Hello everybody and welcome to the VP Life podcast brought to you by Vitality Pro.
Speaker:My name's Rob and I'll be your host on today's episode.
Speaker:Today we're joined by Dr.
Speaker:Greg Potter.
Speaker:Greg has a PhD in metabolic health from the University of Leeds and works
Speaker:with athletes and other high achievers to help them dial in their health so
Speaker:that they can operate at their best.
Speaker:While this may seem somewhat the norm in the online coaching
Speaker:space, Greg is different.
Speaker:See, as part of my job I get to speak to a lot of intellectuals and as you'll
Speaker:hear shortly, Greg has an incredible ability, way outside the norm in fact,
Speaker:to dissect scientific literature and provide his clients with information
Speaker:that actually moves the needle.
Speaker:Today I had the opportunity to discuss Greg's passion topic with him.
Speaker:Sleep.
Speaker:So expect to learn exactly what sleep is, how your nutrition can affect
Speaker:your sleep, whether sleep chronos helps are real, and so much more.
Speaker:And with that, on with the show.
Speaker:Good morning, Greg.
Speaker:Thank you very much for joining us on our podcast today.
Speaker:I know we're going to be delving into a lot, especially around sleep, but first
Speaker:and foremost, would you just like to introduce yourself, who you are, what it
Speaker:is you do, and all of that good stuff.
Speaker:Sure.
Speaker:Yeah, relevant to this conversation, I studied sleep, nutrition,
Speaker:and metabolism for my PhD.
Speaker:And throughout my studies, both my undergrad, masters, and PhD, I've
Speaker:coached people in various capacities.
Speaker:Initially, a lot of that work was with athletes, but more recently,
Speaker:I've done a lot more work in health coaching in general.
Speaker:And some of that is specifically with people who have ongoing sleep
Speaker:issues, which are often comorbid with mental health problems.
Speaker:But I've been involved in various other businesses along the line too,
Speaker:including everything from trying to scale health coaching through
Speaker:things like apps to working with a business that runs retreats.
Speaker:And I've been involved in several different nutrition businesses.
Speaker:And one of the projects I'm working on at the moment is formulating nutrition
Speaker:products for a startup, which is bringing to market a product next
Speaker:year intended to help increase health span and potentially lifespan too.
Speaker:So that's a little bit about me, but the way that I try and help people
Speaker:is through lifestyle in a way that's sustainable and a way that accounts
Speaker:for all the different moving parts and meet people where they're at.
Speaker:So I'll pause there.
Speaker:Fair enough.
Speaker:Yeah.
Speaker:A very sort of functional approach to it.
Speaker:You were or are involved in the Human os, is that correct?
Speaker:I was, yeah.
Speaker:I worked there 2016 to 2019, and I helped Dan with a lot of content creation.
Speaker:So while there I made a couple of courses, wrote some blogs, hosted the
Speaker:podcast a few times, created some guides.
Speaker:And just generally gave lots of feedback on the platform and whatnot.
Speaker:And to this day, he's a very good friend of mine, so no longer working
Speaker:with him, but on very good terms.
Speaker:Uh, it's awesome.
Speaker:I, I played around with it a little bit in the past and, uh, I just, I have no
Speaker:clue how I know that you were involved.
Speaker:Uh, I'm sure I heard it somewhere, but yeah, no, it, it just, uh, Sort of
Speaker:jogged my memory as you were saying that.
Speaker:Okay, so um, I suppose let's get into the nuts and the bolts of it.
Speaker:Bit of a dumb question maybe, but what is sleep?
Speaker:Because I actually don't know what sleep is apart from not being awake.
Speaker:People have tried to define it.
Speaker:And the most commonly cited definition in textbooks and academic papers is a
Speaker:definition that's put forward by, I think it was Bill Dement and Mary Karskadan.
Speaker:And it's, it's a very descriptive definition.
Speaker:And I don't recall it word for word, but it's something along the lines of
Speaker:a state of relative inactivity often accompanied by postural recumbence
Speaker:in humans, and it's a state in which you are relatively detached from the
Speaker:environment, but it's rapidly reversible.
Speaker:So that obviously is what sleep is, but I think the thing that
Speaker:most people are interested in.
Speaker:is what functions does it serve?
Speaker:Because superficially sleep is a very strange behavior and you might
Speaker:have thought that there'd be strong evolutionary pressure against the
Speaker:selection of something like sleep because during sleep you're vulnerable.
Speaker:You aren't keeping an eye out for predators.
Speaker:You're not eating and therefore supporting your energetic needs
Speaker:and Most of the time there are incredibly rare exceptions to this.
Speaker:You're not trying to procreate either and so Given all of that the odds would
Speaker:surely be stacked against the evolution of sleep, but I think Fundamentally,
Speaker:the reason that we do sleep is To pay the price for wakefulness Because
Speaker:while we're awake, we're interacting with the environment that exposes
Speaker:us to lots of different pathogens.
Speaker:We accumulate damage while we're moving around and interacting with
Speaker:different organisms and the environment.
Speaker:And we also need to integrate the experiences that we've
Speaker:had so that we can learn.
Speaker:And so sleep is a bit like that.
Speaker:the pit stop in a Formula One race and that you need to occasionally change the
Speaker:tires and put some fuel in the tank and puts the body in a state that is conducive
Speaker:to that type of restoration and learning.
Speaker:Fair enough.
Speaker:I suppose a good place to go with this is what actually happens
Speaker:during sleep, just at a high level.
Speaker:I think people often hear about terms such as REM sleep and deep sleep.
Speaker:But what actually are they and if we sort of go through the stages of sleep
Speaker:and physiologically again, just at a high level, how does sleep play out?
Speaker:Yeah, it plays out at a specific time within the biological day.
Speaker:So we have the system of clocks throughout our bodies, which
Speaker:optimize our bodies for different functions at different times of day.
Speaker:And during the biological nighttime, we are disposed to sleeping.
Speaker:And during sleep itself, as you alluded to, we cycle through
Speaker:different stages of sleep.
Speaker:And these cycles are often described as lasting 90 minutes.
Speaker:They're actually called sleep cycles.
Speaker:Nothing like as orderly as that.
Speaker:They change in duration over the course of the night, but they also vary quite
Speaker:a lot from one person to the next, and they can be anywhere from about 70
Speaker:minutes long to about 120 minutes long.
Speaker:And if you look at the stages of sleep, we can broadly classify these into rapid eye
Speaker:movement or REM sleep and non REM sleep.
Speaker:And if you look at a night of sleep, then you have most of your non REM sleep
Speaker:in the first part of the sleep period, and you have most of your REM sleep in
Speaker:the second part of the sleep period.
