

of you there,

80:46

>> so right in front of me, these are most

80:48

these are actually all supplements. So

80:50

these are different. So these are not

80:52

pharmaceuticals. These are different

80:53

things. So, we've got

80:54

>> I mean, in different countries, it's

80:55

different, right?

80:56

>> Great point. So, let's talk about

80:57

melatonin since that's kind of the

80:59

biggie that a lot of people like to know

81:00

about. So, number one, melatonin is by

81:03

prescription only almost everywhere

81:05

other than the United States,

81:06

>> right? So, in England, in Australia, in

81:09

Europe, you can't just walk into the

81:11

drugstore and buy melatonin. And there's

81:13

a reason. A lot of people don't realize

81:15

it, but melatonin is a hormone. There's

81:17

a reason you can't go to the CVS and get

81:19

testosterone and estrogen, right?

81:21

Because hormones affect the entire

81:23

system. They affect all three almost 300

81:25

different things in your body. So what

81:27

you don't want to do is have somebody

81:28

just willy-nilly grabbing a hormone and

81:30

starting to pop it without somebody

81:32

understanding what's going on with them.

81:34

More importantly, melatonin in

81:36

particular, and the point I wanted to

81:38

make earlier about depression, melatonin

81:41

interacts with all SSRI medication. An

81:46

SSRI is a serotonin specific reuptake

81:49

inhibitor, an anti-depressant. So things

81:52

like Prozac, Zoloft, um, Selelexa, all

81:56

of those are medications that will be

81:59

affected by melatonin ingestion and

82:01

nobody knows that it is. In addition,

82:04

melatonin affects birth control. Yes,

82:07

you heard it here, birth control. It

82:09

affects blood pressure medication and it

82:11

affects diabetes medication. So, one of

82:14

the problems is that people go into the

82:16

local drugstore and they're like, "Oh,

82:17

I'm going to grab some melatonin and I'm

82:19

going to make my sleep better because

82:20

I'm sleeping poorly." So, first of all,

82:22

that's not what melatonin does.

82:24

Melatonin is a sleep regulator, not a

82:26

sleep initiator. Melatonin doesn't

82:29

affect sleep drive. Melatonin affects

82:31

sleep rhythm. So, remember in the

82:32

beginning of our conversation, we're

82:33

talking about the two systems. Melatonin

82:35

only affects your brain telling it when

82:38

it's time to go to bed. It does not make

82:40

you sleepy. That's a denisonin. We

82:42

already talked about adenosin and

82:43

caffeine and how similar their molecular

82:45

structures are. So when you look at

82:47

something like melatonin, you need to

82:48

really be thoughtful about using it.

82:51

Number two, melatonin is not to be used

82:54

in children. Okay? So a lot of people

82:56

are like, "Michael, I've got

82:58

pediatricians all over the country

83:00

telling my telling me to give my

83:01

children melatonin." I'm going to say it

83:03

right here in front of everybody. That

83:05

is the dumbest idea I have heard in a

83:07

long time because you just taught your

83:10

child that they need a pill to sleep.

83:13

Normally, no child needs pills to sleep.

83:16

And by the way, most children make

83:18

almost four times the amount of

83:19

melatonin that their brain even needs.

83:21

So, giving them extra melatonin doesn't

83:24

do you any good. There is, however, one

83:26

group of children where melatonin does

83:27

work well, and that's in kids on the

83:29

autism spectrum. um we don't know

83:31

exactly why but um or at least I don't

83:34

but there is data to suggest that at

83:36

five six seven milligrams that that can

83:39

be very helpful for them. Dosage also is

83:41

a problem like if you go to the

83:43

drugstore you can you almost can't find

83:45

it in the appropriate dose. The

83:46

appropriate dose is anywhere from about

83:48

half a milligram to one and a half

83:50

milligrams. Maybe top out at three but

83:52

that's about as high as you want to go.

83:54

But when you go to CVS you find a

83:56

gummies in 10 and 20 milligrams. And

83:58

people tell me all the time, "Oh, I

83:59

can't take melatonin. It gives me crazy

84:01

dreams." Number one side effect of

84:03

overdosing on melatonin is crazy dreams.

84:05

>> On this point of going to a supermarket

84:07

and picking some melatonin off the

84:09

shelf,

84:11

>> FDA approval and the lack of FDA

84:14

approval in melatonin means that there's

84:16

less clarity on what's actually in

84:18

there. Right.

84:19

>> That's exactly right. I was reading

84:20

about a study in 2024

84:23

um where they looked at different

84:24

melatonins that were found on the shelf

84:26

>> and they found very different things

84:28

inside the bottle.

84:29

>> Very very different things. They looked

84:31

at an analysis of melatonin gummies

84:33

marketed for children and found that the

84:35

actual amount of melatonin ranged from

84:37

0%

84:38

>> right

84:38

>> to 667%

84:41

of what was listed on the label.

84:42

>> Yep. See it all the time. And in the

84:44

same study, melatonin gummies, some

84:46

melatonin gummies contained absolutely

84:48

no melatonin, while others contained

84:50

hazardous contaminants like CBD that

84:53

were not disclosed on the label.

84:54

>> Yep.

84:55

>> Because melatonin is sold as a

84:56

supplement in the US and not a drug, the

84:58

FDA does not test it for safety or

85:00

accuracy before it hits the shelf.

85:01

>> You are 100% correct. And that's a huge

85:04

problem. Just think about that for a

85:05

second. I mean, the market for melatonin

85:07

is tremendous. It's huge in the

85:10

supplement world. Yet, there's no

85:12

regulation. whatsoever. Nobody knows

85:14

about these interaction effects which

85:16

are big, big, big. And by the way, most

85:19

people are using it wrong. There's

85:20

really only three maybe four different

85:22

instances when melatonin would be

85:25

useful. I would use melatonin for jet

85:27

lag, and we should talk about jet lag.

85:29

>> Um I I would use uh melatonin for shift

85:31

workers, right? So for people who work,

85:34

you know, night shift who have to sleep

85:35

during the daytime, they would be

85:37

excellent people to use melatonin.

85:39

people with a melatonin deficiency. A

85:41

lot of people don't think about that,

85:42

but right around age 50 is when if

85:44

you're going to have a melatonin

85:45

deficiency, we start to see that

85:47

happening for people is it their the

85:48

ability to produce melatonin begins to

85:50

decline. So, I think those three

85:52

situations absolutely would be on board

85:54

for melatonin. Believe it or not,

85:56

there's some data to show that in ADD

85:57

and ADHD there's uh some use for

86:00

melatonin and then also for a very

86:02

specific sleeping disorder called REM

86:03

behavior disorder.

86:04

>> We're going melatonin crazy as a

86:06

society, aren't we?

86:07

>> Absolutely. We don't need it. It's

86:09

completely unnecessary.

86:11

>> I was looking at the data. In 1999, 0.4%

86:15

of Americans said they used melatonin.

86:17

Today, it's almost 30%. So, 70 million

86:20

Americans up, dude. That is problematic.

86:24

And again, they have no idea what it's

86:26

doing to them, right? And they're giving

86:28

it to their kids. Like, I can't think of

86:30

anything worse for a young female

86:31

developing body than to add a

86:32

contraceptive when it's not necessary.

86:35

Like, it just doesn't make sense to me.

86:36

The rise in children overdosing on sleep

86:38

gummies is the fastest growing trend in

86:40

poison control data.

86:42

>> Yeah, I think it's like almost 600%

86:45

increase or something crazy like that

86:47

for kids who have uh gotten uh who've

86:50

overdosed on melatonin like within there

86:51

was a study that came out maybe a year

86:53

ago, year and a half ago showed like

86:55

almost 600% of uh increase in uh

86:58

overdoses for kids. Like that's pretty

87:00

messed up when you start to think about

87:02

it. And here's the thing, kids know how

87:03

to sleep,

87:04

>> right? You just got to stop. You just

87:06

got to let them sleep, right? You got to

87:08

give them some parameters. Here's when

87:09

you go to bed. Here's when you wake up.

87:11

Don't get out of bed. You know, don't

87:12

come in and ask for 12 glasses of water.

87:14

You know, all the all the stuff that

87:15

goes on there. I mean, it this isn't

87:18

hard.

87:18

>> So, when and how So, I used melatonin

87:21

once in my life.

87:21

>> Okay.

87:22

>> And I got to be honest, it [ __ ]

87:23

worked.

87:24

>> Yeah. Oh, if you use it right, it works,

87:26

bro.

87:27

>> And it was it was actually about a week

87:29

ago because I'd been struggling with

87:31

lots of jet lag. I'd flown from the UK

87:33

to the LA to UK to LA to Cape Town to

87:35

Middle East to wherever and I was

87:38

getting to bed every night at like 4:00

87:39

or 5 a.m. and still waking up at, you

87:41

know, having to wake up at about 10:00.

87:43

>> So, I thought, I need to correct this.

87:45

It's been going for two weeks and I need

87:46

to correct this.

87:47

>> Absolutely.

87:48

>> So, I thought, [ __ ] it, I'm going to

87:49

cave. I g I took the melatonin and

87:52

corrected it.

87:53

>> Yes, it does. So, let's talk about jet

87:54

lag. So, it's a bit of a story, but I

87:58

got involved with a company that um has

88:01

got an app, which is very interesting.

88:03

Okay. Um I don't have any like I'm not

88:05

invested in the company, just to be

88:06

clear, but it's one of my close friends

88:08

who developed this. So, I'm kind of a

88:10

space nerd.

88:11

>> It's not Time Shifter.

88:12

>> It is Time Shifter.

88:13

>> Oh, really?

88:15

>> It is.

88:15

>> I also like an affiliation with Time

88:17

Shifter

88:17

>> because I used to Yeah, I will get you

88:20

that. So, here's what's fascinating is

88:22

the way the whole time shifter started

88:24

was um so aren't you kind of a space

88:26

guy? Like, aren't you

88:27

>> I'm an investor in SpaceX and

88:29

>> Okay. So, I'm a space nerd myself,

88:31

right? So, you know, the the ISS is

88:34

moving around at 17,500 miles an hour

88:36

around the Earth. It's cooking.

88:37

>> ISS meaning the International Space

88:39

Station. It's whipping around, right?

