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World No.1 Sleep Expert: Magnesium Isn’t Helping You Sleep! This Habit Increases Heart Disease 57%!

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World No.1 Sleep Expert: Magnesium Isn’t Helping You Sleep! This Habit Increases Heart Disease 57%!

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3665 segments

0:00

Here's the problem with magnesium

0:01

supplementation when it comes to sleep.

0:03

The first thing to note is that most

0:04

forms of magnesium don't cross the brain

0:07

barrier and sleep is produced by your

0:09

brain. So, how can something that

0:11

doesn't get into your brain affect brain

0:13

process? All you're doing is creating

0:15

probably expensive urine.

0:18

However, there is one form of magnesium

0:20

that seems to have some evidence in

0:22

favor of it which we can speak about.

0:24

But it doesn't stop there. There's so

0:26

much new evidence that we have including

0:28

this myth of 8 hours. my fear about

0:30

giving melatonin to kids. Why you keep

0:32

waking up in the middle of the night and

0:34

the invention of the first new class of

0:37

sleeping medication that I actually

0:38

favor and most people are not aware of

0:40

it.

0:41

>> Okay, let me write this down.

0:42

>> Matthew Walker is back and the

0:44

worldrenowned sleep expert and

0:46

neuroscience professor

0:47

>> is sharing brand new research to combat

0:49

the sleep loss epidemic and help you get

0:51

the perfect night's sleep. So society,

0:54

we have struggles with sleep at night

0:55

due to many reasons, but no one teaches

0:58

us this stuff. And it's things like say

1:00

you go to bed at 11:00 one night, 1:00

1:02

a.m. the next night, then 10:30 p.m. the

1:05

next night. And it's remarkable how many

1:06

people do this, but studies have shown

1:08

that you are statistically 49% more

1:11

likely to prematurely die versus those

1:13

people who were most regular in terms of

1:15

going to bed and waking up at the same

1:17

time. And worse, they had a 57%

1:20

cardioabolic disease risk increase.

1:23

>> What the

1:23

>> science really teaches us that there are

1:25

four pillars of good sleep. And then

1:26

there's this incredible new study

1:28

looking at sleep banking. And this is

1:30

remarkable for people who are facing a

1:32

sprint at work or a medical doctor about

1:33

to go on call for the next 40 hours, new

1:35

parent. And we can go through all of

1:37

that. But if you were to push me to say

1:39

the three most impactful things that you

1:41

can start doing tonight to start

1:43

sleeping better, it would be

1:49

I see messages all the time in the

1:50

comments section that some of you didn't

1:52

realize you didn't subscribe. So, if you

1:54

could do me a favor and double check if

1:55

you're a subscriber to this channel,

1:57

that would be tremendously appreciated.

1:58

It's the simple, it's the free thing

2:00

that anybody that watches this show

2:01

frequently can do to help us here to

2:03

keep everything going in this show in

2:05

the trajectory it's on. So, please do

2:07

double check if you've subscribed and uh

2:09

thank you so much because in a strange

2:10

way, you are you're part of our history

2:12

and you're on this journey with us and I

2:14

appreciate you for that. So yeah, thank

2:16

you

2:20

Dr. Matthew Walker. Here in front of me,

2:22

I have these cards which I'm going to

2:25

reveal a bit later, but these kind of

2:27

hold what you consider to be the four

2:28

pillars of great sleep. But you also

2:32

spend much of your professional career

2:34

just studying the brain generally to

2:36

understand human performance and how we

2:38

can change our lifestyles and also

2:40

introduce some of these new sort of

2:42

treatments to improve how our brain

2:44

performs. And I want to talk about all

2:45

of that as well, but to start for anyone

2:47

that is unfamiliar with you and has been

2:49

hiding under a rock,

2:51

how do you summarize who you are

2:54

professionally,

2:55

the sort of academic references you're

2:57

drawing on, and the experiences and

3:00

research you've done so that the viewer

3:01

listening at home understands the full

3:04

world that you operate in, study, and

3:06

have experienced.

3:08

>> I am a neuroscientist by trade, but my

3:11

specialty is sleep. the effects of sleep

3:13

on the brain and the body. And I've

3:15

probably spent about the past two

3:16

decades trying to understand exactly why

3:20

do we sleep? Because 50 years ago, the

3:24

crass answer to the question, why do you

3:26

sleep was the following? You sleep to

3:29

cure sleepiness,

3:32

which is the factous equivalent of

3:33

saying, well, you eat to cure hunger.

3:35

No, you don't eat to cure cure hunger.

3:38

you eat to support all sorts of

3:40

physiological and biological benefits.

3:42

But now, and this is not due to my

3:44

research, is this all of the incredible

3:46

colleagues whose sort of shoulders that

3:48

I stand on, we've now had to upend the

3:50

question. We now have to ask, is there

3:53

any major physiological system in your

3:55

body or is there any operation of your

3:57

mind that isn't wonderfully enhanced by

4:00

sleep when you get it or demonstrabably

4:02

impaired when you don't get enough? And

4:04

the answer now seems to be no. There is

4:07

no such system. Even down to the level

4:10

of your DNA,

4:12

your sleep and how you are sleeping or

4:15

not sleeping will change the very DNA

4:19

nucleic alphabet that spells out your

4:22

daily health narrative. And we can see

4:24

it all the way up to society. Sleep can

4:27

change the fabric of society, can change

4:29

how we interact with other people. It

4:31

can change our belief systems. can

4:34

change how lonely or sort of hypersocial

4:37

we are. So to your question, I'm a sleep

4:40

scientist by trade and I suppose my

4:42

mission has been trying to reunite

4:45

humanity with the sleep that it seems to

4:46

be so bereft of.

4:48

>> We had a fantastic conversation last

4:50

time and my audience valued it

4:52

tremendously. I know that cuz we we

4:54

often survey our audience and we we get

4:55

to see some of the the backend stats and

4:58

this conversation about sleep is

4:59

particularly personal to everybody

5:00

listening because when we surveyed our

5:02

audience ahead of this conversation

5:03

today about 75 or 80% of the direio

5:08

audience struggle with sleep for a

5:10

variety of different reasons. So we

5:12

actually asked them a thousand of them

5:13

their questions to ask you today. But

5:16

also the other reason I really wanted to

5:17

chat to you is the science of sleep I

5:19

mean as is the way of science is always

5:21

evolving. We're learning new things and

5:22

even since we spoke last time, there is

5:25

new sleep science which we're going to

5:26

talk about today and one of those

5:28

particular things we're going to talk

5:29

about is going to be demonstrated using

5:32

this jar because I always want to know

5:34

what the updated sleep science is so

5:35

that I can be a better sleeper because I

5:37

agree with everything you've said about

5:39

how foundational sleep is in my life.

5:44

>> And um I didn't know this at the start

5:46

of my career. I didn't know this even a

5:48

couple of years ago, five years ago. I

5:49

didn't know. I thought sleep was one of

5:51

those things you could just take it all

5:53

or leave.

5:54

>> Yeah. I mean, and it's not your fault in

5:56

so many ways because if you didn't know

5:59

what I know, you would just think, well,

6:01

when I sleep, my body is dormant and my

6:04

mind for the most part is blank. So, is

6:07

it so catastrophic to lose, you know, an

6:10

hour or two of sleep? And you know, you

6:13

have to then think about from an

6:15

evolutionary perspective, it is such an

6:18

idiotic idea to sleep because when

6:21

you're sleeping, you're not finding a

6:22

mate, you're not reproducing, you're not

6:24

caring for your young, you're not

6:25

foraging for food, and worst of all,

6:27

you're vulnerable to predation.

6:29

>> So on any one of those grounds, and

6:31

especially all of them as a collective,

6:33

sleep should have been strongly selected

6:34

against in the course of evolution.

6:38

And my point is that, and it's often

6:40

been said that if sleep doesn't serve an

6:41

absolutely vital set of functions

6:43

plural, then it's the biggest mistake

6:45

the evolutionary process has ever made.

6:47

And we now realize it didn't make a

6:48

spectacular blunder. But really, I guess

6:51

to the point of it is sleep is not a

6:55

passive state. It's an incredibly active

6:58

state both in the terms of the brain and

7:00

the body. And so you should not feel

7:03

sort of you know remiss or ashamed that

7:06

you didn't value the importance of sleep

7:08

because firstly as a subjective sense

7:10

you just think well my mind was offline

7:12

for a while. Second we also know that we

7:15

don't teach the importance of sleep in

7:17

education and doctors themselves you

7:19

know there's a great study and they what

7:21

they found was that medical doctors

7:23

across I think it was about 11 different

7:25

curricula around the world they will

7:27

only receive about 1.2 two hours of

7:30

education on sleep, but it's a third of

7:33

their patients lives. So there's a

7:37

collection of sort of almost perfect

7:39

storms that have happened to keep

7:42

society ignorant of the importance and

7:45

the value of sleep. I think that's why

7:48

we often so short change it together

7:51

with also something terrible which is

7:53

stigma.

7:55

that people are so proud to say, well,

7:58

I've been eating really healthy the past

8:00

couple of months, or, you know, I've

8:01

been going to the gym, you know, three

8:03

times a week consistently for the past

8:05

year. No one is ever going out into

8:09

society and saying, you know, I I've

8:11

been getting 8 and 1/2 hours of sleep

8:13

consistently every night. Because if you

8:15

did, people would say, really? And

8:17

there's a there's a slight edge to the

8:20

really which is that if you have time to

8:23

sleep then you must not be busy and if

8:26

you're not busy you must not be

8:28

important.

8:30

So can you do me a favor and for the

8:32

listener at home can you tell me what

8:35

the different groups of people that are

8:38

listening to this conversation right now

8:40

are seeking from the extreme end being

8:43

sleep apnnea. I get no sleep. I'm an

8:45

insomniac to the other end where maybe

8:47

they're looking for marginal performance

8:49

gains. Like what are the what are the

8:50

cohorts of people you see and the

8:52

reasons why they're so interested in

8:53

your work? They listen to your podcast,

8:54

they read your books. What are the

8:56

cohorts?

8:56

>> Firstly, we have the collection of

8:58

people who have insomnia. Those people

9:00

who have other sleep disorders like

9:02

sleep apnoa which we can speak about.

9:04

There's another disorder called restless

9:06

leg syndrome. It's a terrible disorder

9:07

where your legs start to feel as though

9:09

they've got this sort of creepy crawly

9:11

feeling and you've constantly got to

9:12

massage them and move them. It's a

9:14

terrible disruptor of your sleep. All of

9:16

these disorders are marketkedly

9:18

undiagnosed, by the way. And then you've

9:21

got another collection of individuals

9:24

who they don't have any sleep disorders,

9:28

but they are either doing things that

9:30

will dismantle their sleep. So, either

9:33

they're taking on things into themselves

9:36

like alcohol, caffeine, THC that aren't

9:39

the sleep helpers, even though sometimes

9:42

they think they are. And then you've got

9:44

perhaps the internal things that will

9:47

prevent you from sleeping well. Things

9:48

like stress and anxiety. And then you've

9:51

also just got life itself that can get

9:54

in the way. And then moving from the

9:57

sleep disorders realm to the I don't

10:00

have a sleep disorder, but I'm probably

10:01

not doing it right quote unquote when it

10:04

comes to sleep. Then you've got the

10:06

people who are obsessed about getting it

10:09

right and they are the bio optimizers.

10:12

this sort of the you know the biohackers

10:15

and then you've also got I work with a

10:17

lot of high performance individuals who

10:20

are really trying to just scratch out

10:22

those last couple of percentages either

10:24

if it's in business or often we're

10:27

working with professional athletes.

10:29

These are the people for whom two or

10:31

three percentage point changes can be

10:34

tens of millions of dollars or they can

10:37

be the difference between standing on a

10:38

podium at the Olympics or not. And so

10:42

there's there's a broad collection of

10:43

wonderful characters.

10:45

>> And since we last spoke, is there now a

10:47

lot of new sleep science and

10:49

understanding as it relates to sleep

10:51

performance and these three categories

10:53

of sleep deficient sleep disorders,

10:55

lifestyle factors and then the

10:57

optimizers.

10:58

>> Yeah, I think there's there's a broad

11:00

collection of new evidence that we have.

11:03

But maybe let me come on to the middle

11:06

group. You know, I used to say that for

11:08

people who were deficient in their

11:10

sleep, that sleep wasn't like the bank,

11:14

that you can't accumulate a debt. Oh,

11:17

here we go. Okay. So, what we can see

11:20

here is that the jar used to be full,

11:22

full of sleep credit when you're

11:24

sleeping well. And then during the week,

11:27

I'm short sleeping. So, maybe I'm only

11:29

getting five hours a night. So, I'm

11:31

constantly going into debt. So, I'm

11:33

losing all of this wonderful sleep

11:35

credit and my system is building up this

11:38

collateral debt. And then we used to

11:41

think that sleep was not like the bank.

11:43

That once you've gone into debt,

11:45

unfortunately,

11:49

the lid is closed and even at the

11:51

weekend, if you try to pay it back, you

11:54

can't put back credit into the system.

11:58

However, there was a study published

12:00

from what's called the UK Bioank, which

12:02

is this incredible data set. It's

12:05

revolutionary. And they studied in this

12:07

particular research uh paper over 90,000

12:10

individuals. And what they did was they

12:13

essentially split them down into those

12:15

individuals who were short sleeping

12:17

during the week and then short sleeping

12:19

at the weekend. And they compared them

12:21

to those individuals who were short

12:23

sleeping during the week, but then long

12:26

sleeping at the weekend. They were doing

12:27

catch-up sleep.

12:28

>> That's me.

12:29

>> And that's so many individuals. It turns

12:31

out if you look at the data, it's it's

12:33

remarkable how many people do this this

12:35

catch-up sleep behavior. But what was

12:37

amazing is that in the people who were

12:39

short sleeping during the week but long

12:40

sleeping at the weekend, they had a 20%

12:44

reduced cardiovascular disease risk

12:47

relative to the people who were short

12:49

sleeping during the week but also short

12:51

sleeping at the weekend. Now, to be

12:54

clear, both of those groups had a higher

12:57

cardiovascular disease risk than people

12:59

who were sleeping sufficiently during

13:01

the week and sleeping sufficiently

13:03

during the weekend. So, I'm not saying

13:05

that it's a completely free lunch. But

13:07

for the first time, we realized that at

13:10

least one system, major organ system in

13:13

your body is like the bank, which is

13:15

that if your heart at the weekend

13:23

you can

13:25

just keep putting credit back and your

13:29

system doesn't suffer as much

13:30

>> for your heart.

13:31

>> For your heart.

13:32

>> Okay.

13:33

>> But again, many of the other major

13:35

physiological systems don't show that.

13:37

So work by people like Kenneth Wright at

13:39

the University of Boulder, Colorado,

13:40

he's shown that your immune system

13:42

doesn't rebound after long sleep at the

13:44

weekend, your regulation of blood sugar,

13:47

your cognitive ability. So that's one

13:50

way in which I've changed my mind

13:51

regarding sleep in the bank. But there's

13:54

a very different new set of data that

13:56

has changed my mind completely about

13:58

this idea of sleep and the bank. Now

14:01

what we've just discussed here is to say

14:04

I went into debt and then I was hoping

14:08

to try and pay it off with credit at the

14:10

weekend.

14:10

>> So the jar represents the debt that you

14:12

have the sleep.

14:13

>> Correct. Yeah. And what I'm trying to do

14:15

is force more coinage

14:21

in at the weekend to see if I can offset

14:25

the debt that I created and get back to

14:27

net net neutral by the end of the

14:29

weekend. Now, it turns out you can't do

14:31

that even if you sleep for as long as

14:34

you want. But here's this new remarkable

14:37

data. It came from um Walter Reed

14:39

Medical Army Institute, a researcher

14:41

called Thomas Balkan. And what he was

14:43

interested in was flipping the direction

14:45

of the question. Not if I go into debt,

14:49

can I pay back with credit, but what if

14:52

I know in future I'm going to face a

14:55

debt, an upcoming debt, can I do sleep

14:58

banking?

14:59

>> Oh, so if I've got a big thing coming up

15:01

where I'm traveling across the world and

15:03

I know I'm going to be sleep deficient,

15:04

can I sleep a lot before it to create a

15:09

What would the financial analogy be? The

15:11

financial analogy would be, let's say

15:12

that we're coming up to Christmas.

15:15

>> Yeah.

15:16

>> And you're going to spend lots on, you

15:18

know, presents and all sorts of stuff.

15:20

So, I know that in October and November,

15:23

I'm going to tighten my financial belt.

15:25

>> I see.

15:26

>> So that when I go into the sort of

15:28

Christmas period and I'm spending a lot

15:30

more money, my bank account isn't hit as

15:33

hard. I don't go into as much of a sort

15:36

of a debt situation because I've built

15:38

up credit. So you can create sleep

15:40

savings.

15:41

>> Correct. It's a sleepsaving system. So

15:44

essentially, you know, what he was able

15:46

to do, not just put the jar to full, but

15:52

he was actually packing in even more

15:57

so that you almost got this wonderful

16:04

overflow of sleep.

16:05

>> How did he know?

16:07

>> He didn't. It was the experimental

16:09

hypothesis.

16:10

>> And but how did they prove it?

16:12

>> So what they did is that they woke you

16:14

up to a period when you're going to have

16:16

two or three nights of either no sleep

16:19

or marketked sleep reduction. And in the

16:22

week beforehand with these army

16:24

cadetses, instead of being limited to 8

16:27

hours of time in bed, they were able to

16:29

get 10 hours of time in bed and they

16:32

could sleep all that they want. And so

16:34

they went from probably an average of

16:36

about 7 7 and 1/2 hours of sleep to

16:39

about 8 and 1/2 almost 9 hours of sleep.

