World No.1 Sleep Expert: Magnesium Isn’t Helping You Sleep! This Habit Increases Heart Disease 57%!
3665 segments
Here's the problem with magnesium
supplementation when it comes to sleep.
The first thing to note is that most
forms of magnesium don't cross the brain
barrier and sleep is produced by your
brain. So, how can something that
doesn't get into your brain affect brain
process? All you're doing is creating
probably expensive urine.
However, there is one form of magnesium
that seems to have some evidence in
favor of it which we can speak about.
But it doesn't stop there. There's so
much new evidence that we have including
this myth of 8 hours. my fear about
giving melatonin to kids. Why you keep
waking up in the middle of the night and
the invention of the first new class of
sleeping medication that I actually
favor and most people are not aware of
it.
>> Okay, let me write this down.
>> Matthew Walker is back and the
worldrenowned sleep expert and
neuroscience professor
>> is sharing brand new research to combat
the sleep loss epidemic and help you get
the perfect night's sleep. So society,
we have struggles with sleep at night
due to many reasons, but no one teaches
us this stuff. And it's things like say
you go to bed at 11:00 one night, 1:00
a.m. the next night, then 10:30 p.m. the
next night. And it's remarkable how many
people do this, but studies have shown
that you are statistically 49% more
likely to prematurely die versus those
people who were most regular in terms of
going to bed and waking up at the same
time. And worse, they had a 57%
cardioabolic disease risk increase.
>> What the
>> science really teaches us that there are
four pillars of good sleep. And then
there's this incredible new study
looking at sleep banking. And this is
remarkable for people who are facing a
sprint at work or a medical doctor about
to go on call for the next 40 hours, new
parent. And we can go through all of
that. But if you were to push me to say
the three most impactful things that you
can start doing tonight to start
sleeping better, it would be
I see messages all the time in the
comments section that some of you didn't
realize you didn't subscribe. So, if you
could do me a favor and double check if
you're a subscriber to this channel,
that would be tremendously appreciated.
It's the simple, it's the free thing
that anybody that watches this show
frequently can do to help us here to
keep everything going in this show in
the trajectory it's on. So, please do
double check if you've subscribed and uh
thank you so much because in a strange
way, you are you're part of our history
and you're on this journey with us and I
appreciate you for that. So yeah, thank
you
Dr. Matthew Walker. Here in front of me,
I have these cards which I'm going to
reveal a bit later, but these kind of
hold what you consider to be the four
pillars of great sleep. But you also
spend much of your professional career
just studying the brain generally to
understand human performance and how we
can change our lifestyles and also
introduce some of these new sort of
treatments to improve how our brain
performs. And I want to talk about all
of that as well, but to start for anyone
that is unfamiliar with you and has been
hiding under a rock,
how do you summarize who you are
professionally,
the sort of academic references you're
drawing on, and the experiences and
research you've done so that the viewer
listening at home understands the full
world that you operate in, study, and
have experienced.
>> I am a neuroscientist by trade, but my
specialty is sleep. the effects of sleep
on the brain and the body. And I've
probably spent about the past two
decades trying to understand exactly why
do we sleep? Because 50 years ago, the
crass answer to the question, why do you
sleep was the following? You sleep to
cure sleepiness,
which is the factous equivalent of
saying, well, you eat to cure hunger.
No, you don't eat to cure cure hunger.
you eat to support all sorts of
physiological and biological benefits.
But now, and this is not due to my
research, is this all of the incredible
colleagues whose sort of shoulders that
I stand on, we've now had to upend the
question. We now have to ask, is there
any major physiological system in your
body or is there any operation of your
mind that isn't wonderfully enhanced by
sleep when you get it or demonstrabably
impaired when you don't get enough? And
the answer now seems to be no. There is
no such system. Even down to the level
of your DNA,
your sleep and how you are sleeping or
not sleeping will change the very DNA
nucleic alphabet that spells out your
daily health narrative. And we can see
it all the way up to society. Sleep can
change the fabric of society, can change
how we interact with other people. It
can change our belief systems. can
change how lonely or sort of hypersocial
we are. So to your question, I'm a sleep
scientist by trade and I suppose my
mission has been trying to reunite
humanity with the sleep that it seems to
be so bereft of.
>> We had a fantastic conversation last
time and my audience valued it
tremendously. I know that cuz we we
often survey our audience and we we get
to see some of the the backend stats and
this conversation about sleep is
particularly personal to everybody
listening because when we surveyed our
audience ahead of this conversation
today about 75 or 80% of the direio
audience struggle with sleep for a
variety of different reasons. So we
actually asked them a thousand of them
their questions to ask you today. But
also the other reason I really wanted to
chat to you is the science of sleep I
mean as is the way of science is always
evolving. We're learning new things and
even since we spoke last time, there is
new sleep science which we're going to
talk about today and one of those
particular things we're going to talk
about is going to be demonstrated using
this jar because I always want to know
what the updated sleep science is so
that I can be a better sleeper because I
agree with everything you've said about
how foundational sleep is in my life.
>> And um I didn't know this at the start
of my career. I didn't know this even a
couple of years ago, five years ago. I
didn't know. I thought sleep was one of
those things you could just take it all
or leave.
>> Yeah. I mean, and it's not your fault in
so many ways because if you didn't know
what I know, you would just think, well,
when I sleep, my body is dormant and my
mind for the most part is blank. So, is
it so catastrophic to lose, you know, an
hour or two of sleep? And you know, you
have to then think about from an
evolutionary perspective, it is such an
idiotic idea to sleep because when
you're sleeping, you're not finding a
mate, you're not reproducing, you're not
caring for your young, you're not
foraging for food, and worst of all,
you're vulnerable to predation.
>> So on any one of those grounds, and
especially all of them as a collective,
sleep should have been strongly selected
against in the course of evolution.
And my point is that, and it's often
been said that if sleep doesn't serve an
absolutely vital set of functions
plural, then it's the biggest mistake
the evolutionary process has ever made.
And we now realize it didn't make a
spectacular blunder. But really, I guess
to the point of it is sleep is not a
passive state. It's an incredibly active
state both in the terms of the brain and
the body. And so you should not feel
sort of you know remiss or ashamed that
you didn't value the importance of sleep
because firstly as a subjective sense
you just think well my mind was offline
for a while. Second we also know that we
don't teach the importance of sleep in
education and doctors themselves you
know there's a great study and they what
they found was that medical doctors
across I think it was about 11 different
curricula around the world they will
only receive about 1.2 two hours of
education on sleep, but it's a third of
their patients lives. So there's a
collection of sort of almost perfect
storms that have happened to keep
society ignorant of the importance and
the value of sleep. I think that's why
we often so short change it together
with also something terrible which is
stigma.
that people are so proud to say, well,
I've been eating really healthy the past
couple of months, or, you know, I've
been going to the gym, you know, three
times a week consistently for the past
year. No one is ever going out into
society and saying, you know, I I've
been getting 8 and 1/2 hours of sleep
consistently every night. Because if you
did, people would say, really? And
there's a there's a slight edge to the
really which is that if you have time to
sleep then you must not be busy and if
you're not busy you must not be
important.
So can you do me a favor and for the
listener at home can you tell me what
the different groups of people that are
listening to this conversation right now
are seeking from the extreme end being
sleep apnnea. I get no sleep. I'm an
insomniac to the other end where maybe
they're looking for marginal performance
gains. Like what are the what are the
cohorts of people you see and the
reasons why they're so interested in
your work? They listen to your podcast,
they read your books. What are the
cohorts?
>> Firstly, we have the collection of
people who have insomnia. Those people
who have other sleep disorders like
sleep apnoa which we can speak about.
There's another disorder called restless
leg syndrome. It's a terrible disorder
where your legs start to feel as though
they've got this sort of creepy crawly
feeling and you've constantly got to
massage them and move them. It's a
terrible disruptor of your sleep. All of
these disorders are marketkedly
undiagnosed, by the way. And then you've
got another collection of individuals
who they don't have any sleep disorders,
but they are either doing things that
will dismantle their sleep. So, either
they're taking on things into themselves
like alcohol, caffeine, THC that aren't
the sleep helpers, even though sometimes
they think they are. And then you've got
perhaps the internal things that will
prevent you from sleeping well. Things
like stress and anxiety. And then you've
also just got life itself that can get
in the way. And then moving from the
sleep disorders realm to the I don't
have a sleep disorder, but I'm probably
not doing it right quote unquote when it
comes to sleep. Then you've got the
people who are obsessed about getting it
right and they are the bio optimizers.
this sort of the you know the biohackers
and then you've also got I work with a
lot of high performance individuals who
are really trying to just scratch out
those last couple of percentages either
if it's in business or often we're
working with professional athletes.
These are the people for whom two or
three percentage point changes can be
tens of millions of dollars or they can
be the difference between standing on a
podium at the Olympics or not. And so
there's there's a broad collection of
wonderful characters.
>> And since we last spoke, is there now a
lot of new sleep science and
understanding as it relates to sleep
performance and these three categories
of sleep deficient sleep disorders,
lifestyle factors and then the
optimizers.
>> Yeah, I think there's there's a broad
collection of new evidence that we have.
But maybe let me come on to the middle
group. You know, I used to say that for
people who were deficient in their
sleep, that sleep wasn't like the bank,
that you can't accumulate a debt. Oh,
here we go. Okay. So, what we can see
here is that the jar used to be full,
full of sleep credit when you're
sleeping well. And then during the week,
I'm short sleeping. So, maybe I'm only
getting five hours a night. So, I'm
constantly going into debt. So, I'm
losing all of this wonderful sleep
credit and my system is building up this
collateral debt. And then we used to
think that sleep was not like the bank.
That once you've gone into debt,
unfortunately,
the lid is closed and even at the
weekend, if you try to pay it back, you
can't put back credit into the system.
However, there was a study published
from what's called the UK Bioank, which
is this incredible data set. It's
revolutionary. And they studied in this
particular research uh paper over 90,000
individuals. And what they did was they
essentially split them down into those
individuals who were short sleeping
during the week and then short sleeping
at the weekend. And they compared them
to those individuals who were short
sleeping during the week, but then long
sleeping at the weekend. They were doing
catch-up sleep.
>> That's me.
>> And that's so many individuals. It turns
out if you look at the data, it's it's
remarkable how many people do this this
catch-up sleep behavior. But what was
amazing is that in the people who were
short sleeping during the week but long
sleeping at the weekend, they had a 20%
reduced cardiovascular disease risk
relative to the people who were short
sleeping during the week but also short
sleeping at the weekend. Now, to be
clear, both of those groups had a higher
cardiovascular disease risk than people
who were sleeping sufficiently during
the week and sleeping sufficiently
during the weekend. So, I'm not saying
that it's a completely free lunch. But
for the first time, we realized that at
least one system, major organ system in
your body is like the bank, which is
that if your heart at the weekend
you can
just keep putting credit back and your
system doesn't suffer as much
>> for your heart.
>> For your heart.
>> Okay.
>> But again, many of the other major
physiological systems don't show that.
So work by people like Kenneth Wright at
the University of Boulder, Colorado,
he's shown that your immune system
doesn't rebound after long sleep at the
weekend, your regulation of blood sugar,
your cognitive ability. So that's one
way in which I've changed my mind
regarding sleep in the bank. But there's
a very different new set of data that
has changed my mind completely about
this idea of sleep and the bank. Now
what we've just discussed here is to say
I went into debt and then I was hoping
to try and pay it off with credit at the
weekend.
>> So the jar represents the debt that you
have the sleep.
>> Correct. Yeah. And what I'm trying to do
is force more coinage
in at the weekend to see if I can offset
the debt that I created and get back to
net net neutral by the end of the
weekend. Now, it turns out you can't do
that even if you sleep for as long as
you want. But here's this new remarkable
data. It came from um Walter Reed
Medical Army Institute, a researcher
called Thomas Balkan. And what he was
interested in was flipping the direction
of the question. Not if I go into debt,
can I pay back with credit, but what if
I know in future I'm going to face a
debt, an upcoming debt, can I do sleep
banking?
>> Oh, so if I've got a big thing coming up
where I'm traveling across the world and
I know I'm going to be sleep deficient,
can I sleep a lot before it to create a
What would the financial analogy be? The
financial analogy would be, let's say
that we're coming up to Christmas.
>> Yeah.
>> And you're going to spend lots on, you
know, presents and all sorts of stuff.
So, I know that in October and November,
I'm going to tighten my financial belt.
>> I see.
>> So that when I go into the sort of
Christmas period and I'm spending a lot
more money, my bank account isn't hit as
hard. I don't go into as much of a sort
of a debt situation because I've built
up credit. So you can create sleep
savings.
>> Correct. It's a sleepsaving system. So
essentially, you know, what he was able
to do, not just put the jar to full, but
he was actually packing in even more
so that you almost got this wonderful
overflow of sleep.
>> How did he know?
>> He didn't. It was the experimental
hypothesis.
>> And but how did they prove it?
>> So what they did is that they woke you
up to a period when you're going to have
two or three nights of either no sleep
or marketked sleep reduction. And in the
week beforehand with these army
cadetses, instead of being limited to 8
hours of time in bed, they were able to
get 10 hours of time in bed and they
could sleep all that they want. And so
they went from probably an average of
about 7 7 and 1/2 hours of sleep to
about 8 and 1/2 almost 9 hours of sleep.
So they were extending their sleep
duration
and so that they had built up this
buffer. It's almost like a sort of a a
sleep safety net that's in place so that
when you go into the tumble of sleep
deprivation,
you're sort of almost bolstered and
you're lifted higher and therefore your
degree of impermanment that you suffer
under conditions of sleep deprivation is
significantly less if you banked sleep
beforehand versus those people who were
just sleeping normally and then faced
the deprivation. they went down much
further in terms of their cognitive and
mental performance.