88:41

>> Can you imagine how many sunrises and

88:44

sunsets they get in a given day?

88:45

>> Oh, no. How many?

88:46

>> Every two hours. So, they basically get

88:49

12.

88:49

>> Wow. Think about how messed up their

88:51

circadian rhythms would be from seeing

88:53

the sunrise and seeing it go and see it

88:54

gets really messed up, right? And by the

88:56

way, you don't want to make big mistakes

88:58

in the space station. Like you don't

88:59

leave the air lock open, you know, or

89:01

[ __ ] like that. Like that's when things

89:02

get really really bad. So they called

89:04

down to NASA and they were like, "Hey,

89:05

we got a problem up here. Everybody

89:07

wants to use the lab at the same time

89:09

like people seeing the sun. Like what's

89:10

going on?" So they called a buddy of

89:12

mine named Steven Lachley over at

89:13

Harvard. Stephen is arguably the one of

89:16

the best circadian researchers in the

89:17

world. um super smart dude and he was

89:19

like, "Well, let's send up a lighting

89:21

kit and let's create ships on the space

89:24

station."

89:25

>> Mhm.

89:25

>> Right. So that's exactly what they did.

89:27

So they sent up a lighting kit. I think

89:28

it was on the Colombia um shuttle before

89:30

it got decommissioned. And they set up

89:32

lighting and then they set up timing for

89:34

lighting. And so there was a morning

89:35

shift, a midshift, and a night shift for

89:38

the astronauts. Once they got the

89:40

algorithm working, they brought it down

89:41

terrestrially and they put it into the

89:43

Mercedes-Benz uh Formula 1 race car

89:45

team. So they gave it to Lewis Hamilton.

89:46

>> Mhm.

89:47

>> Right. Because when you think about it,

89:48

think about what he has to do, right?

89:50

He's on or off the podium on hundreds of

89:52

a second, right? And he's in a different

89:54

country every 3 weeks,

89:55

>> right? So this guy's got jet lag like

89:57

you wouldn't believe. And so once we

89:58

were able to get it going there, then we

90:00

created the time shifter app. And so

90:02

it's an app you can get it on your

90:03

phone. And what you do is you put in

90:04

your flight number and it automatically

90:06

pulls up the flight and knows where you

90:08

are. This is why I think that jet lag is

90:11

a math problem. Let me explain. We

90:13

learned about 20 years ago that when you

90:15

take a certain frequency and intensity

90:16

of light and you shine it in somebody's

90:18

eyes, you can move their circadian

90:20

rhythm by about eight hours if you want

90:22

to.

90:22

>> That circadian rhythm again being

90:24

>> being that internal biological clock,

90:26

the time when your body wants to go to

90:27

bed and wants to wake up. We can

90:29

actually move that by about 8 hours with

90:32

about 10,000 lux, which is the

90:34

brightness level of blue light,

90:36

particular frequency of light. Okay? So

90:38

when you hit that, if you start in LA

90:41

and you're going to Manchester, right,

90:44

and there's a big time difference and

90:46

you know what time it is in LA and you

90:48

know what time it is in Manchester, it's

90:50

a math problem of when do you get the

90:53

light.

90:54

>> So that's what time shifter is, is it

90:56

determines when do you need that light

90:58

and then on the times when you don't

91:00

need light, it has you use caffeine,

91:02

right? Or to keep you awake or if it's

91:04

time to sleep, then you use a little bit

91:06

of melatonin. That's when melatonin

91:08

becomes so valuable.

91:09

>> It also tells you when to eat.

91:11

>> It does. It tells you all of these

91:12

different things. And it's kind of nice

91:13

because it kind of shows up on your

91:14

phone. It's like, "Hey, do this then. Do

91:16

this then." And it works really, really

91:17

well. But yeah, Time Shifter is one of

91:20

my favorites. Uh I've been uh using it

91:22

literally for 15 years.

91:24

>> Wow.

91:26

>> And it solves jet lag, bro. Like we're

91:28

going to fix that for you. No, no

91:30

question.

91:30

>> How often should someone be having

91:32

melatonin? Is there like too often?

91:34

Because some people literally have it

91:36

every day. Yeah, I would argue it's a

91:37

bad idea. So, if you have a melatonin

91:40

deficiency, sure, have it every day.

91:42

But, um, or if you're a shift worker,

91:44

probably. But I I use it only for jet

91:46

lag myself. Otherwise, I'm not using it

91:49

on the regular.

91:50

>> And what's the risk there of having it

91:51

every day? Is it?

91:52

>> Uh, it's a good question. So, when you

91:54

start to look at melatonin overdose and

91:56

you start to look at melatonin on board

91:58

for long periods of time, there's been

92:00

some conflict in the in the research.

92:02

Um, there's a group of people that say

92:04

if you stay on melatonin for extended

92:05

periods of time, your body stops

92:07

producing it. There's another group of

92:09

people that have looked at research and

92:10

have said actually that's not the case.

92:13

So, right now we have we have studies

92:15

that lead out to about a year or so on

92:18

melatonin. And when you stop their

92:20

melatonin production after they've been

92:21

taking it for a year, their body seems

92:23

to start back up no problem. It's

92:25

different than testosterone, right? So

92:27

with testosterone, we know that when men

92:28

start taking testosterone, their body

92:30

actually stops producing it. With

92:32

melatonin, that does not appear to be

92:33

the case, but we don't have studies that

92:36

go out past, you know, that yearong. And

92:38

so if somebody's been taking melatonin

92:40

every day for 5 10 years, you know, you

92:43

you kind of start to wonder uh what's

92:45

going to happen. Also, don't forget that

92:46

that melatonin is different than the

92:48

melatonin that's actually produced in

92:49

your head. I think it was Andrew

92:51

Huberman who I was speaking to a couple

92:53

of weeks ago that was was saying about

92:55

not giving kids an overdose of

92:57

melatonin. And I think afterwards I I

92:59

was doing some research on it and I read

93:00

something that said it has an impact on

93:03

puberty potentially.

93:05

>> So in high dosages melatonin is a

93:08

contraceptive.

93:09

>> So that would pause puberty.

93:10

>> Exactly. Or change it

93:13

>> and ways we may or may not know. So, I

93:16

agree with Andrew on that point that

93:18

again, melatonin is not something that

93:20

kids need unless you've got kids on the

93:22

spectrum, which is again where I find it

93:24

to be helpful and I've treated kids with

93:25

that before, but generally speaking, I

93:28

don't put melatonin on anybody under the

93:29

age of 18.

93:30

>> Am I more likely to have nightmares if

93:32

I'm having lots of melatonin?

93:34

>> If you're overdosing, you are. So, the

93:36

number one side effect of a high dose of

93:39

melatonin is super vivid dreams and then

93:41

eventually nightmares.

93:42

>> Why? I'm not really sure. If I was

93:45

garnering a guess, then what I would say

93:47

is that part of the reason why that you

93:50

have crazy vivid dreams from melatonin

93:53

is because it probably does put you into

93:55

REM sleep a little bit quicker than you

93:57

normally would and might keep you there

93:58

a little bit longer. I don't have any

94:00

data to support that. So, I want to be

94:02

clear. Um, this is more of a hypothesis

94:03

on my end, but that might make intuitive

94:06

sense to me.

94:07

>> Just on a quick search, um, Sure. You're

94:09

right. It says it keep keeps you in REM

94:11

sleep a little bit longer and more

94:12

intensely.

94:13

>> There you go.

94:14

>> This leads to vivid highly vivid dreams

94:15

or night terrors which paradoxically

94:17

makes you wake up feeling more

94:18

exhausted.

94:19

>> Right. I can't count the number of

94:21

people who tell me

94:22

>> I need to go back to sleep because I'm

94:23

so exhausted from my dreams.

94:25

>> Oh wow.

94:26

>> Right.

94:27

>> So let's finish off on these supplements

94:28

then.

94:28

>> Yeah. Absolutely. So we talked a little

94:30

bit about melatonin which like I said

94:32

select usage. Um a couple of other ones

94:34

that we've got here um one of them is

94:36

Valyan. Right. So when we talk Valyan is

94:39

probably the most studied it's a root um

94:42

it's called the Valyrian root but to be

94:44

clear it's an anti-anxiety medication

94:46

right so what it is is it's it helps

94:49

lower your level of anxiety um and that

94:52

is the reason why it has a tendency to

94:53

work interestingly when you look at the

94:55

data it works better when combined with

94:57

hops like what you'd find in beer so a

94:59

lot of times when you're looking for a

95:01

preparation you should look for Valyan

95:03

plus hops as the preparation also we

95:06

should talk for a talking about

95:08

supplements. A lot of people don't

95:09

understand this, but a lot of people

95:11

will put a whole bunch of different

95:13

supplements together and put it into a

95:14

capsule. I don't think that's the best

95:16

idea. I think you should have single

95:18

ingredient supplementation.

95:20

>> Why?

95:20

>> Well, number one, you get the correct

95:22

dose so you know it's actually working

95:23

for you. There's a lot of companies out

95:25

there that are uh that make a powder or

95:28

something and they put a bunch of stuff

95:30

in it and they put just enough in there

95:31

to be able to say it on the ingredient

95:33

profile, but not enough for it to

95:34

actually do any good for the patient.

95:36

So, I like using single ingredient pro

95:38

uh supplement profiles because I know

95:40

exactly how much of each thing that I'm

95:42

going to get in there and I can make

95:43

sure that it's the correct dosage for

95:45

the what the person needs. So, I prefer

95:47

single ingredient supplementation.

95:49

>> Okay. So, val Valyan.

95:52

>> Yep. Valyan root.

95:54

>> Not going to mess up my hormones?

95:55

>> Nope. It's not going to mess up your

95:56

hormones.

95:57

>> Going to help me with overthinking?

96:00

>> Probably not. What it'll probably do is

96:01

slow your thinking down a little bit

96:03

depending upon how much of it you take.

96:05

Um, I think if you were looking for a if

96:07

you're looking for something that's

96:08

going to slow down your thinking, then I

96:10

would say we don't have the the thing

96:12

here, but it's called GABA, GABA. Um,

96:15

gamma amunobbuteric acid. So, this is a

96:18

substance that your body makes. It's

96:19

kind of the breaks of the brain, and you

96:21

can buy it um as a supplement. I've had

96:24

several people use that, and that seems

96:26

to help calm people down in the evening

96:28

times.