16:43

So they were extending their sleep

16:45

duration

16:47

and so that they had built up this

16:49

buffer. It's almost like a sort of a a

16:52

sleep safety net that's in place so that

16:55

when you go into the tumble of sleep

16:57

deprivation,

16:59

you're sort of almost bolstered and

17:02

you're lifted higher and therefore your

17:04

degree of impermanment that you suffer

17:06

under conditions of sleep deprivation is

17:09

significantly less if you banked sleep

17:11

beforehand versus those people who were

17:14

just sleeping normally and then faced

17:16

the deprivation. they went down much

17:18

further in terms of their cognitive and

17:20

mental performance.

17:21

>> So he gave them challenges and tasks to

17:23

do correct in two different groups. One

17:25

group had sleep savings saved up from

17:27

sleeping well the previous week. One

17:28

group didn't.

17:29

>> That's right.

17:29

>> And they performed remarkably different.

17:32

>> So both of them were impaired relative

17:34

to a sleep rested person. However, the

17:37

people it's sort of you know how how

17:39

much of a drop

17:41

>> in your cognitive performance do you

17:42

suffer? And what he found was that

17:44

people who had built up this credit,

17:47

this savings account of sleep in the

17:49

days, in the week beforehand, they

17:52

suffered about 40% less of an impairment

17:56

relative to the people who had not

17:59

created any savings plan. Now, they

18:02

weren't in debt. They were just net

18:04

neutral.

18:05

>> But boy, did they drop quickly. Whereas

18:08

those people who'd had some cash in the

18:11

sleep credit system, they didn't fall

18:14

anywhere near as far. But this is

18:16

remarkable for people like you were

18:17

saying who are facing, let's say, if

18:19

I've got a sprint at work or I'm a

18:21

medical doctor, I know I'm about to go

18:23

on call for the next 40 hours. You're a

18:26

military, aviation, all of the new

18:28

parents. All of these circumstances are

18:31

places where now we know athletes is a

18:33

great example. When we work with a

18:35

athletes, people like Michael Grner have

18:37

demonstrated that athletes sleep

18:39

terribly typically the night before a

18:42

huge performance. No matter, you know,

18:43

of course, they're nerves.

18:45

>> But what you can do is you can have them

18:47

bank sleep in the days before when

18:49

they're not as nervous and therefore

18:51

their performance doesn't suffer as much

18:53

even though they know they're going to

18:55

be deprived.

18:56

>> Sleep is so important, isn't it? And I

18:58

think everybody now knows that because

18:59

of people like yourself or really, you

19:01

know, you were the real pioneer in

19:02

pushing the subject into the world. I

19:03

remember when you first went on Joe

19:05

Rogan's show, the amount of my friends

19:07

that sent me that episode and then sent

19:08

me your book was just staggering. It was

19:10

like that was the catalyst moment, I

19:12

think, in society for the mainstream to

19:14

really start talking and caring about

19:15

sleep. However, there's still so many

19:18

people struggling um because of all the

19:21

factors that you talked about when we're

19:23

talking about group two who have those

19:24

lifestyle factors, the stress, the

19:26

psychological factors, the trauma, etc.,

19:28

etc.

19:30

What can we give them, those people, the

19:33

people that really really struggle,

19:34

maybe they haven't got a disorder. We'll

19:35

come to the people with sort of sleep

19:36

disorders later and we'll talk about

19:38

optimizers. But what what is the new

19:40

information or advice that we can give

19:43

them that will help them once and for

19:46

all sleep 8 hours a night and get their

19:49

life back?

19:51

>> If you were to push me to say what are

19:52

the three most

19:55

impactful things that you can start

19:57

doing tonight to start sleeping better,

20:00

it would be the following.

20:03

Digital detox.

20:05

>> Okay, let me write this down. Digital

20:06

detox. Okay, what does that mean?

20:08

>> 1 hour before bed,

20:11

try to limit

20:13

activating social media engagement,

20:17

email, and text messages that are going

20:21

to trigger you.

20:22

>> It's fine to listen to a podcast, you

20:24

know.

20:25

>> Thank God for that.

20:26

>> You heard it here, folks.

20:28

>> Right from that book.

20:29

>> But it's also good to like and

20:30

subscribe, would you say? I would say

20:32

that you know like and subscribe and

20:34

then just click here so that you get the

20:36

latest notification you get that bell

20:38

just click on the bell icon so that you

20:42

>> so it's not a problem of blue light a

20:46

quick aside we've been taught this myth

20:48

of the blue light effect

20:50

>> from devices and it really is a myth

20:53

because an incredible Australian

20:54

researcher a guy called Michael Gradazar

20:57

has almost singlehandedly

20:59

changed the the what I think of as being

21:02

the zeitgeist for a while after a very

21:04

influential paper which is a great paper

21:06

and what they showed was that 1 hour of

21:08

iPad reading before bed ended up

21:10

impairing your melatonin it disrupted

21:13

sleep it reduced the amount of dream

21:15

sleep and even after they stopped

21:17

reading the iPad the blast radius impact

21:20

on your dream sleep lasted a week it's

21:22

almost like the drug needed to get

21:23

washed out the system that even when you

21:26

you'd stop using technology for an hour

21:28

before bed the impact of that technology

21:31

ology even though you'd stopped using it

21:33

could still be seen in the echo of sleep

21:35

disruption for a week later. It was a

21:37

very influential study in a very

21:39

prestigious channel.

21:40

>> When was that a while ago?

21:41

>> That was probably about 10 years ago.

21:42

But then Michael Gretazar, this

21:44

incredible Australian researcher started

21:46

to say, well, I can't replicate these

21:48

findings.

21:49

And what he was discovering is that it's

21:51

not the blue light that's the problem.

21:53

Now, the blue light will change aspects

21:55

of your melatonin. And melatonin is a

21:57

hormone. It simply tells your brain and

21:59

your body when it's nighttime, when it's

22:01

time to fall asleep. It doesn't

22:02

participate in the generation of sleep.

22:04

Melatonin is like the starting official

22:06

at the 100 meter race. It brings all of

22:08

the races to the line and it begins the

22:11

timing of the race, but it doesn't

22:13

participate in the creation of the race

22:14

itself. That's a different set of

22:16

chemicals.

22:16

>> It doesn't make you go to sleep. It

22:18

doesn't make you and if you look at what

22:19

we call meta analyses where we gather

22:21

together all of the individual studies

22:23

on a topic and we put them in a big

22:25

statistical bucket. What they found is

22:27

that melatonin will only improve the

22:28

speed with which you fall asleep by

22:31

about um 3.4 minutes and it will only

22:34

increase the efficiency of your sleep by

22:37

about 2.2%. So not much more than

22:40

placebo. Um, so melatonin is it it's now

22:45

the placebo effect is the most reliable

22:47

effect in all of pharmarmacology. So you

22:50

know maybe no harm no foul I would say

22:52

and don't forget I will come back to the

22:54

three but when it comes to melatonin be

22:56

careful more isn't always better and you

23:00

run the risk of confusing your morning

23:04

brain into a dense nighttime fog. And

23:08

what I mean by that is

23:10

10 milligrams or 20 milligrams of

23:12

melatonin is what we call a supra

23:15

physiological dose, which again is just

23:17

a fancy medical term to say it's a size

23:19

of magnitude of melatonin that your body

23:22

would never naturally release. It's far

23:24

greater. So melatonin is the signal of

23:27

darkness. And normally by the morning

23:29

hours, our natural release of melatonin

23:32

has stopped and you're down to zero

23:34

levels again

23:35

>> in the morning.

23:35

>> In the morning. So, you wake up and your

23:37

body no longer has the signal of

23:39

melatonin saying it's night, it's night,

23:41

it's night. But if you've dosed yourself

23:43

with 10 milligs or 20 milligs of

23:45

melatonin, you run the risk of saying,

23:48

well, yes, I know it quote unquote

23:50

knocks me out. But the problem is in the

23:53

first, you know, 3 or 4 hours of the

23:54

waking morning, you're struggling

23:57

because you're in this fog of a hormonal

24:00

melatonin, a hormonal signal saying it's

24:03

still pitch black. No, it's not. It's

24:05

bright light outside, but your body is

24:07

fooled into thinking it's pitch black

24:08

because you've dosed yourself too high.

24:11

And no wonder you're reaching for two or

24:13

three cups of coffee in the morning. So,

24:15

what what dose of melatonin should I be

24:17

taking?

24:17

>> Somewhere between probably about 0.1 to

24:21

3 millig.

24:23

>> And do you advise melatonin for people?

24:25

>> Yes, in two conditions. The first or

24:28

circumstances I should say. The first is

24:30

when you're going through jet lag.

24:32

Wonderfully helpful. But timing is

24:35

critical. You need to create that sort

24:37

of that artificial signal of night

24:40

because let's say that you and I here in

24:42

Los Angeles, we're both going to fly

24:43

back to London tomorrow and London is 8

24:47

hours ahead. So, we fly overnight. We

24:50

arrive in London and then that first

24:52

night, let's say we decide to go to bed

24:55

uh or I decide to go to bed in the hotel

24:57

at midnight. The problem is here in Los

25:00

Angeles and my body clock, it's still

25:02

400 p.m. because London's 8 hours ahead.

25:05

So, my melatonin is not going to rise

25:08

for probably another 6 or 7 hours. So, I

25:10

need to artificially hijack my melatonin

25:14

system and tell my brain, "Oh, no, it's

25:16

not 400 p.m. It's instead it's

25:19

midnight." And so, there under

25:21

conditions of jet lag, very helpful. The

25:24

second is if you have a circadian rhythm

25:26

disorder. Let's say that you're someone

25:28

who has a an advanced circadian phase.

25:32

What that means is you're someone who

25:33

really can't get sleepy until 3 or 4 in

25:36

the morning and you would prefer to be

25:38

sleeping throughout most of the day. So

25:40

you you're almost nocturnal.

25:41

>> Is that a genetic disorder?

25:43

>> And yes, it's a genetic disorder in

25:45

part.

25:45

>> How many people have that? probably one

25:48

to two% of the population have a very

25:50

severe adv what we call an advanced

25:52

circadian phase disorder but their

25:55

melatonin can also be helpful because

25:57

once again their melatonin part of their

25:59

problem is that their melatonin is very

26:00

delayed so they don't get the signal of

26:03

oh it's night until maybe 4:00 in the

26:06

morning you and I we start to get our

26:08

signal of melatonin depending on our

26:10

chronotype by somewhere between about 9

26:13

10 or 11 p.m. they may be delayed by 5

26:16

hours. So if we can give them melatonin,

26:18

we can artificially try to fool their

26:20

brain into thinking it's actually

26:23

earlier in their biological rhythm. So

26:25

they sleep earlier and they're more in

26:27

sync with the rest of society.

26:29

>> How does someone know if they're that

26:30

type of person if they have that

26:31

disorder? Is there there's not a way to

26:33

test, is there?

26:34

>> Well, what we typically do is we will

26:36

bring you into a laboratory and we will

26:38

measure your innate level. So we will

26:40

shut out sort of all windows. All clock

26:42

faces are gone and we just let you run

26:45

your natural rhythm.

26:46

>> And they have the same rise and fall in

26:49

melatonin just like you and I do. Except

26:52

where it's doing that rise and fall of

26:54

melatonin on the 24-hour clock face is

26:57

radically different.

26:58

>> Okay?

26:58

>> For you and I, it's, you know, 910 p.m.

27:01

11:00 p.m. at night when we're starting

27:03

that melatonin crescendo.

27:05

>> For them, it's 4:00 in the morning. So,

27:06

we can measure it. It's not in their

27:08

minds. It's not their choice. It's a

27:10

biological edict.

27:12

>> Are you concerned that melatonin is

27:15

becoming more and more popular as a way

27:17

to solve lifestyle issues that have

27:21

caused sleep impairment? Because I'm

27:23

seeing loads of, you know, I'm an

27:25

investor, so I see lots of companies now

27:26

pitching me different products that have

27:29

melatonin in them as a sort of

27:31

day-to-day sleeping supplement.

27:33

>> I think I'm really torn. I've been on

27:36

both sides of this argument and I'm

27:39

cautious about it for two reasons. The

27:41

first is in pediatric populations here

27:43

in the United States.

27:45

>> Pediatric

27:46

>> Yeah. So the people's use of melatonin

27:49

in kids is increasing. So in pediatric

27:52

populations it's increasing

27:54

exponentially. And in fact, if you go

27:57

down the sort of the supermarket aisles

27:59

here in America, often if you go into

28:01

sort of the the health sort of food

28:04

section, there's this big purple

28:05

section. That's the melatonin section.

28:08

And a large proportion of that is there

28:10

dedicated to gummies for your children

28:13

with melatonin.

28:15

And there was a study that was published

28:18

about three years ago that showed here

28:20

in America over the past 10 years there

28:23

has been a 53%

28:25

increase in poisonous overdose

28:28

admissions to hospitals of melatonin in

28:31

the past 10 years. 503%

28:34

increase. So firstly, we've got to be a

28:36

bit careful. The second reason is that

28:39

melatonin is a bioactive hormone and

28:42

it's also involved in reproductive

28:44

development. And there studies done back

28:45

in the 1970s I think where they were

28:48

looking at juvenile male rats which is

28:50

to say male rats who are going through

28:52

adolescence

28:53

and they were dosing them with high

28:55

amounts of melatonin and what they found

28:57

is that that stunted the development of

29:00

the testes of the testicles and it

29:03

caused testicular atrophy. Now, these

29:05

were very high doses, but we've got to

29:07

be a little bit careful. We think we

29:09

say, "Well, melatonin is a natural

29:11

hormone, so anything natural is safe."

29:14

Melatonin overall in terms of its safety

29:16

profile is very safe. It's actually a

29:18

very good antioxidant.

29:20

But you've got to be careful because

29:22

things like for example testosterone

29:24

supplementation in males what we know is

29:26

that if you're injecting testosterone

29:29

after a while after maybe 18 months or

29:31

so the testicles themselves will stop

29:34

producing their own testosterone and

29:37

even if you stop the administration of

29:39

the exogenous testosterone the injection

29:43

the testes never return their function

29:46

of producing testosterone.

29:48

Now, we don't have any evidence yet that

29:50

that's the case that if you keep taking

29:51

melatonin at high dose, your body, the

29:53

fear would be shuts down its own natural

29:56

production of melatonin. I've seen no

29:57

evidence of that. In fact, I've seen

29:59

evidence the contrary that even after

30:02

about 6 months or even 12 months in

30:03

certain small cities, when you stop

30:06

melatonin, the production starts again

30:08

naturally. It seems fine. Problem is,

30:11

people haven't been taking melatonin for

30:13

just 12 months. They've been taking it

30:15

for years.

30:17

We've got no idea what happens after

30:19

years.

30:20

>> That was my hesitation when the first

30:21

time someone offered me melatonin is

30:23

from doing this podcast and speaking to

30:24

smart people like yourself, I've come to

30:27

learn this sort of principle that if you

30:29

start making something for your body in

30:31

terms of a hormone, if you start sort of

30:33

um consuming something externally like

30:36

testosterone, your body will say fine, I

30:37

don't need to do this. It will try and

30:39

return to that level of balance where

30:40

the quantities in your system are

30:42

maintained, which means it kind of

30:43

learns to shut down. And I always think

30:45

about the case of testosterone because

30:47

men know that if we start injecting

30:48

testosterone then we're going to have to

30:50

pretty much do it forever.

30:51

>> Yeah.

30:51

>> Um if we want those levels to be the

30:53

same.

30:53

>> Yeah. That's the worry is that there are

30:55

no free lunches in biology and usually

30:57

if you fight biology you typically lose.

31:00

>> There's always a tradeoff and some of my

31:02

friends often like talk to me about like

31:04

these miracle things or this thing or

31:05

take medafanol and everything will be

31:07

fine and da but what's the trade-off?

31:09

And I get most concerned when they say

31:11

there isn't one

31:12

>> cuz then I go we don't know it.

31:14

>> Yeah, you've got to be careful because

31:16

absence of evidence is not evidence of

31:19

absence.

31:22

>> Be very careful when you're doing that

31:24

deal with with your physiology. So to

31:28

come back to sort of the three things,

31:29

the first thing we were mentioning is

31:31

digital detox and don't worry about the

31:34

blue light. Worry about light in

31:36

general. I'll come on to that because

31:37

that's the second. But Michael Gratazar

31:39

as I was saying what he found is that

31:41

the blue light doesn't really disrupt

31:42

your sleep. It's a combination of first

31:45

these devices that we use are attention

31:48

capture devices and they are designed to

31:52

fleece you of your attention economy and

31:54

they do it ruthlessly well. They've

31:57

spent tens of millions of dollars

31:58

designing these products to do that. So

32:01

what happens is that these devices

32:03

become hugely activating and as a result

32:07

they essentially will be a mute button

32:10

on your sleepiness. So you could be

32:11

there, you get into bed, it's 11 p.m.

32:13

You think, I am so tired. I was falling

32:15

asleep on the the the couch watching

32:17

television and then you get into bed,

32:18

you start going onto social media and

32:20

then you start doom scrolling and then

32:21

you get into this what we call bed

32:23

rotting where you just sit there and now

32:25

you look at the clock and it's no longer

32:27

11 p.m. It's 1:00 a.m. and you've just

32:30

done sleep procrastination. Now it turns

32:32

out that it's yes that that these are

32:35

attentiongrabbing devices that will mute

32:38

your sleepiness, but you have to be of a

32:40

certain personality type. He found not

32:43

all of us are vulnerable to this sleep

32:45

disruption of devices. You have to be

32:47

someone who is perhaps neurotic, someone

32:50

who has high impulsivity or someone who

32:53

is perhaps high anxious. If you are of

32:55

any of those kinds, you should be really

32:58

careful about your use of technology in

33:00

the bedroom. Now, for me to, you know,

33:03

sit here and say, look, put your phone

33:06

in the car, in the garage, and that way,

33:08

you know, that's what I would love

33:10

because what we've learned to do in this

33:13

modern era is the first thing when you

33:15

wake up, what is it that you do?

33:18

>> No, no comment.

33:21

>> Lots of you.