Speaker:That's to do with how sleep is regulated, but Looking more closely
Speaker:at non REM sleep, when you first fall asleep during the night, you're, you're
Speaker:likely to enter what's called stage one non REM sleep, which is like a
Speaker:bridge between wakefulness and sleep.
Speaker:It's the lighter stage of sleep.
Speaker:It occupies a small proportion of total sleep.
Speaker:From there, you drop down into a slightly deeper stage of sleep.
Speaker:And by deeper, I mean that it's hard to wake someone.
Speaker:And this is called stage two REM sleep.
Speaker:Non REM sleep, which makes up the majority of sleep.
Speaker:It comprises roughly 50 percent of most people's sleep, and
Speaker:it has certain features that make it particularly helpful.
Speaker:So during this stage of sleep, for example, you have what are called sleep
Speaker:spindles, which are these bursts of electrical activity of a certain frequency
Speaker:that are important to maintaining sleep during periods of instability in sleep,
Speaker:so periods when you could wake up.
Speaker:But they're also important to basically transferring information from a short
Speaker:term limited capacity storage depot in a structure in the brain called the
Speaker:hippocampus to a much larger capacity storage depot elsewhere in the cortex.
Speaker:And in doing so, it frees space in the brain.
Speaker:to learn new things the next day.
Speaker:Is that the consolidation of memory then?
Speaker:Yes, and the reality is it's likely that all stages of sleep are involved in memory
Speaker:formation, but that is consolidation.
Speaker:And we then go from there into the deeper stage of sleep.
Speaker:Which is stage three sleep, sometimes called slow wave sleep because of its
Speaker:characteristic high amplitude, slow waves, which basically start around the bridge
Speaker:of the nose and then sweep backwards.
Speaker:through the brain.
Speaker:And these are also important to the formation of memories, but slow wave
Speaker:sleep is particularly key for various different housekeeping functions, both in
Speaker:the brain and in the rest of the body too.
Speaker:So in the brain specifically, your brain has its own waste disposal
Speaker:system called the glymphatic system.
Speaker:You've probably heard of the lymphatic system, which is your
Speaker:immune system in basic terms.
Speaker:And your brain has its own immune system and there's a particular
Speaker:type of cell that's important to this called glial cells.
Speaker:So it's the glial lymphatic or glymphatic system.
Speaker:And during the deeper stage of sleep, it's a bit like the
Speaker:plumbing in your brain opens up.
Speaker:And because of that, various different byproducts of metabolism that have
Speaker:accumulated during prior wakefulness can be cleansed from the brain by
Speaker:pushing around a certain type of fluid.
Speaker:through the brain.
Speaker:So in that way, it's important to brain health, but it also has
Speaker:similar restorative functions in the rest of the body too.
Speaker:So during slow wave sleep.
Speaker:You produce much of your growth hormone and this type of pulsatile
Speaker:growth hormone production seems to be important to remodeling certain
Speaker:tissues like connective tissues.
Speaker:It's also relevant to metabolism.
Speaker:So during these different stages of sleep, we actually change the
Speaker:way that we burn certain fuels.
Speaker:And during these deeper stages of sleep, we tend to rely more
Speaker:on fat oxidation and carbohydrate metabolism relative to REM sleep.
Speaker:And then The deeper stage of sleep is also important to your immune function
Speaker:outside of the brain, and actually to the formation of memory in the immune system.
Speaker:So you can broadly split your immune system into an innate
Speaker:system, which is what you're born with, but also an adaptive system.
Speaker:Your immune system has a memory of things that you've been exposed
Speaker:to, that you want to rapidly mount immune response to in the future.
Speaker:This is obviously the basis of things like vaccinations and slow waves lead
Speaker:to, slow wave sleep is very important to some of that memory formation.
Speaker:And then typically you'll go from that deeper stage of sleep into rapid eye
Speaker:movement sleep, which makes up maybe 20 percent of sleep or so in lots of adults.
Speaker:And it's an unusual state.
Speaker:It's sometimes called paradoxical sleep, because while if you look at activity in
Speaker:the brain going by blood flow, parts of the brain are as much as 20 percent more
Speaker:active than they are during wakefulness.
Speaker:Most of your muscles, your non essential muscles, so I'm not talking about muscles
Speaker:that are involved in breathing, I'm not talking about your myocardium, your
Speaker:heart muscle, but many of your other muscles, your biceps, your quadriceps,
Speaker:your lumbar, spinae, whatever you want to pick, more or less paralyzed.
Speaker:It's not true of everyone.
Speaker:There are rare instances where that's not the case.
Speaker:But in that way, you're in this strange state where you've got this
Speaker:very active brain, and your muscles are paralyzed, which presumably is so
Speaker:that you don't act out your dreams.
Speaker:And there's a particular sleep disorder where that regulation of
Speaker:your skeletal muscles breaks down and people start acting out their dreams
Speaker:called REM sleep behavior disorder.
Speaker:And during REM sleep, there are also various other changes.
Speaker:that make it distinct from other stages.
Speaker:So whereas in non REM sleep, if you look at stage one to two to three,
Speaker:the deeper in the, it becomes harder to wake someone, but also things like
Speaker:the rate at which you're breathing, your respiratory rate slow down.
Speaker:In REM sleep, if you look at things like your heart rate, then your
Speaker:heart rate can actually fluctuate quite a lot during this time.
Speaker:And basically the main functions of REM sleep.
Speaker:While disputed, seem to relate to a few things.
Speaker:So one of them is that it's very important to emotion regulation.
Speaker:It's a kind of emotional first aid that's often described that way.
Speaker:Another is that it seems to be very important to creativity.
Speaker:So the way that this has sometimes been described by people like Robert Stickgold
Speaker:is that REM sleep is helpful to giving you a sense of the gist of things.
Speaker:It's the kind of sleep that you'd want before a multiple choice
Speaker:questionnaire test where you're not sure what the right answer is.
Speaker:But you've got an inclination that it might be this.
Speaker:And what seems to be happening during this stage of sleep is that you are
Speaker:going back through many different autobiographical memories that have
Speaker:taken place, sometimes many years ago.
Speaker:And then you're integrating them with recent information and your
Speaker:day to day experiences and you're looking for patterns between things.
Speaker:And in this way, it seems to be very helpful.
Speaker:for creativity and come out with novel solutions to problems that
Speaker:previously seemed intractable.
Speaker:So that's something about the different stages of sleep.
Speaker:But I think it's important to note that it's not entirely clear
Speaker:that all of the brain is in a sleep stage at the same time.
Speaker:Sleep doesn't seem to be as unitary as that.
Speaker:And while this hasn't been well demonstrated yet, there's some
Speaker:evidence showing that different parts of the brain can be in different
Speaker:sleep states at the same time.