>> So he gave them challenges and tasks to
do correct in two different groups. One
group had sleep savings saved up from
sleeping well the previous week. One
group didn't.
>> That's right.
>> And they performed remarkably different.
>> So both of them were impaired relative
to a sleep rested person. However, the
people it's sort of you know how how
much of a drop
>> in your cognitive performance do you
suffer? And what he found was that
people who had built up this credit,
this savings account of sleep in the
days, in the week beforehand, they
suffered about 40% less of an impairment
relative to the people who had not
created any savings plan. Now, they
weren't in debt. They were just net
neutral.
>> But boy, did they drop quickly. Whereas
those people who'd had some cash in the
sleep credit system, they didn't fall
anywhere near as far. But this is
remarkable for people like you were
saying who are facing, let's say, if
I've got a sprint at work or I'm a
medical doctor, I know I'm about to go
on call for the next 40 hours. You're a
military, aviation, all of the new
parents. All of these circumstances are
places where now we know athletes is a
great example. When we work with a
athletes, people like Michael Grner have
demonstrated that athletes sleep
terribly typically the night before a
huge performance. No matter, you know,
of course, they're nerves.
>> But what you can do is you can have them
bank sleep in the days before when
they're not as nervous and therefore
their performance doesn't suffer as much
even though they know they're going to
be deprived.
>> Sleep is so important, isn't it? And I
think everybody now knows that because
of people like yourself or really, you
know, you were the real pioneer in
pushing the subject into the world. I
remember when you first went on Joe
Rogan's show, the amount of my friends
that sent me that episode and then sent
me your book was just staggering. It was
like that was the catalyst moment, I
think, in society for the mainstream to
really start talking and caring about
sleep. However, there's still so many
people struggling um because of all the
factors that you talked about when we're
talking about group two who have those
lifestyle factors, the stress, the
psychological factors, the trauma, etc.,
etc.
What can we give them, those people, the
people that really really struggle,
maybe they haven't got a disorder. We'll
come to the people with sort of sleep
disorders later and we'll talk about
optimizers. But what what is the new
information or advice that we can give
them that will help them once and for
all sleep 8 hours a night and get their
life back?
>> If you were to push me to say what are
the three most
impactful things that you can start
doing tonight to start sleeping better,
it would be the following.
Digital detox.
>> Okay, let me write this down. Digital
detox. Okay, what does that mean?
>> 1 hour before bed,
try to limit
activating social media engagement,
email, and text messages that are going
to trigger you.
>> It's fine to listen to a podcast, you
know.
>> Thank God for that.
>> You heard it here, folks.
>> Right from that book.
>> But it's also good to like and
subscribe, would you say? I would say
that you know like and subscribe and
then just click here so that you get the
latest notification you get that bell
just click on the bell icon so that you
>> so it's not a problem of blue light a
quick aside we've been taught this myth
of the blue light effect
>> from devices and it really is a myth
because an incredible Australian
researcher a guy called Michael Gradazar
has almost singlehandedly
changed the the what I think of as being
the zeitgeist for a while after a very
influential paper which is a great paper
and what they showed was that 1 hour of
iPad reading before bed ended up
impairing your melatonin it disrupted
sleep it reduced the amount of dream
sleep and even after they stopped
reading the iPad the blast radius impact
on your dream sleep lasted a week it's
almost like the drug needed to get
washed out the system that even when you
you'd stop using technology for an hour
before bed the impact of that technology
ology even though you'd stopped using it
could still be seen in the echo of sleep
disruption for a week later. It was a
very influential study in a very
prestigious channel.
>> When was that a while ago?
>> That was probably about 10 years ago.
But then Michael Gretazar, this
incredible Australian researcher started
to say, well, I can't replicate these
findings.
And what he was discovering is that it's
not the blue light that's the problem.
Now, the blue light will change aspects
of your melatonin. And melatonin is a
hormone. It simply tells your brain and
your body when it's nighttime, when it's
time to fall asleep. It doesn't
participate in the generation of sleep.
Melatonin is like the starting official
at the 100 meter race. It brings all of
the races to the line and it begins the
timing of the race, but it doesn't
participate in the creation of the race
itself. That's a different set of
chemicals.
>> It doesn't make you go to sleep. It
doesn't make you and if you look at what
we call meta analyses where we gather
together all of the individual studies
on a topic and we put them in a big
statistical bucket. What they found is
that melatonin will only improve the
speed with which you fall asleep by
about um 3.4 minutes and it will only
increase the efficiency of your sleep by
about 2.2%. So not much more than
placebo. Um, so melatonin is it it's now
the placebo effect is the most reliable
effect in all of pharmarmacology. So you
know maybe no harm no foul I would say
and don't forget I will come back to the
three but when it comes to melatonin be
careful more isn't always better and you
run the risk of confusing your morning
brain into a dense nighttime fog. And
what I mean by that is
10 milligrams or 20 milligrams of
melatonin is what we call a supra
physiological dose, which again is just
a fancy medical term to say it's a size
of magnitude of melatonin that your body
would never naturally release. It's far
greater. So melatonin is the signal of
darkness. And normally by the morning
hours, our natural release of melatonin
has stopped and you're down to zero
levels again
>> in the morning.
>> In the morning. So, you wake up and your
body no longer has the signal of
melatonin saying it's night, it's night,
it's night. But if you've dosed yourself
with 10 milligs or 20 milligs of
melatonin, you run the risk of saying,
well, yes, I know it quote unquote
knocks me out. But the problem is in the
first, you know, 3 or 4 hours of the
waking morning, you're struggling
because you're in this fog of a hormonal
melatonin, a hormonal signal saying it's
still pitch black. No, it's not. It's
bright light outside, but your body is
fooled into thinking it's pitch black
because you've dosed yourself too high.
And no wonder you're reaching for two or
three cups of coffee in the morning. So,
what what dose of melatonin should I be
taking?
>> Somewhere between probably about 0.1 to
3 millig.
>> And do you advise melatonin for people?
>> Yes, in two conditions. The first or
circumstances I should say. The first is
when you're going through jet lag.
Wonderfully helpful. But timing is
critical. You need to create that sort
of that artificial signal of night
because let's say that you and I here in
Los Angeles, we're both going to fly
back to London tomorrow and London is 8
hours ahead. So, we fly overnight. We
arrive in London and then that first
night, let's say we decide to go to bed
uh or I decide to go to bed in the hotel
at midnight. The problem is here in Los
Angeles and my body clock, it's still
400 p.m. because London's 8 hours ahead.
So, my melatonin is not going to rise
for probably another 6 or 7 hours. So, I
need to artificially hijack my melatonin
system and tell my brain, "Oh, no, it's
not 400 p.m. It's instead it's
midnight." And so, there under
conditions of jet lag, very helpful. The
second is if you have a circadian rhythm
disorder. Let's say that you're someone
who has a an advanced circadian phase.
What that means is you're someone who
really can't get sleepy until 3 or 4 in
the morning and you would prefer to be
sleeping throughout most of the day. So
you you're almost nocturnal.
>> Is that a genetic disorder?
>> And yes, it's a genetic disorder in
part.
>> How many people have that? probably one
to two% of the population have a very
severe adv what we call an advanced
circadian phase disorder but their
melatonin can also be helpful because
once again their melatonin part of their
problem is that their melatonin is very
delayed so they don't get the signal of
oh it's night until maybe 4:00 in the
morning you and I we start to get our
signal of melatonin depending on our
chronotype by somewhere between about 9
10 or 11 p.m. they may be delayed by 5
hours. So if we can give them melatonin,
we can artificially try to fool their
brain into thinking it's actually
earlier in their biological rhythm. So
they sleep earlier and they're more in
sync with the rest of society.
>> How does someone know if they're that
type of person if they have that
disorder? Is there there's not a way to
test, is there?
>> Well, what we typically do is we will
bring you into a laboratory and we will
measure your innate level. So we will
shut out sort of all windows. All clock
faces are gone and we just let you run
your natural rhythm.
>> And they have the same rise and fall in
melatonin just like you and I do. Except
where it's doing that rise and fall of
melatonin on the 24-hour clock face is
radically different.
>> Okay?
>> For you and I, it's, you know, 910 p.m.
11:00 p.m. at night when we're starting
that melatonin crescendo.
>> For them, it's 4:00 in the morning. So,
we can measure it. It's not in their
minds. It's not their choice. It's a
biological edict.
>> Are you concerned that melatonin is
becoming more and more popular as a way
to solve lifestyle issues that have
caused sleep impairment? Because I'm
seeing loads of, you know, I'm an
investor, so I see lots of companies now
pitching me different products that have
melatonin in them as a sort of
day-to-day sleeping supplement.
>> I think I'm really torn. I've been on
both sides of this argument and I'm
cautious about it for two reasons. The
first is in pediatric populations here
in the United States.
>> Pediatric
>> Yeah. So the people's use of melatonin
in kids is increasing. So in pediatric
populations it's increasing
exponentially. And in fact, if you go
down the sort of the supermarket aisles
here in America, often if you go into
sort of the the health sort of food
section, there's this big purple
section. That's the melatonin section.
And a large proportion of that is there
dedicated to gummies for your children
with melatonin.
And there was a study that was published
about three years ago that showed here
in America over the past 10 years there
has been a 53%
increase in poisonous overdose
admissions to hospitals of melatonin in
the past 10 years. 503%
increase. So firstly, we've got to be a
bit careful. The second reason is that
melatonin is a bioactive hormone and
it's also involved in reproductive
development. And there studies done back
in the 1970s I think where they were
looking at juvenile male rats which is
to say male rats who are going through
adolescence
and they were dosing them with high
amounts of melatonin and what they found
is that that stunted the development of
the testes of the testicles and it
caused testicular atrophy. Now, these
were very high doses, but we've got to
be a little bit careful. We think we
say, "Well, melatonin is a natural
hormone, so anything natural is safe."
Melatonin overall in terms of its safety
profile is very safe. It's actually a
very good antioxidant.
But you've got to be careful because
things like for example testosterone
supplementation in males what we know is
that if you're injecting testosterone
after a while after maybe 18 months or
so the testicles themselves will stop
producing their own testosterone and
even if you stop the administration of
the exogenous testosterone the injection
the testes never return their function
of producing testosterone.
Now, we don't have any evidence yet that
that's the case that if you keep taking
melatonin at high dose, your body, the
fear would be shuts down its own natural
production of melatonin. I've seen no
evidence of that. In fact, I've seen
evidence the contrary that even after
about 6 months or even 12 months in
certain small cities, when you stop
melatonin, the production starts again
naturally. It seems fine. Problem is,
people haven't been taking melatonin for
just 12 months. They've been taking it
for years.
We've got no idea what happens after
years.
>> That was my hesitation when the first
time someone offered me melatonin is
from doing this podcast and speaking to
smart people like yourself, I've come to
learn this sort of principle that if you
start making something for your body in
terms of a hormone, if you start sort of
um consuming something externally like
testosterone, your body will say fine, I
don't need to do this. It will try and
return to that level of balance where
the quantities in your system are
maintained, which means it kind of
learns to shut down. And I always think
about the case of testosterone because
men know that if we start injecting
testosterone then we're going to have to
pretty much do it forever.
>> Yeah.
>> Um if we want those levels to be the
same.
>> Yeah. That's the worry is that there are
no free lunches in biology and usually
if you fight biology you typically lose.
>> There's always a tradeoff and some of my
friends often like talk to me about like
these miracle things or this thing or
take medafanol and everything will be
fine and da but what's the trade-off?
And I get most concerned when they say
there isn't one
>> cuz then I go we don't know it.
>> Yeah, you've got to be careful because
absence of evidence is not evidence of
absence.
>> Be very careful when you're doing that
deal with with your physiology. So to
come back to sort of the three things,
the first thing we were mentioning is
digital detox and don't worry about the
blue light. Worry about light in
general. I'll come on to that because
that's the second. But Michael Gratazar
as I was saying what he found is that
the blue light doesn't really disrupt
your sleep. It's a combination of first
these devices that we use are attention
capture devices and they are designed to
fleece you of your attention economy and
they do it ruthlessly well. They've
spent tens of millions of dollars
designing these products to do that. So
what happens is that these devices
become hugely activating and as a result
they essentially will be a mute button
on your sleepiness. So you could be
there, you get into bed, it's 11 p.m.
You think, I am so tired. I was falling
asleep on the the the couch watching
television and then you get into bed,
you start going onto social media and
then you start doom scrolling and then
you get into this what we call bed
rotting where you just sit there and now
you look at the clock and it's no longer
11 p.m. It's 1:00 a.m. and you've just
done sleep procrastination. Now it turns
out that it's yes that that these are
attentiongrabbing devices that will mute
your sleepiness, but you have to be of a
certain personality type. He found not
all of us are vulnerable to this sleep
disruption of devices. You have to be
someone who is perhaps neurotic, someone
who has high impulsivity or someone who
is perhaps high anxious. If you are of
any of those kinds, you should be really
careful about your use of technology in
the bedroom. Now, for me to, you know,
sit here and say, look, put your phone
in the car, in the garage, and that way,
you know, that's what I would love
because what we've learned to do in this
modern era is the first thing when you
wake up, what is it that you do?
>> No, no comment.
>> Lots of you.
>> You,
>> it's just you and I, Stephen. Um,
>> I grab my phone before my eyes are even
open. And what happens is this sort of
small tsunami of anxiety washes over you
because as soon as you unlock the phone,
it's everyone else's agenda for your day
but your own. And it's a terrible way to
wake up. Have you ever had the
experience where you've got to wake up
for an early morning flight? And it's a
critical flight. You know that that
night is not going to be a good night of
sleep. It's going to be a shallow kind
of sleep. It's what we call anticipatory
anxiety. You are anticipating an anxious
event in the morning. And studies have
shown that when we create this
anticipatory anxiety, the amount of deep
sleep that you have drops significantly.