96:28

>> What about ashwanaganda or whatever it's

96:29

called?

96:30

>> Ashwagandha.

96:30

>> Ashwagandha.

96:31

>> Exactly. I just kind of like saying it.

96:33

So, here's my theory on supplementation

96:35

is the first thing I tell people to do

96:37

is go do blood work. Okay? What

96:39

deficiencies do you have? Fix your

96:42

deficiencies first before we start going

96:45

to the valyians and the melatonins of it

96:47

all. If you're deficient in vitamin D,

96:50

magnesium, iron, fix those three things

96:54

first. Dude, I can't tell you. I pro 15%

96:56

of the people that show up at my

96:58

doorstep we do blood work on and all I

97:00

do is fix their deficiencies and their

97:02

sleep magically gets better.

97:03

>> What are some of the surprising things

97:04

though that you discover like blood

97:05

sugar like diabetes that impacts sleep?

97:07

No,

97:07

>> it absolutely does. I also think that a

97:10

lot of people who have uncontrolled

97:11

diabetes, it wakes them up in the middle

97:13

of the night um because their blood

97:14

sugar gets so low and then they're

97:16

hungry in the middle of the night. Then

97:17

they up eating in the middle of the

97:18

night then they have a sleep eating

97:19

syndrome which is kind of a pain.

97:21

>> There's this one here that I've never

97:22

heard of before. What's this uh it's

97:24

called tryptophan. So uh elptophan in in

97:27

particular. So tryptophan is the

97:29

substance that we find in turkey that

97:32

has a tendency to make people sleepy.

97:34

However, when you really look at the

97:36

data, you'd have to eat a 46 pound

97:38

turkey in order to get enough tryptophan

97:41

to make you sleepy. Even in my best days

97:43

in college, dude, I couldn't eat a 46

97:45

pound turkey. Okay? Same holds true with

97:47

milk. Um, tryptophan is the thing in

97:49

warm milk that supposedly makes people

97:51

uh, sleepy, but once again, you'd have

97:52

to drink almost a half a gallon of warm

97:55

milk, which is kind of disgusting um, in

97:57

order to do it. Tryptophan can be

97:58

helpful for people if you have a

98:00

tryptophan deficiency, but it's

98:01

definitely something that lowers a

98:03

little bit of anxiety and can make you

98:04

feel a little bit sleepy, but it is a

98:06

naturally occurring amino acid in your

98:08

system.

98:08

>> Calcium.

98:09

>> So, calcium turns out is interesting

98:12

because when you mix calcium with

98:13

magnesium, it's easier to absorb. So for

98:16

some people mag we what we've discovered

98:18

is if you have a magnesium deficiency

98:20

and you fix the magnesium deficiency in

98:23

many cases it can actually help with

98:25

overall sleep and calcium is one of the

98:27

things that can be added to it that

98:29

helps with absorption. Now unfortunately

98:32

the big problem is that there are 13

98:35

different kinds of magnesium out there

98:37

and so people don't know what's been

98:39

studied and what hasn't. So, I'm here to

98:41

let you know there's only a couple of

98:43

brands out there that have actually been

98:45

studied for magnesium. The ones I like

98:48

is there's one called magnesium 308,

98:51

which is made by a company called Magen.

98:54

Um, they actually have a published

98:55

research study in the journals. That's

98:57

why I mentioned their brand name. I have

98:58

no association with them. There's also

99:00

another company called Upgraded

99:02

Formulas. They make a magnesium. And

99:05

kind of funny story is the guy who runs

99:07

mag uh upgraded formulas told me he says

99:09

my magnesium is the best in the world. I

99:11

can make anybody fall asleep. And I

99:13

said, "Hey, you want to put your money

99:14

where your mouth is? Let's do a clinical

99:15

trial." He handed me a check for 75

99:17

grand. I went and did a clinical trial

99:19

and he was right. His magnesium really

99:22

made people sleep better.

99:23

>> What is magnesium doing?

99:25

>> So, we're not 100% sure. In the

99:27

deficient people, it's it's obviously

99:29

clearing up the deficiency of magnesium.

99:32

And then magnesium is used in about I

99:34

think almost 300 different functions in

99:36

the body. So it probably lets the body

99:38

work more efficiently and probably that

99:41

helps to overall sleep. But I'm not

99:43

convinced that we have the whole

99:45

mechanism of action worked out. I will

99:47

tell you that when people take magnesium

99:48

they tell me that they introspectively

99:51

feel calmer and we definitely know that

99:53

it can definitely help uh cause a

99:54

relaxation response in the musculature.

99:56

So I think that might have something to

99:57

do with that.

99:58

>> Why did you bring a banana and a knife

99:59

and a teapot? Ah, this is my favorite

100:01

way to get magnesium.

100:03

>> A lot of people want to know, "How

100:05

should I take my supplements? I'm tired

100:07

of taking a fistful of pills every

100:08

morning, Michael. There's these powders.

100:10

Like, what what's the best way?" The

100:12

best way So, number one, supplementation

100:15

is when you're not getting all of the

100:16

things, the vitamins and minerals that

100:18

you need from your food. So, the best

100:20

place to get it from is food. Generally

100:22

speaking, turns out magnesium is one of

100:24

the best ones, but it's problematic

100:26

because we have to eat our magnesium.

100:28

Our body doesn't actually produce it.

100:30

themselves. And by the way, you could

100:31

eat a bushel of kale and still not get

100:33

enough magnesium because here in the

100:35

United States, the soil has been

100:37

overtilled, which means the magnesium

100:39

isn't in the soil. So, it's not coming

100:40

up through the root stocks and allowing

100:42

people to have it. So, a lot of people

100:44

require magnesium supplementation.

100:46

Believe it or not, between magnesium and

100:48

vitamin D, I'd say we've probably

100:49

covered most of America in terms of

100:51

having a deficiency. Bananas are loaded

100:54

with magnesium, but it turns out it's

100:56

not the fruit, it's the peel.

100:58

>> Oh. itself. So, no, I'm not going to

101:00

make you eat the peel. Don't worry. So,

101:03

I developed a recipe that I call banana

101:05

tea. All this is is a regular old

101:07

banana. So, what I what you do is you

101:09

cut off the stem, right? And cut it in

101:11

half and then you drop it in to some

101:13

boiling water. Okay? So, we've already

101:15

done this, right? And you can see the

101:17

banana has turned brown, right? It's

101:20

been soaking in the boiling water. So,

101:22

it's not really tea. It's just basically

101:23

hot banana water. But with the banana

101:27

from the skin, you also get these things

101:28

called phytostereroids that actually

101:30

help you absorb the magnesium better

101:33

than if you just had it from a

101:34

supplement. So you have to really like

101:35

bananas. My daughter says it's very

101:37

banana e. Dad, the flavor, I mean.

101:44

>> Oh, it does smell like bananas.

101:45

>> I'm telling you, if you like bananas,

101:47

>> it's nice.

101:48

>> I know it's nice. And you can use this

101:50

as a like an evening ritual and you can

101:53

make banana tea and have it in the

101:55

evening with, you know, a biscuit or

101:57

what have you and have a nice and read a

101:58

book and just be chill.

101:59

>> How do I know the magnesium is actually

102:01

in there?

102:01

>> Cuz it came through from the from the um

102:03

steeping in the water.

102:05

>> Okay.

102:05

>> Well, you could test it if we want, but

102:06

I can assure you it's in there. You need

102:07

to leave it in there for about 5 minutes

102:09

and we've been talking for a while, so

102:10

I'm pretty sure it's there.

102:11

>> And and how long before sleep to get

102:12

those effects?

102:13

>> I would say about 2530 minutes. You

102:15

don't want to have too much, by the way,

102:16

because then you're gonna have to wake

102:17

up and pee. So try if you can

102:20

>> to be able to have it about 30 40

102:21

minutes before bed.

102:22

>> So you can put it in anything. A lot of

102:23

people have different types of teas. So

102:25

you could just use that as the water

102:26

instead.

102:26

>> Yeah. Oh, without question. Actually,

102:28

that would be a really good idea. And

102:29

you could, if you did it, if you mix it

102:31

with like a fruit tea, like an herbal

102:33

fruit tea, that would be really

102:34

delicious.

102:35

>> Are there any other supplements that

102:36

you, you know, you do encourage people

102:38

to take if they're struggling with sleep

102:39

that we haven't talked about yet?

102:40

>> We haven't talked about vitamin D, and

102:42

that's a big one. So it turns out that

102:44

vitamin D is a circadian pacemaker. So

102:46

when light comes into your eyeballs, it

102:49

helps change your whole uh circadian

102:52

system. And if you're if light is coming

102:54

in for a certain amount of time, about

102:55

15 minutes, your body will start to

102:57

produce vitamin D. Vitamin D does a

102:59

whole host of important things to your

103:01

body. But most importantly from a sleep

103:03

perspective, is it helps regulate

103:05

melatonin and when your body produces

103:07

it. So by taking vitamin D every day or

103:10

getting 15 minutes of sunshine, either

103:12

way, you're going to be in better shape.

103:13

So, like as an example, my morning

103:15

routine that I have all my patients do

103:17

is I have them when they wake up in the

103:18

morning, I have them uh go outside if

103:21

it's if it's, you know, nice out, sit in

103:23

a chair and have 15 deep breaths merely

103:26

to wake up the respiratory system, then

103:28

15 ounces of water cuz once again,

103:30

remember, you're dehydrated, and then 15

103:32

minutes of sunshine. So, they can do all

103:34

of this together at the same time. And

103:36

it's a nice way to wake up in the

103:37

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105:52

>> So, let's talk about waking up in the

105:53

morning.

105:54

>> Sure.

105:54

>> Morning routines.

105:55

>> Yep.