Speaker:Which throws a spanner in the works when it comes to making sense of a
Speaker:lot of historic sleep literature.
Speaker:But this might explain various different unusual phenomena
Speaker:that take place during sleep.
Speaker:For example, if you think of sleepwalking, it could be that parts of the brain
Speaker:that are involved in consciousness and awareness are fast asleep.
Speaker:Because sleepwalking is often during quite a deep stage of sleep.
Speaker:Whereas the motor cortex, which gives rise to Sleepwalking.
Speaker:voluntary movements, is showing wake like behavior.
Speaker:Or if you think about lucid dreaming, it could be that part of the brain
Speaker:that's involved in consciousness is in a wake like state, whereas many other
Speaker:parts of the brain, like the motor cortex, are in a sleep like state.
Speaker:So, sleep isn't a monolithic phenomenon, and I think part of the appeal of it
Speaker:is that it is so interesting, we learn so much more about it, each year.
Speaker:I'll pause there because I realize that was already quite a long
Speaker:answer, but hopefully that gives you some background to the different
Speaker:sleep stages and, and some of the things that they're important for.
Speaker:No, that's perfect.
Speaker:And that sort of really underlines, I suppose, why it's sort of
Speaker:almost the foundation of health.
Speaker:I want to sort of in a minute go into sort of your thoughts on some
Speaker:of these sleep trackers, specifically your auras, your whoops, and what
Speaker:you think of their deep sleep scores.
Speaker:But um, first I, what I'd like to sort of quickly touch on are your
Speaker:thoughts on when we go to sleep.
Speaker:There's often a lot being said about needing eight hours of
Speaker:sleep almost indefinitely.
Speaker:I mean, obviously depending on genetics, some people can get
Speaker:away with less, some people more.
Speaker:But when you get those, just broadly speaking, eight hours
Speaker:in, is that important or does it for the most part not matter?
Speaker:So if you were to go to bed at 12 a.
Speaker:m., what's that p.
Speaker:m.?
Speaker:I never get that one right, and then wake up at 8 a.
Speaker:m., 8 hours later in the morning, 8 a.
Speaker:m.
Speaker:Is that, is that important?
Speaker:Restorative and as physically rewarding as, say, going to bed at eight or nine
Speaker:and then getting up at five or six.
Speaker:Does that, yeah, does that play a significant role in the quality
Speaker:of sleep when you go to sleep?
Speaker:Taking a step back, the way that I think that we should think about sleep
Speaker:health has been heavily informed by a psychiatrist named Daniel Bicey.
Speaker:And a few years ago, a decade ago now, he wrote what has become a
Speaker:highly cited paper And it was about how to define what healthy sleep is.
Speaker:And in it, he discussed different dimensions of sleep health.
Speaker:A lot of people are focused on sleep duration.
Speaker:The sleep duration is important, but sleep timing is important too, as is the
Speaker:quality, as is the regularity of sleep.
Speaker:And really you could apply regularity to any of those other dimensions.
Speaker:So, yes, timing is important, and it's most important within the individual,
Speaker:and what I mean by that is that, as I mentioned at the very start, we have
Speaker:this network of different clocks in our bodies that prime us for sleep at
Speaker:certain times during the 24 hour day.
Speaker:And If we try and sleep during the biological nighttime, when our bodies
Speaker:are primed for sleep, we're likely to have higher quality sleep than if we try
Speaker:to sleep during the biological daytime.
Speaker:And this is the perennial problem that shift workers experience.
Speaker:On average, they get a bit less sleep than the rest of us, but not
Speaker:necessarily that much less sleep.
Speaker:And some of them probably don't get much less sleep at all, and one of their issues
Speaker:is just that because they're trying to
Speaker:sleep during the biological daytime, they really struggle with their sleep quality.
Speaker:And there's a sleep disorder named shiftwork disorder that affects
Speaker:about a quarter of shift workers, which sure enough is characterized by
Speaker:lots of fatigue and sleepiness when awake, because they're often awake
Speaker:during the biological nighttime.
Speaker:And then exhaustingly, when they try and sleep, They have insomnia symptoms
Speaker:and they really struggle to stay asleep.
Speaker:So when you sleep absolutely does matter.
Speaker:But I think the important thing is when you as an individual are trying to sleep
Speaker:relative to your biological nighttime.
Speaker:But obviously this interacts with different societal pressures
Speaker:that are imposed on you.
Speaker:For example, if you are a night owl, then you might have to
Speaker:wake up to an alarm clock each morning and left your own devices.
Speaker:You might choose to go to bed at 2am, but you have to be up at 7am to get the train
Speaker:into the city to be on time for work at 8.
Speaker:30.
Speaker:And so you have a restricted sleep opportunity because of that.
Speaker:And ideally, you would work quite different working hours.
Speaker:But the way that your sleep is constrained by those pressures means
Speaker:that the onus is on you to try and shift your sleep earlier to give
Speaker:yourself a larger sleep opportunity.
Speaker:But that might be running counter to your natural disposition because I
Speaker:know there's some contention about the veracity of what are called chronotypes.
Speaker:So whether you're more of a Yeah, whether you're more of an early
Speaker:bird or a night owl, some people will say, Oh, they don't exist.
Speaker:They absolutely do exist.
Speaker:And the reality is that if you look within a population, they're probably
Speaker:distributed relatively evenly.
Speaker:There's probably a bell shaped curve.
Speaker:If you put people under a standardized light dark cycle and you compared
Speaker:people of the same age and biological sex, you would find that naturally
Speaker:some people are earlier birds and they would have faster clocks.
Speaker:If you left the clocks ticking without any time queues, like light exposure,
Speaker:food timing, physical activity, and so on, then some people would be much more hour
Speaker:ish and they would have slower clocks.
Speaker:Their clocks would tick at a pace substantially longer than 24 hours.
Speaker:Yeah.
Speaker:Now I was just gonna play Devil's Advocate and just sort of, because I'm
Speaker:definitely fallen to the camp of being maybe, yeah, a little on the edge about
Speaker:the sort of chronotypes and sort of looking at it more from an ancestral lens.
Speaker:Do you not think that when I sort of accounting for a normal wake
Speaker:dog cycle, that those individuals who are quote unquote night birds
Speaker:or night owls would maybe not sort of shift their circadian rhythm?
Speaker:to a more traditional sleeping pattern if they weren't exposed to so many of
Speaker:these sort of zygabas as I think they're called that sort of, yeah, interfere with,
Speaker:I suppose again, what is traditionally thought to be a normal circadian rhythm.
Speaker:Yeah, they, they absolutely would shift.