33:22

>> You,

33:24

>> it's just you and I, Stephen. Um,

33:26

>> I grab my phone before my eyes are even

33:28

open. And what happens is this sort of

33:30

small tsunami of anxiety washes over you

33:33

because as soon as you unlock the phone,

33:35

it's everyone else's agenda for your day

33:37

but your own. And it's a terrible way to

33:39

wake up. Have you ever had the

33:41

experience where you've got to wake up

33:43

for an early morning flight? And it's a

33:44

critical flight. You know that that

33:47

night is not going to be a good night of

33:49

sleep. It's going to be a shallow kind

33:50

of sleep. It's what we call anticipatory

33:53

anxiety. You are anticipating an anxious

33:57

event in the morning. And studies have

34:00

shown that when we create this

34:01

anticipatory anxiety, the amount of deep

34:04

sleep that you have drops significantly.

34:07

You don't sleep as well. And therefore,

34:10

if we just do this little sort of

34:12

version, this lit version of the morning

34:15

flight, which is we know that when we go

34:17

to bed and we put our phone down, we

34:20

know that when we wake up every morning,

34:21

we're just going to open it up to that

34:23

hit of anxiety every morning. No wonder

34:26

our sleep can start to get shallow. Now,

34:29

I'm not going to sit here and say,

34:31

"Well, don't take your phone into the

34:33

bedroom because the genie is out the

34:34

bottle and no matter what I say, it's

34:36

not going back in anytime soon." And a

34:38

friend of mine, Michael Brander, has got

34:40

this beautiful uh framework where he

34:43

says you can take your phone into your

34:44

bedroom. It's fine.

34:46

But you can only use your phone

34:50

standing up.

34:53

>> What's his name?

34:54

>> Michael Grande. He's brilliant.

34:56

>> Mind his own business.

34:58

>> And and what happens is that you you're

35:00

there and you think after about seven or

35:01

eight minutes, I'm just I'm just going

35:03

to have a bit of a sit down here. as

35:05

soon as that phone goes away. So I would

35:07

say that digital detox is the first

35:10

friend that will really help your sleep.

35:13

The the second is regularity. And we'll

35:16

come on to regularity when we speak

35:18

about you know what really makes for

35:19

good sleep. If you were to only do one

35:22

thing, not three things, but just one

35:24

thing. Go to bed and wake up at the same

35:27

time. No matter whether it's the weekday

35:28

or the weekend, regularity is king.

35:32

>> Okay. So that's the third pillar. That's

35:34

correct. Regularity.

35:36

>> Okay. And then I have

35:40

the T for timing.

35:41

>> Correct.

35:42

>> Which we'll go through these. Um

35:44

quantity, which we've talked a little

35:45

bit about already, and quality.

35:47

>> Correct. So when I looked at the

35:50

science, for me, I created this

35:52

framework of the four macros of good

35:54

sleep. You've heard of the three macros

35:55

of food, macronutrients, fat, protein,

35:58

carbohydrate. To me, there are four

36:00

macros of good sleep. And it's QQQRT.

36:03

QQRT and it stands for quantity,

36:13

quality,

36:16

regularity,

36:18

and timing. And think of it less like

36:21

pillars, but the four legs of a chair.

36:24

And if any one of these becomes

36:25

unstable, the chair will topple over.

36:28

So, I'll probably start with the one

36:30

that people have heard me bang on about,

36:32

which is quantity. 7 to 9 hours. This

36:35

myth of 8 hours is nonsense. It's a

36:38

wonderful range. 7 to 9 hours. And what

36:41

we know is that using that sweet spot of

36:43

7 to 9 hours, when you get less than

36:46

that, the shorter your sleep, the

36:48

shorter your life.

36:50

>> Short sleep predicts all cause

36:52

mortality. Now, we say that there's the

36:54

minimum of 7 hours of sleep. And some

36:57

people have argued perhaps correctly

36:58

that look, if you look at these

37:00

mortality curves, there's not much of a

37:02

percentage difference between sleeping

37:04

six hours versus the seven that you're

37:06

telling me is minimum. So 6 hours is

37:09

just fine. So all of this nonsense and

37:11

rhetoric is is is silly from you. And I

37:14

think they've made a conflation

37:17

because

37:18

7 hours is the minimum amount of sleep

37:22

that you need to survive. Because the

37:25

way that we quantify what minimum is is

37:28

based on whether you die or you don't

37:30

prematurely,

37:33

the amount of sleep that you need to

37:35

survive is different than the amount of

37:38

sleep that you need to thrive. And

37:41

people will conflate the former with the

37:43

latter. So you've got to be careful when

37:45

people are sort of touting on social

37:46

media saying, "Well, no, but look, you

37:48

there's not much difference between my

37:50

sort of survival rate on 6 hours versus

37:52

7 hours." You may have a just as much of

37:55

a long life, but the quality of your

37:57

life will be very different. So that's

37:59

quantity 7 to n hours. And is that does

38:03

it change for parents, by the way?

38:04

Because I've met so many parents that

38:06

seem to be functioning better than me

38:07

and they've got four they're having like

38:08

four or five hours sleep. Did evolution

38:10

not give parents any leeway or anything

38:12

when they have kids that suddenly their

38:14

brain changes and now they can survive

38:16

with less sleep? The evidence doesn't

38:18

suggest that once you go through

38:20

parenthood, you get some magic sort of,

38:23

you know, immunity shot that makes you,

38:26

you know, resilient and not vulnerable

38:29

to a lack of sleep. And in some ways you

38:31

could argue because we used to, you

38:33

know, live as a collective tribe and we

38:36

would share duties at that point, you

38:39

know, mother nature doesn't really worry

38:41

too much about you now because you've

38:44

already procreated and you've passed on

38:46

your genetic code. So you are now the

38:50

the sort of the you know the not

38:52

particularly well you know cured for

38:54

individual through evolution. It's your

38:57

offspring gets

38:59

>> so it sacrifices you in a way. I mean

39:01

that's what we see in the animal

39:02

kingdom. Did you see that documentary

39:04

about the octopus?

39:05

>> Yeah, it it was just I mean I thought it

39:07

was beautiful documentary but um

39:09

>> the TLDDR for anyone that hasn't seen it

39:11

is once the octop and I'm going to

39:12

completely butcher this so please ignore

39:14

um once the octopus has given birth it

39:18

dies. Basically it doesn't move out of

39:20

that hole and it dies. Is that a rough?

39:23

>> Well, I don't know if if it dies, but

39:25

its level of of active life.

39:27

>> I searched, does the octopus die after

39:30

reproduction, and it says yes. Female

39:31

octopuses die after their eggs hatch.

39:33

After laying eggs, a female stops eating

39:36

and devotes all of her energy to

39:38

protecting and oxygenating them until

39:41

they hatch. Once they do, she dies

39:43

shortly after, a process called semiol

39:46

parity, meaning they reproduce only

39:49

once. This death is triggered by hormone

39:51

changes from the optic gland similar to

39:55

mamalian proterty glands. And males die

39:59

shortly after mating as well, usually

40:01

within a few months.

40:04

That is wild

40:05

>> in some ways. It's, you know, it's it's

40:06

tragic and it reminds me I'm so glad

40:08

that I'm not an octopus. But

40:12

but but coming back to it, so for there

40:16

doesn't seem to be some you know magic

40:19

cloak of invincibility that you put on

40:22

when you go through parenthood.

40:24

Certainly what we know is that the

40:26

number of individuals who can survive on

40:29

6 hours of sleep or less and show no

40:31

impairment in either their brain or

40:33

their body rounded to a whole number and

40:36

expressed as a percent of the population

40:38

is zero.

40:40

So quantity matters but it turns out

40:43

that we got it wrong in thinking that

40:45

was the only thing because then came

40:49

quality. So QQRT quality is defined in

40:53

sleep science as two things. The first

40:55

is something that your sleep tracker

40:57

will measure which is the continuity of

40:59

your sleep. Meaning do you sleep in one

41:02

or two nice long bouts throughout the

41:04

night? That's good quality of sleep,

41:06

nice continuous bouts versus your sort

41:09

of sleep is very fragmented by all of

41:11

these awakenings. That's very poor

41:13

quality of sleep. And the way that you

41:15

can measure it in your sleep tracker is

41:17

just by looking at the app. And there'll

41:19

be something called sleep efficiency.

41:21

Sleep efficiency is defined as the

41:23

following. Of the time that you're in

41:24

bed, what percent of that time is spent

41:27

asleep? And what we like to see is you

41:30

north of 85% or above. So, this is kind

41:32

of like the users's guide to sleep

41:34

trackers. What I want to see is 85% or

41:38

more. If you're less than that, we need

41:39

to have a conversation. That's number

41:41

one, good quality of sleep. The second,

41:44

which is what sort of what these

41:46

trackers can't really do, but I can do

41:48

in the sleep laboratory when you look

41:49

like a spaghetti monster cuz I put

41:51

electrodes all over your head. I can

41:53

measure the quality of your big, deep,

41:55

slow brain waves of deep non-REM sleep.

41:58

And that is a second measure. The power

42:00

of those big slow brain waves. That's a

42:03

second measure. And quality seems to be

42:06

as predictive as quantity in making a

42:10

difference not just to your all cause

42:12

mortality but quality even more than

42:15

quantity when it comes to mental health

42:18

has been showing the bigger signal. So

42:21

again it's not that quantity doesn't

42:23

matter. You do have to get sufficient

42:25

amounts of sleep but quality as much as

42:28

quantity should be paid attention to and

42:31

I haven't said that enough.

42:33

>> Mhm.

42:34

>> The next is where we came to in our sort

42:36

of three things that I was saying. The

42:37

first is digital detox. Then next thing

42:39

I said is regularity.

42:42

This is somewhere where I've also

42:43

changed my mind on. I've doubled down on

42:46

regularity. There was a study that also

42:48

came out of that same data set that I

42:50

described. It's called the UK Bioank

42:52

data. And now they didn't look at 90,000

42:54

individuals, but they looked at 60,000

42:56

individuals. And they decided that they

42:59

were going to compare and split them

43:02

into quartiles. So the most regular to

43:05

the second most regular to then sort of

43:08

the third most regular and then the

43:10

final quartile was those who were the

43:12

least regular.

43:13

>> And what does regular mean in this

43:14

context?

43:15

>> Good question. highly regular

43:17

individuals plus or minus 15 minutes in

43:21

terms of going to bed and waking up at

43:22

the same time. In other words, a total

43:23

wiggle room of 30 minutes.

43:25

>> Oh, okay. So, if I'm always going to bed

43:26

at 9:00 p.m. and I do that 5 days in a

43:28

row, I'm regular timing really.

43:30

>> So, so it's it's regularity in terms of

43:32

when you're going to bed and waking up.

43:35

>> So, it you're right, it's timing in a

43:37

way, but I'll come on to why there is a

43:39

separate t for timing in just a second.

43:41

But regularity here was okay, plus or

43:44

minus. So, let's say you go to bed at

43:46

8:45 p.m. one night and then 9 and then

43:49

9:10 p.m. and then you're back to 8.

43:51

That's beautiful tight timing. I like

43:53

that. Whereas the those people who were

43:55

least regular, they were 90 to 120

43:59

minutes desperate. They were going to

44:00

bed, let's say, at 11 one night, then 1

44:04

a.m. the next night, then they were

44:05

going to bed at 10:30 p.m. and then they

44:07

were going to bed at 12:30. They were

44:09

all over the map. So what they found was

44:12

that those people who were most regular

44:15

versus least regular, so they compared

44:17

the extremes of these two, those people

44:20

who were most regular had a 49%

44:24

relative decrease in all cause

44:26

mortality. So they were 49% less likely

44:29

to prematurely die than those people who

44:31

were least likely to die. They had a 39%

44:35

cancer mortality risk reduction. Great.

44:39

they had a 57%

44:41

cardioabolic

44:43

disease risk reduction. So that was

44:46

stunning. That regularity was incredibly

44:50

powerful as a predictive signal of your

44:52

different forms of mortality. That

44:55

wasn't the best part of the paper

44:56

though. They had also measured quantity

44:59

as well as regularity in these same

45:01

individuals. So then they decided to

45:04

say, well, I'm going to take our measure

45:06

of quantity and regularity and we're

45:07

going to put them both in the same

45:09

statistical bucket and do a Coke Pepsi

45:12

challenge to see which one wins out in

45:14

terms of predicting all cause mortality.

45:16

We all bet in the sleep field, at least

45:18

I did, it was going to be quantity. I

45:20

was wrong. Regularity beat out quantity

45:23

in predicting all cause mortality and by

45:26

quite some margin. Now that doesn't mean

45:28

that you can now go away and say, "I'm

45:30

going to start sleeping 4 hours." but

45:32

incredibly consistent 4 hours. You need

45:35

both quantity and quality. But goodness

45:38

does regularity seem to carry a massive

45:41

signal. So coming back to those three

45:43

things, I would say digital detox, just

45:45

go to bed and wake up at the same time.

45:47

And the final thing is light. In this

45:50

modern world, we are a dark deprived

45:52

society.

45:54

We get what I call junk light at night.

45:57

So you've heard of junk DNA. Well, we

45:59

get junk light at night.

46:01

We don't need all of this light and it

46:03

fools our brain into thinking it's still

46:05

daytime outside. So no wonder as a

46:08

society we have some struggles with

46:10

sleep at night. Now that's due to many

46:12

reasons. Stress, too much caffeine,

46:14

alcohol, THC. But excessive light is one

46:18

of the easiest things that you can do.

46:20

So for the next 7 days, just do me this

46:23

experiment. If you can set an alarm 1

46:27

hour before your normal bedtime. When

46:30

that alarm goes off, turn off, and I I

46:32

do this myself, turn off almost all of

46:35

the lights in your house.

46:37

>> When you say all of the lights, do you

46:38

mean the little red light on my smoke

46:40

alarm or

46:41

>> No, that's fine. But, you know, so my

46:43

wife and I, 1 hour before bed, almost

46:45

all the lights, we've got sort of this

46:47

little set of this sort of light that

46:49

goes around the television, the back of

46:50

the television, so it kind of looks like

46:52

the television's cool and illuminated. I

46:54

will set that down to about 5% of

46:57

brightness and all of the rest of the

47:00

lights out so you can kind of just still

47:02

see some illumination so I'm not sort

47:04

of, you know, looking desperately uncool

47:07

uh in in front of her when I'm tripping

47:08

over things cuz it's complete black, you

47:10

know. Then start cooling the house or

47:12

the room as best you can to around about

47:15

67 68° Fahrenheit or about 18°C. We can

47:19

speak about temperature, but just do

47:20

this experiment for the next 7 days. 1

47:22

hour before bed, the alarm goes off. You

47:25

switch off all of the lights and ask the

47:28

following question. Do you feel

47:30

sleepier? Is it soporific? Does it make

47:32

you feel more sleepy as a result? But

47:36

don't stop there. What you've gone and

47:38

done is the first positive experiment

47:40

which is you've gone from the no

47:43

intervention lights are on to then the

47:46

Matt's intervention which is now the

47:48

lights are off for 1 hour before bed.

47:50

Don't just ask is my sleep better when

47:52

the lights were out for 1 hour before

47:54

bed. Once that 7-day period has

47:56

finished, go back to doing what you were

47:59

doing before, which is keep all of the

48:01

lights on and ask yourself, did my sleep

48:04

get better when I did the intervention

48:06

and did my sleep go back to being worse

48:08

when I stopped? Because I'm trying to

48:10

teach you birectionality in the

48:12

experiment. Does that make some sense?

48:14

>> Yeah. So, you get to you get to

48:16

basically do an AB test.

48:17

>> Correct. You get to see both sides of

48:19

the equation. And with that, it's more

48:21

proof positive than just one direction

48:22

alone. because who knows it could just

48:24

be a placebo effect. So regularity

48:27

coming back to it is critical. So we've

48:30

spoken about QQR quantity quality

48:32

regularity

48:33

>> on the um regular

48:36

>> regularity point. Why what's going on in

48:39

our brain that's making it from a

48:41

hormonal perspective or other that's

48:43

making it important for us to sleep at

48:45

the same time?

48:46

>> It's a bloody great question. People

48:48

don't respond to rules. They respond to

48:50

reasons not rules. So let me try and

48:53

explain the reason behind the sort of

48:54

the rule. When it comes to regularity,

48:57

we have something called a circadian

48:59

rhythm that we've spoken about. And

49:01

there's a clock that sits inside of your

49:04

brain deep in the middle of the brain.

49:06

So we have it just turns out a brain

49:10

here.

49:11

Lovely. Okay. So we've got one of these

49:14

hemispheres here. And then I'm just

49:16

going to take out what we call the

49:18

subcortical sections. So these are the

49:20

areas that are below the subcortex. So

49:22

here is the brain. So this is the front

49:24

of the brain, the back of the brain, top

49:26

of the brain, and here's the brain stem.

49:28

And it turns out that right in the

49:29

middle of the brain, right here, there's

49:31

an area called the hypothalamus.

49:34

Now here, this structure here, this is

49:36

the phalamus. This is the sensory gate

49:38

of your brain. So all of your five

49:40

senses, sound, touch, taste, smell, they

49:42

all flood into this gate called the

49:45

phalamus. And then the phalamus will

49:47

decide whether it sends those sensory

49:49

signals up to your cortex. And when it

49:51

sends the signals up to your cortex, you

49:54

start processing them and you become

49:56

consciously aware of the external world.

49:59

Now, as we're falling asleep, just as an

50:00

aside, what's interesting is that this

50:02

gate, the sensory gate, the phalamus,

50:05

once we start to fall asleep, the gate

50:07

will close shut. Now your eyes are

50:10

technically still seeing, your ears are

50:12

still hearing, your tongue is still

50:14

tasting, but because the gate of the

50:17

phalamus, the sensory gate closes shut,

50:20

those signals that are coming into your

50:21

brain are no longer sent up to your

50:24

cortex. So you stop perceiving the

50:26

outside world, which is just simply a

50:28

different way of saying you've fallen

50:30

asleep. Now the hypothalamus, you've

50:34

heard of hypo sort of hypertension or

50:36

sort of you know hypothermia or that

50:38

means lower. So here's the phalamus.