You don't sleep as well. And therefore,
if we just do this little sort of
version, this lit version of the morning
flight, which is we know that when we go
to bed and we put our phone down, we
know that when we wake up every morning,
we're just going to open it up to that
hit of anxiety every morning. No wonder
our sleep can start to get shallow. Now,
I'm not going to sit here and say,
"Well, don't take your phone into the
bedroom because the genie is out the
bottle and no matter what I say, it's
not going back in anytime soon." And a
friend of mine, Michael Brander, has got
this beautiful uh framework where he
says you can take your phone into your
bedroom. It's fine.
But you can only use your phone
standing up.
>> What's his name?
>> Michael Grande. He's brilliant.
>> Mind his own business.
>> And and what happens is that you you're
there and you think after about seven or
eight minutes, I'm just I'm just going
to have a bit of a sit down here. as
soon as that phone goes away. So I would
say that digital detox is the first
friend that will really help your sleep.
The the second is regularity. And we'll
come on to regularity when we speak
about you know what really makes for
good sleep. If you were to only do one
thing, not three things, but just one
thing. Go to bed and wake up at the same
time. No matter whether it's the weekday
or the weekend, regularity is king.
>> Okay. So that's the third pillar. That's
correct. Regularity.
>> Okay. And then I have
the T for timing.
>> Correct.
>> Which we'll go through these. Um
quantity, which we've talked a little
bit about already, and quality.
>> Correct. So when I looked at the
science, for me, I created this
framework of the four macros of good
sleep. You've heard of the three macros
of food, macronutrients, fat, protein,
carbohydrate. To me, there are four
macros of good sleep. And it's QQQRT.
QQRT and it stands for quantity,
quality,
regularity,
and timing. And think of it less like
pillars, but the four legs of a chair.
And if any one of these becomes
unstable, the chair will topple over.
So, I'll probably start with the one
that people have heard me bang on about,
which is quantity. 7 to 9 hours. This
myth of 8 hours is nonsense. It's a
wonderful range. 7 to 9 hours. And what
we know is that using that sweet spot of
7 to 9 hours, when you get less than
that, the shorter your sleep, the
shorter your life.
>> Short sleep predicts all cause
mortality. Now, we say that there's the
minimum of 7 hours of sleep. And some
people have argued perhaps correctly
that look, if you look at these
mortality curves, there's not much of a
percentage difference between sleeping
six hours versus the seven that you're
telling me is minimum. So 6 hours is
just fine. So all of this nonsense and
rhetoric is is is silly from you. And I
think they've made a conflation
because
7 hours is the minimum amount of sleep
that you need to survive. Because the
way that we quantify what minimum is is
based on whether you die or you don't
prematurely,
the amount of sleep that you need to
survive is different than the amount of
sleep that you need to thrive. And
people will conflate the former with the
latter. So you've got to be careful when
people are sort of touting on social
media saying, "Well, no, but look, you
there's not much difference between my
sort of survival rate on 6 hours versus
7 hours." You may have a just as much of
a long life, but the quality of your
life will be very different. So that's
quantity 7 to n hours. And is that does
it change for parents, by the way?
Because I've met so many parents that
seem to be functioning better than me
and they've got four they're having like
four or five hours sleep. Did evolution
not give parents any leeway or anything
when they have kids that suddenly their
brain changes and now they can survive
with less sleep? The evidence doesn't
suggest that once you go through
parenthood, you get some magic sort of,
you know, immunity shot that makes you,
you know, resilient and not vulnerable
to a lack of sleep. And in some ways you
could argue because we used to, you
know, live as a collective tribe and we
would share duties at that point, you
know, mother nature doesn't really worry
too much about you now because you've
already procreated and you've passed on
your genetic code. So you are now the
the sort of the you know the not
particularly well you know cured for
individual through evolution. It's your
offspring gets
>> so it sacrifices you in a way. I mean
that's what we see in the animal
kingdom. Did you see that documentary
about the octopus?
>> Yeah, it it was just I mean I thought it
was beautiful documentary but um
>> the TLDDR for anyone that hasn't seen it
is once the octop and I'm going to
completely butcher this so please ignore
um once the octopus has given birth it
dies. Basically it doesn't move out of
that hole and it dies. Is that a rough?
>> Well, I don't know if if it dies, but
its level of of active life.
>> I searched, does the octopus die after
reproduction, and it says yes. Female
octopuses die after their eggs hatch.
After laying eggs, a female stops eating
and devotes all of her energy to
protecting and oxygenating them until
they hatch. Once they do, she dies
shortly after, a process called semiol
parity, meaning they reproduce only
once. This death is triggered by hormone
changes from the optic gland similar to
mamalian proterty glands. And males die
shortly after mating as well, usually
within a few months.
That is wild
>> in some ways. It's, you know, it's it's
tragic and it reminds me I'm so glad
that I'm not an octopus. But
but but coming back to it, so for there
doesn't seem to be some you know magic
cloak of invincibility that you put on
when you go through parenthood.
Certainly what we know is that the
number of individuals who can survive on
6 hours of sleep or less and show no
impairment in either their brain or
their body rounded to a whole number and
expressed as a percent of the population
is zero.
So quantity matters but it turns out
that we got it wrong in thinking that
was the only thing because then came
quality. So QQRT quality is defined in
sleep science as two things. The first
is something that your sleep tracker
will measure which is the continuity of
your sleep. Meaning do you sleep in one
or two nice long bouts throughout the
night? That's good quality of sleep,
nice continuous bouts versus your sort
of sleep is very fragmented by all of
these awakenings. That's very poor
quality of sleep. And the way that you
can measure it in your sleep tracker is
just by looking at the app. And there'll
be something called sleep efficiency.
Sleep efficiency is defined as the
following. Of the time that you're in
bed, what percent of that time is spent
asleep? And what we like to see is you
north of 85% or above. So, this is kind
of like the users's guide to sleep
trackers. What I want to see is 85% or
more. If you're less than that, we need
to have a conversation. That's number
one, good quality of sleep. The second,
which is what sort of what these
trackers can't really do, but I can do
in the sleep laboratory when you look
like a spaghetti monster cuz I put
electrodes all over your head. I can
measure the quality of your big, deep,
slow brain waves of deep non-REM sleep.
And that is a second measure. The power
of those big slow brain waves. That's a
second measure. And quality seems to be
as predictive as quantity in making a
difference not just to your all cause
mortality but quality even more than
quantity when it comes to mental health
has been showing the bigger signal. So
again it's not that quantity doesn't
matter. You do have to get sufficient
amounts of sleep but quality as much as
quantity should be paid attention to and
I haven't said that enough.
>> Mhm.
>> The next is where we came to in our sort
of three things that I was saying. The
first is digital detox. Then next thing
I said is regularity.
This is somewhere where I've also
changed my mind on. I've doubled down on
regularity. There was a study that also
came out of that same data set that I
described. It's called the UK Bioank
data. And now they didn't look at 90,000
individuals, but they looked at 60,000
individuals. And they decided that they
were going to compare and split them
into quartiles. So the most regular to
the second most regular to then sort of
the third most regular and then the
final quartile was those who were the
least regular.
>> And what does regular mean in this
context?
>> Good question. highly regular
individuals plus or minus 15 minutes in
terms of going to bed and waking up at
the same time. In other words, a total
wiggle room of 30 minutes.
>> Oh, okay. So, if I'm always going to bed
at 9:00 p.m. and I do that 5 days in a
row, I'm regular timing really.
>> So, so it's it's regularity in terms of
when you're going to bed and waking up.
>> So, it you're right, it's timing in a
way, but I'll come on to why there is a
separate t for timing in just a second.
But regularity here was okay, plus or
minus. So, let's say you go to bed at
8:45 p.m. one night and then 9 and then
9:10 p.m. and then you're back to 8.
That's beautiful tight timing. I like
that. Whereas the those people who were
least regular, they were 90 to 120
minutes desperate. They were going to
bed, let's say, at 11 one night, then 1
a.m. the next night, then they were
going to bed at 10:30 p.m. and then they
were going to bed at 12:30. They were
all over the map. So what they found was
that those people who were most regular
versus least regular, so they compared
the extremes of these two, those people
who were most regular had a 49%
relative decrease in all cause
mortality. So they were 49% less likely
to prematurely die than those people who
were least likely to die. They had a 39%
cancer mortality risk reduction. Great.
they had a 57%
cardioabolic
disease risk reduction. So that was
stunning. That regularity was incredibly
powerful as a predictive signal of your
different forms of mortality. That
wasn't the best part of the paper
though. They had also measured quantity
as well as regularity in these same
individuals. So then they decided to
say, well, I'm going to take our measure
of quantity and regularity and we're
going to put them both in the same
statistical bucket and do a Coke Pepsi
challenge to see which one wins out in
terms of predicting all cause mortality.
We all bet in the sleep field, at least
I did, it was going to be quantity. I
was wrong. Regularity beat out quantity
in predicting all cause mortality and by
quite some margin. Now that doesn't mean
that you can now go away and say, "I'm
going to start sleeping 4 hours." but
incredibly consistent 4 hours. You need
both quantity and quality. But goodness
does regularity seem to carry a massive
signal. So coming back to those three
things, I would say digital detox, just
go to bed and wake up at the same time.
And the final thing is light. In this
modern world, we are a dark deprived
society.
We get what I call junk light at night.
So you've heard of junk DNA. Well, we
get junk light at night.
We don't need all of this light and it
fools our brain into thinking it's still
daytime outside. So no wonder as a
society we have some struggles with
sleep at night. Now that's due to many
reasons. Stress, too much caffeine,
alcohol, THC. But excessive light is one
of the easiest things that you can do.
So for the next 7 days, just do me this
experiment. If you can set an alarm 1
hour before your normal bedtime. When
that alarm goes off, turn off, and I I
do this myself, turn off almost all of
the lights in your house.
>> When you say all of the lights, do you
mean the little red light on my smoke
alarm or
>> No, that's fine. But, you know, so my
wife and I, 1 hour before bed, almost
all the lights, we've got sort of this
little set of this sort of light that
goes around the television, the back of
the television, so it kind of looks like
the television's cool and illuminated. I
will set that down to about 5% of
brightness and all of the rest of the
lights out so you can kind of just still
see some illumination so I'm not sort
of, you know, looking desperately uncool
uh in in front of her when I'm tripping
over things cuz it's complete black, you
know. Then start cooling the house or
the room as best you can to around about
67 68° Fahrenheit or about 18°C. We can
speak about temperature, but just do
this experiment for the next 7 days. 1
hour before bed, the alarm goes off. You
switch off all of the lights and ask the
following question. Do you feel
sleepier? Is it soporific? Does it make
you feel more sleepy as a result? But
don't stop there. What you've gone and
done is the first positive experiment
which is you've gone from the no
intervention lights are on to then the
Matt's intervention which is now the
lights are off for 1 hour before bed.
Don't just ask is my sleep better when
the lights were out for 1 hour before
bed. Once that 7-day period has
finished, go back to doing what you were
doing before, which is keep all of the
lights on and ask yourself, did my sleep
get better when I did the intervention
and did my sleep go back to being worse
when I stopped? Because I'm trying to
teach you birectionality in the
experiment. Does that make some sense?
>> Yeah. So, you get to you get to
basically do an AB test.
>> Correct. You get to see both sides of
the equation. And with that, it's more
proof positive than just one direction
alone. because who knows it could just
be a placebo effect. So regularity
coming back to it is critical. So we've
spoken about QQR quantity quality
regularity
>> on the um regular
>> regularity point. Why what's going on in
our brain that's making it from a
hormonal perspective or other that's
making it important for us to sleep at
the same time?
>> It's a bloody great question. People
don't respond to rules. They respond to
reasons not rules. So let me try and
explain the reason behind the sort of
the rule. When it comes to regularity,
we have something called a circadian
rhythm that we've spoken about. And
there's a clock that sits inside of your
brain deep in the middle of the brain.
So we have it just turns out a brain
here.
Lovely. Okay. So we've got one of these
hemispheres here. And then I'm just
going to take out what we call the
subcortical sections. So these are the
areas that are below the subcortex. So
here is the brain. So this is the front
of the brain, the back of the brain, top
of the brain, and here's the brain stem.
And it turns out that right in the
middle of the brain, right here, there's
an area called the hypothalamus.
Now here, this structure here, this is
the phalamus. This is the sensory gate
of your brain. So all of your five
senses, sound, touch, taste, smell, they
all flood into this gate called the
phalamus. And then the phalamus will
decide whether it sends those sensory
signals up to your cortex. And when it
sends the signals up to your cortex, you
start processing them and you become
consciously aware of the external world.
Now, as we're falling asleep, just as an
aside, what's interesting is that this
gate, the sensory gate, the phalamus,
once we start to fall asleep, the gate
will close shut. Now your eyes are
technically still seeing, your ears are
still hearing, your tongue is still
tasting, but because the gate of the
phalamus, the sensory gate closes shut,
those signals that are coming into your
brain are no longer sent up to your
cortex. So you stop perceiving the
outside world, which is just simply a
different way of saying you've fallen
asleep. Now the hypothalamus, you've
heard of hypo sort of hypertension or
sort of you know hypothermia or that
means lower. So here's the phalamus.
This area here is called the
hypothalamus. And it's a tiny structure
but within that structure contains a
nucleus. And that group of cells the
nucleus has a fancy term and it's called
the supraismatic nucleus. But the
superismatic nucleus is your master
24-hour clock. Every cell in your body
has a clock inside of it. But this is
the master clock. It's like Lord of the
Rings. There's one ring to rule them
all. Well, there's one clock to rule
them all. And here in the super
chaismatic nucleus, you get the 24-hour
rhythm of being awake and being asleep,
being awake and being asleep. How does
your brain keep quartzlike precision
24-hour clock time? How does it do that?