Speaker:And, and the best example that we have of this in my opinion is a couple of studies
Speaker:that were done on people going camping for a few days in the rocky mountains and they
Speaker:did one experiment during the winter when the nights are long and one experiment
Speaker:during the summer when the nights are shorter and they found that before the
Speaker:camping there was large dispersion between the earliest birds and the latest owls.
Speaker:And after just a few days of camping, the range of sleep timing narrowed
Speaker:dramatically, and they were, in general, sleeping in closer synchrony with the
Speaker:natural light dark cycle, such that the early birds didn't really shift, but the
Speaker:night owls became substantially earlier.
Speaker:So, yes, if you gave people strong time cues where they were exposed to
Speaker:lots of daylight during the day and minimal light at night, then there
Speaker:would be a much smaller gap between the earliest and the latest people.
Speaker:That's absolutely the case.
Speaker:And the reality is that in our modern context where you've got lots of
Speaker:artificial light at night, and many of us spend 90 percent plus of our
Speaker:time indoors, We have these weak time cues and that increases the range of
Speaker:chronotypes or increases the range of sleep timing being more correct that we
Speaker:see in the general population, but to me, chronotype is a biological construct.
Speaker:And it's, it's driven by genetics.
Speaker:We know something about the genetics that makes some people be much later types than
Speaker:others or much earlier types than others.
Speaker:And that there are a few mutations in certain clock genes that have
Speaker:been identified that make entirely entire families of people much
Speaker:earlier than the rest of us.
Speaker:And we know less about the genetics.
Speaker:that makes some people very owlish, but we know something about those genes.
Speaker:So, it's a long way of saying that, yes, if we all lived more ancestral lifestyles,
Speaker:the disparity between the earliest and the latest people would be a lot smaller.
Speaker:However, it would still be there because of these genetic differences.
Speaker:There outliers, it's just that most people would cluster Around the average.
Speaker:I just want to take a quick step back towards what you, a quick step
Speaker:back towards, a quick step back and talk about shift work again.
Speaker:Again, physiologically, do you think that the reason most people who do
Speaker:sort of partake in shift work struggle is, is because they aren't producing
Speaker:as much melatonin when they should be?
Speaker:And is that then sort of resulting in them not being able to sleep
Speaker:during the waking part of the day?
Speaker:I wouldn't, yes it does.
Speaker:I wouldn't focus specifically on melatonin.
Speaker:Melatonin is used a lot in biological rhythms research because
Speaker:in the right conditions it gives you a very clean readout of when
Speaker:it's the biological night time.
Speaker:And for that reason it's widely used to assess the timing of the master
Speaker:clock in the circadian system, the suprachiasmatic nucleus, because it's
Speaker:got relatively direct connection to the pineal gland, which synthesizes
Speaker:melatonin during the biological nighttime.
Speaker:And so it's used to try to identify where someone is within the course of
Speaker:their biological day, biological night.
Speaker:So it's helpful.
Speaker:However, obviously it can be readily masked by light exposure because you
Speaker:can take someone during their biological night time, expose them to a brief bright
Speaker:light pulse and their melatonin synthesis would be turned off pretty much entirely.
Speaker:And actually a lot of us probably experience that every night because
Speaker:we're not particularly particular about our light dark cycles.
Speaker:And so we expose ourselves to lots of electric lighting before we go to bed.
Speaker:And then we flip the lights off.
Speaker:And actually our biological nighttime did start a couple of hours ago, but all
Speaker:that light exposure has just squashed any melatonin that would otherwise
Speaker:have been synthesized during that time.
Speaker:So returning to question, I think.
Speaker:Part of the reason why they're struggling so much with their sleep and their
Speaker:health is because they are trying to sleep during the biological daytime.
Speaker:And obviously melatonin synthesis is relevant to that.
Speaker:And it could be that if you looked at the area under the melatonin curve each
Speaker:day, so the total amount of melatonin that's circulating in the blood or saliva
Speaker:or six alpha toxin melatonins in the urine, then the total amount is lower
Speaker:than somebody who is working during the daytime and sleeps in alignment with that.
Speaker:with their biological rhythms, and could that contribute to some health issues?
Speaker:Yes, potentially.
Speaker:But I think in the case of shift work, we can broadly distinguish between
Speaker:circadian and sleep disruption that comes with the shift work, and then other
Speaker:stresses that they might face that might distinguish them from the rest of us.
Speaker:Because if you think about shift workers, then they're trying to maintain
Speaker:relationships with non shift workers.
Speaker:That's tricky.
Speaker:and their lives are out of sync with the rest of environment.
Speaker:And so that plus the fact that there are probably differences between
Speaker:things like the amount of money that they earn and so on and therefore
Speaker:access to healthy foods and healthcare between them and non shift workers.
Speaker:Those factors do contribute to some of the health disparities that we see.
Speaker:But then certainly, the disruption to sleep, trying to sleep during
Speaker:the biological daytime, and also things like mistimed eating, and
Speaker:mistimed light exposure, and mistimed physical activity, all of those
Speaker:things probably do contribute.
Speaker:And they also make it harder to make healthy lifestyle decisions, because
Speaker:if you're forever short on sleep, then if you look at the research on how that
Speaker:influences things like decision making, you're going to find it harder to make
Speaker:good health choices because you're probably going to be a bit more impulsive.
Speaker:You're likely going to be slightly more disposed to engaging in risky
Speaker:behaviors than the rest of us.
Speaker:And so you might find it harder to say no to the donuts that
Speaker:someone brings into work.
Speaker:And because of that, it has knock on effects.
Speaker:And those are then amplified by the fact that now, in this instance, your
Speaker:digestion and your metabolism have been scuppered by your recent sleep
Speaker:loss and circadian misalignment.
Speaker:That's a brilliant sort of point, actually.
Speaker:And I'd like to discuss it in a bit more detail, but sort of sleep
Speaker:and metabolism, sleep and appetite.
Speaker:What exactly are the mechanisms there that are driving dysregulated appetite
Speaker:when somebody is not getting enough sleep?
Speaker:Because, yeah, it's often said that, uh, a poor night's sleep will result
Speaker:in you making poorer food choices.
Speaker:But what, what's going on there specifically?
Speaker:I think there are a few things going on.
Speaker:One of them is very obvious and it's simply that the less sleep you get and
Speaker:the shorter your sleep opportunity, the more hours you are awake and therefore
Speaker:the more hours you have access to food.
Speaker:And so you might distribute your food intake over more hours each
Speaker:day, and that in turn increases your total energy intake.
Speaker:Even controlling for that though, people probably do tend to eat slightly more.
Speaker:If you look across studies of either sleep deprivation, where they're not
Speaker:allowed any sleep whatsoever, or sleep restriction, where they might have
Speaker:several nights of insufficient sleep, so perhaps they only have a five
Speaker:hour sleep opportunity for instance.