50:42

This area here is called the

50:43

hypothalamus. And it's a tiny structure

50:46

but within that structure contains a

50:48

nucleus. And that group of cells the

50:51

nucleus has a fancy term and it's called

50:53

the supraismatic nucleus. But the

50:56

superismatic nucleus is your master

50:59

24-hour clock. Every cell in your body

51:03

has a clock inside of it. But this is

51:06

the master clock. It's like Lord of the

51:09

Rings. There's one ring to rule them

51:10

all. Well, there's one clock to rule

51:12

them all. And here in the super

51:15

chaismatic nucleus, you get the 24-hour

51:18

rhythm of being awake and being asleep,

51:20

being awake and being asleep. How does

51:22

your brain keep quartzlike precision

51:26

24-hour clock time? How does it do that?

51:30

The way it does that is that it uses

51:32

signals such as light and dark

51:35

>> from your eyes

51:36

>> from your eye. And so when light comes

51:39

through the retina, it tells the

51:42

hypothalamus it's daytime and therefore

51:45

you should be awake. And its rhythm

51:47

starts its awesome sort of upswing. And

51:49

temperature can do this and feeding can

51:51

do this all sorts of different things.

51:52

But for the most part, light is the

51:55

principal governor that essentially acts

51:58

like electrical, I should say, photon

52:00

fingers that pops the wristwatch dial

52:02

out and resets it precisely. So, 24

52:05

hours every single day. Because if

52:07

you're left in the dark with no signals

52:09

of light, your clock isn't precise. It

52:12

drifts to about 24 hours and 15 minutes.

52:15

So, you start going forward a little bit

52:16

every single day if you go into a cave.

52:18

And people have done this experiment.

52:20

The thing that keeps it precise is

52:21

light. So, you need light to keep a

52:25

beautiful 24-hour rhythm. One of those

52:28

things that's under the control of your

52:29

24-hour rhythm is your sleep wake cycle.

52:32

>> What if I'm doing exercise?

52:34

>> Exercise is a wonderful entrainer of

52:37

your circadian rhythm as long as you're

52:39

doing it at the right time. So, if

52:41

you're starting to exercise at 3:00 or 4

52:44

in the morning, that's not good because

52:46

that's an activity signal that's going

52:48

to confuse the brain into thinking it's

52:50

the active period, which is normally

52:52

because we're a dional species, the day.

52:54

And it's the same thing coming back to

52:56

my point of regularity.

52:59

Using light as the best way to help with

53:02

that regularity because light if it's

53:05

artificial at night fools your brain

53:07

into thinking that it's daytime still

53:10

outside.

53:11

>> I mean is there any such thing as

53:12

non-artificial light? I mean I mean I

53:14

guess with the sun but I mean is there a

53:15

type of light that I could use at night

53:17

like candles or something or

53:19

>> Yes. below 30 lux,

53:22

>> right,

53:22

>> is not going to necessarily do you a

53:24

disservice. Probably below 50 lux. Now,

53:26

lux lux is just a measure of light

53:29

intensity. And you can download on the

53:31

app store a free looks meter. And if

53:33

you're an idiot nerd like me, you're

53:35

going all over the house at night and

53:37

you're sort of putting it in different

53:38

location, you're seeing any kind of

53:41

white spots here where you know the

53:42

looks is too high, but you need to drop

53:45

that that looks. By the way, it's a

53:47

great way if people want to say, "Look,

53:49

my REM sleep is deficient. How can I get

53:51

more REM sleep?" There's a great study

53:53

where they did something similar to what

53:54

I'm telling you now. 90 minutes before

53:57

bed, they turned down the lights to

54:00

below 30 lux, and they pulled out all of

54:03

the blue light. And just that trick of

54:06

dropping the lights down 90 minutes

54:08

before bed, below 30 lux, making it warm

54:12

yellow light, increased their REM sleep

54:14

by 18%. Wow,

54:16

>> it's a huge margin. So, no need for

54:18

pharmarmacology. But to your question,

54:20

why is regularity

54:24

important? Well, I told you that light

54:25

is one of the signals that can create

54:28

regularity. It turns out that your

54:30

behavior is another thing that will tell

54:34

your brain. So, meaning when you go to

54:37

bed and wake up at the same time, it

54:40

acts like an anchor. It anchors your

54:42

circadian rhythm and it tells you almost

54:46

like a scene in a movie. This scene is

54:49

now complete. A new scene starts. This

54:51

scene is complete. A new scene starts.

54:53

So every time that you're going to bed

54:55

at the same time and waking up at the

54:57

same time, you are feeding the super

54:59

chaismatic nucleus, the master 24-hour

55:01

clock in your brain, you're feeding it

55:03

signals of regularity.

55:06

And when it feeds on signals of

55:08

regularity, it improves the quantity and

55:12

the quality of your sleep. Your

55:15

circadian rhythm likes consistency. It

55:18

likes regular signals. When you feed it

55:20

signals of light, of activity, of waking

55:23

up, going to bed, you improve the

55:25

quantity and the quality of your sleep.

55:28

That's the reason behind the underlying

55:30

rule. So having a TV in your bedroom is

55:32

a terrible idea then because if on that

55:35

behavioral point if I'm getting in bed

55:36

but then I'm staying up for 3 hours

55:38

watching Netflix my brain is going to be

55:41

quite confused about like the behavioral

55:43

pattern of what what I'm doing in my

55:44

life. It's not going to associate the

55:46

bed with sleep. It's going to associate

55:48

the bed with movies.

55:49

>> That's one of the problems that we call

55:51

con it's called conditioned arousal

55:53

which sounds a lot more salacious than

55:55

it actually is. It's a term that we use

55:57

in sleep medicine which may explain

56:01

insomnia. So with insomnia, let's say

56:04

that the first time you go to this thing

56:05

called a dentist and you get in the

56:07

chair and it's kind of cool. You're

56:08

reclined back and you know you think

56:10

this is fine. But then after about 14 or

56:14

15 visits when you get into that chair

56:17

you are no longer looking forward to

56:19

getting into that chair, are you? Why?

56:21

because you've learned the association

56:23

that being in that chair typically leads

56:25

to a bad outcome.

56:27

Now, the same thing is true with the

56:31

bed. If you start associating the bed

56:33

with anything other than sleep, and we

56:35

give you a pass in terms of sex, but

56:38

sleep and sex, anything other than that,

56:40

you start to learn that this thing

56:42

called my bed is this place where I'm

56:45

awake, where I work, where I eat, where

56:48

we have conversations, where I watch

56:50

television. And so, you know, if I were

56:52

to, and again, I'm stealing Michael

56:54

Grand's point, but if I were to say to

56:56

you, bed sleep, bed sleep, bed sleep,

56:59

bed sleep, bed sleep.

57:01

>> Okay. If I were to say bed, scroll, bed,

57:04

eat, bed, work, bed, sleep, bed, TV,

57:07

bed,

57:10

>> you

57:11

>> confused.

57:12

>> Yeah.

57:12

>> Because there's no predictive signal.

57:14

You've never bound an association. Now

57:16

the way this works to your disadvantage

57:19

in insomnia is the following. The

57:23

insomnia event that begins the insomnia

57:25

is typically not the thing that

57:27

maintains the insomnia. So let's say

57:28

that I um had I experienced a really

57:32

difficult bereavement and that triggered

57:35

a form of insomnia where I couldn't

57:37

sleep because of the bereavement.

57:39

Gradually the bereavement is not the

57:42

thing that's going to maintain my

57:44

insomnia. It's because every time I have

57:47

been going to bed over the past month, I

57:50

have not been sleeping. I've been wide

57:53

awake in my bed. So now, because your

57:55

brain is such an incredibly associative

57:57

device, it learns the association that

57:59

my bed is the place where I'm always

58:01

awake. And what do we then do? We need

58:04

to break that association in insomnia.

58:06

So what we do is we say the 20-minut

58:08

rule. If you've been in bed for about 20

58:10

minutes and it's just not happening for

58:12

you, don't worry. Don't listen to idiots

58:14

like me that doom and gloom and disease

58:15

and sickness and one bad night is not

58:18

going to be a problem. It's just not. So

58:20

just say look tonight is not my night. I

58:22

am not however going to lie in bed awake

58:26

because very quickly my brain starts to

58:28

learn the association that my bed is the

58:30

place where I'm wide awake. And you need

58:32

to break that association. So go to a

58:33

different room in dim light. Just read a

58:36

book, listen to a podcast, whatever it

58:38

is. And the rule of thumb is the

58:40

following. only return to bed when you

58:42

are sleepy and so there's no time limit

58:45

and that way you gradually relearn the

58:47

association that my bed is the place

58:49

where I always get consistent sleep

58:52

because otherwise it's the dentist chair

58:54

you walk into your bedroom and you look

58:57

at your bed and it's your nemesis and

58:59

you convinced yourself even before you

59:01

get into bed I'm not going to sleep

59:02

because that's the place where I always

59:04

don't sleep and by the way if you suffer

59:07

from the 3M awakenings my first question

59:09

is how do you know It's 3:00 a.m.

59:12

And that's your first problem. Looking

59:14

at the clock does two things. It makes

59:17

you more anxious.

59:18

>> Yeah.

59:19

>> And second, because your brain is such

59:21

an incredibly associative device, you

59:23

start to then decide that 3:00 a.m. is

59:26

the time when I need to wake up. If you

59:29

keep looking at the clock, you keep

59:31

reinforcing that it's 3:00 or 4. And

59:34

sleep at 3:00 in the morning is like

59:35

trying to remember someone's name. The

59:37

harder you try, the further you push

59:40

sleep away. Sleep is something that

59:42

happens to you. It's not something that

59:44

you make happen. And so at that moment,

59:48

the best advice if you don't want to get

59:50

out of bed is do any one of the

59:52

following. Meditation. Just do a guided

59:55

meditation. You can download apps. Next,

59:57

if that's not your thing, that's okay.

59:59

Do box breathing. You know, you can sort

60:01

of inhale for five, hold for six, exhale

60:06

for seven. There's all sorts of

60:07

different numbers, but you can do

60:09

breathing exercises. The third, if you

60:10

don't like that, is a body scan. So,

60:13

close your eyes, start at the top of

60:14

your head, feel as you know, do I have

60:16

tension in my forehead? Do I need to

60:17

relax it? What about my neck? Do I need

60:19

to move through your body and gradually

60:21

go down? How are my shoulder blades

60:23

feeling? I just relax down into the bed

60:25

and gradually down into the chest, into

60:28

the move through just relax. If none of

60:32

those things feel fun, the next thing

60:34

you can do is take yourself on a mental

60:35

walk. There's a great study from my

60:37

university, uh, the University of

60:39

Berkeley, California,

60:41

and we didn't do the study. Allison

60:43

Harvey did it. By the way, counting

60:44

sheep, bad idea. Makes your sleep worse,

60:48

it turns out. Why is that? Because,

60:50

well, with every kind of little bleeting

60:52

cotton wool ball with a strange look on

60:54

its face that leaps over the fence that

60:56

you're counting, you're reinforcing

60:59

every minute of sleep that you're not

61:01

getting, and it seems to make matters

61:02

worse. But what she found was that

61:04

there's an alternative. If you think

61:06

about a walk that you know in great

61:08

vivid detail. So for me, it's going to

61:10

be walking the dog. So I go over to the

61:13

shelf. I open the door. Is it the red

61:14

lead or the I'm going to go with the

61:16

blue lead today. So I clip the dog in

61:18

with my right hand. I open the door with

61:19

my left hand. I take a left down the

61:20

stairs. I look. It's that level of I

61:23

want you 4K detail in terms of

61:26

granularity.

61:27

And what's common about every method

61:29

I've just described, meditation, box

61:32

breathing, sort of uh body scan, going

61:36

on a mental walk, all of these things

61:38

have in common that you get your mind

61:41

off itself.

61:43

>> In that particular example where she

61:45

asks you to vividly think about a

61:47

journey that you know, what did she find

61:49

in the study? What she found is that

61:51

that increases the speed with which you

61:53

fall back asleep

61:55

>> significantly

61:57

because as I said it it's so you know

62:00

her work to me demonstrated that it it

62:03

is so like that name because the moment

62:06

I stop trying to remember someone's name

62:09

what happens

62:11

>> you remember it

62:12

>> I remember it and so when you do these

62:14

types of exercises where you're getting

62:15

the mind off itself the next thing that

62:18

you typically remember is your alarm

62:21

clock going off in the morning.

62:23

>> Is this why people listen to very vivid

62:26

sleep stories and why I listen to serial

62:29

killer documentaries?

62:32

>> Serial killer documentaries,

62:34

>> true crime documentaries, I should say.

62:35

That's a bit more uh nice to pallet.

62:39

>> I don't know of them. My suspicion is

62:42

that they may be doing your deep sleep a

62:44

disservice. anything

62:45

>> stick up for me in the comments. If you

62:48

if you listen to true crime to fall

62:50

asleep, please write it below in the

62:52

comment section.

62:52

>> If you find it subjectively wonderfully

62:56

pacifying and calming and there is not

62:59

death, naming, blood, and limbs being

63:03

distributed at high velocity all over

63:05

the scene, I would say it's great. But

63:08

if it looks like a Quentyn Tarantino

63:09

movie or sounds like one, maybe harm and

63:12

foul rather than

63:14

>> I mean just in my ears

63:15

>> but yes. So you know we forget that to

63:19

the best of my knowledge the meditation

63:22

company called calm now I have no

63:24

affiliation with them they were doing

63:26

somewhat well but what they realized is

63:28

that they wanted people to sort of

63:29

meditate in the morning and when they

63:30

used looked at their usage statistics

63:32

people were meditating in the morning

63:33

but then there was a huge swath of usage

63:36

right before bed people were

63:38

self-medicating their state of insomnia

63:40

and then through a stroke of genius they

63:42

realized when we were young we used to

63:45

love falling asleep to our parents

63:47

reading us a story.

63:50

Why is that any different when we become

63:51

adults? So they created sleep stories

63:54

and they went from struggling as a

63:57

company I think to becoming the first or

63:59

one of the first billion dollar

64:00

valuation health companies out there.

64:03

they became a unicorn and now they can

64:05

they've got you know people like you

64:07

know Matthew McConnA they've got Harry

64:09

Styles and then occasionally they've got

64:11

a a you know an unfortunate British

64:13

sleep scientist um with a bad voice but

64:16

you can listen to these sleep stories

64:18

and they are wonderfully soporific. Why?

64:20

Because they get your mind off itself.

64:22

>> We we talked um earlier on about

64:24

melatonin and uh there are other

64:27

supplements which people talk a lot

64:28

about. One of the ones that's become

64:29

really popular is magnesium. I've heard

64:32

ashwagandha and I've heard magnesium a

64:34

lot.

64:35

>> Yeah.

64:35

>> Is there any efficacy to these? Are

64:37

these are these useful?

64:38

>> The first thing I would say is that if

64:40

you're suffering from sleep problems and

64:42

you're looking to supplements, you're

64:44

stepping over dollars to pick up

64:46

pennies.

64:46

>> Okay.

64:47

>> What you need to do is think about the

64:49

fundamentals.

64:51

Regularity.

64:52

Watch your caffeine intake. Make sure

64:54

you're not drinking too much alcohol.

64:56

Get regular. Dim down half of the

64:59

lights. Digital detox. Any one of those,

65:01

but especially all of them combined are

65:03

going to get you log orders of better

65:05

sleep than reaching for the latest

65:09

supplement bottle of whatever it is. The

65:12

second thing to say is think about it

65:14

from a logical standpoint. If there were

65:16

really some supplement that promises to

65:19

be the Shangrilar of all respplendant

65:21

sleep at night, the drug companies would

65:24

have been all over it decades ago. To

65:27

put it in context, it took George Lucas,

65:29

I think, about 30 years to amass

65:31

something like 4 billion in revenue from

65:33

the Star Wars franchise. It took Ambient

65:35

22 months.

65:38

That's how big a business sleep farmer

65:40

is.

65:41

>> Ambience is what a sleep pill.

65:42

>> Ambient is a sleep pill. Magnesium, if

65:45

you dig into it, and I I did a deep dive

65:47

about three years ago because I I kept

65:49

hearing it too. This magnesium,

65:51

magnesium. The first thing to note is

65:52

that most forms of magnesium, magnesium

65:55

oxide

65:56

or magnesium citrate, most of these

65:59

forms of magnesium

66:01

don't cross the brain barrier and sleep

66:04

is produced by your brain. So, how can

66:07

something that doesn't get into your

66:09

brain affect

66:12

brain process? Number one, there is one

66:14

form of magnesium that seems to have

66:16

some evidence in favor of it. It's

66:17

called magnesium L308.

66:21

But if you look at the literature, where

66:22

did this story come from? It turns out

66:24

that about 30 years ago, they started

66:27

looking at people who had disrupted

66:28

sleep and they would assess their blood

66:30

work. And what they found is that some

66:32

of those people were magnesium

66:34

deficient. And when they supplemented

66:36

them with magnesium and they became

66:38

magnesium normative, their sleep got

66:41

better.

66:42

But that's very different than saying,

66:44

"Look, you and I, we're currently

66:46

magnesium normative and then dosing

66:50

myself with high volumes of magnesium.

66:53

Am I imagining that that's going to make

66:54

my sleep better?" The the analogy would

66:56

be, let's say I develop this incredible

66:58

new oxygen saturation machine, and you

67:02

say to me, "Well, but Matt, my blood

67:03

oxygen saturation right now, looking at

67:05

my device, tells me it's 98.6%."

67:10

It doesn't matter how fancy or good my

67:12

machine is. I'm not going to get you

67:14

past 100%. You're already at ceiling

67:16

level.