105:55

>> A lot of people talk about what's the

105:57

perfect morning routine? Do you need to

105:58

have a morning routine? What's your take

105:59

on that? So, it depends upon how

106:02

disciplined you want to be and it

106:03

depends upon how much time you have. I

106:05

can tell you what my morning routine is

106:06

because it's very specific and I I've

106:08

discovered that it works really really

106:09

well for me. So, I wake up naturally

106:12

somewhere between 6:10 and about 6:25 or

106:15

so. My body just seems to naturally wake

106:17

up. I do 15 minutes of red light

106:19

therapy. So, I have a red light uh in my

106:21

office that I sit in front of and I do

106:23

my meditation at the same time in the

106:25

morning time. So, I have about 15

106:26

minutes of meditation. Sometimes what

106:28

I'll do is um I'll sit on the floor and

106:31

the boys will come and sit on my lap and

106:34

then we'll all meditate together. I know

106:35

that sounds a little weird. Then um we

106:37

use a we do a 15-minute walk. I try not

106:39

to have any music or any telephone or

106:42

anything like that uh up at all up until

106:44

this point. I put the dogs away and then

106:46

I hit the gym. I'm at the gym from about

106:48

8 till about 9:30, 10:00. I do a sauna

106:52

every day afterwards and then I'm in

106:54

front of my desk by about 10:30 and

106:56

that's is when I have my breakfast. And

106:58

so I make the same breakfast almost

107:00

every morning. I do uh ground turkey

107:02

with uh a third of a pound of ground

107:04

turkey, three eggs and broccoli and I I

107:07

put it all into a skillet and I make it

107:08

every morning.

107:09

>> Do you use any sleep trackers?

107:10

>> In the past I've used uh a few of them.

107:13

I I try them out because a lot of my

107:15

patients try them out. Um, I think if I

107:17

was going to be looking at them, I think

107:18

the aura ring probably does the best

107:21

job. I really don't think they've gotten

107:23

there quite yet because remember depth

107:25

of sleep is based on brain waves and

107:27

it's hard to get brain waves from your

107:28

finger, right? And so what they're doing

107:30

is they're creating a proxy. So they're

107:31

looking at heart rate or oxygen or pulse

107:35

or something along those lines and then

107:36

saying, "Okay, when Stephven's at this

107:38

pulse, we think he's in REM sleep, so

107:40

we're going to label every time that REM

107:42

sleep." when in fact they don't really

107:44

know because they're not measuring your

107:45

brain waves. So I think until we get to

107:47

the point where we can measure brain

107:49

waves from distally, I think we'll have

107:51

a little bit better shot at it. However,

107:54

>> there's some interesting things that are

107:55

going on kind of in the sleep tracker

107:57

world. And some people get a little too

107:58

into the whole tracking of it all, if

108:00

you know what I mean. Like I can't count

108:02

the number of people that are like, "Oh

108:03

my god, Dr. Bruce, you know, this says I

108:05

only slept 14 minutes last night. Like

108:07

what do I do?" And I'm like, "Well,

108:09

number one, how much did you sleep the

108:10

night before?" And they say, "Oh, 16

108:12

minutes." I'm like, "Okay, well, let's

108:13

check you tomorrow." They come back

108:14

tomorrow, it's even worse, 12 minutes.

108:17

I'm like, "Oh, you're fine." They're

108:18

like, "What?" I'm like, "Look, it's

108:20

being consistently inaccurate. There's

108:22

no way you only got 14 minutes of deep

108:24

sleep, right? That's just not how the

108:25

body works, right? But if you got 14

108:28

minutes, 14 minutes, and then one night

108:29

you look at your score and it's 407

108:31

minutes.

108:32

>> I want to know what happened on that

108:33

night."

108:33

>> My friend was a big fan of Whoop. So, he

108:36

told me to try a Whoop. I tried a Whoop.

108:38

the the most I think critical thing it's

108:39

done for me is it allowed me to create

108:45

some understanding of like causation and

108:47

like associations with my sleep. So one

108:49

of the ones that completely changed my

108:51

life when I first wore my Whoop, which

108:53

by the way I'm an investor in the

108:54

company so I have to disclaimer that

108:56

>> um was I didn't realize how impactful

108:58

sleep alcohol was on my sleep.

109:00

>> It's massive.

109:01

>> Like it blew my mind cuz I had had one

109:03

glass of wine.

109:04

>> Yep. And then the bloody whoop thing

109:06

said you're either really sick um really

109:10

stressed or you drank alcohol. And then

109:12

I watched a video online where they

109:13

compared all of the devices to the

109:16

hospital grade stuff.

109:17

>> Yep. Poly synography

109:18

>> and the Whoop 4 was the closest to the

109:21

hospital grade. And then I contacted the

109:23

company and said can I invest etc etc.

109:24

I've also tried I've also tried like a

109:26

sleep and

109:27

>> I would argue that temperature like if

109:28

we're talking about what is the easiest

109:30

thing to manipulate to change your sleep

109:32

either good or bad temperature is it um

109:35

and people don't realize it but you can

109:37

change the temperature in your bedroom

109:39

even in your bed and you can change the

109:41

quality of your sleep. You mentioned

109:43

eight that's a company that has a a

109:45

topper type of thing that can change the

109:47

uh the temperature underneath the

109:49

covers. There's also taking a look at

109:51

the the accutramal that's on. So

109:53

pillows, sheets, comforters, all of

109:55

those things. But if you can get your

109:57

body to cool down, your body will go

109:59

down and get into deeper stages of

110:01

sleep. If you can stay cool versus

110:04

bumping up and down all night long,

110:06

let's say you're a woman in menopause,

110:08

right? That becomes highly disruptive.

110:09

And so by being a by being able to keep

110:12

a consistent temperature stimulus to the

110:15

body, it ends up sleeping a whole lot

110:16

better.

110:17

>> Dreams. Let's talk about dreams. People

110:19

are so fascinated by dreams,

110:20

>> aren't they? I love it.

110:22

>> But but so little is known about dreams.

110:24

>> Yeah. Well, yes and no. I mean, here's

110:27

the thing. Dreams have been studied

110:30

honestly since the dawn of time. If you

110:32

look in the Bible, you will see that

110:34

people are talking about dreams. If you

110:36

look at ancient texts, people are

110:38

wondering about these crazy movies that

110:40

are going on in my head. Right? When you

110:42

start to look at dreams, here's the

110:44

thing that I will tell you is dreams

110:47

mean something to the dreamer. They

110:49

don't necessarily mean something to

110:50

somebody who is not the dreamer. And so

110:52

when I do dream work and so I so to be

110:55

clear, just take a step back, I took a

110:57

year and a half and I became a dream

110:58

therapist. So what does that mean? What

111:01

is that even is that even a thing? So

111:04

dream therapy, by the way, is not dream

111:06

interpretation. That is not here's a

111:08

symbol, here's what that means. Dream

111:10

therapy is where you use dreams in the

111:13

therapeutic context to help people with

111:16

things like depression and anxiety.

111:19

>> Let me give you an example. A nightmare,

111:21

right? So when somebody has, let's say

111:22

somebody was in an active theater of war

111:24

and they watched one of their friends,

111:26

god forbid, something terrible happened

111:28

to them and that image is now in their

111:30

head and now they constantly have this

111:32

image over and over and over. But what

111:34

happens is they're going, going, going

111:35

going and they wake up. They're going,

111:36

going, going going going, they wake up.

111:37

We talked a little bit about it earlier

111:39

that dreams are emotional metabolism,

111:42

right? So dreams are where you work out

111:45

all of these different things that are

111:46

going on in your head and kind of become

111:48

okay with them so that way next day you

111:50

can kind of move forward and keep keep

111:52

doing your thing.

111:53

>> Do we need to explain why we dream

111:55

because I think that's the big sort of

111:57

>> Sure. So there's a couple of theories.

111:59

One theory is is that this is a great

112:01

stage for for practice, right? So we

112:04

dream about things that we're eventually

112:06

going to try in the real world and so we

112:08

get a chance to practice them in our

112:09

head beforehand to to make sure it

112:12

doesn't we don't kind of screw the whole

112:13

thing up. So there's that whole idea of

112:15

being able to kind of work stuff out in

112:17

my head. Then there's the processing

112:19

idea that we talked about before where

112:20

this is emotional metabolism. So

112:22

therapy,

112:23

>> right? Exactly. It's like you go to

112:24

therapy every single night. I actually

112:26

that's a really good way to think about

112:27

it. I hadn't thought about it like that,

112:28

but I think I'm going to use that. I'm

112:29

going to take that from you. Um, I like

112:31

that dreams are therapy every single

112:33

night because they really are. You're

112:34

really moving through a lot of that

112:36

emotionality. Some people think dreams

112:38

are complete nonsense. Some people think

112:40

that's just some crazy movie in your

112:41

head and it's just this after effect of

112:43

your brain moving into a different mode

112:45

and who knows what it could mean. I find

112:47

that one hard to believe myself

112:49

>> because humans don't do anything.

112:51

>> I don't think so.

112:52

>> That isn't for some type of survival

112:54

benefit

112:54

>> for sure.

112:55

>> It's a waste of energy or you know

112:58

>> Yeah, I agree. And so if we looked at it

113:00

from an evolutionary perspective, like

113:02

what is the evolutionary purpose of

113:04

dreams, I would argue that it probably

113:06

has something to do with emotions and

113:08

being able to uh move through some

113:11

emotionally difficult times and or it's

113:13

an early warning system. A lot of people

113:15

dream things and uh it helps them

113:17

understand something else that's going

113:18

on in their life. You ever heard the um

113:20

thing uh people say, I before I make a

113:22

big decision, I want to sleep on it.

113:24

>> Yeah.

113:24

>> Right. this is what they're doing is

113:26

when they sleep on it all these

113:27

desperate pieces of information come

113:29

together and work themselves so that you

113:31

can come to a solution. So I think the

113:33

other thing that reason that we dream is

113:35

to come to solutions and to create

113:37

innovation

113:38

>> that tracks in my life. I I can be going

113:41

to bed really thinking about something

113:43

quite like you know remunerating about

113:46

something to the point that it's like

113:47

overthinking and it's a problem. It's

113:49

stressing me out.

113:50

>> I can get eight hours sleep and wake up

113:53

and it's like the clouds have parted,

113:55

>> right? It's like magic.

113:56

>> It's like magic.