Speaker:than on average people.
Speaker:consume roughly 250 more calories each day when they're short on sleep.
Speaker:Some people actually consume less calories, but on average,
Speaker:most people do consume more.
Speaker:And beside the fact that they're spreading their food intake over a longer period,
Speaker:there are probably a few things at play.
Speaker:So naturally a lot of people have looked at the endocrinology of this.
Speaker:So is this driven by changes in hormones that are involved in
Speaker:appetite regulation and satiety?
Speaker:And frankly, the research on that is a little bit all over the place.
Speaker:If you look at meta analyses, then looking at ghrelin, for example,
Speaker:doesn't seem to be a clear effect on ghrelin when you might've expected
Speaker:there to be an increase in ghrelin because it tends to promote food intake.
Speaker:And likewise, the data on leptin, which is this hormone that's largely produced
Speaker:by fat tissue, which is representative of your long term energy status,
Speaker:although it does respond somewhat to short term fluctuations in energy
Speaker:intake and energy availability, and it in turn tends to reduce food intake.
Speaker:The data on leptin again aren't that consistent.
Speaker:It could be that the ratio between the matters, it could be that there
Speaker:are some other hormones that are affected by insufficient sleep.
Speaker:So people have looked at things like certain endocannabinoids,
Speaker:so these endogenous cannabinoids that tend to promote food intake.
Speaker:This is why you get the munchies after you smoke cannabis.
Speaker:Some of the cannabinoids tend to promote food intake.
Speaker:But overall, it's quite hard to parse the literature.
Speaker:There might also be some small differences between the biological sexes.
Speaker:And I won't, I won't go into the details of that, because I think it's probably a
Speaker:level of detail that's not necessary here.
Speaker:But putting aside changes in, in hormones, if there are any, and I think
Speaker:there probably are some, but I don't think they're a massive contributor.
Speaker:then there probably are differences in what's called
Speaker:hedonic or non homeostatic eating.
Speaker:where you're not eating because you're really hungry, you're eating because foods
Speaker:are harder to say no to at that time.
Speaker:And there have been lots of imaging studies where people have looked
Speaker:at patterns of electrical activity in the brain, patterns of blood
Speaker:flow in the brain, in response to things like food images.
Speaker:And in general, the brain that has been sleep deprived seems to respond
Speaker:differently to food related cues in ways that make it a bit more impulsive around
Speaker:food and therefore more likely to go for a short term reward like delicious food.
Speaker:than a longer term reward like saying no to the food for now because
Speaker:your health is important to you and you're trying to lose some body fat.
Speaker:So is it not just a dopamine issue do you think?
Speaker:Is it not maybe a result of less sleep resulting potentially and I'm
Speaker:just stringing mechanisms together here, but more oxidative stress, more
Speaker:inflammation and potentially less dopamine that is then driving that um,
Speaker:desire to find a, find a dopamine hit.
Speaker:Yeah, I wouldn't focus on, on dopamine because obviously the, the
Speaker:neurochemistry of it is very complicated and that's also just one piece of
Speaker:the puzzle, but, but certainly.
Speaker:The brain seems to be very motivated by food when it is short on sleep.
Speaker:And that's no surprise because extended wakefulness continues
Speaker:to tax the brain's energy stores.
Speaker:And so your brain wants energy to refuel itself.
Speaker:It's just that it tends to try to gain more energy than is needed
Speaker:to actually replace any additional losses that have taken place as a
Speaker:result of the insufficient sleep.
Speaker:And if you look at some of the literature on how the brain responds
Speaker:to insufficient sleep, then there are changes in things like the limbic system.
Speaker:There are changes in some of those reward pathways too.
Speaker:There are lots of different changes that take place, but one of the commonalities
Speaker:seems to be that the frontal cortex, which is the most evolutionarily
Speaker:recent part of the brain, which is very important to things like reasoning,
Speaker:long term planning, self control seems to communicate less effectively than
Speaker:some of the more primitive deeper parts of the brain that are more
Speaker:responsive to things like different types of stresses that make the brain
Speaker:fearful or worried or hungry or horny.
Speaker:And so it seems that The ability of the frontal cortex to exert control over the
Speaker:limbic system and some of these other parts of the brain that are involved
Speaker:in, in things like responding to food is compromised by the insufficient sleep.
Speaker:And I think that might turn out to be more important than any hormonal
Speaker:changes that are taking place.
Speaker:What are your thoughts, I suppose, sort of tacking on from that on food timing
Speaker:with regards to sleep, especially sort of, Yeah, again, healthy levels of sleep.
Speaker:Um, there's a lot being said about sort of restricting your calories.
Speaker:Uh, or your consumption of food too early in the day and then
Speaker:providing a buffer between your last meal and when you go to sleep.
Speaker:Personally, I find that if I go to bed hungry, I just, um,
Speaker:there's just an increase in catecholamines and I cannot sleep.
Speaker:Whereas other people, the opposite seems to be true.
Speaker:There's an increase in metabolism and then they, yeah, can't sleep
Speaker:for almost the opposite reason.
Speaker:Do you think that food timing, to repeat what I've just said, relative to when
Speaker:you go to sleep is important or is it sort of somewhat blown up in proportion?
Speaker:I think, I think it is important.
Speaker:I think how important it is depends on the person.
Speaker:And I also think that when people should stop consuming anything
Speaker:that contains calories varies a lot between different people.
Speaker:And to give you a few examples of this, if you take somebody who's got lots of
Speaker:energy stored on their body, they could probably go days without eating, without
Speaker:the recent low energy availability.
Speaker:dramatically, negatively affecting their sleep.
Speaker:However, if you are already lean and you go to bed hungry, then it makes sense
Speaker:that that would impair your sleep more.
Speaker:So I think some of this depends on things like baseline levels of body
Speaker:fat and physical activity in your recent physical activity history.
Speaker:So taking another instance, think of an athlete who's training twice a day
Speaker:in an energetically demanding sport.
Speaker:with good body composition.
Speaker:For them, if they try and use early time restricted eating and they finish
Speaker:their food intake at 3pm, that might not be a good thing for their sleep.
Speaker:Similarly, if you think about a child that's growing that needs lots of
Speaker:energy to invest in building new bones and muscle tissue and the nervous
Speaker:system and so on, then early time restricted eating is not the way to go.
Speaker:So I think the eating window depends on a variety of factors, but there are
Speaker:probably a few simple heuristics that apply to most people, and probably
Speaker:to everyone listening to this.
Speaker:So, first, you don't want to go to bed either feeling
Speaker:stuffed or feeling famished.