67:17

>> And that's the problem with magnesium

67:19

supplementation. If you're magnesium

67:21

normative, all you're doing is creating

67:23

probably expensive urine at at at that

67:25

moment in time. Now, there may be an

67:28

indirect benefit of magnesium in that it

67:31

does seem to relax muscles. And when the

67:34

body is in a state of relaxation, it

67:37

sends a signal of relaxation back up a

67:40

branch of nerves called the vagus nerve

67:42

that goes up to the brain and signals to

67:45

your brain you're starting to relax down

67:47

and you get this state of quiescence and

67:50

that's very helpful for sleep. So

67:52

magnesium may still have an indirect

67:54

benefit on sleep through its relaxation

67:56

kind of policy that it instantiates in

67:59

the body. But overall, magnesium is not

68:03

really moving the needle if you look at

68:04

the studies. Ashwagandha

68:08

is different. Ashwagandha and another

68:10

compound called phospatitile serarene.

68:14

Phospatidile sererearine and ashwagandha

68:17

both of these supplements seem to help

68:20

do one of two things. They either

68:22

ratchet down the fightor-flight branch

68:24

of your nervous system and they can also

68:27

reduce the amount of cortisol that the

68:30

body is releasing. That's important

68:33

because I see a lot of people coming to

68:35

the sleep center where I'm at and they

68:37

have what I call the tired but wired

68:39

phenomenon where they come to me and

68:41

they say, "I am so tired. I am so so

68:44

tired but I'm just so wired emotionally

68:47

and from a nervous perspective that I

68:49

can't fall asleep." And let's say that

68:51

you've done, let's say, you know, um, an

68:53

onstage event and it's incredible.

68:55

You've got that onstage buzz. You come

68:57

off stage at 11 p.m. And normally you'd

68:59

be fast asleep, but you know, you are so

69:02

wired. It doesn't matter. You are tired,

69:05

as tired as can be, but you're so wired

69:07

you can't fall asleep. That's the fight

69:09

orflight branch being switched on and

69:11

you just can't fall asleep. You need to

69:12

push it back off. Phosphatidal sererine

69:15

and ashwagandha will both push you back

69:17

over into the more quuscent what we call

69:20

parasympathetic nervous system branch.

69:22

That's good. However, they also will

69:26

reduce cortisol and cortisol is a

69:28

wakeromoting hormone. Cortisol is fine.

69:31

We It gets a bad rap. You need to have

69:34

your cortisol start to spike a few hours

69:36

before bed and it helps with the waking

69:38

up process. It's wonderful. Every day we

69:42

have a cortisol spike that starts

69:44

happening before we wake up. It's one of

69:46

the things that helps us wake up and

69:48

then it builds us to this beautiful

69:50

crescendo midm morning where you should

69:52

be awake and not needing caffeine

69:55

>> and it drops before bed

69:57

>> and then it starts to peak in the sort

70:00

of middle early afternoon and in fact

70:02

usually peaks at the late morning hours

70:04

I should say and then it will start its

70:05

awesome sort of downswing and what you

70:08

see is that right before you go to bed

70:11

cortisol should hit its lowest point

70:13

what we call its nadia its lowest

70:16

trough.

70:16

>> Mhm.

70:17

>> What's interesting, by the way, just as

70:19

an aside, is that insomnia we can

70:22

classify usually as at least one of two

70:24

different types. There's actually

70:25

multiple, but let's just say there are

70:27

of those multiple, there are two types.

70:29

One is called sleep onset insomnia. I

70:32

can't fall asleep. The other is sleep

70:34

maintenance insomnia. I can't stay

70:36

asleep. when they've looked at people's

70:39

cortisol on a 30 minute by 30 minute

70:42

basis on the 24-hour clock face, we go

70:44

through just what we described. Just

70:46

before we wake up, we get this rise in

70:48

cortisol. It peaks late morning and then

70:51

it drops down and right before bed, our

70:53

cortisol is almost at its lowest point.

70:56

With insomnia patients, they show

70:58

exactly the same thing. A beautiful rise

71:01

in the late morning hours. It starts to

71:04

come down, but then you see two

71:06

anomalies. Right before bed, it goes

71:09

back up.

71:10

And then in the middle of the night,

71:13

even when it's starting to rise, it will

71:14

have this abnormal spike right in the

71:16

middle of the night, too. And what we

71:19

believe is that that may in part explain

71:21

sleep onset insomnia. Cortisol should be

71:24

coming down and it should stay low right

71:25

before we go to bed. But then it jumps

71:27

back up in insomnia patients. I can't

71:29

fall asleep. And then it continues to

71:32

stay low throughout the first half of

71:34

the night, but then it also spikes in

71:36

insomnia patients. I can't stay asleep.

71:39

>> I've had so many founders speak to me

71:41

and say, "Why didn't this particular ad

71:43

that I ran on this platform work for me?

71:45

Maybe the copy wasn't good. The creative

71:47

wasn't strong." But usually the problem

71:48

is they're not having the right

71:49

conversation because that ad never

71:51

reached the right person. And if you're

71:53

in B2B marketing, that is much of the

71:55

game. And this is where LinkedIn ads

71:57

solves that problem for you. Their

71:59

targeting is ridiculously specific. You

72:01

can target by job title, seniority,

72:04

company size, industry, and even

72:06

someone's skill set. And their network

72:08

includes over a billion professionals.

72:10

About 130 million of them are decision

72:13

makers. So when you use LinkedIn ads,

72:15

you're putting your brand in front of

72:16

the right people. And LinkedIn ads also

72:18

drive the highest B2B return on ad spend

72:20

across all ad networks in my experience.

72:23

If you want to give them a try, head

72:25

over to linkedin.com/diary.

72:28

And when you spend $250 on your first

72:30

LinkedIn ads campaign, you'll get an

72:32

extra $250 credit from me for the next

72:36

one. That's linkedin.com/diary.

72:39

Terms and conditions apply. We were

72:41

talking about regularity, timing, and

72:43

all these things and quality and

72:44

quantity. But one of the things I

72:46

learned from your work is that that last

72:48

hour is potentially the most important

72:51

hour of me being in bed. And I I say

72:54

this in part because my my girlfriend,

72:55

she would wake, she'd have about six six

72:58

hours, six and a half hours sleep. She

72:59

sleeps very very well. Perfect sleeper,

73:01

but she'd always get up really really

73:02

really early. And in part that was

73:06

because of the guilt that I talked

73:07

about. But I had a conversation with her

73:08

about the guilt. And I said, "Just stay

73:10

in bed as long as you need to stay in

73:11

bed. Like just have that extra eighth

73:13

hour." And in part that's because I

73:15

learned that the further we go in sleep,

73:18

the more REM we're getting.

73:20

>> Yeah.

73:21

>> Okay. Can you explain that to me with

73:22

these four blocks? Why that last hour is

73:25

particularly important and why we

73:26

shouldn't be jumping out of bed or why

73:28

we should be using certain sleep devices

73:30

to wake us up when we're at the end of

73:31

that last hour of REM.

73:33

>> Absolutely. So here we have the four

73:35

blocks of sleep. So when we first fall

73:39

asleep, we go into light non rapid eye

73:42

movement sleep. Stage one. This is the

73:44

stage of sleep that if I wake you up out

73:46

of it, you say, "I wasn't sleeping." Now

73:50

you it's just that you're just in that

73:52

transitional phase, this beautiful

73:54

liinal state between the windows of

73:56

wakefulness and true sleep. So this is

73:59

your bridge between the waking world and

74:01

the sleep world. And it doesn't last for

74:03

very long. Maybe just 10 or 15 minutes

74:05

at tops. Then you get into the workhorse

74:08

of sleep. This is stage two nonREM

74:10

sleep. 50% of your night is spent in

74:14

stage two nonREM sleep. I don't like the

74:16

word light nonREM sleep. I've often used

74:19

it, but it's not really it's we do a lot

74:22

of cognitive processing in stage two

74:23

nonREM sleep. It's good stuff. It's not

74:26

just the stage that you have to go

74:27

through from sort of, you know, deep

74:30

non-REM sleep to go back to stage two in

74:32

order for you to get to REM, but I'll

74:34

come to that. So, we have fallen asleep

74:37

10 minutes.

74:38

>> Yeah.

74:39

>> Now, we're in stage two nonREM sleep.

74:41

We'll stay there for about 15 or 20

74:43

minutes. Then if it's in the first

74:45

couple of hours of the night, we go down

74:47

into the very deepest stages of deep

74:49

non-REM sleep. This is where the brain

74:52

wave patterns slow down. But the brain

74:55

waves become incredibly big, huge, big,

74:58

powerful, slow brain waves. This is

75:01

where you get an enormous amount of

75:03

restoration, recovery of many of your

75:05

major physiological systems.

75:08

>> So physical recovery,

75:09

>> physical recovery, but mental too. Yeah,

75:12

>> it's during deep sleep that you take

75:14

newly minted memories that you've

75:16

learned and you hit the save button on

75:18

those memories so that you don't forget.

75:20

>> Deep sleep essentially is going to

75:23

futureproof the information that you

75:25

just learned today. It transfers

75:28

information from a short-term storage

75:31

vulnerable reservoir to a more permanent

75:33

long-term storage site. It's during deep

75:36

non-REM sleep when we have this

75:37

communication. So think of those deep

75:40

powerful slow brain waves like longwave

75:42

radio station when you used to tune into

75:44

a radio station in a car. You get huge

75:47

ability for information transfer across

75:50

long distances across huge paths in the

75:53

brain. It's amazing. So we've gone from

75:56

light non-REM, then we go down into deep

75:58

nonrem. We'll stay there for about 15 or

76:00

20 minutes. Then we'll start to rise

76:02

back up again. We'll go back into stage

76:04

two nonREM sleep.

76:06

>> Wait, we've gone from 1 2 3 to two. Yes.

76:09

So, we've gone, think about it more

76:13

almost like a roller coaster, right? So,

76:15

we go from light nonrem and then we go

76:17

down into stage two nonREM. Then, we go

76:20

down into deep sleep and then we're

76:22

going to rise back up into light stage

76:25

two nonREM sleep. We're going to stay

76:27

there and after about 70 80 minutes,

76:30

you're going to pop up and you'll have a

76:33

short REM sleep period.

76:34

>> Oh, okay. Like this.

76:35

>> And this is beautiful. So this is what

76:38

we call a hypnogog.

76:39

>> I'll put this on the screen for anyone.

76:41

>> Lovely. So what I'm describing here is

76:43

this roller coaster ride. So we've

76:45

fallen asleep light stage one nonREM go

76:47

down into stage two. Then you go down

76:50

and you have a heavy period of deep

76:52

nonREM slowwave sleep. Stage three. And

76:55

then and that's what you see on your

76:57

sleep tracker is deep sleep. This is

76:58

light sleep. This is deep sleep. Stage

77:00

two nonREM sleep. Light sleep. Stage

77:03

three nonREM sleep. Deep sleep. But then

77:06

you'll start to climb back up and then

77:08

you may pop up and you'll have a short

77:10

REM sleep period here after about 70 or

77:12

80 minutes. So you'll have about 10

77:13

minutes of REM sleep and then back down

77:16

you go again. You go down into non-REM

77:19

sleep and then up into REM. Down into

77:21

nonREM sleep and you'll go up into REM.

77:23

Down into nonREM sleep and up into REM.

77:26

So what's interesting however is that

77:29

the ratio of nonREM to REM changes. Now,

77:33

there's a myth out there and it's a bit

77:35

of a problem. We humans have a 90inute

77:40

average nonREM to REM cycle. So, we go

77:42

down into nonREM sleep and then up into

77:44

REM sleep every 90 minutes. Then, we go

77:47

back down into nonREM sleep and then up

77:48

into REM sleep. So, we go down into

77:50

nonREM sleep and then up into REM in

77:52

this 90minut cycle.

77:55

The problem is that it's on average 90

77:58

minutes. It ranges from 70 minutes to to

78:01

120 minutes from one individual to the

78:03

next. So you know these devices that you

78:05

may have seen tried to sort of you know

78:07

entrepreneurship they say I'm going to

78:10

wake you up at the ideal moment in your

78:13

90minute cycle so that this thing that

78:15

sits on my bedside I tap it when I'm the

78:17

lights go out and then it's going to go

78:19

on its 90minut cycle and it's going to

78:20

figure out the perfect moment to wake

78:22

you up. It's nonsense because my sleep

78:26

cycle may be 75 minutes. Yours may be

78:28

105 minutes. It's got no idea because

78:30

it's using a hard-coded 90minute cycle.

78:33

It's it's in some ways nonsense. But we

78:36

go down into nonREM sleep and up into

78:38

REM sleep every 90 minutes. What changes

78:40

however is the ratio of non-REM to REM

78:44

within those 90inut cycles as you move

78:47

across the night such that in the first

78:49

half of the night the majority of those

78:51

90-minute cycles are comprised of lots

78:53

of deep non-REM sleep and very little

78:56

REM sleep. But as you push through to

78:59

the second half of the night, now that

79:00

seesaw balance shifts over and you spend

79:04

much more of your time in REM sleep in

79:06

the second half of the night and

79:07

particularly just as you said in the

79:09

last 2 hours of the night. Why is this

79:12

consequential? Well, just as you said

79:13

and you spoke about for your girlfriend,

79:15

let's say that you know I normally go to

79:17

bed for argument sake and I'm not saying

79:19

this is the ideal time, but I go to bed

79:20

at midnight to make the math easy and I

79:22

wake up at 8:00. But tomorrow I've got

79:24

to catch my flight back home. So, I'm

79:27

going to wake up two hours early. So,

79:29

I'm going to wake up at 6 rather than 8.

79:31

I've lost two hours of sleep. So, how

79:33

much total sleep have I lost? Well, I've

79:34

lost 25% of my total sleep. 2 hours of

79:37

my 8 hours. 25%. Well, yes and no. I've

79:41

lost 25% of my total sleep, but I may

79:45

have lost 50 60 70% of all of my REM

79:49

sleep. Why? Because REM sleep comes in

79:51

the second half of them, particularly

79:52

those last couple of hours of sleep. So

79:54

that's why it's not just academic that

79:56

you understand the sleep cycle

79:57

relationship, but it's also pragmatic

80:00

because it can impact the amount. In

80:02

fact, the easiest way if people said,

80:03

"How can I get more REM sleep?" I would

80:06

say just sleep 15 minutes later into the

80:09

day than you normally would do and you

80:11

will disproportionately bias yourself

80:14

towards getting significantly more REM

80:16

sleep.

80:17

>> And why does REM sleep matter?

80:19

REM sleep is a brain state firstly that

80:21

is incredibly active in some in fact

80:23

some parts of the brain particularly if

80:25

I were to show you these deep emotional

80:28

centers of the brain as I pull this

80:30

brain apart.

80:32

So we've got these sort of deep

80:34

emotional centers in the brain that sit

80:37

and in fact the sort of they're more

80:38

just underneath in here tucked in inside

80:41

just next to your brain stem at the top

80:43

of it. And these emotional centers are

80:46

called the amygdala. And you have one on

80:48

the left and one on the right side of

80:49

your brain. That part of the brain

80:51

together with a memory structure that

80:53

runs alongside it called the

80:54

hippocampus. Those two parts of the

80:56

brain form what we call the limbic

80:58

system. And you may have heard of the

80:59

limbic system, the emotional centers of

81:01

the brain. Those can be up to 40% more

81:04

active when you're in dream sleep than

81:06

when you're awake.

81:07

>> Dream sleep.

81:08

>> Dream sleep is rapid eye movement sleep.

81:10

>> REM sleep.

81:11

>> So REM sleep is the stage. Now it

81:13

depends on how you define dreaming. If

81:15

you define dreaming as any mental

81:17

activity reported upon awakening, then

81:19

you dream in all stages of sleep. Light

81:21

non-REM sleep, deep REM sleep. So what

81:22

would what would that sound like? Well,

81:24

if I woke you up and said, Stephen, just

81:26

tell me what was going through your head

81:27

and you said, "Well, I was just thinking

81:28

about the next time you're going to come

81:30

in and wake me up." That's just a dream

81:32

thought. What the most people think of

81:35

dreams as the dreams that we have from

81:38

REM sleep, from rapid eye movement

81:40

sleep. That's why we call it dream

81:41

sleep. Dreams from rapid eye movement

81:43

sleep are flid the narrative. In fact,

81:47

last night when you fell asleep and you

81:49

went into dream sleep, you became

81:52

incredibly psychotic.

81:54

>> Excuse me.

81:55

>> Now, before you reject my diagnosis of

81:57

your nighttime psychosis, let me give

81:59

you five good reasons. When you went

82:01

into dream sleep last night, you started

82:03

to see things which were not there. So,

82:05

you were hallucinating. Second, you

82:07

believe things that couldn't possibly be

82:09

true. So you were delusional. Third, you

82:12

became confused about time, place, and

82:15

person. So in psychiatry, we call that

82:17

being disorientated.

82:20

Fourth, you had wildly fluctuating

82:22

emotions. Something that we call being

82:24

emotionally labile. You're all over the

82:27

place. And then how wonderful, you and

82:29

I, cuz I'll include myself now as being

82:31

psychotic. You and I, we both woke up

82:34

this morning and we forgot most if not

82:36

all of that dream experience. So, we're

82:37

suffering from amnesia. If you were to

82:40

experience any one of those five

82:41

symptoms whilst you're awake, you'd be

82:43

seeking some degree of psychological

82:45

help. But for reasons that we're only

82:47

now understanding, it seems to be a

82:48

normal biological and psychological

82:50

process. So, what are the reasons? Why

82:53

do we dream? We dream for at least two

82:55

different reasons. The first reason is

82:58

emotional first aid.

83:01

REM sleep is what I've defined as

83:03

overnight therapy and it's during dream

83:06

sleep where your brain takes difficult

83:08

painful emotional experiences and it

83:11

acts like a nocturnal soothing balm and

83:13

it just takes the sharp edges off those

83:15

difficult painful experiences so that

83:18

you come back the next day and you have

83:20

a memory of an emotional event but it's

83:23

no longer emotional. you don't have that

83:25

same visceral regurgitation of of that

83:29

same emotional charge.

83:32

Why is REM sleep able to do this

83:34

overnight therapy, this deepotentiation?