The way it does that is that it uses
signals such as light and dark
>> from your eyes
>> from your eye. And so when light comes
through the retina, it tells the
hypothalamus it's daytime and therefore
you should be awake. And its rhythm
starts its awesome sort of upswing. And
temperature can do this and feeding can
do this all sorts of different things.
But for the most part, light is the
principal governor that essentially acts
like electrical, I should say, photon
fingers that pops the wristwatch dial
out and resets it precisely. So, 24
hours every single day. Because if
you're left in the dark with no signals
of light, your clock isn't precise. It
drifts to about 24 hours and 15 minutes.
So, you start going forward a little bit
every single day if you go into a cave.
And people have done this experiment.
The thing that keeps it precise is
light. So, you need light to keep a
beautiful 24-hour rhythm. One of those
things that's under the control of your
24-hour rhythm is your sleep wake cycle.
>> What if I'm doing exercise?
>> Exercise is a wonderful entrainer of
your circadian rhythm as long as you're
doing it at the right time. So, if
you're starting to exercise at 3:00 or 4
in the morning, that's not good because
that's an activity signal that's going
to confuse the brain into thinking it's
the active period, which is normally
because we're a dional species, the day.
And it's the same thing coming back to
my point of regularity.
Using light as the best way to help with
that regularity because light if it's
artificial at night fools your brain
into thinking that it's daytime still
outside.
>> I mean is there any such thing as
non-artificial light? I mean I mean I
guess with the sun but I mean is there a
type of light that I could use at night
like candles or something or
>> Yes. below 30 lux,
>> right,
>> is not going to necessarily do you a
disservice. Probably below 50 lux. Now,
lux lux is just a measure of light
intensity. And you can download on the
app store a free looks meter. And if
you're an idiot nerd like me, you're
going all over the house at night and
you're sort of putting it in different
location, you're seeing any kind of
white spots here where you know the
looks is too high, but you need to drop
that that looks. By the way, it's a
great way if people want to say, "Look,
my REM sleep is deficient. How can I get
more REM sleep?" There's a great study
where they did something similar to what
I'm telling you now. 90 minutes before
bed, they turned down the lights to
below 30 lux, and they pulled out all of
the blue light. And just that trick of
dropping the lights down 90 minutes
before bed, below 30 lux, making it warm
yellow light, increased their REM sleep
by 18%. Wow,
>> it's a huge margin. So, no need for
pharmarmacology. But to your question,
why is regularity
important? Well, I told you that light
is one of the signals that can create
regularity. It turns out that your
behavior is another thing that will tell
your brain. So, meaning when you go to
bed and wake up at the same time, it
acts like an anchor. It anchors your
circadian rhythm and it tells you almost
like a scene in a movie. This scene is
now complete. A new scene starts. This
scene is complete. A new scene starts.
So every time that you're going to bed
at the same time and waking up at the
same time, you are feeding the super
chaismatic nucleus, the master 24-hour
clock in your brain, you're feeding it
signals of regularity.
And when it feeds on signals of
regularity, it improves the quantity and
the quality of your sleep. Your
circadian rhythm likes consistency. It
likes regular signals. When you feed it
signals of light, of activity, of waking
up, going to bed, you improve the
quantity and the quality of your sleep.
That's the reason behind the underlying
rule. So having a TV in your bedroom is
a terrible idea then because if on that
behavioral point if I'm getting in bed
but then I'm staying up for 3 hours
watching Netflix my brain is going to be
quite confused about like the behavioral
pattern of what what I'm doing in my
life. It's not going to associate the
bed with sleep. It's going to associate
the bed with movies.
>> That's one of the problems that we call
con it's called conditioned arousal
which sounds a lot more salacious than
it actually is. It's a term that we use
in sleep medicine which may explain
insomnia. So with insomnia, let's say
that the first time you go to this thing
called a dentist and you get in the
chair and it's kind of cool. You're
reclined back and you know you think
this is fine. But then after about 14 or
15 visits when you get into that chair
you are no longer looking forward to
getting into that chair, are you? Why?
because you've learned the association
that being in that chair typically leads
to a bad outcome.
Now, the same thing is true with the
bed. If you start associating the bed
with anything other than sleep, and we
give you a pass in terms of sex, but
sleep and sex, anything other than that,
you start to learn that this thing
called my bed is this place where I'm
awake, where I work, where I eat, where
we have conversations, where I watch
television. And so, you know, if I were
to, and again, I'm stealing Michael
Grand's point, but if I were to say to
you, bed sleep, bed sleep, bed sleep,
bed sleep, bed sleep.
>> Okay. If I were to say bed, scroll, bed,
eat, bed, work, bed, sleep, bed, TV,
bed,
>> you
>> confused.
>> Yeah.
>> Because there's no predictive signal.
You've never bound an association. Now
the way this works to your disadvantage
in insomnia is the following. The
insomnia event that begins the insomnia
is typically not the thing that
maintains the insomnia. So let's say
that I um had I experienced a really
difficult bereavement and that triggered
a form of insomnia where I couldn't
sleep because of the bereavement.
Gradually the bereavement is not the
thing that's going to maintain my
insomnia. It's because every time I have
been going to bed over the past month, I
have not been sleeping. I've been wide
awake in my bed. So now, because your
brain is such an incredibly associative
device, it learns the association that
my bed is the place where I'm always
awake. And what do we then do? We need
to break that association in insomnia.
So what we do is we say the 20-minut
rule. If you've been in bed for about 20
minutes and it's just not happening for
you, don't worry. Don't listen to idiots
like me that doom and gloom and disease
and sickness and one bad night is not
going to be a problem. It's just not. So
just say look tonight is not my night. I
am not however going to lie in bed awake
because very quickly my brain starts to
learn the association that my bed is the
place where I'm wide awake. And you need
to break that association. So go to a
different room in dim light. Just read a
book, listen to a podcast, whatever it
is. And the rule of thumb is the
following. only return to bed when you
are sleepy and so there's no time limit
and that way you gradually relearn the
association that my bed is the place
where I always get consistent sleep
because otherwise it's the dentist chair
you walk into your bedroom and you look
at your bed and it's your nemesis and
you convinced yourself even before you
get into bed I'm not going to sleep
because that's the place where I always
don't sleep and by the way if you suffer
from the 3M awakenings my first question
is how do you know It's 3:00 a.m.
And that's your first problem. Looking
at the clock does two things. It makes
you more anxious.
>> Yeah.
>> And second, because your brain is such
an incredibly associative device, you
start to then decide that 3:00 a.m. is
the time when I need to wake up. If you
keep looking at the clock, you keep
reinforcing that it's 3:00 or 4. And
sleep at 3:00 in the morning is like
trying to remember someone's name. The
harder you try, the further you push
sleep away. Sleep is something that
happens to you. It's not something that
you make happen. And so at that moment,
the best advice if you don't want to get
out of bed is do any one of the
following. Meditation. Just do a guided
meditation. You can download apps. Next,
if that's not your thing, that's okay.
Do box breathing. You know, you can sort
of inhale for five, hold for six, exhale
for seven. There's all sorts of
different numbers, but you can do
breathing exercises. The third, if you
don't like that, is a body scan. So,
close your eyes, start at the top of
your head, feel as you know, do I have
tension in my forehead? Do I need to
relax it? What about my neck? Do I need
to move through your body and gradually
go down? How are my shoulder blades
feeling? I just relax down into the bed
and gradually down into the chest, into
the move through just relax. If none of
those things feel fun, the next thing
you can do is take yourself on a mental
walk. There's a great study from my
university, uh, the University of
Berkeley, California,
and we didn't do the study. Allison
Harvey did it. By the way, counting
sheep, bad idea. Makes your sleep worse,
it turns out. Why is that? Because,
well, with every kind of little bleeting
cotton wool ball with a strange look on
its face that leaps over the fence that
you're counting, you're reinforcing
every minute of sleep that you're not
getting, and it seems to make matters
worse. But what she found was that
there's an alternative. If you think
about a walk that you know in great
vivid detail. So for me, it's going to
be walking the dog. So I go over to the
shelf. I open the door. Is it the red
lead or the I'm going to go with the
blue lead today. So I clip the dog in
with my right hand. I open the door with
my left hand. I take a left down the
stairs. I look. It's that level of I
want you 4K detail in terms of
granularity.
And what's common about every method
I've just described, meditation, box
breathing, sort of uh body scan, going
on a mental walk, all of these things
have in common that you get your mind
off itself.
>> In that particular example where she
asks you to vividly think about a
journey that you know, what did she find
in the study? What she found is that
that increases the speed with which you
fall back asleep
>> significantly
because as I said it it's so you know
her work to me demonstrated that it it
is so like that name because the moment
I stop trying to remember someone's name
what happens
>> you remember it
>> I remember it and so when you do these
types of exercises where you're getting
the mind off itself the next thing that
you typically remember is your alarm
clock going off in the morning.
>> Is this why people listen to very vivid
sleep stories and why I listen to serial
killer documentaries?
>> Serial killer documentaries,
>> true crime documentaries, I should say.
That's a bit more uh nice to pallet.
>> I don't know of them. My suspicion is
that they may be doing your deep sleep a
disservice. anything
>> stick up for me in the comments. If you
if you listen to true crime to fall
asleep, please write it below in the
comment section.
>> If you find it subjectively wonderfully
pacifying and calming and there is not
death, naming, blood, and limbs being
distributed at high velocity all over
the scene, I would say it's great. But
if it looks like a Quentyn Tarantino
movie or sounds like one, maybe harm and
foul rather than
>> I mean just in my ears
>> but yes. So you know we forget that to
the best of my knowledge the meditation
company called calm now I have no
affiliation with them they were doing
somewhat well but what they realized is
that they wanted people to sort of
meditate in the morning and when they
used looked at their usage statistics
people were meditating in the morning
but then there was a huge swath of usage
right before bed people were
self-medicating their state of insomnia
and then through a stroke of genius they
realized when we were young we used to
love falling asleep to our parents
reading us a story.
Why is that any different when we become
adults? So they created sleep stories
and they went from struggling as a
company I think to becoming the first or
one of the first billion dollar
valuation health companies out there.
they became a unicorn and now they can
they've got you know people like you
know Matthew McConnA they've got Harry
Styles and then occasionally they've got
a a you know an unfortunate British
sleep scientist um with a bad voice but
you can listen to these sleep stories
and they are wonderfully soporific. Why?
Because they get your mind off itself.
>> We we talked um earlier on about
melatonin and uh there are other
supplements which people talk a lot
about. One of the ones that's become
really popular is magnesium. I've heard
ashwagandha and I've heard magnesium a
lot.
>> Yeah.
>> Is there any efficacy to these? Are
these are these useful?
>> The first thing I would say is that if
you're suffering from sleep problems and
you're looking to supplements, you're
stepping over dollars to pick up
pennies.
>> Okay.
>> What you need to do is think about the
fundamentals.
Regularity.
Watch your caffeine intake. Make sure
you're not drinking too much alcohol.
Get regular. Dim down half of the
lights. Digital detox. Any one of those,
but especially all of them combined are
going to get you log orders of better
sleep than reaching for the latest
supplement bottle of whatever it is. The
second thing to say is think about it
from a logical standpoint. If there were
really some supplement that promises to
be the Shangrilar of all respplendant
sleep at night, the drug companies would
have been all over it decades ago. To
put it in context, it took George Lucas,
I think, about 30 years to amass
something like 4 billion in revenue from
the Star Wars franchise. It took Ambient
22 months.
That's how big a business sleep farmer
is.
>> Ambience is what a sleep pill.
>> Ambient is a sleep pill. Magnesium, if
you dig into it, and I I did a deep dive
about three years ago because I I kept
hearing it too. This magnesium,
magnesium. The first thing to note is
that most forms of magnesium, magnesium
oxide
or magnesium citrate, most of these
forms of magnesium
don't cross the brain barrier and sleep
is produced by your brain. So, how can
something that doesn't get into your
brain affect
brain process? Number one, there is one
form of magnesium that seems to have
some evidence in favor of it. It's
called magnesium L308.
But if you look at the literature, where
did this story come from? It turns out
that about 30 years ago, they started
looking at people who had disrupted
sleep and they would assess their blood
work. And what they found is that some
of those people were magnesium
deficient. And when they supplemented
them with magnesium and they became
magnesium normative, their sleep got
better.
But that's very different than saying,
"Look, you and I, we're currently
magnesium normative and then dosing
myself with high volumes of magnesium.
Am I imagining that that's going to make
my sleep better?" The the analogy would
be, let's say I develop this incredible
new oxygen saturation machine, and you
say to me, "Well, but Matt, my blood
oxygen saturation right now, looking at
my device, tells me it's 98.6%."
It doesn't matter how fancy or good my
machine is. I'm not going to get you
past 100%. You're already at ceiling
level.
>> And that's the problem with magnesium
supplementation. If you're magnesium
normative, all you're doing is creating
probably expensive urine at at at that
moment in time. Now, there may be an
indirect benefit of magnesium in that it
does seem to relax muscles. And when the
body is in a state of relaxation, it
sends a signal of relaxation back up a
branch of nerves called the vagus nerve
that goes up to the brain and signals to
your brain you're starting to relax down
and you get this state of quiescence and
that's very helpful for sleep. So
magnesium may still have an indirect
benefit on sleep through its relaxation
kind of policy that it instantiates in
the body. But overall, magnesium is not
really moving the needle if you look at
the studies. Ashwagandha
is different. Ashwagandha and another
compound called phospatitile serarene.