113:57

>> It's great. And I only real realized

113:59

this in the last couple of years when

114:00

you know business my businesses got

114:01

bigger and there was more problems to to

114:04

work through that like actually I could

114:06

use sleep as a weapon against the

114:08

problem. Absolutely.

114:09

>> Versus trying to stay up all night and

114:10

solve the problem. I could focus on the

114:12

sleep to solve the problem.

114:13

>> Yeah. I do it all the time. And and what

114:15

you can actually do it's called priming

114:17

is you can think about the problem in a

114:20

in a way before you go to sleep and then

114:22

it triggers your brain to think about

114:24

the problem while you're sleeping. what

114:26

you write it down or do you

114:27

>> There's a lot of different ways you can

114:28

go about doing it. So, for example, what

114:30

I have some people do is write down

114:31

everything they can remember in their

114:33

dream beforehand before they come to

114:35

therapy. But what you can do is

114:37

something different. If you want to

114:38

change your dream, you write it all

114:40

down, but that you change the ending.

114:42

Okay? And you read it several times

114:44

before bed and it will actually change

114:46

your dream.

114:47

>> So, what am I writing down before bed

114:48

then?

114:49

>> So, let's say you had a scary dream.

114:50

Okay? You're walking through a haunted

114:52

house and something terrible is going to

114:53

happen when you walk out the back door

114:54

>> the night before.

114:55

>> Yeah. The night before. Then I have you

114:57

write all of that down and then when you

114:59

come into session with me, I say, "Okay,

115:01

we're going to change the ending because

115:02

at the at the very end, you walked out

115:03

onto the porch and somebody got you

115:06

right." So instead of that happening,

115:07

you're going to walk out to the porch

115:08

and you're going to pull out a gun and

115:09

you're going to shoot the guy. Okay? And

115:11

so we change that in the dream in the

115:13

right in what you wrote down and then we

115:15

talk about it in therapy. And then right

115:17

before bed, you read this to yourself

115:19

multiple times and it over 7 to 10 days,

115:23

you change the ending of the dream.

115:26

>> And how does that help?

115:28

>> So it makes it more positive. And when

115:30

you change the ending, the reason you're

115:31

waking up is something is scaring you so

115:33

much that you're waking up and you stop

115:34

processing. And so when you change the

115:36

ending and you don't wake up, you

115:37

continue to process and then you move

115:39

past the dream. Just like you said when

115:41

you wake up and the clouds have cleared.

115:43

>> A lot of people wake up and the clouds

115:44

don't clear because they have nightmares

115:46

and they keep repeating it over and over

115:47

and over again.

115:49

>> H

115:50

>> it's quite remarkable. The process is

115:52

very interesting. So what I do is I

115:54

bring them into session put them into a

115:55

mild hypnotic state uh only by doing

115:58

some simple breath work. Right? So let

116:00

me give you an example of somebody that

116:01

I worked with and tell you exactly how

116:03

it went. So I was working with somebody

116:05

who had had uh pretty significant

116:06

trauma. They had been raped. Right? And

116:08

so they were having nightmares about

116:10

this. So serious situation, right? So

116:11

she had a she had a nightmare of being

116:14

in a jungle. And so I had her come in

116:16

session, wrote it all down. And when we

116:18

got to the end, we were walking through

116:20

the jungle. She was actually being

116:21

chased through the jungle. So I turn to

116:23

her and I say, "Okay, well, we're in the

116:24

jungle. Tell me more about this jungle."

116:27

And she says, "What do you mean?" I

116:28

said, "Well, in jungles there's lots of

116:30

tropical plants. There a lot of colorful

116:31

flowers." and she'll stop and you can

116:34

see she's looking around inside her head

116:37

at the dreamscape and then she says,

116:39

"Oh, there are there's some beautiful

116:41

flowers over there. I've now advanced

116:43

the dream, right?" Because she didn't

116:44

know there were flowers before. Now

116:46

she's imagined that they're flowers. I'm

116:48

moving the dream forward. So, we go over

116:50

and we smell the flower. And I said,

116:50

"Well, you know, usually in jungles

116:52

there's there's animals. Are there any

116:53

animals?"

116:56

"Yeah, there's a lion." "Oh gosh, is the

116:58

lion friendly?" "Yeah, the lion is

117:00

friendly. Can we go over and talk to the

117:02

lion? Yeah, Michael, we can. So, again,

117:05

in her head, we walk over. So, I say to

117:07

her, "Uh, does the lion have a name?"

117:10

And she said, "I don't know. Let me

117:11

ask." So, she asked the lion his name.

117:13

And she said, "Yeah, his name is Jack."

117:15

And I said, "What does Jack mean to

117:16

you?" And instantly she says, "Jack was

117:19

my uncle and he saved me from getting

117:21

raped by my stepfather."

117:23

Now, we're getting somewhere. Now, we

117:26

understand what's chasing her. Now, we

117:28

understand where she's headed to. She's

117:30

trying to head to the person that saved

117:32

her. Now she starts to understand where

117:34

this dream is coming from. And guess

117:36

what? In three or four more sessions,

117:38

she doesn't have the dream anymore

117:40

>> because you did what?

117:42

>> Because she now understands where it is.

117:44

She's no longer scared in the middle of

117:45

her dream. She's able to understand it,

117:47

wake up, and move forward.

117:49

>> It's remarkable.

117:52

It's kind of the coolest thing ever. If

117:53

you want to know the truth of the

117:54

matter, working with people's dreams is

117:56

just ma amazing stuff. And for people at

117:58

home that might not have access to you,

118:00

>> um is is a is there a simple thing that

118:02

they can do to start to sort of get a

118:04

hold of these dreams?

118:05

>> Yeah. Yeah. Yeah. Number one is you

118:06

could actually start a dream journal.

118:08

>> So it's just a journal. Um and there's a

118:10

couple things that you would write down

118:11

in a given dream journal. So you might

118:13

write down um what was the theme, right?

118:16

So was it was like describe it like was

118:18

it dark out? Was it light out? Uh was it

118:20

scary? Was it happy? You might describe

118:22

the surroundings of it and you might

118:24

describe the people that are in it as

118:26

well. um and start listing these things

118:28

and getting as detailed as you possibly

118:31

can. Once you've kind of gotten through

118:33

the point of getting the details down of

118:35

your dream, then if you want to change

118:37

them, you can change the ending. It's

118:39

not hard. You just change it the way you

118:41

want it to be. Then you start to read it

118:43

over for yourself. Now, I want to be

118:45

clear, in terrible nightmare situations,

118:48

this can be a little bit difficult. And

118:50

so, you're probably going to want to

118:50

talk with your therapist about it and

118:52

maybe work with the therapist while

118:54

doing something like this. But it is

118:55

absolutely possible to collect

118:56

information from in a dream journal u

118:58

and be able to do some interesting stuff

119:00

with it. I would not recommend taking

119:03

your dream and stuffing it into chat GPT

119:05

and asking chat GPT what it means. Um

119:08

lots and lots of people are doing that

119:10

these days. And here's why that's

119:11

probably not the best idea. So number

119:14

one, unless chat GPT really knows and

119:17

understands you there, it's going to

119:19

give some very broadbased sort of

119:21

encyclopedia. you know, here's a symbol

119:23

that means this type of thing, which

119:25

once again, we have very little evidence

119:26

that that actually works. So, I would

119:29

argue that you're better off talking

119:30

about your dreams with people who know

119:32

you. Um, because they can actually help

119:34

you understand a little bit more about

119:35

what's going on.

119:36

>> There's a few other items on the table

119:38

here. Um, I mean, this is I don't use

119:40

this exact one, but maybe I should, but

119:42

this has been an absolute game changer

119:44

for me when I travel, when I'm on

119:46

planes.

119:47

>> I love a good sleep mask. My wife says

119:49

it looks like I'm living in the 50s.

119:52

you know, when I'm wearing it. But I

119:54

love a good sleep mask. That one in

119:55

particular is pretty cool because you

119:56

can remove the eye cups and you can

119:58

change the sizing of where you want it.

120:01

And then these can actually you can

120:02

replace these with things that heat or

120:04

cool.

120:04

>> Um, but I love that that particular eye

120:07

mask. It works. Yeah, it's really works

120:09

quite well. It's very dark in there. You

120:12

definitely can't see up there.

120:13

>> Crazy,

120:13

>> right?

120:15

>> And then I've got one more thing that I

120:16

think people will find interesting. I

120:18

can't explain how how much of a game

120:20

changer it has been to cover my eyes

120:22

when I go to sleep because gosh the

120:24

amount of nights per week where I don't

120:25

know there's like a crack in the in the

120:28

curtains or I don't know someone gets up

120:30

early and

120:31

>> well also for you you're traveling all

120:33

the time you're in different you're in

120:34

planes you're in different environments

120:36

also by the way every time you're in a

120:38

different environment you have something

120:39

called the first night effect so we see

120:41

this with every human on earth when you

120:43

sleep in a new place for the first night

120:45

you never sleep well because it's new

120:47

sounds new sights you know, new smells,

120:49

all that stuff is new. So, what's nice

120:51

about having this is when I put one of

120:52

these on, I don't have to worry about

120:54

light. I don't have to worry about

120:55

anything.

120:56

>> Does CO2 play a role?

120:57

>> In what way?

120:58

>> In changing sleep. I was thinking if

121:00

ventilation, the amount of oxygen in the

121:02

room matters at all because sometimes I

121:03

go to hotels and they don't have windows

121:05

you can open.

121:06

>> Right. So, air quality is also a

121:09

important thing, not just air quantity,

121:12

right? And so number number one thing if

121:14

I was to tell people, hey, here's an

121:15

easy thing to do to to make your sleep

121:17

better, just go out and buy an air

121:19

purifier for your bedroom. Think about

121:20

it. It's the room you spend more time in

121:22

than any other room in the house. You

121:24

want that air to be fresh and filtered,

121:27

right? And not a big, it's not

121:28

expensive. 20 25 bucks. One sits in the

121:30

corner, just runs the air, cycles all

121:32

day long. That way you know you have

121:34

good clean fresh air. Um, also I tell

121:37

people open the windows once a week. Um,

121:39

it's good to get fresh air in. Now, the

121:41

only problem comes is if you have

121:42

allergies and the allergens fly in and

121:45

there's pollen or dust or things like

121:47

that, that can be somewhat problematic.