83:37

Why is REM sleep able to sort of strip

83:39

the bitter emotional rind from

83:41

theformational orange as it were? The

83:44

reason is the following. Dream sleep,

83:47

REM sleep is the only time during the

83:50

24-hour period where the brain shuts off

83:52

a stress related neurochemical called

83:55

noradrenaline.

83:56

Now, you've heard of the sister chemical

83:58

downstairs in your body called

84:00

adrenaline. Well, upstairs in the brain,

84:02

we don't have adrenaline. We have

84:03

noradrenaline. REM sleep is the only

84:05

time where it's completely shut off. And

84:09

what we put forward is a theory called

84:11

overnight therapy where your brain has,

84:14

as I told you, these emotional centers

84:16

and these memory centers. The emotional

84:18

centers, the amydala, the memory

84:19

centers, the hippocampus. You reactivate

84:22

those structures when you go into dream

84:24

sleep. So your brain gets the chance to

84:26

reactivate and replay and reprocess

84:29

emotional experiences. However, it's

84:32

doing it in a quote unquote safe

84:34

neurochemical environment because that

84:36

stress chemical of neuradrenaline is

84:38

completely shut off. So, it's the ideal

84:41

neurochemical therapy for stripping the

84:45

emotion from the memory. And we put

84:47

forward a theory that perhaps the

84:48

quintessential disorder where this fails

84:51

is PTSD.

84:53

Because when you speak to those

84:55

patients, not only do we see that their

84:56

REM sleep is disrupted,

84:59

when you speak to those patients, they

85:01

will say, "Look, I just can't quote

85:02

unquote get over the event." What they

85:05

mean by that is the war veteran who is

85:08

now going to the supermarket and they

85:10

come outside and they're in the car park

85:13

and the car backfires and they instantly

85:15

have the flashback to the the sort of

85:18

detonation on the military field. And

85:21

what's happening there is that the brain

85:23

has not stripped the emotion from the

85:26

memory. So every time they relive the

85:28

memory, they regurgitate that same

85:30

emotional reaction.

85:32

>> So no wonder we proposed that the brain

85:34

then comes back the following night and

85:36

says, "Look, I'm sorry, sleep. I've

85:39

still got this trauma memory. Can you do

85:41

your trick of stripping the emotion from

85:43

the memory?" And it fails again. So the

85:46

next night it comes back and says, "I'm

85:47

sorry to bother you, but I've still got

85:49

this emotionally charged memory. Please

85:51

do your trick of stripping the emotion

85:52

from memory." It fails again. This

85:55

sounds like the broken record of

85:57

repetitive nightmares that we see in

85:59

PTSD.

86:01

Why could this be happening? Levels of

86:03

noradrenaline in the brain in patients

86:06

with PTSD are too high. And I was at a

86:09

conference some years ago where I was

86:10

presenting this theory. We just

86:12

presented this theory. It was a theory

86:14

and it was in search of data. And it

86:16

turns out at the same conference, it was

86:18

one of those incredible moments. You get

86:19

hairs on the back of your neck. There

86:21

was a psychiatrist from Puget Sound,

86:23

which is just outside of Seattle on the

86:25

west coast of America. And he had been

86:28

treating his war veterans in the

86:30

Veterans Administration with a blood

86:32

pressure medication called Preszicin.

86:35

Now, it turns out that prescineric

86:38

drug because it's the Veterans

86:39

Administration, so it's cheap and it

86:41

crosses the bloodb brain barrier. When

86:44

prescin brain, one of the things that it

86:46

does is shut down levels of

86:49

noradrenaline. Why was this interesting?

86:52

What he was perplexed by is that he was

86:54

saying, "I'm giving this blood pressure

86:55

medication to my war veterans with PTSD.

86:58

It's not helping too much with their

87:00

blood pressure, but they're all coming

87:01

back saying, "All of those repetitive

87:03

nightmares, they're starting to go away

87:05

and I'm sleeping better and I'm feeling

87:07

better." What he had done was

87:10

inadvertently treated their high levels

87:13

of noradrenaline which were preventing

87:16

the brain from kind of stop dropping

87:19

those levels of noradrenaline down and

87:20

processing the emotion from the memory.

87:23

It was too high in those PTSD PTSD

87:25

patients. But by treating them with this

87:27

drug, he'd inadvertently brought the

87:29

levels of noradrenaline down during REM

87:31

sleep. And then it ultimately became one

87:34

of the only prescribed medications in

87:36

the Veterans Administration for

87:37

repetitive nightmares because why? The

87:41

brain had finally got down into a quote

87:43

unquote safe chemical state because

87:46

neuradrenaline was too high. But he

87:48

treated them with this drug. So he had

87:52

data that was in search of a theory. I

87:54

had a theory that was in search of

87:56

clinical data. And so I raced to him

87:59

after he gave us a presentation. I said,

88:01

"I think I know why you're finding what

88:03

you're finding." I flew him down to

88:05

Berkeley. We spent all day together. We

88:07

went out for a dinner together. And as I

88:09

said, ultimately he went on to do

88:10

clinical trials. And it it's not a cure

88:12

all for everyone, by the way. It doesn't

88:14

work for everyone.

88:16

But and I would say that there is now a

88:18

better treatment for nightmares if

88:20

you're suffering from nightmares and

88:22

it's called image rehearsal therapy or

88:25

IRT

88:27

and it works through an incredible

88:29

mechanism of memory that we actually had

88:31

discovered about gosh 20 years ago now

88:33

called memory reconsolidation.

88:36

So when you learn information, it would

88:39

be or let's take a word document.

88:42

Wouldn't it be staffed if you opened up

88:44

a word document, you started typing in,

88:46

you know, all this information, you hit

88:48

save, and then you come back tomorrow

88:49

and you double click on the document and

88:52

word has shut you out, you can't edit

88:53

the document. That's a really bad

88:56

information storage system. It's a bad

88:58

idea. Your human memories are just like

89:00

this. You form new memories, then you

89:04

sleep, and you save them. But when you

89:06

come back and you reactivate that memory

89:09

when you recall a memory, you bring it

89:12

back into this opened up state, it's

89:14

like double clicking on the memory and

89:16

the memory becomes fragile and malleable

89:18

once again. So you can update and edit

89:21

that memory. And then the next night you

89:23

resave it. It's called reconsolidation.

89:25

So the first night I save it. That's

89:26

consolidation. Then I reactivate it. I

89:29

modify it and then the next night I

89:31

reconsolidate it. So coming back to

89:35

nightmares, it turns out that you can do

89:37

this with trauma patients who have

89:40

nightmares caused by trauma. For

89:41

example, let's say that you got into a

89:43

horrific road accident and you went

89:45

through your brakes failed, you went

89:47

through the red light, you got t-boned,

89:49

it was just traumatic, was all

89:51

traumatic.

89:53

And what you do with the therapist

89:54

because you're having these repetitive

89:56

nightmares of reliving that same car

89:59

crash every night, you work with them

90:02

and you tell them the dream. You recall

90:04

the dream actively out loud. But then

90:07

working with a therapist, what you do is

90:09

you modify the outcome. So instead of me

90:12

saying the brakes failed, now in the new

90:14

scenario with your therapist, you say,

90:16

"Well, you look down and there's a

90:17

manual handbrake in the car." So you

90:20

realize that you can actually just

90:21

gradually start applying the handbrake

90:23

and you bring the car to a safe halt and

90:25

you go to the side of the road and

90:26

there's no accident. And what you're

90:29

doing is you're reopening back up that

90:31

trauma memory and you're rewriting the

90:34

narrative and then you sleep and you

90:37

update that memory. And by recalling and

90:41

rewriting the memory each and every

90:43

waking day, you end up dissipating the

90:46

severity of your trauma nightmare every

90:49

single night. And it's called image

90:51

rehearsal therapy for nightmares. It's

90:54

incredibly powerful. It's probably more

90:56

powerful than the presin drug that I

90:57

spoke about.

90:58

>> And I'm guessing people don't sleep and

91:01

also have nightmares for a variety of

91:03

reasons relating to trauma generally.

91:04

Ah, it's a good question perhaps which

91:07

is in some ways what's the difference

91:09

between a bad dream and a nightmare

91:12

>> because all of us will have bad dreams.

91:15

Bad dreams are usually things that

91:18

happen infrequently. Maybe you have them

91:19

once every month, every couple of

91:21

months.

91:21

>> Yeah.

91:22

>> The definition of nightmare disorder is

91:24

that you have to have these dreams

91:26

frequently, maybe at least twice a week.

91:28

They have to wake you up

91:31

out of your sleep and you have vivid

91:34

recall.

91:35

Plus, it has to cause you some kind of

91:38

daytime distress where you're not

91:40

feeling good about the day. It's causing

91:43

you mental anguish. And furthermore, if

91:46

it starts to lead to hopelessness or a

91:50

sense that your life is not worth

91:52

living, you absolutely need to go and

91:55

see someone. And here's what we've

91:56

discovered about nightmares.

92:00

Short sleep duration, not getting enough

92:02

sleep, sleeping less than six hours

92:04

predicts by about 100 to 150% higher

92:08

percentage chance of you having suicidal

92:11

thoughts, attempting suicide or

92:14

tragically suicide completion. That's

92:17

bad sleep.

92:19

It turns out that nightmares, so if

92:22

short sleep has a 150% higher likelihood

92:26

of suicidality,

92:29

having nightmares has an 800%

92:33

higher likelihood of suicidal tendencies

92:36

associated with it. Now, we don't think

92:38

that nightmares are causing suicidal

92:41

tendencies. That's not what we believe.

92:44

We believe, however, nightmares much

92:46

more than disrupted sleep. Nightmares

92:49

seem to be the canary in the coal mine.

92:52

Nightmares are this distress beacon that

92:54

leaks from our electrical static of

92:57

sleep at night and it is incredibly

93:00

sensitive to your suicidal tendencies,

93:03

your suicidal attempts and as I said

93:05

suicide completion as well. Nightmares

93:08

are a biomarker. If you are having

93:11

distressing nightmares that are waking

93:12

you up, you need to go and speak to

93:15

someone about it. It's absolutely

93:17

paramount because there are good

93:19

effective ways that you can dissipate

93:21

those nightmares.

93:23

>> I was trying to understand whether it's

93:24

a a malfunction or it's a signal. I

93:27

guess it might be both.

93:28

>> It's a very good question which is is it

93:31

adaptive or is it maladaptive? Is it a

93:35

good thing to have a nightmare or is it

93:37

a bad thing to have a nightmare? We

93:39

don't quite have the answer to that. But

93:42

let me come back to I told you there

93:43

were two functions of dream sleep and

93:45

we're still in the first one which is

93:47

emotional first aid and it turns out

93:49

that your thinking is incredibly astute.

93:52

We believe that at least normative

93:55

dreams not nightmares nightmares may be

93:57

the system failing just as I spoke about

93:59

in PTSD with repetitive nightmares and

94:03

in fact repetitive nightmares are so

94:04

consistent in PTSD that you can't

94:06

receive a diagnosis of PTSD without

94:08

having repetitive nightmares. That's how

94:10

sort of diagnostic they are. But

94:12

dreaming, normative dreaming, even if

94:15

they're bad dreams, is beneficial. How

94:18

could I make that claim? There was a

94:20

study done by a late sleep scientist, a

94:22

woman called Rosaline Cartwright, and

94:25

she was studying people who had gone

94:26

through a difficult period, let's say

94:28

bereiement or very bitter divorce. And

94:31

they had become depressed because of

94:33

that experience. And around the time of

94:35

the experience, she was seeing them as a

94:38

therapist and she was having them do

94:40

dream recall. So she was having them

94:42

create dream diaries every single night.

94:45

And then she tracked these patients for

94:46

a year. And it turned out about roughly

94:49

half of them by 12 months later had

94:52

remitted from their depression. They'd

94:53

got better. They'd got past their

94:55

depression. The other half were still

94:57

depressed. So then she took that data

95:01

and she went back with those two groups

95:03

and she said, "Is there anything

95:04

different about their dreams and it

95:07

turned out that there was both of those

95:10

groups of people whether they cut free

95:12

of their depression or they stayed in

95:14

their depression. Both of them were

95:15

dreaming at the time. Both of them were

95:17

having REM sleep, both of them were

95:18

dreaming. What was the difference then?

95:21

Those individuals that went on to gain

95:23

remission to their depression and get

95:26

get better, those people were dreaming

95:28

of the events itself at the time that

95:32

they were happening. Whereas those other

95:34

people who didn't go on to gain clinical

95:35

remission, they were dreaming. They just

95:38

weren't dreaming of the experiences

95:40

itself. In other words, it's not just

95:43

sufficient to have REM sleep. It's not

95:45

just sufficient to have REM sleep and be

95:48

dreaming. You need to be dreaming of the

95:51

difficult, painful experience that

95:52

you're going through to gain that

95:54

clinical resolution.

95:55

>> Damn. So, if I have something going on

95:57

in my life, I need to think about it

95:58

before I go to bed.

95:59

>> Yes and no.

96:02

What you have to realize is that it's

96:05

taken us, depending on who you believe,

96:07

3.4 million years of evolution to

96:10

develop this thing called homminid sleep

96:13

and dreaming and REM sleep.

96:15

I think that that evolutionary millions

96:19

of years probably understands what the

96:22

correct blueprint playlist of dream

96:26

experience is and should be for me at

96:29

night. And therefore, I don't need to

96:31

worry about it. I shouldn't try to force

96:32

anything. That's the first function of

96:35

dream sleep is that it's emotional first

96:38

aid. And we've got good data for that.

96:40

But there's a second completely

96:42

independent benefit of dreaming.

96:45

Dreaming is a form offormational

96:48

alchemy. Dreaming is creativity.

96:52

Now I told you that during deep non-REM

96:55

sleep, we take new memories that we've

96:56

learned and we fixate them like Amber

96:58

sort of setting a fossil in and we do

97:01

that during deep sleep. That saves the

97:04

individual pieces of the new stuff. Then

97:06

comes along REM sleep which happens

97:08

after deep sleep. And the second phase

97:11

of memory processing happens. That's

97:13

where REM sleep starts to fuse all of

97:15

the things that you've recently been

97:16

learning with this entire back catalog

97:19

of information. And so you wake up with

97:21

a revised mindwide web of associations

97:25

that is capable of diving solutions to

97:28

previously impenetrable problems. So,

97:31

you know, it's almost you, it's like

97:33

group therapy for memories that REM

97:35

sleep gathers in all of the information

97:37

that you've learned during the day and

97:38

everyone gets a name badge. But unlike

97:40

the waking logical connections that you

97:43

make already, REM sleep is like a Google

97:46

search gone wrong that you insert, let's

97:49

say, diary of a CEO, and it takes you to

97:52

page 20. This is dream sleep.

97:54

>> Mhm.

97:54

>> And it's about some field hockey game in

97:56

Utah. And you think, hang on a second,

97:59

but how on earth is that? Well, there

98:01

was someone who had, you know, they had

98:04

found a diary that had been lost, you

98:06

know, a long time ago. And the guy who'

98:08

found it was a famous CEO in the town of

98:10

this sort of, you know, Utah as he was

98:12

watching. So, it's a distant,

98:13

non-obvious connection. But it turns out

98:16

that that's what dreaming is all about.

98:18

It's almost as though we go to sleep

98:21

with the pieces of the jigsaw, but by

98:23

way of dreaming, we wake up with the

98:25

puzzle complete. And when you start to

98:28

fuse things that shouldn't should not

98:30

normally go together, but when they do

98:32

every now and again cause a marked

98:34

advance in evolutionary fitness, that is

98:37

the biological basis of creativity. It's

98:40

the reason that no one has ever told

98:42

you, "Look, Stephen, you should stay

98:44

awake on a problem." They don't. They

98:46

tell you to sleep on a problem. And in

98:50

every language that I've inquired about

98:51

to date from, you know, from French to

98:55

Swahili, that term sleeping on a problem

98:59

or something like it exists. My point

99:01

being is the benefit, the creative

99:04

benefit of sleep transcends cultural

99:06

boundaries. It's a common experience of

99:08

homo sapiens.

99:10

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99:12

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101:04

What is the uh most important thing we

101:06

haven't talked about as it relates to

101:08

the personas of those people that are

101:10

probably listening right now and for the

101:11

reasons why they might have clicked? You

101:13

know that they're probably looking

101:14

again. We have the optimizers, we have

101:16

those that have bad sleep habits and

101:17

then we have those that have real sleep

101:19

disorders. What is the most important

101:20

thing we haven't talked about that we

101:21

should have talked about for them?

101:23

>> It may be the dystopian future.

101:25

>> Let's talk about the dystopian future

101:27

then.

101:28

What is a podcast if it does not

101:30

contain, at least in this day and age, a

101:32

dystopian future?

101:33

>> What is the dystopian future?

101:36

>> Probably the most spectacular discovery

101:38

that has happened since you and I last

101:40

spoke is the discovery of what we call

101:42

the genetic short sleepers.

101:46

These are individuals who by way of a

101:48

genetic mutation can survive on as

101:51

little as 6.25 hours of sleep. In other

101:54

words, 6 hours and 15 minutes of sleep.

101:57

and they show zero impairment in their

102:00

brain or their body, they can do just

102:03

fine on six hours of sleep.

102:05

>> I know where this is going.

102:06

>> And we have four genes that we've

102:09

identified now. The first two genes. The

102:11

first one identified was called the DEC

102:13

2 gene, DEC2 gene. The second was called

102:16

the ADRB1 gene, which I granted I know

102:20

it sounds like the next Radio Head

102:21

album, but it's it's not the next Radio

102:23

Head album. Um, and these genes allow

102:27

these individuals

102:29

to get away with an amount of sleep that

102:31

normally would cause predictive disease

102:34

and sickness just as we've spoken about.