Phospatidile sererearine and ashwagandha
both of these supplements seem to help
do one of two things. They either
ratchet down the fightor-flight branch
of your nervous system and they can also
reduce the amount of cortisol that the
body is releasing. That's important
because I see a lot of people coming to
the sleep center where I'm at and they
have what I call the tired but wired
phenomenon where they come to me and
they say, "I am so tired. I am so so
tired but I'm just so wired emotionally
and from a nervous perspective that I
can't fall asleep." And let's say that
you've done, let's say, you know, um, an
onstage event and it's incredible.
You've got that onstage buzz. You come
off stage at 11 p.m. And normally you'd
be fast asleep, but you know, you are so
wired. It doesn't matter. You are tired,
as tired as can be, but you're so wired
you can't fall asleep. That's the fight
orflight branch being switched on and
you just can't fall asleep. You need to
push it back off. Phosphatidal sererine
and ashwagandha will both push you back
over into the more quuscent what we call
parasympathetic nervous system branch.
That's good. However, they also will
reduce cortisol and cortisol is a
wakeromoting hormone. Cortisol is fine.
We It gets a bad rap. You need to have
your cortisol start to spike a few hours
before bed and it helps with the waking
up process. It's wonderful. Every day we
have a cortisol spike that starts
happening before we wake up. It's one of
the things that helps us wake up and
then it builds us to this beautiful
crescendo midm morning where you should
be awake and not needing caffeine
>> and it drops before bed
>> and then it starts to peak in the sort
of middle early afternoon and in fact
usually peaks at the late morning hours
I should say and then it will start its
awesome sort of downswing and what you
see is that right before you go to bed
cortisol should hit its lowest point
what we call its nadia its lowest
trough.
>> Mhm.
>> What's interesting, by the way, just as
an aside, is that insomnia we can
classify usually as at least one of two
different types. There's actually
multiple, but let's just say there are
of those multiple, there are two types.
One is called sleep onset insomnia. I
can't fall asleep. The other is sleep
maintenance insomnia. I can't stay
asleep. when they've looked at people's
cortisol on a 30 minute by 30 minute
basis on the 24-hour clock face, we go
through just what we described. Just
before we wake up, we get this rise in
cortisol. It peaks late morning and then
it drops down and right before bed, our
cortisol is almost at its lowest point.
With insomnia patients, they show
exactly the same thing. A beautiful rise
in the late morning hours. It starts to
come down, but then you see two
anomalies. Right before bed, it goes
back up.
And then in the middle of the night,
even when it's starting to rise, it will
have this abnormal spike right in the
middle of the night, too. And what we
believe is that that may in part explain
sleep onset insomnia. Cortisol should be
coming down and it should stay low right
before we go to bed. But then it jumps
back up in insomnia patients. I can't
fall asleep. And then it continues to
stay low throughout the first half of
the night, but then it also spikes in
insomnia patients. I can't stay asleep.
>> I've had so many founders speak to me
and say, "Why didn't this particular ad
that I ran on this platform work for me?
Maybe the copy wasn't good. The creative
wasn't strong." But usually the problem
is they're not having the right
conversation because that ad never
reached the right person. And if you're
in B2B marketing, that is much of the
game. And this is where LinkedIn ads
solves that problem for you. Their
targeting is ridiculously specific. You
can target by job title, seniority,
company size, industry, and even
someone's skill set. And their network
includes over a billion professionals.
About 130 million of them are decision
makers. So when you use LinkedIn ads,
you're putting your brand in front of
the right people. And LinkedIn ads also
drive the highest B2B return on ad spend
across all ad networks in my experience.
If you want to give them a try, head
over to linkedin.com/diary.
And when you spend $250 on your first
LinkedIn ads campaign, you'll get an
extra $250 credit from me for the next
one. That's linkedin.com/diary.
Terms and conditions apply. We were
talking about regularity, timing, and
all these things and quality and
quantity. But one of the things I
learned from your work is that that last
hour is potentially the most important
hour of me being in bed. And I I say
this in part because my my girlfriend,
she would wake, she'd have about six six
hours, six and a half hours sleep. She
sleeps very very well. Perfect sleeper,
but she'd always get up really really
really early. And in part that was
because of the guilt that I talked
about. But I had a conversation with her
about the guilt. And I said, "Just stay
in bed as long as you need to stay in
bed. Like just have that extra eighth
hour." And in part that's because I
learned that the further we go in sleep,
the more REM we're getting.
>> Yeah.
>> Okay. Can you explain that to me with
these four blocks? Why that last hour is
particularly important and why we
shouldn't be jumping out of bed or why
we should be using certain sleep devices
to wake us up when we're at the end of
that last hour of REM.
>> Absolutely. So here we have the four
blocks of sleep. So when we first fall
asleep, we go into light non rapid eye
movement sleep. Stage one. This is the
stage of sleep that if I wake you up out
of it, you say, "I wasn't sleeping." Now
you it's just that you're just in that
transitional phase, this beautiful
liinal state between the windows of
wakefulness and true sleep. So this is
your bridge between the waking world and
the sleep world. And it doesn't last for
very long. Maybe just 10 or 15 minutes
at tops. Then you get into the workhorse
of sleep. This is stage two nonREM
sleep. 50% of your night is spent in
stage two nonREM sleep. I don't like the
word light nonREM sleep. I've often used
it, but it's not really it's we do a lot
of cognitive processing in stage two
nonREM sleep. It's good stuff. It's not
just the stage that you have to go
through from sort of, you know, deep
non-REM sleep to go back to stage two in
order for you to get to REM, but I'll
come to that. So, we have fallen asleep
10 minutes.
>> Yeah.
>> Now, we're in stage two nonREM sleep.
We'll stay there for about 15 or 20
minutes. Then if it's in the first
couple of hours of the night, we go down
into the very deepest stages of deep
non-REM sleep. This is where the brain
wave patterns slow down. But the brain
waves become incredibly big, huge, big,
powerful, slow brain waves. This is
where you get an enormous amount of
restoration, recovery of many of your
major physiological systems.
>> So physical recovery,
>> physical recovery, but mental too. Yeah,
>> it's during deep sleep that you take
newly minted memories that you've
learned and you hit the save button on
those memories so that you don't forget.
>> Deep sleep essentially is going to
futureproof the information that you
just learned today. It transfers
information from a short-term storage
vulnerable reservoir to a more permanent
long-term storage site. It's during deep
non-REM sleep when we have this
communication. So think of those deep
powerful slow brain waves like longwave
radio station when you used to tune into
a radio station in a car. You get huge
ability for information transfer across
long distances across huge paths in the
brain. It's amazing. So we've gone from
light non-REM, then we go down into deep
nonrem. We'll stay there for about 15 or
20 minutes. Then we'll start to rise
back up again. We'll go back into stage
two nonREM sleep.
>> Wait, we've gone from 1 2 3 to two. Yes.
So, we've gone, think about it more
almost like a roller coaster, right? So,
we go from light nonrem and then we go
down into stage two nonREM. Then, we go
down into deep sleep and then we're
going to rise back up into light stage
two nonREM sleep. We're going to stay
there and after about 70 80 minutes,
you're going to pop up and you'll have a
short REM sleep period.
>> Oh, okay. Like this.
>> And this is beautiful. So this is what
we call a hypnogog.
>> I'll put this on the screen for anyone.
>> Lovely. So what I'm describing here is
this roller coaster ride. So we've
fallen asleep light stage one nonREM go
down into stage two. Then you go down
and you have a heavy period of deep
nonREM slowwave sleep. Stage three. And
then and that's what you see on your
sleep tracker is deep sleep. This is
light sleep. This is deep sleep. Stage
two nonREM sleep. Light sleep. Stage
three nonREM sleep. Deep sleep. But then
you'll start to climb back up and then
you may pop up and you'll have a short
REM sleep period here after about 70 or
80 minutes. So you'll have about 10
minutes of REM sleep and then back down
you go again. You go down into non-REM
sleep and then up into REM. Down into
nonREM sleep and you'll go up into REM.
Down into nonREM sleep and up into REM.
So what's interesting however is that
the ratio of nonREM to REM changes. Now,
there's a myth out there and it's a bit
of a problem. We humans have a 90inute
average nonREM to REM cycle. So, we go
down into nonREM sleep and then up into
REM sleep every 90 minutes. Then, we go
back down into nonREM sleep and then up
into REM sleep. So, we go down into
nonREM sleep and then up into REM in
this 90minut cycle.
The problem is that it's on average 90
minutes. It ranges from 70 minutes to to
120 minutes from one individual to the
next. So you know these devices that you
may have seen tried to sort of you know
entrepreneurship they say I'm going to
wake you up at the ideal moment in your
90minute cycle so that this thing that
sits on my bedside I tap it when I'm the
lights go out and then it's going to go
on its 90minut cycle and it's going to
figure out the perfect moment to wake
you up. It's nonsense because my sleep
cycle may be 75 minutes. Yours may be
105 minutes. It's got no idea because
it's using a hard-coded 90minute cycle.
It's it's in some ways nonsense. But we
go down into nonREM sleep and up into
REM sleep every 90 minutes. What changes
however is the ratio of non-REM to REM
within those 90inut cycles as you move
across the night such that in the first
half of the night the majority of those
90-minute cycles are comprised of lots
of deep non-REM sleep and very little
REM sleep. But as you push through to
the second half of the night, now that
seesaw balance shifts over and you spend
much more of your time in REM sleep in
the second half of the night and
particularly just as you said in the
last 2 hours of the night. Why is this
consequential? Well, just as you said
and you spoke about for your girlfriend,
let's say that you know I normally go to
bed for argument sake and I'm not saying
this is the ideal time, but I go to bed
at midnight to make the math easy and I
wake up at 8:00. But tomorrow I've got
to catch my flight back home. So, I'm
going to wake up two hours early. So,
I'm going to wake up at 6 rather than 8.
I've lost two hours of sleep. So, how
much total sleep have I lost? Well, I've
lost 25% of my total sleep. 2 hours of
my 8 hours. 25%. Well, yes and no. I've
lost 25% of my total sleep, but I may
have lost 50 60 70% of all of my REM
sleep. Why? Because REM sleep comes in
the second half of them, particularly
those last couple of hours of sleep. So
that's why it's not just academic that
you understand the sleep cycle
relationship, but it's also pragmatic
because it can impact the amount. In
fact, the easiest way if people said,
"How can I get more REM sleep?" I would
say just sleep 15 minutes later into the
day than you normally would do and you
will disproportionately bias yourself
towards getting significantly more REM
sleep.
>> And why does REM sleep matter?
REM sleep is a brain state firstly that
is incredibly active in some in fact
some parts of the brain particularly if
I were to show you these deep emotional
centers of the brain as I pull this
brain apart.
So we've got these sort of deep
emotional centers in the brain that sit
and in fact the sort of they're more
just underneath in here tucked in inside
just next to your brain stem at the top
of it. And these emotional centers are
called the amygdala. And you have one on
the left and one on the right side of
your brain. That part of the brain
together with a memory structure that
runs alongside it called the
hippocampus. Those two parts of the
brain form what we call the limbic
system. And you may have heard of the
limbic system, the emotional centers of
the brain. Those can be up to 40% more
active when you're in dream sleep than
when you're awake.
>> Dream sleep.
>> Dream sleep is rapid eye movement sleep.
>> REM sleep.
>> So REM sleep is the stage. Now it
depends on how you define dreaming. If
you define dreaming as any mental
activity reported upon awakening, then
you dream in all stages of sleep. Light
non-REM sleep, deep REM sleep. So what
would what would that sound like? Well,
if I woke you up and said, Stephen, just
tell me what was going through your head
and you said, "Well, I was just thinking
about the next time you're going to come
in and wake me up." That's just a dream
thought. What the most people think of
dreams as the dreams that we have from
REM sleep, from rapid eye movement
sleep. That's why we call it dream
sleep. Dreams from rapid eye movement
sleep are flid the narrative. In fact,
last night when you fell asleep and you
went into dream sleep, you became
incredibly psychotic.
>> Excuse me.
>> Now, before you reject my diagnosis of
your nighttime psychosis, let me give
you five good reasons. When you went
into dream sleep last night, you started
to see things which were not there. So,
you were hallucinating. Second, you
believe things that couldn't possibly be
true. So you were delusional. Third, you
became confused about time, place, and
person. So in psychiatry, we call that
being disorientated.
Fourth, you had wildly fluctuating
emotions. Something that we call being
emotionally labile. You're all over the
place. And then how wonderful, you and
I, cuz I'll include myself now as being
psychotic. You and I, we both woke up
this morning and we forgot most if not
all of that dream experience. So, we're
suffering from amnesia. If you were to
experience any one of those five
symptoms whilst you're awake, you'd be
seeking some degree of psychological
help. But for reasons that we're only
now understanding, it seems to be a
normal biological and psychological
process. So, what are the reasons? Why
do we dream? We dream for at least two
different reasons. The first reason is
emotional first aid.
REM sleep is what I've defined as
overnight therapy and it's during dream
sleep where your brain takes difficult
painful emotional experiences and it
acts like a nocturnal soothing balm and
it just takes the sharp edges off those
difficult painful experiences so that
you come back the next day and you have
a memory of an emotional event but it's
no longer emotional. you don't have that
same visceral regurgitation of of that
same emotional charge.
Why is REM sleep able to do this
overnight therapy, this deepotentiation?
Why is REM sleep able to sort of strip
the bitter emotional rind from
theformational orange as it were? The
reason is the following. Dream sleep,
REM sleep is the only time during the
24-hour period where the brain shuts off
a stress related neurochemical called
noradrenaline.