121:50

But generally speaking, if you don't

121:52

have enough oxygen going on, you're

121:54

definitely not going to sleep well and

121:55

your body's going to wake up. So, if you

121:56

were in, let's say, a oxygen restrictive

121:59

environment, so let's say that you were

122:01

underneath the covers,

122:02

>> right? And you've got the thing all all

122:04

the way over your head, you're not going

122:05

to sleep particularly well and

122:06

eventually you're going to get so feel

122:08

so restricted that you're going to open

122:09

up the covers. I want to understand the

122:12

best possible sleep position. I do have

122:14

a bed um in the room next door that we

122:15

can go to and talk about these pillows.

122:17

But before we do that,

122:18

>> sure.

122:18

>> I would like to talk about

122:21

>> relationships, arguing with your

122:24

partner, sex, all those kinds of things.

122:26

What do I need to know

122:28

>> to protect my sleep, but also to protect

122:29

my relationship? If we start with

122:30

talking about I know you wrote about it

122:32

in your book, um the power of when you

122:34

talked about I think it's on page 10

122:36

>> 101. You talk about arguing with your

122:38

partner before bed.

122:39

>> Yes.

122:41

Possibly the worst thing you can

122:43

possibly do is argue with your partner

122:45

before bed. Um because it's increasing

122:48

heart rate, right? What I tell all my

122:51

patients to do is if you if you need to

122:53

have an important discussion with your

122:55

spouse or your partner, do it right

122:58

after dinner, right? So like in that

123:00

7:00 range, 7 to 8:00 range. So that way

123:03

you have enough space and time to be

123:04

able to discuss something and not

123:06

hopefully go to bed angry if you can

123:08

avoid it at all possible. It happens.

123:10

Look, I can't say that I've never gone

123:12

to bed angry. I'm sure you can't say

123:13

that either. Sometimes things are a

123:15

bigger deal. But if you can find better

123:17

times to schedule those things, they

123:19

work out a lot better. For me, the other

123:21

thing that I oftentimes ask a lot of my

123:23

patients to do is, for example, if

123:25

there's known issues that are going on,

123:27

like let's say somebody's going through

123:28

marital therapy or there's there's an

123:30

issue that they're trying to work on,

123:32

then maybe that's better off done at

123:34

11:00 in the daytime versus starting to

123:37

kind of address some of those issues in

123:39

the evening time. I like evening times

123:41

to be as stressfree as humanly possible.

123:44

Now, if you got something you got to

123:45

talk about, you got to talk about it.

123:47

But generally speaking, I would say the

123:48

le the less emotionality that you have

123:52

in towards the evening, the better.

123:54

Unless it's joy or happiness.

123:55

>> So many couples, they have these

123:57

difficult conversations on the pillow.

123:58

>> Yeah.

123:58

>> Including me sometimes.

123:59

>> Yeah. Well, and it makes sense like when

124:01

else do you see that person, right? You

124:03

haven't seen them all day. You're you're

124:04

literally face to face like, "Hey, I got

124:06

something I got to talk to you about.

124:07

This is kind of the best time to do it."

124:08

>> It ruins your sex life as well, doesn't

124:09

it? absolutely ruins your sex life

124:11

unless you have makeup sex afterwards

124:13

and then it's great but at the end of

124:15

the day it's not a lot of fun to have

124:17

those conversations at night. That's

124:18

again why I choose to if I'm going to

124:20

have that conversation the best time

124:22

honestly to do it is right after

124:23

breakfast.

124:24

>> In my relationship we've banned uh

124:26

difficult conversations at night time.

124:27

>> Good. That's probably a smart move.

124:29

Dude,

124:30

>> you're tired and it's going to destroy

124:31

your sleep,

124:32

>> right?

124:33

>> You you can't think straight. You're

124:34

probably more emotional

124:35

>> and you haven't put all the pieces

124:37

together yet of the issues that are

124:38

really going on. I can assure you if you

124:40

sleep and then have your discussion in

124:41

the morning, you'll actually think about

124:43

the issue better.

124:45

>> It's so crazy. As I've gotten older,

124:47

I've realized how much of my mood is

124:49

determined by my sleep. Like, it's so

124:52

And I think it's got worse with age.

124:54

>> Oh, absolutely it does.

124:55

>> Because at 25 you could blow [ __ ] off.

124:58

Oh, yeah. Or you could drink a monster

124:59

or a

125:01

mood. Yeah. Sleep matters. And I think

125:03

that's what you're that's that's the

125:04

button that you're pushing here. And I

125:06

think it's important for your audience

125:07

to hear that, right? is look, you're 33

125:09

years old and you're already seeing

125:11

things changing in your sleep that have

125:13

a big effect in your life. I'm 58 years

125:15

old, okay? I see the same thing

125:17

happening. Everybody, sleep is so

125:20

fundamental to the human condition that

125:22

it's one of those things that we've got

125:24

to really pay attention to. And the

125:26

thing is, most people don't pay

125:27

attention to it because they're like,

125:28

"Well, my body does it automatically,

125:29

Michael. Like, how tough could this be?"

125:31

I walk into that room in the back of the

125:32

house, I turn off the lights, h go to

125:34

bed, then I wake up, something magical

125:35

happens, and I should be great, right?

125:37

doesn't always work that way.

125:39

>> I was reading in your work about the

125:41

best time to fall in love.

125:43

>> Yes.

125:43

>> That's a strange thing for a

125:46

>> somebody of your profession to be

125:47

thinking much about was in this book,

125:49

was it?

125:49

>> Yeah, it was.

125:50

>> Yeah.

125:51

>> When you think about it, everything is

125:54

based on timing, right? So, the timing

125:57

when your hormones at a certain point

125:58

and you meet that person and their

126:00

hormones at a certain point and then all

126:02

of the sudden there's a connection,

126:04

>> right? That's hard to do when you're

126:06

exhausted, right? Try going on a first

126:09

date when you're completely like when

126:12

it's the worst, right? You know, you're

126:13

not giving a good impression of

126:14

yourself. You know that you're not

126:16

getting a good impression of that person

126:18

because your mind is not going where it

126:20

needs to be. So, there's timing involved

126:22

and understanding your chronoype and

126:25

that person's chronoype really leads you

126:27

in that positive direction. And I would

126:30

argue that it's pretty easy to fall in

126:32

love at that time.

126:33

>> Okay. So, in your book,

126:34

>> um, Power of When,

126:35

>> yes.

126:36

>> On page 9, uh,4, you say, "Dolphin's

126:39

best mood is in the afternoon to

126:41

evening." So, the best time for them to

126:43

fall in love is 8:00 p.m. Lions

126:45

>> 700 a.m.,

126:46

>> right? Cuz remember, they're early

126:47

morning people. They're exhausted at the

126:49

end.

126:49

>> Damn. So, they should be going on

126:51

morning dates.

126:52

>> Yes.

126:52

>> Bears,

126:53

>> 400 p.m. And the wolf, like me, 11:00

126:56

p.m. That tracks.

126:57

>> Yeah, I get it. So, should I be doing

127:00

my, you know, okay, I'm in a

127:02

relationship. I'm about to be married.

127:04

But, um, I should

127:05

>> you got engaged. Congratulations.

127:06

>> Thank you so much.

127:07

>> Yeah,

127:07

>> but I should be doing my dates later. It

127:09

kind of tracks. That's kind of when I

127:10

did them.

127:11

>> Well, look at your whole schedule, dude.

127:12

You don't do a thing before 11.

127:14

>> That's true.

127:14

>> Right. I think you're exactly like I am.

127:17

>> Shall we go and look at the best

127:19

possible sleep position?

127:20

>> Yeah, let's check it out. And we talk

127:21

about pillows, too.

127:22

>> Okay. So, I'll bring all the pillows

127:23

with me.

127:23

>> Okay, great.

127:24

>> Okay. Okay. So, we're going to go into

127:25

the next room where there's a bed and

127:26

you're going to tell me what can you

127:28

tell me when we look at the bed. How can

127:29

you help?

127:29

>> So, there's a couple of different

127:30

things. So, number one, I'm going to

127:31

look at your starting sleep position and

127:33

I'm going to give you some feedback

127:34

about that. Then, we're going to fit you

127:36

for the right kind of pillow for you.

127:38

And then there's some cool technology in

127:39

there that I want to show you as well

127:41

that can help keep you cool all night

127:42

long.

127:43

>> And do we need to take this with us?

127:44

>> Yes, take that one. And then, how many

127:46

pillows are there?

127:47

>> I think there's five.

127:48

>> There's five different pillows. Okay,

127:50

great. Let's

127:50

>> They all do different things.

127:51

>> Okay.

127:53

>> Okay. Okay, so we're now downstairs in a

127:55

bedroom we have in the house. I have

127:57

lots of pillows here, quite a few.

127:59

>> And there's a bunch of questions I have

128:00

for you. The first is

128:01

>> pillows. Do they matter? Is there a

128:03

perfect one? Is it different for every

128:04

individual

128:06

>> sleeping position? Is there a perfect

128:08

sleeping position? There is.

128:09

>> And the third one is about temperature.

128:12

>> You got it. Let's go.

128:13

>> So I just grab whatever pillow is in the

128:15

bed wherever I travel.

128:16

>> Terrible idea.

128:17

>> Really

128:18

>> terrible idea. So, first of all, a lot

128:19

of people need to understand that a

128:21

pillow is a bed for your head, right?

128:23

And so, the goal here is to keep your

128:25

nose in line with your sternum, which is

128:27

sort of the center part of your chest,

128:29

right? And but you don't want it facing

128:31

down and you don't want it facing up.

128:32

You want it to be completely in the

128:33

center like that. And so, if you have a

128:35

pillow that tilts your head to the one

128:37

way or tilts your head to the other, it

128:39

causes a pain signal from the strain of

128:41

the musculature that goes to your brain.

128:43

You don't get into deep sleep. So, you

128:45

really want to make sure that you've got

128:47

a good pillow. Otherwise, you end up

128:48

with a crick in your neck. You don't get

128:49

good deep sleep. It becomes problematic.