Speaker:There might be instances when you're on a fat loss diet, and you have been
Speaker:on that diet for weeks or months, and you're generally hungry where
Speaker:occasionally you do go to bed feeling hungry but it might be worth that for you.
Speaker:And also it's important to note that your hunger patterns are
Speaker:entrained by your food intake.
Speaker:So one of the interesting things that we see in the research on early
Speaker:time restricted eating, which often involves having people restrict their
Speaker:food intake between 8am and 3pm, is that They don't actually have
Speaker:a massive surge in hunger in the evening, which you might have expected.
Speaker:Because if you look at circadian rhythms and appetite, circadian rhythms
Speaker:and appetite tend to promote food intake most relatively late in the
Speaker:evening, at about 8pm for a lot of us.
Speaker:But with early time restricted eating, Initially, you might find the evening
Speaker:really hard because you're used to eating at that time, and therefore
Speaker:you have lots of hunger at that time.
Speaker:But after a few days, you might find that your body is no longer
Speaker:expecting food at that time, and therefore your hunger levels over
Speaker:the course of a 24 hour day increase.
Speaker:So just know that when you eat does influence your patterns of hunger,
Speaker:and in some instances it's worth going through a few difficult days because
Speaker:things will actually get easier.
Speaker:But going back to what I was saying, going to bed, neither stuffed nor
Speaker:hungry, and I think for most people not consuming any calories in two hours
Speaker:before lights off is a good rule of thumb.
Speaker:I don't think that's overly restrictive.
Speaker:There might be rare exceptions, like athletes with late training sessions, for
Speaker:instance, who need to, say, top up their muscle glycogen stores and support protein
Speaker:synthesis after the training session, which would mean that that particular
Speaker:recommendation is out the window.
Speaker:And the same could go for, for children and adolescents during
Speaker:certain stages of their development.
Speaker:But I think for most adults, that's reasonable.
Speaker:And part of the reason for this is just that if you look at circadian
Speaker:regulation and metabolic control.
Speaker:It's such that in general, the body does tend to respond worse to food
Speaker:intake late in the biological date.
Speaker:So looking at glucose tolerance, for instance, so how much your blood sugar
Speaker:swings in response to a standardized bolus of glucose, it's substantially worse at
Speaker:8pm than at 8am on average across people.
Speaker:And there are various factors that we go into as to why that's the case.
Speaker:But that's why, especially for people who are relatively sedentary, I
Speaker:think front loading a lot of their carbohydrate and fat intake within
Speaker:the waking day is a good way to go.
Speaker:If, however, you've got very good metabolic health, or if you do very
Speaker:strenuous exercise late in the day, so let's say that you finish work at 5.
Speaker:30pm and you go straight to the gym, and in the gym you do a full body resistance
Speaker:training workout for 45 minutes, and then you do 15 minutes of installs.
Speaker:You've just depleted lots of muscle glycogen and you might want to replenish
Speaker:those stores after your workout.
Speaker:If you've got good metabolic health, then that's a, that's a great
Speaker:time to have lots of carbohydrate.
Speaker:So there are exceptions, but I think those general recommendations
Speaker:work well for a lot of people.
Speaker:And then, of course, based on what I just said, you can start to think
Speaker:about this in terms of different days.
Speaker:So in the sports nutrition world, In the last decade or so, there's been
Speaker:quite a lot of talk of periodized nutrition, not just periodized training.
Speaker:And so there might be days within a micro cycle, which lasts a week, where
Speaker:you eat very differently to other days.
Speaker:So you have those strenuous workouts where performance is a priority and recovery
Speaker:from those workouts is a priority.
Speaker:You might consume a lot more food in total on those days.
Speaker:And a lot of that might be.
Speaker:a bit later in the day too.
Speaker:Whereas other days that are rest days or active recovery days, you might
Speaker:be consuming much less late in the day and a little bit less in total.
Speaker:So another long winded answer, but as usual, it depends, but neither
Speaker:hungry nor full and two hour cutoff, I think is reasonable for most people.
Speaker:Fair enough.
Speaker:Yeah, that was an amazing answer.
Speaker:Thank you.
Speaker:I'm going to listen to that again.
Speaker:Moving forwards, um, looking at sleep and specifically jet lag, it's sort of
Speaker:something that's been of interest to me of late, and then utilizing, and utilizing
Speaker:food potentially as a zeitgeist, but something to reset the circadian rhythm.
Speaker:Um, when you sort of moved into a new time zone, do you think
Speaker:it's an effective tool to sort of help reset this circadian rhythm?
Speaker:Or is this where compounds such as melatonin are, are generally
Speaker:sort of utilized more effectively?
Speaker:So just to step back, a Zeitgeber, that's from a German word that means time giver.
Speaker:These are different stimuli.
Speaker:that can change the timing of circadian rhythms because you need to reset
Speaker:your circadian clocks each day because they don't tick at precisely 24 hours.
Speaker:And the most important of these for humans is the light dark cycle,
Speaker:and that's particularly important to the timing of the master clock
Speaker:and in turn your sleep timing.
Speaker:But there are other zeitgebers too.
Speaker:So I mentioned physical activity and that seems to be one.
Speaker:Probably mostly for skeletal muscle clocks, maybe for bone clocks,
Speaker:possibly for cardiovascular system.
Speaker:A little bit for the central clock too.
Speaker:But it seems likely that nutrition is a time cue as well.
Speaker:In particular for organs that are involved in digesting, and metabolizing food.
Speaker:The little research that's been done so far shows, for instance,
Speaker:that if you take two groups of mice and you feed one of them from 6 a.
Speaker:m.
Speaker:to 6 p.
Speaker:m.
Speaker:and another from 6 p.
Speaker:m.
Speaker:to 6 a.
Speaker:m.
Speaker:I hope I said that correctly, then within days if you, if you take samples of a
Speaker:tissue like the liver, the timing of gene expression is 12 hours out of phase.
Speaker:between the two groups.
Speaker:It's completely inverted and there's preliminary evidence showing that some
Speaker:of these peripheral clocks in humans, so all the clocks that exist outside the
Speaker:master clock in the brain, and here I'm talking about fat cells specifically,
Speaker:but maybe it's true of the pancreas and the liver and the gut tissue and so on as
Speaker:well, do respond to food intake as well.
Speaker:And so really what we're looking for to organize our circadian clocks
Speaker:appropriately is high amplitude cycles that are characterized by lots of
Speaker:daylight during the day, physical activity during the day, food intake
Speaker:during the day, and then resting and fasting in darkness at night.