Now, you've heard of the sister chemical
downstairs in your body called
adrenaline. Well, upstairs in the brain,
we don't have adrenaline. We have
noradrenaline. REM sleep is the only
time where it's completely shut off. And
what we put forward is a theory called
overnight therapy where your brain has,
as I told you, these emotional centers
and these memory centers. The emotional
centers, the amydala, the memory
centers, the hippocampus. You reactivate
those structures when you go into dream
sleep. So your brain gets the chance to
reactivate and replay and reprocess
emotional experiences. However, it's
doing it in a quote unquote safe
neurochemical environment because that
stress chemical of neuradrenaline is
completely shut off. So, it's the ideal
neurochemical therapy for stripping the
emotion from the memory. And we put
forward a theory that perhaps the
quintessential disorder where this fails
is PTSD.
Because when you speak to those
patients, not only do we see that their
REM sleep is disrupted,
when you speak to those patients, they
will say, "Look, I just can't quote
unquote get over the event." What they
mean by that is the war veteran who is
now going to the supermarket and they
come outside and they're in the car park
and the car backfires and they instantly
have the flashback to the the sort of
detonation on the military field. And
what's happening there is that the brain
has not stripped the emotion from the
memory. So every time they relive the
memory, they regurgitate that same
emotional reaction.
>> So no wonder we proposed that the brain
then comes back the following night and
says, "Look, I'm sorry, sleep. I've
still got this trauma memory. Can you do
your trick of stripping the emotion from
the memory?" And it fails again. So the
next night it comes back and says, "I'm
sorry to bother you, but I've still got
this emotionally charged memory. Please
do your trick of stripping the emotion
from memory." It fails again. This
sounds like the broken record of
repetitive nightmares that we see in
PTSD.
Why could this be happening? Levels of
noradrenaline in the brain in patients
with PTSD are too high. And I was at a
conference some years ago where I was
presenting this theory. We just
presented this theory. It was a theory
and it was in search of data. And it
turns out at the same conference, it was
one of those incredible moments. You get
hairs on the back of your neck. There
was a psychiatrist from Puget Sound,
which is just outside of Seattle on the
west coast of America. And he had been
treating his war veterans in the
Veterans Administration with a blood
pressure medication called Preszicin.
Now, it turns out that prescineric
drug because it's the Veterans
Administration, so it's cheap and it
crosses the bloodb brain barrier. When
prescin brain, one of the things that it
does is shut down levels of
noradrenaline. Why was this interesting?
What he was perplexed by is that he was
saying, "I'm giving this blood pressure
medication to my war veterans with PTSD.
It's not helping too much with their
blood pressure, but they're all coming
back saying, "All of those repetitive
nightmares, they're starting to go away
and I'm sleeping better and I'm feeling
better." What he had done was
inadvertently treated their high levels
of noradrenaline which were preventing
the brain from kind of stop dropping
those levels of noradrenaline down and
processing the emotion from the memory.
It was too high in those PTSD PTSD
patients. But by treating them with this
drug, he'd inadvertently brought the
levels of noradrenaline down during REM
sleep. And then it ultimately became one
of the only prescribed medications in
the Veterans Administration for
repetitive nightmares because why? The
brain had finally got down into a quote
unquote safe chemical state because
neuradrenaline was too high. But he
treated them with this drug. So he had
data that was in search of a theory. I
had a theory that was in search of
clinical data. And so I raced to him
after he gave us a presentation. I said,
"I think I know why you're finding what
you're finding." I flew him down to
Berkeley. We spent all day together. We
went out for a dinner together. And as I
said, ultimately he went on to do
clinical trials. And it it's not a cure
all for everyone, by the way. It doesn't
work for everyone.
But and I would say that there is now a
better treatment for nightmares if
you're suffering from nightmares and
it's called image rehearsal therapy or
IRT
and it works through an incredible
mechanism of memory that we actually had
discovered about gosh 20 years ago now
called memory reconsolidation.
So when you learn information, it would
be or let's take a word document.
Wouldn't it be staffed if you opened up
a word document, you started typing in,
you know, all this information, you hit
save, and then you come back tomorrow
and you double click on the document and
word has shut you out, you can't edit
the document. That's a really bad
information storage system. It's a bad
idea. Your human memories are just like
this. You form new memories, then you
sleep, and you save them. But when you
come back and you reactivate that memory
when you recall a memory, you bring it
back into this opened up state, it's
like double clicking on the memory and
the memory becomes fragile and malleable
once again. So you can update and edit
that memory. And then the next night you
resave it. It's called reconsolidation.
So the first night I save it. That's
consolidation. Then I reactivate it. I
modify it and then the next night I
reconsolidate it. So coming back to
nightmares, it turns out that you can do
this with trauma patients who have
nightmares caused by trauma. For
example, let's say that you got into a
horrific road accident and you went
through your brakes failed, you went
through the red light, you got t-boned,
it was just traumatic, was all
traumatic.
And what you do with the therapist
because you're having these repetitive
nightmares of reliving that same car
crash every night, you work with them
and you tell them the dream. You recall
the dream actively out loud. But then
working with a therapist, what you do is
you modify the outcome. So instead of me
saying the brakes failed, now in the new
scenario with your therapist, you say,
"Well, you look down and there's a
manual handbrake in the car." So you
realize that you can actually just
gradually start applying the handbrake
and you bring the car to a safe halt and
you go to the side of the road and
there's no accident. And what you're
doing is you're reopening back up that
trauma memory and you're rewriting the
narrative and then you sleep and you
update that memory. And by recalling and
rewriting the memory each and every
waking day, you end up dissipating the
severity of your trauma nightmare every
single night. And it's called image
rehearsal therapy for nightmares. It's
incredibly powerful. It's probably more
powerful than the presin drug that I
spoke about.
>> And I'm guessing people don't sleep and
also have nightmares for a variety of
reasons relating to trauma generally.
Ah, it's a good question perhaps which
is in some ways what's the difference
between a bad dream and a nightmare
>> because all of us will have bad dreams.
Bad dreams are usually things that
happen infrequently. Maybe you have them
once every month, every couple of
months.
>> Yeah.
>> The definition of nightmare disorder is
that you have to have these dreams
frequently, maybe at least twice a week.
They have to wake you up
out of your sleep and you have vivid
recall.
Plus, it has to cause you some kind of
daytime distress where you're not
feeling good about the day. It's causing
you mental anguish. And furthermore, if
it starts to lead to hopelessness or a
sense that your life is not worth
living, you absolutely need to go and
see someone. And here's what we've
discovered about nightmares.
Short sleep duration, not getting enough
sleep, sleeping less than six hours
predicts by about 100 to 150% higher
percentage chance of you having suicidal
thoughts, attempting suicide or
tragically suicide completion. That's
bad sleep.
It turns out that nightmares, so if
short sleep has a 150% higher likelihood
of suicidality,
having nightmares has an 800%
higher likelihood of suicidal tendencies
associated with it. Now, we don't think
that nightmares are causing suicidal
tendencies. That's not what we believe.
We believe, however, nightmares much
more than disrupted sleep. Nightmares
seem to be the canary in the coal mine.
Nightmares are this distress beacon that
leaks from our electrical static of
sleep at night and it is incredibly
sensitive to your suicidal tendencies,
your suicidal attempts and as I said
suicide completion as well. Nightmares
are a biomarker. If you are having
distressing nightmares that are waking
you up, you need to go and speak to
someone about it. It's absolutely
paramount because there are good
effective ways that you can dissipate
those nightmares.
>> I was trying to understand whether it's
a a malfunction or it's a signal. I
guess it might be both.
>> It's a very good question which is is it
adaptive or is it maladaptive? Is it a
good thing to have a nightmare or is it
a bad thing to have a nightmare? We
don't quite have the answer to that. But
let me come back to I told you there
were two functions of dream sleep and
we're still in the first one which is
emotional first aid and it turns out
that your thinking is incredibly astute.
We believe that at least normative
dreams not nightmares nightmares may be
the system failing just as I spoke about
in PTSD with repetitive nightmares and
in fact repetitive nightmares are so
consistent in PTSD that you can't
receive a diagnosis of PTSD without
having repetitive nightmares. That's how
sort of diagnostic they are. But
dreaming, normative dreaming, even if
they're bad dreams, is beneficial. How
could I make that claim? There was a
study done by a late sleep scientist, a
woman called Rosaline Cartwright, and
she was studying people who had gone
through a difficult period, let's say
bereiement or very bitter divorce. And
they had become depressed because of
that experience. And around the time of
the experience, she was seeing them as a
therapist and she was having them do
dream recall. So she was having them
create dream diaries every single night.
And then she tracked these patients for
a year. And it turned out about roughly
half of them by 12 months later had
remitted from their depression. They'd
got better. They'd got past their
depression. The other half were still
depressed. So then she took that data
and she went back with those two groups
and she said, "Is there anything
different about their dreams and it
turned out that there was both of those
groups of people whether they cut free
of their depression or they stayed in
their depression. Both of them were
dreaming at the time. Both of them were
having REM sleep, both of them were
dreaming. What was the difference then?
Those individuals that went on to gain
remission to their depression and get
get better, those people were dreaming
of the events itself at the time that
they were happening. Whereas those other
people who didn't go on to gain clinical
remission, they were dreaming. They just
weren't dreaming of the experiences
itself. In other words, it's not just
sufficient to have REM sleep. It's not
just sufficient to have REM sleep and be
dreaming. You need to be dreaming of the
difficult, painful experience that
you're going through to gain that
clinical resolution.
>> Damn. So, if I have something going on
in my life, I need to think about it
before I go to bed.
>> Yes and no.
What you have to realize is that it's
taken us, depending on who you believe,
3.4 million years of evolution to
develop this thing called homminid sleep
and dreaming and REM sleep.
I think that that evolutionary millions
of years probably understands what the
correct blueprint playlist of dream
experience is and should be for me at
night. And therefore, I don't need to
worry about it. I shouldn't try to force
anything. That's the first function of
dream sleep is that it's emotional first
aid. And we've got good data for that.
But there's a second completely
independent benefit of dreaming.
Dreaming is a form offormational
alchemy. Dreaming is creativity.
Now I told you that during deep non-REM
sleep, we take new memories that we've
learned and we fixate them like Amber
sort of setting a fossil in and we do
that during deep sleep. That saves the
individual pieces of the new stuff. Then
comes along REM sleep which happens
after deep sleep. And the second phase
of memory processing happens. That's
where REM sleep starts to fuse all of
the things that you've recently been
learning with this entire back catalog
of information. And so you wake up with
a revised mindwide web of associations
that is capable of diving solutions to
previously impenetrable problems. So,
you know, it's almost you, it's like
group therapy for memories that REM
sleep gathers in all of the information
that you've learned during the day and
everyone gets a name badge. But unlike
the waking logical connections that you
make already, REM sleep is like a Google
search gone wrong that you insert, let's
say, diary of a CEO, and it takes you to
page 20. This is dream sleep.
>> Mhm.
>> And it's about some field hockey game in
Utah. And you think, hang on a second,
but how on earth is that? Well, there
was someone who had, you know, they had
found a diary that had been lost, you
know, a long time ago. And the guy who'
found it was a famous CEO in the town of
this sort of, you know, Utah as he was
watching. So, it's a distant,
non-obvious connection. But it turns out
that that's what dreaming is all about.
It's almost as though we go to sleep
with the pieces of the jigsaw, but by
way of dreaming, we wake up with the
puzzle complete. And when you start to
fuse things that shouldn't should not
normally go together, but when they do
every now and again cause a marked
advance in evolutionary fitness, that is
the biological basis of creativity. It's
the reason that no one has ever told
you, "Look, Stephen, you should stay
awake on a problem." They don't. They
tell you to sleep on a problem. And in
every language that I've inquired about
to date from, you know, from French to
Swahili, that term sleeping on a problem
or something like it exists. My point
being is the benefit, the creative
benefit of sleep transcends cultural
boundaries. It's a common experience of
homo sapiens.
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What is the uh most important thing we
haven't talked about as it relates to
the personas of those people that are
probably listening right now and for the
reasons why they might have clicked? You
know that they're probably looking
again. We have the optimizers, we have
those that have bad sleep habits and
then we have those that have real sleep
disorders. What is the most important
thing we haven't talked about that we
should have talked about for them?
>> It may be the dystopian future.
>> Let's talk about the dystopian future
then.
What is a podcast if it does not
contain, at least in this day and age, a
dystopian future?
>> What is the dystopian future?
>> Probably the most spectacular discovery
that has happened since you and I last
spoke is the discovery of what we call
the genetic short sleepers.
These are individuals who by way of a
genetic mutation can survive on as
little as 6.25 hours of sleep. In other
words, 6 hours and 15 minutes of sleep.
and they show zero impairment in their
brain or their body, they can do just
fine on six hours of sleep.
>> I know where this is going.
>> And we have four genes that we've
identified now. The first two genes. The
first one identified was called the DEC
2 gene, DEC2 gene. The second was called
the ADRB1 gene, which I granted I know
it sounds like the next Radio Head
album, but it's it's not the next Radio
Head album. Um, and these genes allow
these individuals
to get away with an amount of sleep that
normally would cause predictive disease
and sickness just as we've spoken about.
So, at this point, probably some people
listening are thinking,
I think I'm one of those people. Just to
put it in context, your the probability
that you will be struck by lightning in
your lifetime is 0.00. 00064
highly unlikely the chances of you
having the ADRB1 gene is 0.004
>> and the DBR1 gene is the short sleeper
gene
>> is one of the short sleeping genes. So
in other words you are statistically
more likely to be struck by lightning in
your lifetime than you are to have that
short sleeping gene. So the probability
is is is low by the way.