102:36

So, at this point, probably some people

102:39

listening are thinking,

102:41

I think I'm one of those people. Just to

102:44

put it in context, your the probability

102:48

that you will be struck by lightning in

102:50

your lifetime is 0.00. 00064

102:55

highly unlikely the chances of you

102:58

having the ADRB1 gene is 0.004

103:03

>> and the DBR1 gene is the short sleeper

103:06

gene

103:06

>> is one of the short sleeping genes. So

103:07

in other words you are statistically

103:09

more likely to be struck by lightning in

103:12

your lifetime than you are to have that

103:14

short sleeping gene. So the probability

103:16

is is is low by the way.

103:20

Why is this the case? Why do they get

103:22

away with this? And we've discovered now

103:23

by using sort of um genetic

103:25

manipulations, we understand why. First

103:28

thing is that they have a much stronger

103:30

wake drive during the day. So you and I

103:32

and all the rest of our mere mortals

103:34

will have these kind of like

103:36

oscillations in our consciousness

103:38

throughout the day where we'll have dips

103:39

where we feel a bit sleepy and we're

103:41

dragging and then we'll kind of get they

103:43

don't have that. They have it's like a

103:45

light switch, like a dimmer switch. You

103:47

and I, we may sort of go up to like 80%

103:50

brightness when we're awake and then

103:52

sometimes it will flicker and then we'll

103:54

go down and we'll have pretty solid

103:56

sleep, maybe sort of, you know, down to

103:58

20% but the lights are not quite off,

104:00

you know, where sleep is is good but not

104:03

amazing. These people have an all or

104:06

nothing phenomenon. They are all 100%

104:09

bright light throughout the day and then

104:12

and they can maintain 17 18 hours of

104:15

wakefulness, no problem.

104:17

And then when they sleep, they sleep

104:19

hard. They have much more efficient

104:22

sleep. Remember we spoke about sleep

104:23

efficiency and I want it 85% or above.

104:26

Almost all of their time at night spent

104:28

in solid, stable, sound sleep. And the

104:31

depth of their sleep they have is

104:33

greater. So they're awake more

104:34

throughout the day. They build up a

104:36

stronger wakefulness drive which is

104:38

called adenosine which means that when

104:40

they sleep they sleep harder throughout

104:42

the night which means that they can then

104:44

be awake for more powerful stints during

104:46

the day. Second they don't suffer from

104:48

jet lag.

104:49

>> What the what do you mean they don't

104:52

suffer from jet lag?

104:53

>> Because of their strength of wakefulness

104:55

drive when they are circadium misaligned

104:57

it's as though they haven't traveled

104:58

between time zones. They can just stay

105:01

awake. They have a strong drive for

105:03

wakefulness. Who are these people?

105:05

>> They are these genetic short sleepers.

105:08

>> And do they pass these genes onto their

105:10

children?

105:10

>> Yes, they do.

105:11

>> And so their children have the same

105:12

>> they're heritable.

105:14

>> Can I have

105:15

>> Well, firstly, let's take a step back

105:17

before I get to the dystopian. This

105:19

tells us something above and beyond

105:21

biological fascination. It says there is

105:24

a profound statement in evolution.

105:28

Mother nature has figured out a way

105:30

genetically to zip file sleep.

105:32

>> Zip file. You can compress eight down

105:36

into six. You know on your computer how

105:38

you can get a collection of files, you

105:40

group them all together and then you say

105:41

compress these files and you compress

105:43

them and you zip them into a single file

105:46

and it's dense, it's packed and it takes

105:48

up less amount of volume.

105:52

>> Do they have the same life expectancy?

105:54

>> They seem to from everything we can

105:55

tell.

105:57

So somewhere along the way through

106:00

genetics, evolution has figured out how

106:02

to go from eight and compress it down to

106:04

six. Where's the dystopia? Well, we've

106:07

all heard of crisper, which is this

106:09

genetic editing manipulation tool that a

106:12

lab next door to mine at UC Berkeley

106:14

discovered, Jennifer Downer. She won a

106:15

Nobel Prize for it. Is there some

106:18

future,

106:20

and I hope not. Is there some future

106:22

where we start to genetically engineer

106:24

people from a need of 7 to n hours down

106:27

to a need of six? Imagine the reduction

106:30

in health care burden cost because right

106:33

now the burden of insufficient sleep is

106:36

vast.

106:38

Insufficient sleep will cost most

106:39

nations about 2% of their GDP. Here in

106:42

America it's $411 billion of cost caused

106:46

by insufficient sleep. In the United

106:48

Kingdom it's about $40 billion. In

106:50

Japan, it's $50 billion.

106:52

Solve the sleep loss epidemic, which

106:55

I've been trying to do by saying, you

106:56

know, sleep enough. And you could, you

106:59

know, cause massive financial disruption

107:01

in the good way. But here, if you start

107:04

to genetically engineer people, could

107:07

you reduce the burden that is caused by

107:09

people currently who need 7 to9 and take

107:13

that burden away because they no longer

107:15

need 7 to9?

107:16

>> Why did you say I hope not? Well, I hope

107:18

not because I think here's the following

107:21

that happens. It's not that I'm against

107:23

that idea. I would love for the burden

107:25

of disease and sickness to be reduced

107:27

and people not to suffer from that. And

107:29

if I could find a way to do it

107:30

genetically, I would. And you could

107:32

think about people arguing, well,

107:33

imagine the productivity benefits. I

107:36

mean, huge upsides of that. You know,

107:39

people are being more productive and

107:40

they're probably spending more. So from

107:42

a capitalistic society, it's the perfect

107:44

it's the adman's dream because when when

107:46

you're asleep, it's antithetical to a

107:48

capitalistic society. Why? Because

107:49

you're neither producing nor consuming.

107:51

That's very cynical and I don't buy into

107:53

that. But nevertheless, so all of these

107:55

things would be marketkedly better,

107:56

would they not be, if we genetically

107:58

engineered this way. Why do I fear it? I

108:01

know for a fact that as soon as six

108:04

becomes the new eight, everyone starts

108:07

sleeping four.

108:09

And now I'm just back into the same

108:11

battle again because six is the minimum

108:13

that you need. And they say, "Well, if

108:14

that's the minimum, then I'll sleep

108:16

four." And when I find the next gene

108:18

that allows you to get away with four

108:19

hours of sleep, then they say, "Well,

108:20

that's great. So then I can go down to

108:22

two." And it's a form of almost this

108:24

sleep currency, you know, inflation that

108:27

I'm always fighting a battle and at some

108:30

point I'll always be on the wrong side

108:32

of that battle.

108:34

>> Crazy. These people with this gene can

108:38

thrive on four to six hours sleep

108:39

without any negative effects that most

108:43

of us would experience.

108:45

>> Correct. It's

108:46

>> so you know what is going on there and

108:49

what we're seeing is this this

108:50

incredible density of sleep and this

108:54

epic drive for wakefulness. They are

108:57

more efficient sleepers. They can get

108:58

done what you and I take eight hours to

109:01

do. They can do it in six. And I guess

109:03

you is there a way to easily test this?

109:05

I guess go into a lab and get

109:06

>> Yeah. So if you've ever done, you know,

109:08

I think um you know all of those genetic

109:10

testing kits out there where and a lot

109:12

of them will allow you to download your

109:14

raw data. All you need to do is download

109:16

your raw raw data and then there's a

109:18

company I think it's called Prometheus.

109:20

Again, I have no affiliation with them.

109:21

I don't know how valid they are, but

109:23

then you upload your raw genetic data

109:26

into their model and then it will list

109:29

and it will rip it apart. So normally

109:30

those genetic services they give you a

109:32

nice PDF and it's kind of like maybe 15

109:35

pages of all of the the main stuff and

109:36

it's this Prometheus is kind of like the

109:39

you know the old school kind of

109:42

scientist nerdy. They will just give you

109:44

this kind of raw just kind of janky you

109:48

know 50page report. The interface is

109:51

terrible, but you can go in there and

109:52

you can search to see, you know, what

109:55

form of the deck 2 gene do I have or

109:58

what form of the ADRB1 gene do I have?

110:01

And it will tell you, are you a genetic

110:03

short sleeper or are you not and you can

110:05

find out.

110:06

>> I've been thinking a lot lately about um

110:08

about certain diet states as well and

110:10

whether they have an impact on sleep.

110:11

We're talking about circadian rhythms

110:12

there. I was thinking about fasting a

110:14

lot and also I think me myself and Jack

110:17

over there are in ketosis right now. I

110:20

was wondering if you

110:21

>> when you think about brain performance

110:22

and sleep and different sort of states

110:24

do you think much about fasting or

110:27

>> about ketosis or

110:29

>> Yeah, it's a mixed bag if you look at

110:32

it. Certainly what you eat will change

110:35

how you sleep. But perhaps more

110:38

powerfully is how you sleep dramatically

110:41

changes how you eat and how you dispose

110:44

of those calories and what happens

110:45

inside of your body when you are

110:48

underslept.

110:49

>> But

110:50

>> so I have lots of cravings when I've

110:52

short slept.

110:53

>> Yes, you have. And there's a reason why

110:55

is firstly two appetite hormones called

110:58

leptin and ghrein will go in opposite

111:00

directions. So they sound like hobbits,

111:03

I And I've got some Lord of the Rings

111:04

thing here, but leptin is the signal

111:07

that says to your brain, you're full.

111:09

>> Yeah,

111:10

>> you're you're satiated. Don't eat

111:12

anymore. Ghrein is the opposite. It kind

111:14

of makes your tum stom tummy growl and

111:17

it says you're hungry. You're not full.

111:19

You need to eat more. When you are

111:21

underslept, leptin, which says you're

111:23

full, stop eating. That hormone is

111:26

impaired. It drops away. So you lose the

111:29

I'm full signal. and worse still the

111:32

ghrelin signal which says I'm hungry

111:34

that increases

111:36

and so now you have about a 30 to 40%

111:39

increased hunger drive and the final

111:42

part of this is that when you are

111:44

underslept and taking on board calories

111:47

the way that you dispose of that energy

111:49

is different your body has a higher

111:53

prediliction when you are sleepdeprived

111:55

to disposing of calories as fat rather

111:59

than storing it for example as glycogen

112:01

in the muscles.

112:03

>> Oh, so when I'm under slept, um that's

112:05

why you know you're more likely to get

112:06

belly fat.

112:07

>> Correct. And what's worse is that there

112:10

was a great study where they looked at

112:12

people who were dieting and either

112:14

getting sufficient sleep or not getting

112:16

sufficient sleep. What was fascinating

112:18

is that both of those groups, whether

112:20

you were well-slept or not wellslept,

112:22

you both lost weight. In fact, you lost

112:24

about the same amount of weight. So

112:26

you'd think, okay, so that's fine. The

112:28

problem was if you looked at what you

112:30

were losing, there was an issue. Those

112:33

people who were dieting but not getting

112:35

sufficient sleep, 70% of all the weight

112:38

that they lost came from lean muscle

112:41

mass and not fat. In other words, when

112:44

you're not getting sufficient sleep, you

112:47

keep what you want to lose, which is

112:50

fat, and you lose what you want to keep,

112:54

which is muscle.

112:55

>> Oh gosh. Damn. It's important, isn't it?

112:58

The sleep stuff.

112:59

>> But coming back to ketosis, by the way,

113:00

I would say when people go into a fasted

113:03

state, usually what we see is that their

113:06

sleep gets shorter.

113:08

>> And they'll say, "I sleep almost more

113:10

efficiently. I'll sleep for maybe just

113:12

four or five hours, but I feel more

113:15

alert and more awake."

113:17

Now, some of that has to do with the

113:19

ketosis. When you are calorically

113:22

deprived,

113:23

the brain starts to realize that

113:26

something is wrong because you are

113:27

lacking calories. You're going into

113:29

starvation. So, it drives on a chemical

113:32

called ereexin. Ereexin is a

113:34

wakeomotmoting chemical and it forces

113:37

your brain to release much more of this

113:39

wakefulness chemical called ereexin. So

113:42

now when you're fasting, it's easier to

113:45

stay awake for longer and your brain

113:47

will deliberately stop you from sleeping

113:49

as much.

113:51

>> It's not because it wants you to sleep

113:54

less. It's because the only time during

113:56

our evolutionary past that we

113:59

unexperienced short sleep was when we

114:02

were in a caloric deficit. And the

114:03

reason came comes back again to this

114:05

idea that you have to stay awake longer

114:07

because you're not finding food. Now,

114:09

your brain doesn't know you've

114:11

deliberately decided to fast, which is a

114:13

good thing in lots of ways. But that's

114:15

one of the reasons that when people are

114:17

fasting, they'll say, "My sleep goes to

114:20

>> peck in a hand basket." You know,

114:22

>> mine goes really really short. So, when

114:23

I'm I'm in ketosis now and I'm like in

114:25

on my way in and my sleep will reduce to

114:27

about five five six hours, my Whoop

114:30

scores plummet.

114:31

>> Yeah.

114:32

>> Until I kind of come out the other end,

114:33

which might take a couple of weeks and

114:35

then my sleep scores seem to stabilize

114:37

again. But that initial transition

114:39

period, it looks like it's having a

114:40

physiological shock.

114:41

>> It is. And the shock is this chemical

114:43

ereexin, which is this wakering chemical

114:46

which will force you to stay awake in a

114:48

very solid fashion. By the way, case in

114:50

point, people with narcolepsy,

114:53

this sleep disorder where they

114:54

inadvertently and uncontrollably fall

114:56

asleep during the day. They have the

114:58

opposite. I just telling I was just

115:00

telling you that when you are fasting,

115:02

your brain dumps out this chemical

115:04

erection to force you awake and you're

115:06

wide awake. People with narcolepsy when

115:08

we've studied their brains, they have a

115:11

deficiency of this brain chemical

115:12

arexin. So they can't stay awake in a

115:16

stable fashion. They have the opposite

115:18

of your fasting problem. You're wide

115:20

awake because you've got too much

115:21

erection. They've got too little Rexin

115:24

and they therefore they can't sustain

115:27

stable wakefulness during the day. So

115:28

they're constantly falling asleep. M

115:31

>> this story of ereexin has led to the

115:34

invention of the first new class of

115:36

sleeping medication that I actually

115:38

favor and most people are not aware of

115:40

it. It's a new class of we're on to

115:42

essentially web 3.0 of sleep medication.

115:45

Web 1.0 were the benzoazipines things

115:48

like Xanax and Valium not great for

115:51

sleep. The second wave the web 2.0 those

115:54

were things like ambient lanesta sonata.

115:58

Both of those drugs worked in a very

116:00

similar way where they go up to your

116:02

cortex and they tickle a receptor called

116:06

the GABA receptor, GABA, GABA. And it's

116:09

the major neuroinhibitory transmitter of

116:12

the brain. So when these drugs flood

116:14

your brain, they just hit the red light

116:16

and they stop neural firing of the

116:18

cortex. Essentially, they sedate you.

116:21

And sedation is not sleep. But when you

116:24

take an ambient, you mistake sedation

116:27

for sleep.

116:28

>> It's not quite the same. It's not

116:30

naturalistic sleep.

116:32

>> But after we realized by way of the

116:35

story of narcolepsy that narcopsy

116:37

patients, they don't have this chemical

116:39

erection and they're falling asleep

116:41

inappropriately during the day. Well,

116:43

think about what insomnia is at night.

116:46

Insomnia is almost the opposite of

116:49

narcopsy, which is that narcolepsy

116:52

patients, they're falling asleep during

116:54

the day when they want to be awake.

116:57

Insomnia patients are awake at night

116:59

when they want to be asleep. So what

117:01

they realized is that what we can do if

117:04

this chemical ereexin, this wakefulness

117:06

volume button in the brain is a problem

117:10

in insomnia patients. What if we were to

117:12

just develop a drug that doesn't sedate

117:15

the cortex like ambient? Instead, it

117:18

goes down into the brain stem where the

117:19

center for erection is. And these new

117:22

drugs and they're called the Doras

117:24

drugs, D A small s. And it's a class of

117:28

drugs. There are three FDA approved and

117:31

I'll try and spell them out for you.

117:33

They're called suvaxent, lumberexent,

117:36

and daredexent.

117:38

Exactly. Why my sinapses are filled with

117:41

things like those names, but there you

117:42

go. They're three FDA approved drugs.

117:45

And what they do is they act like a

117:47

clever set of chemical fingers. They go

117:49

down into the brain stem where this sort

117:51

of erection is being released and they

117:53

just dial down the volume on wakefulness

117:56

and then they take a step back and they

117:58

allow the antithesis of wakefulness to

118:00

come in its place which is this thing

118:02

called naturalistic sleep. Now if you

118:06

look at that those clinical data they

118:09

absolutely make you sleep for uh not

118:12

necessarily a longer period of time but

118:14

you're awake a lot less. So you've got

118:16

nice sleep efficiency, more continuity.

118:19

But I as a scientist could be very

118:21

skeptical and I could come along and

118:23

say, "Okay, so this new drug, it

118:26

increases your total sleep time,

118:27

improves your sleep efficiency, but I

118:30

have four words. Yes. And so what? Just

118:34

because I've added sleep to your night,

118:37

how do I know that that's functional

118:39

sleep? How do I know that that's useful

118:40

sleep? Couldn't it just be like junk

118:42

DNA? It could be just junk sleep. Well,

118:45

they did a study where they looked at

118:47

what we call the glimpmphatic system in

118:50

your brain. There's a cleansing system

118:51

in your brain that kicks into high gear

118:53

during deep non-REM sleep. And it

118:56

flushes the brain of all of the

118:58

metabolic toxins, two of which are

119:00

things called beta amalloid and ta

119:02

protein, which are the culprits of

119:04

Alzheimer's. And that's why we know that

119:05

sleep is so important because at night,

119:07

it's a good night sleep clean. It's a

119:09

power cleanse that washes away the

119:11

Alzheimer's toxins. So they did a study.