128:52

>> Okay. All

128:52

>> right. So, the big question is how do

128:54

you pick a pillow? Right. So, first

128:56

question you want to ask yourself is

128:57

squishy or firm? Right. So, let's take a

129:00

look at our tower of pillows here.

129:03

>> So, for you, let's let's take a look.

129:06

So, this is a pretty firm one. This is a

129:08

basically a foam based hunk of foam

129:09

pillow, right? Versus this one, which is

129:12

sort of the normal kind of pillow, much

129:14

more squishy. So, which are you? A

129:16

squishy or a firm?

129:17

>> That one.

129:18

>> Okay, perfect. So, you're more on the

129:20

squishy, which means you like to

129:21

manipulate the pillow. You don't want it

129:22

to have a huge form factor where your

129:24

like head is on a block of cheese,

129:25

right? Got it. So, perfect. So, let's

129:27

move this foam pillow out of the way.

129:30

>> The second thing you want to look at

129:31

from the pillow is when the fabric comes

129:34

together here, it forms what's called a

129:36

knife's edge. So, it's where the two

129:39

pieces of fabric meet. Now, why is that

129:41

important? Because when you have your

129:43

head on a pillow like this and the

129:45

knife's edge is down here, you're not

129:47

getting as much support underneath your

129:48

neck here, right? So, in order to fix

129:51

that, we have something called a gusset.

129:54

So, a gusset is this piece of fabric

129:56

that comes along here. So, you notice

129:58

these two pieces of fabric don't meet.

129:59

There's a thickness here. So, when you

130:01

were to sleep on it, it actually catches

130:04

you all the way down. So, let's say you

130:05

would be like this, you it gives you

130:07

support all the way down. Now, you don't

130:09

like the foam of it all, but you do like

130:11

the the gusset, right?

130:14

>> Here's one that's got the gusset without

130:16

the foam. So, it's squishy and has the

130:18

gusset. So, if you were going to use

130:20

this,

130:20

>> that's good.

130:21

>> So, now we've been able to fit you for

130:23

the pillow. Now, the next question we

130:24

have, uh, well, the last one is there

130:27

are some special types of pillows.

130:28

Actually, this one has got a cutout. So,

130:31

you notice how that's got like a moon

130:33

here. It fits perfectly here. here. And

130:35

notice, right, this is this is my

130:37

personal pillow.

130:38

>> Oh, okay. I can So,

130:39

>> you have to shift.

130:40

>> I know. Sorry. Um, and so you can see it

130:42

really comes all the way down to your

130:44

neck and it gives you support all the

130:45

way from the base of your neck all the

130:47

way up through. And that's one of the

130:48

reasons that I like it cuz I can cut it

130:49

out and put it right there on me.

130:51

>> For the average person, if if they had

130:53

to pick one pillow without you knowing

130:55

anything about them, which pillow would

130:57

you pick of these six?

130:58

>> So, of all of these six, well, if I had

131:00

my choice, I'd pick this one because

131:01

this is my favorite. By the way, there's

131:03

also another feature of this that I

131:04

think is important to that people should

131:06

notice is it's got a zipper, which means

131:09

I can change the stuffing and I can pull

131:12

it out or put it in. So, I can change

131:15

the height of my pillow.

131:16

>> And what stuffing is that?

131:18

>> This is actually a shredded latex.

131:19

>> Okay.

131:20

>> Which I really like to sleep on.

131:21

>> So, what's this pillow called?

131:23

>> So, this is by a company called Coupe.

131:25

Um, and um I like it because of the

131:27

change in the in the shape as well as

131:30

the stuffing and the zipper on the side.

131:32

It really makes it kind of what I would

131:34

argue to be probably the best pillow

131:35

out.

131:35

>> And what's the worst pillow?

131:36

>> The worst pillow that we've got here,

131:38

this one. So, almost no support, right?

131:41

It's super squishy,

131:43

>> right? We don't we don't we have the

131:44

knife's edge here. There's not much to

131:46

it. Also, by the way, it feels like this

131:48

is made with polyester, which is a heat

131:49

trapper. Now, let's lie you down on the

131:52

bed, get you in your starting sleep

131:53

position, and I'm going to show you

131:54

exactly where the pillow should go and

131:56

what pillow should be for you. So, if

131:58

you can lie down for me. Now, what is

132:00

your starting sleep position? Are you a

132:01

back sleeper? You a side sleeper? You a

132:03

stomach sleeper?

132:04

>> I start on my stomach and I roll to my

132:08

right.

132:09

>> Got it. Okay, perfect. Go ahead and get

132:11

on your stomach for

132:11

>> By the way, how weird is that?

132:13

>> Roughly 75% of sleepers are side

132:15

sleepers, either right or left. So,

132:18

you're definitely not don't fall into

132:19

that category. Another 20 or so percent

132:22

are back sleepers. You're in the like 5%

132:24

category of stomach sleepers. The reason

132:26

it's the worst position is when you're

132:28

lying on your stomach, right, and the

132:30

pillow is here. You're pushing on your

132:32

back here and it causes what's called a

132:34

spllay, which is extra pressure on your

132:36

lower back. And that can give you low

132:37

back pain over time.

132:39

>> I only do it for the first like 10

132:41

minutes

132:41

>> and then you rotate.

132:42

>> And then I rotate onto my side.

132:43

>> Which side? Right or left?

132:44

>> My right. This side.

132:45

>> Perfect. So in all actuality, you

132:48

actually want to be on your left side

132:49

because when you lie on your right side,

132:51

you're actually all of your organs push

132:53

down onto your stomach and it can leak

132:54

some of those gastric juices and you end

132:56

up with something called

132:57

gastroosophageal reflux disease. So the

132:59

way I teach people is right is wrong. So

133:03

you don't sleep on your right side, you

133:04

sleep on your left side if you can. If

133:06

you can, but let's fit you anyway. Let's

133:08

go ahead and get you down on your what

133:10

would be your right side and let's see

133:11

how you do. Lie down.

133:12

>> How I normally lie down.

133:14

>> Yeah.

133:14

>> Okay. Okay. This is how I lie down when

133:15

I first get in bed for the first time. I

133:16

can't wait to see.

133:16

>> I'm like this. I move the pillow out the

133:19

way

133:19

>> and I just learn lay like this for a

133:21

while.

133:21

>> Okay. And you have no pillow.

133:22

>> No pillow.

133:23

>> Perfect. And then when you rotate to get

133:26

to your side.

133:27

>> Yeah.

133:27

>> Show me that.

133:28

>> I sleep like this on my on my right

133:31

side.

133:32

>> Like roughly like this.

133:33

>> So, what you'll notice is your shoulder

133:34

is now up into this part here. So, it's

133:37

still being supported. Your head is

133:38

fine. And what you'll notice is his head

133:40

is in line with his sternum, right? His

133:42

nose is in line there. It's not falling

133:45

too far. It's not overextended.

133:47

>> That's my sternum.

133:47

>> Your sternum is the direct center of

133:49

your chest. It's the m like your breast

133:50

plate is what you would call it, right?

133:52

Right. Sort of in the center of So, you

133:54

want your nose to be in line with that,

133:55

which it basically is. And when I look

133:57

at your head, your head is not tilted to

133:59

one side or another. So, I know there's

134:01

no more neck strain. So, that would be

134:03

the perfect pillow for you. But that

134:04

happens to be my pillow. So, I'm not

134:06

going to give it to you, but I might get

134:08

you one if you're nice to me.

134:10

>> Thank you. What about these other

134:11

pillow? So, the bad one was which one?

134:13

The bad one was this one. So now go

134:15

ahead and put yourself on that one.

134:18

>> Yeah, I'm going too far down.

134:20

>> Right. And you're not even trying. Like

134:22

you don't even have to push your head

134:23

that far. And and you can see and your

134:25

and look where do you put your arm? Your

134:26

arm's not supported. Like it's becomes

134:28

like people don't realize it but pillows

134:31

matter. What I try to tell people is I

134:33

used to be a runner and when you're a

134:35

runner like equipment matters like your

134:37

shoes matter, your music matters, your

134:39

your dry fit wear matters. The same

134:41

holds true with sleep. If you don't have

134:43

good pillow, good mattress, good sheets,

134:46

you don't have the right equipment,

134:47

you're not going to get good sleep.

134:48

>> That is a terrible pillow.

134:49

>> I'm telling you,

134:50

>> really, really bad pillow. Okay, so

134:52

sleeping on my left side is the correct

134:54

side

134:55

>> with a good pillow.

134:56

>> With a good pillow.

134:56

>> But now, let's talk about temperature.

134:58

>> Y.

134:58

>> So, while you're lying here, you may

135:01

have noticed that there's different

135:02

temperature on either side of the bed.

135:05

>> So, if you feel here

135:07

>> Oh, it's warm.

135:08

>> It is.

135:10

That's correct. So when you're lying

135:12

there, your body will naturally become

135:14

more warm. So remember how we were

135:16

talking that sleep follows the core body

135:18

temperature cycle, right? And so as your

135:20

core body temperature drops, you want

135:23

your environment to drop with it because

135:25

if it doesn't and the environment is too

135:27

hot, you can't fall asleep. So this is a

135:30

product. It's called an Orion sleep

135:32

system, and it's a topper that's you're

135:34

lying on top of. Has a thin tube that

135:37

goes through it. You can't feel the

135:38

tube. should feel cool over there and

135:40

warm over here.

135:41

>> It's cold here, it's warm here.

135:43

>> Exactly. And we and you can rotate it

135:44

however you want. But what's so

135:46

fascinating about this is you can

135:48

actually set it so that it follows your

135:50

circadian rhythm and it actually can

135:52

help you stay asleep. The only thing

135:54

that you as a consumer can manipulate in

135:56

your sleep. Like you can't write a

135:58

pharmaceutical right prescription. You

136:00

can't get a CPAT machine. But what you

136:01

can do is control the temperature. So

136:03

you might say to yourself, when would I

136:05

want to control the temperature for my

136:06

sleep? Well, if you were female and you

136:08

were 45 years old and you were going

136:10

through menopause, you really want to

136:12

control the temperature because hot

136:13

flashes might wake you up in the middle

136:15

of the night. Those types of things

136:16

become very, very important.

136:18

>> And how much does this cost?