Why is this the case? Why do they get
away with this? And we've discovered now
by using sort of um genetic
manipulations, we understand why. First
thing is that they have a much stronger
wake drive during the day. So you and I
and all the rest of our mere mortals
will have these kind of like
oscillations in our consciousness
throughout the day where we'll have dips
where we feel a bit sleepy and we're
dragging and then we'll kind of get they
don't have that. They have it's like a
light switch, like a dimmer switch. You
and I, we may sort of go up to like 80%
brightness when we're awake and then
sometimes it will flicker and then we'll
go down and we'll have pretty solid
sleep, maybe sort of, you know, down to
20% but the lights are not quite off,
you know, where sleep is is good but not
amazing. These people have an all or
nothing phenomenon. They are all 100%
bright light throughout the day and then
and they can maintain 17 18 hours of
wakefulness, no problem.
And then when they sleep, they sleep
hard. They have much more efficient
sleep. Remember we spoke about sleep
efficiency and I want it 85% or above.
Almost all of their time at night spent
in solid, stable, sound sleep. And the
depth of their sleep they have is
greater. So they're awake more
throughout the day. They build up a
stronger wakefulness drive which is
called adenosine which means that when
they sleep they sleep harder throughout
the night which means that they can then
be awake for more powerful stints during
the day. Second they don't suffer from
jet lag.
>> What the what do you mean they don't
suffer from jet lag?
>> Because of their strength of wakefulness
drive when they are circadium misaligned
it's as though they haven't traveled
between time zones. They can just stay
awake. They have a strong drive for
wakefulness. Who are these people?
>> They are these genetic short sleepers.
>> And do they pass these genes onto their
children?
>> Yes, they do.
>> And so their children have the same
>> they're heritable.
>> Can I have
>> Well, firstly, let's take a step back
before I get to the dystopian. This
tells us something above and beyond
biological fascination. It says there is
a profound statement in evolution.
Mother nature has figured out a way
genetically to zip file sleep.
>> Zip file. You can compress eight down
into six. You know on your computer how
you can get a collection of files, you
group them all together and then you say
compress these files and you compress
them and you zip them into a single file
and it's dense, it's packed and it takes
up less amount of volume.
>> Do they have the same life expectancy?
>> They seem to from everything we can
tell.
So somewhere along the way through
genetics, evolution has figured out how
to go from eight and compress it down to
six. Where's the dystopia? Well, we've
all heard of crisper, which is this
genetic editing manipulation tool that a
lab next door to mine at UC Berkeley
discovered, Jennifer Downer. She won a
Nobel Prize for it. Is there some
future,
and I hope not. Is there some future
where we start to genetically engineer
people from a need of 7 to n hours down
to a need of six? Imagine the reduction
in health care burden cost because right
now the burden of insufficient sleep is
vast.
Insufficient sleep will cost most
nations about 2% of their GDP. Here in
America it's $411 billion of cost caused
by insufficient sleep. In the United
Kingdom it's about $40 billion. In
Japan, it's $50 billion.
Solve the sleep loss epidemic, which
I've been trying to do by saying, you
know, sleep enough. And you could, you
know, cause massive financial disruption
in the good way. But here, if you start
to genetically engineer people, could
you reduce the burden that is caused by
people currently who need 7 to9 and take
that burden away because they no longer
need 7 to9?
>> Why did you say I hope not? Well, I hope
not because I think here's the following
that happens. It's not that I'm against
that idea. I would love for the burden
of disease and sickness to be reduced
and people not to suffer from that. And
if I could find a way to do it
genetically, I would. And you could
think about people arguing, well,
imagine the productivity benefits. I
mean, huge upsides of that. You know,
people are being more productive and
they're probably spending more. So from
a capitalistic society, it's the perfect
it's the adman's dream because when when
you're asleep, it's antithetical to a
capitalistic society. Why? Because
you're neither producing nor consuming.
That's very cynical and I don't buy into
that. But nevertheless, so all of these
things would be marketkedly better,
would they not be, if we genetically
engineered this way. Why do I fear it? I
know for a fact that as soon as six
becomes the new eight, everyone starts
sleeping four.
And now I'm just back into the same
battle again because six is the minimum
that you need. And they say, "Well, if
that's the minimum, then I'll sleep
four." And when I find the next gene
that allows you to get away with four
hours of sleep, then they say, "Well,
that's great. So then I can go down to
two." And it's a form of almost this
sleep currency, you know, inflation that
I'm always fighting a battle and at some
point I'll always be on the wrong side
of that battle.
>> Crazy. These people with this gene can
thrive on four to six hours sleep
without any negative effects that most
of us would experience.
>> Correct. It's
>> so you know what is going on there and
what we're seeing is this this
incredible density of sleep and this
epic drive for wakefulness. They are
more efficient sleepers. They can get
done what you and I take eight hours to
do. They can do it in six. And I guess
you is there a way to easily test this?
I guess go into a lab and get
>> Yeah. So if you've ever done, you know,
I think um you know all of those genetic
testing kits out there where and a lot
of them will allow you to download your
raw data. All you need to do is download
your raw raw data and then there's a
company I think it's called Prometheus.
Again, I have no affiliation with them.
I don't know how valid they are, but
then you upload your raw genetic data
into their model and then it will list
and it will rip it apart. So normally
those genetic services they give you a
nice PDF and it's kind of like maybe 15
pages of all of the the main stuff and
it's this Prometheus is kind of like the
you know the old school kind of
scientist nerdy. They will just give you
this kind of raw just kind of janky you
know 50page report. The interface is
terrible, but you can go in there and
you can search to see, you know, what
form of the deck 2 gene do I have or
what form of the ADRB1 gene do I have?
And it will tell you, are you a genetic
short sleeper or are you not and you can
find out.
>> I've been thinking a lot lately about um
about certain diet states as well and
whether they have an impact on sleep.
We're talking about circadian rhythms
there. I was thinking about fasting a
lot and also I think me myself and Jack
over there are in ketosis right now. I
was wondering if you
>> when you think about brain performance
and sleep and different sort of states
do you think much about fasting or
>> about ketosis or
>> Yeah, it's a mixed bag if you look at
it. Certainly what you eat will change
how you sleep. But perhaps more
powerfully is how you sleep dramatically
changes how you eat and how you dispose
of those calories and what happens
inside of your body when you are
underslept.
>> But
>> so I have lots of cravings when I've
short slept.
>> Yes, you have. And there's a reason why
is firstly two appetite hormones called
leptin and ghrein will go in opposite
directions. So they sound like hobbits,
I And I've got some Lord of the Rings
thing here, but leptin is the signal
that says to your brain, you're full.
>> Yeah,
>> you're you're satiated. Don't eat
anymore. Ghrein is the opposite. It kind
of makes your tum stom tummy growl and
it says you're hungry. You're not full.
You need to eat more. When you are
underslept, leptin, which says you're
full, stop eating. That hormone is
impaired. It drops away. So you lose the
I'm full signal. and worse still the
ghrelin signal which says I'm hungry
that increases
and so now you have about a 30 to 40%
increased hunger drive and the final
part of this is that when you are
underslept and taking on board calories
the way that you dispose of that energy
is different your body has a higher
prediliction when you are sleepdeprived
to disposing of calories as fat rather
than storing it for example as glycogen
in the muscles.
>> Oh, so when I'm under slept, um that's
why you know you're more likely to get
belly fat.
>> Correct. And what's worse is that there
was a great study where they looked at
people who were dieting and either
getting sufficient sleep or not getting
sufficient sleep. What was fascinating
is that both of those groups, whether
you were well-slept or not wellslept,
you both lost weight. In fact, you lost
about the same amount of weight. So
you'd think, okay, so that's fine. The
problem was if you looked at what you
were losing, there was an issue. Those
people who were dieting but not getting
sufficient sleep, 70% of all the weight
that they lost came from lean muscle
mass and not fat. In other words, when
you're not getting sufficient sleep, you
keep what you want to lose, which is
fat, and you lose what you want to keep,
which is muscle.
>> Oh gosh. Damn. It's important, isn't it?
The sleep stuff.
>> But coming back to ketosis, by the way,
I would say when people go into a fasted
state, usually what we see is that their
sleep gets shorter.
>> And they'll say, "I sleep almost more
efficiently. I'll sleep for maybe just
four or five hours, but I feel more
alert and more awake."
Now, some of that has to do with the
ketosis. When you are calorically
deprived,
the brain starts to realize that
something is wrong because you are
lacking calories. You're going into
starvation. So, it drives on a chemical
called ereexin. Ereexin is a
wakeomotmoting chemical and it forces
your brain to release much more of this
wakefulness chemical called ereexin. So
now when you're fasting, it's easier to
stay awake for longer and your brain
will deliberately stop you from sleeping
as much.
>> It's not because it wants you to sleep
less. It's because the only time during
our evolutionary past that we
unexperienced short sleep was when we
were in a caloric deficit. And the
reason came comes back again to this
idea that you have to stay awake longer
because you're not finding food. Now,
your brain doesn't know you've
deliberately decided to fast, which is a
good thing in lots of ways. But that's
one of the reasons that when people are
fasting, they'll say, "My sleep goes to
>> peck in a hand basket." You know,
>> mine goes really really short. So, when
I'm I'm in ketosis now and I'm like in
on my way in and my sleep will reduce to
about five five six hours, my Whoop
scores plummet.
>> Yeah.
>> Until I kind of come out the other end,
which might take a couple of weeks and
then my sleep scores seem to stabilize
again. But that initial transition
period, it looks like it's having a
physiological shock.
>> It is. And the shock is this chemical
ereexin, which is this wakering chemical
which will force you to stay awake in a
very solid fashion. By the way, case in
point, people with narcolepsy,
this sleep disorder where they
inadvertently and uncontrollably fall
asleep during the day. They have the
opposite. I just telling I was just
telling you that when you are fasting,
your brain dumps out this chemical
erection to force you awake and you're
wide awake. People with narcolepsy when
we've studied their brains, they have a
deficiency of this brain chemical
arexin. So they can't stay awake in a
stable fashion. They have the opposite
of your fasting problem. You're wide
awake because you've got too much
erection. They've got too little Rexin
and they therefore they can't sustain
stable wakefulness during the day. So
they're constantly falling asleep. M
>> this story of ereexin has led to the
invention of the first new class of
sleeping medication that I actually
favor and most people are not aware of
it. It's a new class of we're on to
essentially web 3.0 of sleep medication.
Web 1.0 were the benzoazipines things
like Xanax and Valium not great for
sleep. The second wave the web 2.0 those
were things like ambient lanesta sonata.
Both of those drugs worked in a very
similar way where they go up to your
cortex and they tickle a receptor called
the GABA receptor, GABA, GABA. And it's
the major neuroinhibitory transmitter of
the brain. So when these drugs flood
your brain, they just hit the red light
and they stop neural firing of the
cortex. Essentially, they sedate you.
And sedation is not sleep. But when you
take an ambient, you mistake sedation
for sleep.
>> It's not quite the same. It's not
naturalistic sleep.
>> But after we realized by way of the
story of narcolepsy that narcopsy
patients, they don't have this chemical
erection and they're falling asleep
inappropriately during the day. Well,
think about what insomnia is at night.
Insomnia is almost the opposite of
narcopsy, which is that narcolepsy
patients, they're falling asleep during
the day when they want to be awake.
Insomnia patients are awake at night
when they want to be asleep. So what
they realized is that what we can do if
this chemical ereexin, this wakefulness
volume button in the brain is a problem
in insomnia patients. What if we were to
just develop a drug that doesn't sedate
the cortex like ambient? Instead, it
goes down into the brain stem where the
center for erection is. And these new
drugs and they're called the Doras
drugs, D A small s. And it's a class of
drugs. There are three FDA approved and
I'll try and spell them out for you.
They're called suvaxent, lumberexent,
and daredexent.
Exactly. Why my sinapses are filled with
things like those names, but there you
go. They're three FDA approved drugs.
And what they do is they act like a
clever set of chemical fingers. They go
down into the brain stem where this sort
of erection is being released and they
just dial down the volume on wakefulness
and then they take a step back and they
allow the antithesis of wakefulness to
come in its place which is this thing
called naturalistic sleep. Now if you
look at that those clinical data they
absolutely make you sleep for uh not
necessarily a longer period of time but
you're awake a lot less. So you've got
nice sleep efficiency, more continuity.
But I as a scientist could be very
skeptical and I could come along and
say, "Okay, so this new drug, it
increases your total sleep time,
improves your sleep efficiency, but I
have four words. Yes. And so what? Just
because I've added sleep to your night,
how do I know that that's functional
sleep? How do I know that that's useful
sleep? Couldn't it just be like junk
DNA? It could be just junk sleep. Well,
they did a study where they looked at
what we call the glimpmphatic system in
your brain. There's a cleansing system
in your brain that kicks into high gear
during deep non-REM sleep. And it
flushes the brain of all of the
metabolic toxins, two of which are
things called beta amalloid and ta
protein, which are the culprits of
Alzheimer's. And that's why we know that
sleep is so important because at night,
it's a good night sleep clean. It's a
power cleanse that washes away the
Alzheimer's toxins. So they did a study.
Heavens knows how they got these people
to participate. But they brought them
in. They were 50 years or older and in
the morning and the night before they
had a lumbar spinal puncture and they
siphoned off cerebral spinal fluid. So
they could measure how much of the
metabolic detritis was in the brain
before sleep and in the brain after
sleep including
>> the metabolic waste product sort of
including beta amalloid and and tow
protein
>> and they either had one of these drugs
the Doras drugs or they had a placebo
and fair enough when they took the this
new class of medication the web 3.0 to
the Dora drug, their sleep got better.