Speaker:And of course, in the case of jet lag, You travel across many time zones and
Speaker:initially your body's clock is stuck back at home and all these different clocks
Speaker:are trying to catch up to the new time zone and they do so at different rates
Speaker:and this is why for instance you might find that your digestive issues that
Speaker:you experience in the new time zone, maybe you get a bit constipated for
Speaker:instance, they resolve quite quickly.
Speaker:but your sleep takes longer to catch up with the new time zone.
Speaker:And so what we're trying to do is give ourselves appropriate Zeitgeber
Speaker:schedules to entrain our clocks to the new time zone as quickly as possible.
Speaker:And for the master clock in the brain, the way that we do that
Speaker:is appropriate exposure to light.
Speaker:And you can use melatonin as well to speed the rate at which the master
Speaker:clock adjusts the new time zone.
Speaker:But in the case of peripheral clocks, we're trying to shift the timing of
Speaker:our nutrition such that we can get those clocks on time with the new time
Speaker:zone as quickly as possible as well.
Speaker:So in terms of where the rubber meets the road, what I would say
Speaker:is that being pragmatic, there's an excellent app called Time Shifter.
Speaker:I have no affiliation with it whatsoever, but you can try.
Speaker:I think they give one free trip, and you just enter your flight details,
Speaker:and it gives you a personalized schedule of when to experience bright
Speaker:light, when to avoid light, when to take naps, when to use caffeine.
Speaker:The caffeine is less about the circadian system, but it probably does affect
Speaker:the circadian system a little bit.
Speaker:It's more about homeostatic sleep drive, which is like the hunger
Speaker:for sleep that grows in your body the longer that you've been awake.
Speaker:So you can use that to address light schedules, naps, and you can also use that
Speaker:to give recommendations about when to use melatonin if you want to use melatonin.
Speaker:In general, melatonin is more helpful if you're traveling east than if
Speaker:you're traveling west, although there are rare exceptions to that.
Speaker:In terms of food intake, it's really tricky to be prescriptive
Speaker:at the moment because we don't have what are called phase response
Speaker:curves established for food intake.
Speaker:And a phase response curve is basically a diagrammatic representation of, of how a
Speaker:particular clock responds to a Zeitgeber at different times during its cycle.
Speaker:So if you're listening to this, you could, you could look up the phase response
Speaker:curve for bright light, for example.
Speaker:Or the phase response curve for melatonin.
Speaker:In the case of the phase response curve for melatonin, you'll see that if you
Speaker:take someone who's got a 10:00 PM sleep onset and a 6:00 AM sleep offset, if they
Speaker:take melatonin in the few hours before sleep, they'll tend to accelerate their
Speaker:clock and pull their sleep earlier.
Speaker:Whereas if they take it in the few hours after they wake up in the morning, that
Speaker:will tend to to push their clock later.
Speaker:We don't have that plotted for food intake because the necessary
Speaker:experiments haven't been done.
Speaker:So what do we do for the time being?
Speaker:What I would say is, while you're in transit, moving between the
Speaker:different time zones, frankly, your digestion and metabolism is
Speaker:likely to be a little bit of a mess.
Speaker:And in part because of that, if you want to be particular about
Speaker:this stuff, you don't have to, you can just enjoy plain food.
Speaker:If it doesn't bother you that you're going to have a couple of days where things
Speaker:go a bit haywire, but If you are really prioritizing your health during this
Speaker:transitional stage, you could actively look for high protein items that are
Speaker:lower in carbohydrate, probably a little bit lower in fat too, and you consume
Speaker:slightly less energy in total because your blood sugar and your blood lipids
Speaker:probably as well are going to swing more in response to food intake during
Speaker:the state of metabolic dysregulation.
Speaker:So during that time, you're trying to hold onto your fat free mass using the
Speaker:protein, have things which are relatively easy to digest to avert any gut issues,
Speaker:and keep carbohydrates and fats a little bit lower because of that dysregulation.
Speaker:And so this could include things like certain high protein snacks.
Speaker:It could be protein bars.
Speaker:There are a few good ones nowadays.
Speaker:It could be things like jerky, cheese.
Speaker:For fat and fiber rich sources, you could have things like
Speaker:mixed nuts and low sugar fruits.
Speaker:And you can pack those items with you and take them with you.
Speaker:to skip plane food.
Speaker:In terms of timing while you're in that transitional stage, one of the things
Speaker:that I've played with, in my mind at least, is the idea that there's, there
Speaker:are certain times during which it's when you would be eating both at your
Speaker:origin and at your destination too.
Speaker:So if I take the example of flying from the UK to the West coast of America,
Speaker:it's an eight hour time zone difference.
Speaker:And so if you normally spread out your food and take over 10 hours each day, your
Speaker:final meal of the day in the UK coincides with your breakfast in the new time zone.
Speaker:So I think it makes a little bit of sense to concentrate a lot of your
Speaker:food and take around that time, because I think you're less likely
Speaker:to experience digestive issues.
Speaker:And then when you get to new time zone, wherever you are, whichever direction
Speaker:you're going, after your first full day, full night of sleep, so complete
Speaker:sleep opportunity, I would fully switch your meals to the new time zone.
Speaker:And that's going to help speed the rate at which some of those peripheral
Speaker:clocks adjust the new time zone.
Speaker:It could be that we'll get more granular than that in the future as
Speaker:we establish phase response curves.
Speaker:But I think for now, that's a reasonable recommendation.
Speaker:So, just to summarize, time shifter for light, nap, caffeine,
Speaker:and melatonin schedules.
Speaker:If you're going to use melatonin, you don't need a huge dose.
Speaker:A lot of the literature has used doses of about three to five milligrams.
Speaker:I actually think that you probably don't need a dose that's that high necessarily.
Speaker:Just a milligram of melatonin or so is likely to do the trick and
Speaker:most helpful if you're flying east.
Speaker:And then for nutrition, pack high protein snacks that are familiar.
Speaker:Easy to digest, concentrate your food intake at times when you would be eating
Speaker:in both time zones, and after your first full night of sleep in a new time
Speaker:zone, fully shift your food intake.
Speaker:Another amazing answer.
Speaker:What are your thoughts, I suppose, on melatonin as a general sleep
Speaker:aid and sleep aids in general?
Speaker:We discussed melatonin a lot in the last couple of minutes, and a
Speaker:lot of people utilize it daily as a crush to help get them to sleep.
Speaker:Obviously, that melatonin is a hormone.
Speaker:It doesn't seem to have a negative feedback loop as say some of the sex
Speaker:hormones do, but by sort of taking it exogenously or from external source,
Speaker:you're still going to be interfering with your body's ability to potentially
Speaker:produce it, at least in the short term.
Speaker:Do you think it's something you should be taking daily or can take daily or?
Speaker:Yeah.
Speaker:And I suppose other compounds in that, in that same category.