119:14

Heavens knows how they got these people

119:16

to participate. But they brought them

119:18

in. They were 50 years or older and in

119:21

the morning and the night before they

119:23

had a lumbar spinal puncture and they

119:26

siphoned off cerebral spinal fluid. So

119:29

they could measure how much of the

119:31

metabolic detritis was in the brain

119:33

before sleep and in the brain after

119:35

sleep including

119:37

>> the metabolic waste product sort of

119:39

including beta amalloid and and tow

119:41

protein

119:42

>> and they either had one of these drugs

119:46

the Doras drugs or they had a placebo

119:49

and fair enough when they took the this

119:51

new class of medication the web 3.0 to

119:53

the Dora drug, their sleep got better.

119:56

But what they also found is that not

119:58

only did their sleep get better, but

120:00

they had cleansed the brain the next

120:03

morning of more beta amaloid and ta

120:06

protein than the placebo group. In other

120:08

words, it wasn't just epifenomenal junk

120:11

sleep. It was beneficial sleep. It was

120:14

adaptive useful sleep because that drug

120:17

induced sleep had washed away more of

120:19

the Alzheimer's proteins. And it was the

120:22

first demonstration and they've now

120:23

replicated it in animal models that this

120:26

is a sleeping pill that isn't

120:29

disadvantageous

120:31

which we know to be the case for things

120:33

like ambient. In fact, ambient there was

120:35

a recent study that showed that it

120:36

decreases the cleansing pulsing fluid by

120:40

about 30 to 40% at night. But this is a

120:43

new class of medications that does the

120:45

opposite.

120:45

>> And this is new.

120:46

>> And this is new. The Doras drugs D O R A

120:49

small s. problem is that a lot of

120:51

insurance companies here in the United

120:53

States currently do not reimburse. Some

120:55

do and I believe that it's some of these

120:59

of the three doors drugs, not all of

121:00

them are available in Europe or in the

121:02

UK.

121:03

>> Probably about right

121:04

>> and because they're just so expensive

121:05

and if you pay out of pocket, it can be

121:08

up to $400 a month for these

121:11

medications. Now, some insomnia patients

121:13

when I go to them and say, "At the end

121:14

of a shockingly bad month of sleep, if I

121:17

went to them and said, "Look, if you

121:18

gave me $400 now, could I I could wave a

121:21

magic wand and eradicate all of that bad

121:24

sleep over the previous month, would you

121:25

like to give me $400?" Most of them

121:27

would say, "Absolutely, take my money."

121:29

But still, people are being priced out

121:31

at this stage, but the Doris drugs,

121:33

please look into them if you're

121:34

struggling with insomnia as well as

121:36

CBTI. I didn't realize there was so much

121:39

new science and research that had been

121:41

discovered on how to sleep well, what's

121:44

going on in the brain, and also some of

121:45

the lifestyle factors that have made

121:48

sleeping so hard for so many people. And

121:50

with that in mind, I want to do

121:52

something that I've never done before,

121:52

which is a world first for the Diary of

121:54

a SEO. Is I'm going to put a link below

121:57

because I think this is a particular

121:58

episode where if you share this

122:01

conversation with some of your friends

122:02

who particularly struggle with sleep or

122:04

sleep optimizers or who have sleep

122:06

disorders, they'll get a ton of benefit

122:08

from it. So, what I'm going to do is in

122:10

the description of wherever you're

122:11

listening to this podcast right now,

122:12

there is a link. And if you click on

122:14

that link, um you'll see that you've got

122:16

your own personalized link to share this

122:18

episode. And those of you that share

122:20

this episode, whether it's on your

122:22

story, on social media or in a WhatsApp

122:23

group or wherever, on email with your

122:25

friends, you will collect points for

122:28

every person that listens and I will

122:29

reward those. Um, you'll see as you

122:32

click on the link who have shared it the

122:34

most. In part, I say this because so

122:35

many of you come up to me in the street

122:36

and they came up to me after our last

122:38

conversation and they said, um, that

122:40

conversation you did with Matt Walker

122:41

was so amazing. I sent it to my aunt and

122:43

she now d she did this and she's changed

122:45

this and blah blah blah blah and she's

122:46

now sleeping well. And then all the

122:48

downstream impacts of that have been

122:50

profound. So

122:51

>> I'm going to create this little system

122:53

to encourage all of you to share it with

122:54

someone that um is struggling at the

122:56

moment with sleep because I do believe I

122:57

do believe that sleep is upstream from

123:00

so many of the downstream symptoms that

123:03

ruin our lives whether it's relationship

123:05

issues whether it's libido issues or

123:07

whether it's creativity issues. I mean,

123:09

I was reading through your work and I

123:10

saw your conversation with Rogan not so

123:12

long ago where you talked about the fact

123:14

that a sleep-d deprived person has their

123:16

genes fundamentally working differently.

123:18

You talked about 700 genes working

123:20

differently.

123:20

>> Yeah. 711 genes are distorted in their

123:23

activity caused by a lack of sleep. Some

123:25

genes that are overexpressed that are

123:27

related to cardiovascular disease or

123:29

stress or inflammation and other genes

123:32

that are impaired which are associated

123:34

with your immune system. So you become

123:36

immune deficient

123:37

>> and it can be a downward compounding

123:38

spiral if you're such a person that's

123:40

really continually strugg struggling

123:42

with sleep and building up some of that

123:43

sleep debt. So that link is below. Check

123:45

it out. And we have a closing tradition

123:47

on this podcast where the last leaves a

123:49

question for the next. The question left

123:50

for you is what did success bring you

123:53

that you never could have dreamed of?

123:58

It brought me two things.

124:01

one beneficial one less. So

124:06

beneficial is that I have now the chance

124:09

and have gifted the chance to

124:14

fly around the world and tried to speak

124:18

the word of sleep because the physiology

124:20

of it is so silent. And I used to lament

124:24

why me because there are so many other

124:26

much better sleep scientists in the

124:28

world than me. And a friend after I was

124:31

saying like I don't understand why me

124:32

imposter syndrome and he just told me to

124:35

shut up and accept that it's you and

124:40

instead asked the question what are you

124:41

going to do with it and I changed how I

124:44

embraced that. So I've been so fortunate

124:46

that my life after publishing the book

124:48

that you're holding

124:50

changed forever and almost all for the

124:53

better. And I'm so fortunate. I have

124:56

lived a life of such fortune by way of

124:59

the sleep mission. I would say though

125:02

that there is

125:05

also, and I suspect you may experience

125:08

some of this too, when you raise your

125:11

head above the public parapit,

125:14

don't be surprised if shots are fired.

125:17

And if you're someone who has even the

125:20

vaguest

125:24

hint of insecurity,

125:28

comments will do you a lovely

125:30

disservice. And so I think there's a

125:32

degree of kind of vulnerability and

125:35

insecurity that you can develop by way

125:37

of becoming um someone who is in the eye

125:40

of the public that had I not been in the

125:42

eye of the public I probably wouldn't

125:44

have been you know as self-conscious

125:46

about whether it's you know your

125:48

intellect or your voice or your you know

125:52

disastrous you know boyband haircut

125:54

whatever it is um I would say that's the

125:56

only slight downside overall I am the

126:00

most fortunate human that I know. I am

126:03

so gifted by way of this thing called

126:04

sleep. It's a love affair that's lasted

126:06

me almost 25 years and I believe it's

126:10

the most beguiling topic in all of

126:12

science and it has treated me so well.

126:15

>> You happy?

126:18

>> More than you could imagine at this

126:21

moment in my life. I am the happiest

126:24

I've been.

126:26

>> Why? I have a a piece that I found in

126:30

life

126:32

for reasons that I can share or not

126:33

share. And

126:35

>> go ahead and share them. I'd love in my

126:36

life.

126:37

>> You know, I found my person

126:38

>> and and she is she

126:43

appeared like lightning from a clear

126:45

blue sky. Never saw her coming.

126:49

And

126:52

it's interesting that

126:57

I've never been able to be more myself,

127:01

even with myself,

127:03

than I have with her.

127:06

Every day she makes me want to be a

127:08

better person.

127:10

And

127:14

I have found peace that I have never had

127:16

before.

127:18

>> That you've never had before?

127:20

>> No.

127:21

>> Did you have peace last time we spoke?

127:24

I wouldn't say I was without peace. I

127:28

didn't know this type of peace

127:31

and I never believed in this notion of

127:33

the one. You know, I was a scientist.

127:34

I'm a hard-nosed empirical kind of guy

127:38

and I just did not imagine it would be

127:41

such

127:42

uh I didn't think there was such a one.

127:45

I would have told you if you'd told me

127:47

that two years ago, you'd given me your

127:49

love story of certainty. I would have

127:52

thought you're misguided and that, you

127:55

know, you just need to put down whatever

127:59

substances you're using because you're

128:00

delusional because there isn't such a

128:02

thing.

128:03

>> Um,

128:07

she's a gift

128:09

and I hope I never take her for granted.

128:12

I doubt it. There's a an incredibly sad

128:15

story

128:17

of a gentleman called Clive Wearing. And

128:20

Clive is a famous individual in the

128:22

neuroscience world. And Clive was the

128:27

man who the movie Momento

128:30

was based on, which is a movie where a

128:33

man has brain damage and he has profound

128:35

amnesia. And from that moment forward,

128:37

he can never make any new memories

128:39

whatsoever. He's densely amnesic.

128:42

And he was a real life individual. He

128:45

contracted a virus that destroyed his

128:48

memory centers. And from that point

128:50

forward, he could no longer make any new

128:51

memories. And he lived in just 2 or 3

128:54

seconds of time. And that spotlight of

128:57

consciousness just moved forward in

128:58

time. He had no recollection of the

129:00

past. He had no anticipation of the

129:02

future. And the only thing, the only

129:05

person that he remembered and he would

129:07

recognize is his wife. So he could have

129:09

spent this whole three hours speaking to

129:11

you. And then you would walk out the

129:13

room for five minutes and you would walk

129:15

back in and you'd say, "Hi Clive, nice

129:17

to meet you." and he'd say, "Hi, what's

129:18

your name?" Had no recollection. The

129:21

only person that he remembered was his

129:22

wife. But the problem was he never

129:25

remembered how long it's been since he

129:27

last saw his wife. And so every time

129:31

that she would walk into the room after

129:33

being out of it for 5 minutes, he would

129:35

jump out of his chair and he had this

129:38

incredible elation and he would run and

129:42

he would hug her and kiss her. And I

129:44

think sometimes we take our partners for

129:46

granted

129:48

and the only time we realize how

129:50

precious they are is when they're gone.

129:53

And I often think about that that

129:55

complacency can be one of the greatest

129:58

negative forces in a relationship. And I

130:00

always think about Clive Weiring even on

130:03

the days where I'm having a bad day or

130:04

I'm in a bad mood and I'm not myself or

130:07

I just don't want to be around someone.

130:09

I always try to remember his reaction.

130:12

And when my wife walks back in from work

130:14

or I see her, you know, first thing, I

130:17

try to remember how his reaction was and

130:21

how I truly feel at the time despite the

130:23

blanket of negative stress trying to

130:27

drown that feeling out.

130:31

>> It's a beautiful thing. I think about

130:33

that a lot as well.

130:34

>> In what way? just the part of I'm way

130:37

more cognizant now on a frequent basis

130:40

almost on a weekly basis of how I'm

130:43

going to feel

130:45

when my time is up as it relates to rel

130:48

my romantic relationship like I think

130:50

even like mid argument I will now think

130:53

and this actually happened like a couple

130:54

of days ago it wasn't really an argument

130:55

we're disagreeing about something I

130:57

literally said mid mid uh dispute that

130:59

we were having I said we're going to

131:01

regret this so much and what I meant was

131:04

when I when that When that phone call

131:05

rings and someone gives me bad news that

131:07

either I'm going or you're going, I'm

131:09

going to regret that this 30 minutes was

131:11

wasted doing this.

131:12

>> Yeah.

131:12

>> I'm really going to regret it.

131:14

>> How much would you give to have that 30

131:15

minutes?

131:16

>> Exactly. And it's like, you know, we're

131:17

arguing about, I don't know,

131:19

some whatever it might be, some trivial

131:21

thing. It's actually really helped me

131:22

because in the midst of those storms,

131:25

um, thinking through to that moment when

131:26

you get that phone call and like you're

131:28

ill or I'm ill and some we're not going

131:29

to be around much longer.

131:31

um it liberates you from the pettiness

131:35

that a sense of immortality can create

131:37

and that pettiness results in the

131:39

complacency that you're describing that

131:41

like I I took you for granted.

131:44

>> Yeah.

131:44

>> So it's a nice little mechanism now for

131:46

me to go is this an important thing? Is

131:48

this really important? And I have to

131:51

provide nuance there which is this

131:52

doesn't mean don't address things

131:54

>> correctly. I was just about to say

131:55

conflict is critical. You've got to

131:58

fight well,

131:59

>> but let it be me versus you and the

132:00

problem. Like me and you versus the

132:02

problem versus me just going at you.

132:04

>> Yes. You have to be fighting for each

132:06

other,

132:07

>> not fighting against each other.

132:09

>> Yeah. Exactly.

132:10

>> And that you have to try to then in that

132:12

context of Clive wearing

132:15

>> don't shy away from conflict if you need

132:17

to have the conversation. Often it's

132:20

like the gym. If you do it well, you

132:23

even on the days when you kind of go

132:25

into the gym, you think, I I don't want

132:26

to do this or I just I don't feel good,

132:29

you always come out feeling better than

132:31

you did before. And with conflict, if

132:33

you do it well, you typically, it may

132:36

not be the hour after or even the day

132:37

after, but if you do it well, you

132:39

typically are better as a couple after

132:42

than you were before the conflict as

132:44

long as you do it well. So, I'm not

132:46

saying don't have conflict. What I'm

132:48

saying is Clive Wearing's story to me of

132:53

how he loved his wife with an intent

132:55

that I'd never experienced before until

132:57

I met my much better half

133:01

prevented me from resentment.

133:04

Resentment is the barrier that will keep

133:06

you from reparation and a future of I

133:10

think equinimity.

133:12

Because when you resent someone, it

133:14

means that you haven't processed, you

133:16

haven't moved forward. And resentment

133:18

usually comes by way of I think a poor

133:21

choice of things such as did I win the

133:23

argument? Did you win the argument? It's

133:26

not about point scoring at least. And

133:28

I've done that before. I've been guilty

133:30

of all of that behavior. But now with

133:33

this person that I cherish most, you

133:36

know, I think of his lessons. It's not

133:38

that we don't have conflict. We do. It's

133:40

just that I value the person far beyond

133:43

the conflict afterwards. And I'll always

133:46

want to reach out with an olive branch

133:49

because it's not worth it. Just as you

133:50

said, when that call comes,

133:53

you know, I I think of that sometimes

133:55

when I have a bad day. Let's say

133:56

someone, you know, I come back to my car

133:59

and my car is being rearended when it's

134:01

been parked or, you know, I was coming

134:04

here to fly out and we were 4 hours on

134:08

the tarmac waiting and there's a guy in

134:11

front of me who's getting all agitated

134:13

and giving the the ground staff all

134:15

sorts of vitriol.

134:18

And I was thinking, look, when you're on

134:20

your deathbed, my good fellow, are you

134:23

going to look back at this day and

134:25

think, gosh, you know, I remember that

134:27

one day when I was on that flight coming

134:29

out to LA and it was 4 hours delayed.

134:32

No, of course you're not. So, if you're

134:35

not stressing about it when you're

134:36

dying, why are you stressing about it

134:38

now?

134:39

>> It's just not worth it.

134:42

>> Live. Thank you. Thank you so much. I

134:45

mean, I can't thank you enough for the

134:46

profound impact you've had on so many

134:48

millions of people. Um, being the the

134:52

chief torchbearer of the subject of

134:55

sleep and creating a movement around

134:57

sleep, but also a heightened awareness

134:59

of ourselves and our struggles. And that

135:01

is something that you'll never

135:02

understand. Like, you'll never

135:03

understand the full magnitude of the

135:04

many millions of people you've

135:05

positively impacted. Um, but I mean even

135:08

though you'll never get to meet them all

135:10

and you'll never get to hear all of

135:11

their thank yous, they are very very

135:14

real people and they are that the them

135:16

themselves are these little ripples

135:18

through the ocean where their children

135:19

and then the generations to come get to

135:21

sleep better and enjoy their lives and

135:23

live a happier healthier life because of

135:25

the work that you do. So it's um

135:26

incredibly important work, Matthew,

135:28

>> and I hope you long continue it and I

135:30

long continue being the conduit of this

135:32

very important information to people

135:33

like me and my audience. Couldn't

135:35

appreciate you more. Thank you so much

135:37

for saying that. I can't lay claim to

135:39

any such um uh affirmations, but I would

135:43

say that I stand on the shoulders of

135:45

giants and that um I am simply relaying

135:47

all of the incredible work of all of my

135:49

colleagues in the field and all of those

135:51

who came before me. Um I'm just the

135:53

mouthpiece and not a particularly good

135:54

one at that and for all of their work.

135:56

It's really the appreciation that I give

135:58

to them. So, thank you for giving me the

136:00

opportunity to say that.

136:06

Make sure you keep what I'm about to say

136:07

to yourself. I'm inviting 10,000 of you

136:10

to come even deeper into the dire of a

136:12

CEO. Welcome to my inner circle. This is

136:15

a brand new private community that I'm

136:17

launching to the world. We have so many

136:19

incredible things that happen that you

136:20

are never shown. We have the briefs that

136:23

are on my iPad when I'm recording the

136:24

conversation. We have clips we've never

136:26

released. We have behindthe-scenes

136:28

conversations with the guests and also

136:29

the episodes that we've never ever

136:32

released. and so much more. In the

136:35

circle, you'll have direct access to me.

136:37

You can tell us what you want this show

136:38

to be, who you want us to interview, and

136:40

the types of conversations you would

136:42

love us to have. But remember, for now,

136:44

we're only inviting the first 10,000

136:46

people that join before it closes. So,

136:49

if you want to join our private closed

136:50

community, head to the link in the

136:51

description below or go to

136:52

daccircle.com.

136:56

I will speak to you then.

137:10

Oh,

137:14

hey.

Interactive Summary

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.

Suggested questions

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