136:19

>> So, this runs about a little over 2,000

136:22

US. Um, the nearest competitor is

136:25

significantly more expensive, almost a

136:26

third more expensive.

136:27

>> And are you affiliated with them in any

136:28

way?

136:29

>> I am affiliated with these guys. I am

136:30

their chief sleep officer.

136:32

>> Oh, nice. Didn't know that was the job

136:33

title.

136:34

>> I know. I didn't know. I made up the job

136:35

title myself. Thank you very much.

136:37

>> Okay. Is there anything else I should

136:38

know about the broader room that is

136:41

pertinent?

136:42

>> So when I talk about broader room

136:43

aspects, I think of the five senses. So

136:45

sight, sound, touch, taste, and smell,

136:48

right? So sight is light, right? So

136:51

clearly you want the lights down as

136:52

we're starting to get towards bed. Maybe

136:54

having a dimmer switch or something like

136:56

that is a great thing to slowly start to

136:58

do that or kept the overhead lights and

137:00

just have the bedside table lamps about

137:02

30 minutes before bed. Again, setting

137:04

the tone. The next one would be sound.

137:07

So, it's always better to be quiet, but

137:09

at the end of the day, sometimes you can

137:11

have that and sometimes you can't. It's

137:13

really about the emotionality that you

137:15

attach to the sound itself. If you get

137:17

annoyed by something, it's just going to

137:19

get worse and worse. But if you can

137:21

think in your head, hey, this isn't so

137:23

annoying anymore, it becomes less

137:25

problematic. But to be clear, certain

137:27

volume sounds and certain decibel levels

137:29

are going to wake you up. And so, you

137:30

really, it's hard to sleep next to a big

137:32

highway, right? So, you want to have as

137:34

much sound buffering as you possibly

137:37

can. So, we did sight, we did sound.

137:39

Let's do touch. Touch is temperature,

137:41

right? We talked about that. You want

137:42

the bedroom to be cool. If you can get

137:45

the get the um air conditioning on, but

137:47

let's say you've got the air

137:49

conditioning on, but it's super hot

137:50

summer and you're not fortunate enough

137:52

to have an Orion sitting underneath your

137:54

sheets. What do you do? Go out and buy a

137:56

plastic bottle of water, two of them.

137:58

Stick them in the freezer. Then put them

138:00

into socks and then put them on your

138:03

sides. Okay, so frozen water bottle

138:05

inside a pair of inside a sock that sits

138:07

on your side. It's like a mini air

138:09

conditioner underneath the covers. It

138:11

works like a charm. I use this when I

138:13

travel because a lot of times, you know,

138:15

the room you can't necessarily change

138:17

the thermostat or things like that and

138:19

it's a great way to be able to do that

138:21

kind of stuff. Then the final one is

138:22

smell. So, people always ask me, "Does

138:24

aroma therapy really work?" Believe it

138:26

or not, there are at least two

138:28

scientifically rigorous studies that

138:30

show that aroma therapy can actually be

138:31

helpful for you. But I want to be clear,

138:34

candles are not the way to do aroma

138:36

therapy. Fire and sleep do not mix.

138:39

Okay?

138:40

>> But a diffuser I'm fine with. Or a

138:42

little sache or a pillow mist. All of

138:45

those can be quite helpful. And you just

138:47

put them, you spray it on your pillow,

138:48

or you have it right next to your

138:49

pillow. And as you breathe in the aroma,

138:51

two aromomas have been shown to be

138:53

helpful for sleep. One is lavender.

138:55

Surprise, surprise. The other is called

138:56

elang elang. Um, that's one that's

138:59

actually got some data on it. And I

139:00

actually think I saw a study on vanilla.

139:02

>> And should I be sleeping naked?

139:04

>> Such a good question. So, here's what

139:05

I'll tell you is you thermorreulate

139:08

better with less clothing on. So, less

139:11

barriers allow your body to do exactly

139:12

what it should do. So, I would argue you

139:14

definitely could sleep naked. And I I

139:16

think there's an argument for sleeping

139:18

naked will allow you to sleep better and

139:20

thermorreulate better. However, be

139:22

careful because if you have animals in

139:25

the bed and you're sleeping naked, what

139:27

looks like a chew toy to them might be

139:29

important for you.

139:30

>> You're speaking from experience.

139:31

>> I'm just letting you know there's

139:33

problems out there. I'm not saying that

139:34

I had one of those problems myself.

139:37

>> Okay. I I think we've covered it, right?

139:40

>> Last one. Yeah.

139:41

>> Socks.

139:42

>> Oh, socks. Everybody wants to know,

139:44

should I wear socks to bed? So, here's

139:47

what's interesting is you dissipate heat

139:49

faster wearing uh with uh unsocked foot

139:52

because there's no hair on the bottom of

139:54

your feet. You ever notice when you're

139:55

hot at night and you stick your foot out

139:56

from under the covers, you instantly

139:58

cool down and everything's okay. So,

140:00

what I do for some of my patients who

140:02

have thermmorreulation issues, I have

140:03

them start with socks but no clothes and

140:05

then they can remove their socks

140:07

afterwards as they start to get too

140:08

warm.

140:09

>> Okay, let's go back upstairs and finish

140:10

this conversation.

140:11

important question to ask you.

140:13

>> So, I want to go back upstairs. Thank

140:14

you so much for that. Super, super

140:15

useful.

140:16

>> Sure.

140:18

>> Dr. Michael Bruce, we have a closing

140:20

tradition on this podcast where the last

140:22

guest leaves a question for the next

140:23

guest, not knowing who they're leaving

140:24

it for.

140:25

>> Oh, I didn't know this. This is awesome.

140:27

>> And the question that's been left for

140:28

you is, if you could have the power to

140:31

change one thing in the US healthare

140:33

system, what would it be and why?

140:37

>> What I would like to see happen, well,

140:39

there's two things. One is a wish and

140:41

one is I think a possible reality. So

140:44

the possible reality is I'd like to see

140:46

everybody in the United States get

140:48

tested for sleep apnnea. It's so

140:51

underdiagnosed. There's so many people

140:52

that are suffering from it. You saw the

140:54

statistics. I mean it's it's an

140:56

epidemic. So if I could have one thing

140:58

that happens in the US health care

141:00

system, it would be that somehow or

141:02

another somebody the powers that be say,

141:04

"Hey, you know what? We need to test

141:05

everybody for sleep disorders,

141:07

specifically sleep apnea." I think that

141:09

would be a great big wish that I would

141:11

have. The second wish, which I don't

141:12

know would would ever happen, but I'm

141:14

going to take my second wish anyway,

141:15

even though you didn't offer it, is I

141:17

want everybody to get a great night's

141:20

sleep, but I wanted to all be on the

141:22

same night.

141:24

I want everybody in the world to get a

141:26

really good night's sleep on the Can you

141:28

imagine what would happen the next day?

141:30

What if what if what if people actually

141:32

found peace in the waring nations

141:35

because they actually got a good night's

141:37

sleep? What do you think innovations

141:40

would happen with if we get some of the

141:42

smartest people in the world to just get

141:44

a good night's sleep? Like what about

141:46

charities? What about philanthropy? Like

141:48

every single thing that you do, you do

141:51

better with a good night's sleep.

141:53

Wouldn't it be cool if everybody got one

141:55

just for one night and see what happens?

141:57

>> Nine months later, there'd be a lot of

141:58

kids. There would be a lot of kids born

142:00

for sure.

142:02

>> That's so beautiful. Michael, thank you

142:03

so much for the work that you do. It's

142:04

so incredibly important because as the

142:06

numbers and the stats have shown, people

142:07

are struggling increasingly in the world

142:09

that we live. But through lifestyle

142:10

factors and the way that we work and all

142:12

these other factors we talked about with

142:14

this more than anything and for so many

142:15

people, it's the cause of so much

142:17

frustration. It is the thing furthest

142:19

upstream from a lot of the problems that

142:21

they struggle with in relationships, in

142:23

their work, in their sex life, and

142:24

everything in between. So having great

142:26

educators out in the world that help to

142:29

demystify this black box is so critical

142:31

and you're one of the very very best

142:33

I've ever met and in part because you're

142:34

so unbelievably engaging. You're a great

142:35

storyteller. You've you've been in the

142:38

field doing this with patients of wide

142:40

varieties but also you bring that

142:41

psychology element which is of quite

142:43

rare to people that talk about

142:45

>> the clinical side of sleep. You have

142:47

several great resources if people want

142:49

to continue to um learn more. I would

142:51

highly recommend um people if you've

142:54

gotten to this point in the

142:54

conversation, I would highly recommend

142:56

going over to your YouTube channel now

142:58

and watching some of your top videos

143:00

because I found them to be fascinating

143:02

and I learned so much more. We we

143:03

weren't able to go through everything

143:04

today, but if there's specific things

143:06

like waking up in the middle of the

143:07

night, um your videos about that have

143:10

six or seven million views over on your

143:11

channel and they're very very focused on

143:13

that subject. So, if there's specific

143:14

things that you felt weren't covered in

143:16

this conversation, right now go over to

143:18

Michael's channel. Um, it'll be linked

143:20

below and um, watch more there. But

143:23

also, if you're a reader and you love to

143:25

read and that's your thing, which I know

143:26

is great for sleep, two great books here

143:28

in front of me. The power of when,

143:30

discover your chronotype, and the best

143:31

time to eat, lunch, ask for a raise,

143:34

have sex, write a novel, take your meds,

143:35

and more. And also this book here,

143:38

Sleep, Drink, Breathe, which talks

143:41

broadly about the simple daily habits

143:42

for profound long-term health. Michael,

143:45

thank you.

143:46

>> Thank you. This has been so much fun. I

143:48

wasn't exactly sure what to expect, but

143:50

it was lovely. I really enjoyed it.

143:52

Everybody here is fantastic, and uh I

143:54

just want to wish everybody sweet

143:56

dreams. YouTube have this new crazy

143:58

algorithm where they know exactly what

144:00

video you would like to watch next based

144:02

on AI and all of your viewing behavior.

144:04

And the algorithm says that this video

144:07

is the perfect video for you. It's

144:09

different for everybody looking right

144:10

now. Check this video out and I bet you

144:12

you might love it.

Interactive Summary

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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