But what they also found is that not
only did their sleep get better, but
they had cleansed the brain the next
morning of more beta amaloid and ta
protein than the placebo group. In other
words, it wasn't just epifenomenal junk
sleep. It was beneficial sleep. It was
adaptive useful sleep because that drug
induced sleep had washed away more of
the Alzheimer's proteins. And it was the
first demonstration and they've now
replicated it in animal models that this
is a sleeping pill that isn't
disadvantageous
which we know to be the case for things
like ambient. In fact, ambient there was
a recent study that showed that it
decreases the cleansing pulsing fluid by
about 30 to 40% at night. But this is a
new class of medications that does the
opposite.
>> And this is new.
>> And this is new. The Doras drugs D O R A
small s. problem is that a lot of
insurance companies here in the United
States currently do not reimburse. Some
do and I believe that it's some of these
of the three doors drugs, not all of
them are available in Europe or in the
UK.
>> Probably about right
>> and because they're just so expensive
and if you pay out of pocket, it can be
up to $400 a month for these
medications. Now, some insomnia patients
when I go to them and say, "At the end
of a shockingly bad month of sleep, if I
went to them and said, "Look, if you
gave me $400 now, could I I could wave a
magic wand and eradicate all of that bad
sleep over the previous month, would you
like to give me $400?" Most of them
would say, "Absolutely, take my money."
But still, people are being priced out
at this stage, but the Doris drugs,
please look into them if you're
struggling with insomnia as well as
CBTI. I didn't realize there was so much
new science and research that had been
discovered on how to sleep well, what's
going on in the brain, and also some of
the lifestyle factors that have made
sleeping so hard for so many people. And
with that in mind, I want to do
something that I've never done before,
which is a world first for the Diary of
a SEO. Is I'm going to put a link below
because I think this is a particular
episode where if you share this
conversation with some of your friends
who particularly struggle with sleep or
sleep optimizers or who have sleep
disorders, they'll get a ton of benefit
from it. So, what I'm going to do is in
the description of wherever you're
listening to this podcast right now,
there is a link. And if you click on
that link, um you'll see that you've got
your own personalized link to share this
episode. And those of you that share
this episode, whether it's on your
story, on social media or in a WhatsApp
group or wherever, on email with your
friends, you will collect points for
every person that listens and I will
reward those. Um, you'll see as you
click on the link who have shared it the
most. In part, I say this because so
many of you come up to me in the street
and they came up to me after our last
conversation and they said, um, that
conversation you did with Matt Walker
was so amazing. I sent it to my aunt and
she now d she did this and she's changed
this and blah blah blah blah and she's
now sleeping well. And then all the
downstream impacts of that have been
profound. So
>> I'm going to create this little system
to encourage all of you to share it with
someone that um is struggling at the
moment with sleep because I do believe I
do believe that sleep is upstream from
so many of the downstream symptoms that
ruin our lives whether it's relationship
issues whether it's libido issues or
whether it's creativity issues. I mean,
I was reading through your work and I
saw your conversation with Rogan not so
long ago where you talked about the fact
that a sleep-d deprived person has their
genes fundamentally working differently.
You talked about 700 genes working
differently.
>> Yeah. 711 genes are distorted in their
activity caused by a lack of sleep. Some
genes that are overexpressed that are
related to cardiovascular disease or
stress or inflammation and other genes
that are impaired which are associated
with your immune system. So you become
immune deficient
>> and it can be a downward compounding
spiral if you're such a person that's
really continually strugg struggling
with sleep and building up some of that
sleep debt. So that link is below. Check
it out. And we have a closing tradition
on this podcast where the last leaves a
question for the next. The question left
for you is what did success bring you
that you never could have dreamed of?
It brought me two things.
one beneficial one less. So
beneficial is that I have now the chance
and have gifted the chance to
fly around the world and tried to speak
the word of sleep because the physiology
of it is so silent. And I used to lament
why me because there are so many other
much better sleep scientists in the
world than me. And a friend after I was
saying like I don't understand why me
imposter syndrome and he just told me to
shut up and accept that it's you and
instead asked the question what are you
going to do with it and I changed how I
embraced that. So I've been so fortunate
that my life after publishing the book
that you're holding
changed forever and almost all for the
better. And I'm so fortunate. I have
lived a life of such fortune by way of
the sleep mission. I would say though
that there is
also, and I suspect you may experience
some of this too, when you raise your
head above the public parapit,
don't be surprised if shots are fired.
And if you're someone who has even the
vaguest
hint of insecurity,
comments will do you a lovely
disservice. And so I think there's a
degree of kind of vulnerability and
insecurity that you can develop by way
of becoming um someone who is in the eye
of the public that had I not been in the
eye of the public I probably wouldn't
have been you know as self-conscious
about whether it's you know your
intellect or your voice or your you know
disastrous you know boyband haircut
whatever it is um I would say that's the
only slight downside overall I am the
most fortunate human that I know. I am
so gifted by way of this thing called
sleep. It's a love affair that's lasted
me almost 25 years and I believe it's
the most beguiling topic in all of
science and it has treated me so well.
>> You happy?
>> More than you could imagine at this
moment in my life. I am the happiest
I've been.
>> Why? I have a a piece that I found in
life
for reasons that I can share or not
share. And
>> go ahead and share them. I'd love in my
life.
>> You know, I found my person
>> and and she is she
appeared like lightning from a clear
blue sky. Never saw her coming.
And
it's interesting that
I've never been able to be more myself,
even with myself,
than I have with her.
Every day she makes me want to be a
better person.
And
I have found peace that I have never had
before.
>> That you've never had before?
>> No.
>> Did you have peace last time we spoke?
I wouldn't say I was without peace. I
didn't know this type of peace
and I never believed in this notion of
the one. You know, I was a scientist.
I'm a hard-nosed empirical kind of guy
and I just did not imagine it would be
such
uh I didn't think there was such a one.
I would have told you if you'd told me
that two years ago, you'd given me your
love story of certainty. I would have
thought you're misguided and that, you
know, you just need to put down whatever
substances you're using because you're
delusional because there isn't such a
thing.
>> Um,
she's a gift
and I hope I never take her for granted.
I doubt it. There's a an incredibly sad
story
of a gentleman called Clive Wearing. And
Clive is a famous individual in the
neuroscience world. And Clive was the
man who the movie Momento
was based on, which is a movie where a
man has brain damage and he has profound
amnesia. And from that moment forward,
he can never make any new memories
whatsoever. He's densely amnesic.
And he was a real life individual. He
contracted a virus that destroyed his
memory centers. And from that point
forward, he could no longer make any new
memories. And he lived in just 2 or 3
seconds of time. And that spotlight of
consciousness just moved forward in
time. He had no recollection of the
past. He had no anticipation of the
future. And the only thing, the only
person that he remembered and he would
recognize is his wife. So he could have
spent this whole three hours speaking to
you. And then you would walk out the
room for five minutes and you would walk
back in and you'd say, "Hi Clive, nice
to meet you." and he'd say, "Hi, what's
your name?" Had no recollection. The
only person that he remembered was his
wife. But the problem was he never
remembered how long it's been since he
last saw his wife. And so every time
that she would walk into the room after
being out of it for 5 minutes, he would
jump out of his chair and he had this
incredible elation and he would run and
he would hug her and kiss her. And I
think sometimes we take our partners for
granted
and the only time we realize how
precious they are is when they're gone.
And I often think about that that
complacency can be one of the greatest
negative forces in a relationship. And I
always think about Clive Weiring even on
the days where I'm having a bad day or
I'm in a bad mood and I'm not myself or
I just don't want to be around someone.
I always try to remember his reaction.
And when my wife walks back in from work
or I see her, you know, first thing, I
try to remember how his reaction was and
how I truly feel at the time despite the
blanket of negative stress trying to
drown that feeling out.
>> It's a beautiful thing. I think about
that a lot as well.
>> In what way? just the part of I'm way
more cognizant now on a frequent basis
almost on a weekly basis of how I'm
going to feel
when my time is up as it relates to rel
my romantic relationship like I think
even like mid argument I will now think
and this actually happened like a couple
of days ago it wasn't really an argument
we're disagreeing about something I
literally said mid mid uh dispute that
we were having I said we're going to
regret this so much and what I meant was
when I when that When that phone call
rings and someone gives me bad news that
either I'm going or you're going, I'm
going to regret that this 30 minutes was
wasted doing this.
>> Yeah.
>> I'm really going to regret it.
>> How much would you give to have that 30
minutes?
>> Exactly. And it's like, you know, we're
arguing about, I don't know,
some whatever it might be, some trivial
thing. It's actually really helped me
because in the midst of those storms,
um, thinking through to that moment when
you get that phone call and like you're
ill or I'm ill and some we're not going
to be around much longer.
um it liberates you from the pettiness
that a sense of immortality can create
and that pettiness results in the
complacency that you're describing that
like I I took you for granted.
>> Yeah.
>> So it's a nice little mechanism now for
me to go is this an important thing? Is
this really important? And I have to
provide nuance there which is this
doesn't mean don't address things
>> correctly. I was just about to say
conflict is critical. You've got to
fight well,
>> but let it be me versus you and the
problem. Like me and you versus the
problem versus me just going at you.
>> Yes. You have to be fighting for each
other,
>> not fighting against each other.
>> Yeah. Exactly.
>> And that you have to try to then in that
context of Clive wearing
>> don't shy away from conflict if you need
to have the conversation. Often it's
like the gym. If you do it well, you
even on the days when you kind of go
into the gym, you think, I I don't want
to do this or I just I don't feel good,
you always come out feeling better than
you did before. And with conflict, if
you do it well, you typically, it may
not be the hour after or even the day
after, but if you do it well, you
typically are better as a couple after
than you were before the conflict as
long as you do it well. So, I'm not
saying don't have conflict. What I'm
saying is Clive Wearing's story to me of
how he loved his wife with an intent
that I'd never experienced before until
I met my much better half
prevented me from resentment.
Resentment is the barrier that will keep
you from reparation and a future of I
think equinimity.
Because when you resent someone, it
means that you haven't processed, you
haven't moved forward. And resentment
usually comes by way of I think a poor
choice of things such as did I win the
argument? Did you win the argument? It's
not about point scoring at least. And
I've done that before. I've been guilty
of all of that behavior. But now with
this person that I cherish most, you
know, I think of his lessons. It's not
that we don't have conflict. We do. It's
just that I value the person far beyond
the conflict afterwards. And I'll always
want to reach out with an olive branch
because it's not worth it. Just as you
said, when that call comes,
you know, I I think of that sometimes
when I have a bad day. Let's say
someone, you know, I come back to my car
and my car is being rearended when it's
been parked or, you know, I was coming
here to fly out and we were 4 hours on
the tarmac waiting and there's a guy in
front of me who's getting all agitated
and giving the the ground staff all
sorts of vitriol.
And I was thinking, look, when you're on
your deathbed, my good fellow, are you
going to look back at this day and
think, gosh, you know, I remember that
one day when I was on that flight coming
out to LA and it was 4 hours delayed.
No, of course you're not. So, if you're
not stressing about it when you're
dying, why are you stressing about it
now?
>> It's just not worth it.
>> Live. Thank you. Thank you so much. I
mean, I can't thank you enough for the
profound impact you've had on so many
millions of people. Um, being the the
chief torchbearer of the subject of
sleep and creating a movement around
sleep, but also a heightened awareness
of ourselves and our struggles. And that
is something that you'll never
understand. Like, you'll never
understand the full magnitude of the
many millions of people you've
positively impacted. Um, but I mean even
though you'll never get to meet them all
and you'll never get to hear all of
their thank yous, they are very very
real people and they are that the them
themselves are these little ripples
through the ocean where their children
and then the generations to come get to
sleep better and enjoy their lives and
live a happier healthier life because of
the work that you do. So it's um
incredibly important work, Matthew,
>> and I hope you long continue it and I
long continue being the conduit of this
very important information to people
like me and my audience. Couldn't
appreciate you more. Thank you so much
for saying that. I can't lay claim to
any such um uh affirmations, but I would
say that I stand on the shoulders of
giants and that um I am simply relaying
all of the incredible work of all of my
colleagues in the field and all of those
who came before me. Um I'm just the
mouthpiece and not a particularly good
one at that and for all of their work.
It's really the appreciation that I give
to them. So, thank you for giving me the
opportunity to say that.
Make sure you keep what I'm about to say
to yourself. I'm inviting 10,000 of you
to come even deeper into the dire of a
CEO. Welcome to my inner circle. This is
a brand new private community that I'm
launching to the world. We have so many
incredible things that happen that you
are never shown. We have the briefs that
are on my iPad when I'm recording the
conversation. We have clips we've never
released. We have behindthe-scenes
conversations with the guests and also
the episodes that we've never ever
released. and so much more. In the
circle, you'll have direct access to me.
You can tell us what you want this show
to be, who you want us to interview, and
the types of conversations you would
love us to have. But remember, for now,
we're only inviting the first 10,000
people that join before it closes. So,
if you want to join our private closed
community, head to the link in the
description below or go to
daccircle.com.
I will speak to you then.
Oh,
hey.
Ask follow-up questions or revisit key timestamps.
Dr. Matthew Walker, a renowned sleep scientist and neuroscience professor, discusses the critical importance of sleep for overall health and performance. He debunks common myths, such as the necessity of exactly eight hours of sleep, and emphasizes the benefits of a consistent sleep schedule. The conversation highlights new research on 'sleep banking,' the impact of lifestyle factors on sleep, and practical advice for improving sleep hygiene, including digital detox and light management. Dr. Walker also touches upon the science behind different sleep stages, the role of REM sleep in emotional processing and creativity, and the potential risks of sleep aids like melatonin. He stresses that addressing fundamental sleep habits is more effective than relying on supplements. The discussion also covers the impact of sleep on appetite, metabolism, and mental health, concluding with the profound connection between sleep quality and overall well-being.
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