Speaker:So your, um, Your amino acids, your tryptophans that are sort of
Speaker:augmenting or supporting the production of that same, that same hormone.
Speaker:Do you think there's a place for those or should we really sort
Speaker:of be trying to improve our sleep more through lifestyle means.
Speaker:So I think in general, it makes sense to start with other things that are
Speaker:often low hanging fruit that will more potently affect sleep issues
Speaker:in the short term and the long term than melatonin Or nutraceuticals.
Speaker:However, you can do both.
Speaker:And I think that there are certain supplements that can
Speaker:be helpful for sleep issues.
Speaker:Melatonin is definitely one of them.
Speaker:And, interestingly, if you look at how melatonin is prescribed, there's
Speaker:one particular form that's given on prescription in the UK called circadian,
Speaker:which is a time released formulation which is prescribed for older adults
Speaker:with sleep maintenance issues.
Speaker:So if they have insomnia symptoms where they struggle to maintain sleep during the
Speaker:night, they might be prescribed circadian.
Speaker:Sorry, is that a result of the, the odds you get potentially the less
Speaker:melatonin you produce as a result of calcification of the pineal gland or
Speaker:is that a bit of an old wives tale?
Speaker:Yeah, I think that there's a lot more at play than that alone.
Speaker:And melatonin, it does have some roles in sleep, but really it's more important
Speaker:to the circadian system in general.
Speaker:And there's a, there's a large array of different neuromodulators that are
Speaker:involved in sleep and the different stages of sleep that we go through.
Speaker:And chemically the brain is in very different states during different
Speaker:stages of sleep, which is part of the reason why, honestly, I'm not
Speaker:a huge fan of tryptophan or 5 HTP.
Speaker:Because it could be The 5 HTP, for instance, is, is strongly
Speaker:promoting serotonin synthesis, and serotonin in large part is a
Speaker:weight promoting neuromodulator.
Speaker:There are lots of nuances there.
Speaker:Serotonin has many different receptors.
Speaker:and the combination of different receptors that you agonize in different
Speaker:parts of the brain is going to differentially affect sleep and stages
Speaker:of sleep and wakefulness and so on.
Speaker:But I'm not honestly a big fan of that particular strategy.
Speaker:I do like that general approach where you're giving the body precursors for a
Speaker:particular neuromodulator of interest and then there might be times when your body
Speaker:is turning over and so on and so forth.
Speaker:those chemicals faster, and therefore it uses that additional substrate to help
Speaker:maintain levels of that neuromodulator at near optimal levels, and a good
Speaker:example of that is using L tyrosine during periods of insufficient sleep
Speaker:or total sleep deprivation to help maintain catecholaminergic signaling,
Speaker:so levels of dopamine and noradrenaline specifically, and for that reason
Speaker:L tyrosine can be quite helpful at maintaining certain cognitive functions
Speaker:during sleep loss, but in the case of sleep I don't think that the data
Speaker:regarding HTP are very compelling, but it's likely they do affect certain stages
Speaker:of sleep more than others, and there are some interesting potential use cases.
Speaker:So there's been some work relatively recently looking at 5 HTP in
Speaker:Parkinson's disease, for example, and a lot of people with Parkinson's
Speaker:have REM sleep behavior disorder.
Speaker:It's kind of prodromal for Parkinson's and it could be that 5 HTP is
Speaker:useful in that particular context.
Speaker:But, going back to melatonin, while melatonin is used on prescription for
Speaker:sleep maintenance issues in the UK, I actually think that regular melatonin is,
Speaker:is really helpful, um, and more so than time release, but specifically for certain
Speaker:circadian rhythm sleep wake disorders.
Speaker:familial advanced, all familial delayed sleep phase syndrome where you
Speaker:have these entire families of people with very late sleep timing, and you
Speaker:want to shift their clocks earlier.
Speaker:Melatonin can help with that.
Speaker:Jet lag disorder.
Speaker:Shift work disorder.
Speaker:These are all instances where the system of clocks is disrupted,
Speaker:either exogenously or endogenously, and melatonin can be helpful.
Speaker:And like you say, there's not good evidence of that kind of inhibition
Speaker:of melatonin synthesis by regular use.
Speaker:It hasn't been that well studied, but right now there's not
Speaker:really any evidence of that.
Speaker:And in that way, as you said, it's very much unlike something like
Speaker:taking testosterone, where quite quickly you will shut down your body's
Speaker:own synthesis of the testosterone.
Speaker:So that's interesting.
Speaker:And looking at the long term safety of melatonin, it seems to be very good.
Speaker:And there have been studies of various different clinical populations.
Speaker:kids with autism, older adults with various different neurodegenerative
Speaker:conditions, or people just with sleep issues, showing that
Speaker:people can take moderate doses of melatonin for several years without
Speaker:any obvious untoward effects.
Speaker:And I think we're realizing with melatonin that while historically
Speaker:it's been treated as a sleep hormone, it does a lot more than that.
Speaker:It's important to circadian organization, obviously it's, it's potent antioxidant,
Speaker:various different tissues, and now it's being studied therapeutically for uses
Speaker:and everything from long COVID to PCOS, diabetes and various other things too.
Speaker:So, so I am all for smart use of melatonin provided that it's.
Speaker:used appropriately, it's sourced well as well, because I think the
Speaker:reality is that a lot of people are sourcing their own melatonin.
Speaker:And there have been these slightly esoteric studies where researchers will
Speaker:take a bunch of melatonin from supplement shops and then test those products.
Speaker:And then they find that the concentrations of melatonin range
Speaker:from 80 percent less than to 480 percent more than what's on the label.
Speaker:And some of them are contaminated with serotonin.
Speaker:So you've got to be careful with the melatonin that you source.
Speaker:And for that reason, I think in the right hands, it has its place, but it's
Speaker:not something I would recommend to the masses, even if I think that for a lot
Speaker:of people, it is likely to be beneficial.
Speaker:I think with sleep supplements in general, so if you put aside drugs,
Speaker:we need to bear in mind that a lot of these are acting on the same pathways
Speaker:as drugs, and Some of them could produce tolerance and withdrawal effects over
Speaker:time, theoretically, and so we need to use them in very targeted ways,
Speaker:and we need to consider the totality of effects of the supplements.
Speaker:And what I mean by that is, maybe, for instance, Someone is training
Speaker:hard, and they're trying to build some muscle and burn some fat.
Speaker:And their sleep is okay, but they've got some mild insomnia
Speaker:issues, and they're a bit anxious.
Speaker:For that person, something like ashwagandha is a really interesting
Speaker:choice, because there's some evidence showing that it might slightly
Speaker:speed the rate at which people build muscle and gain strength in
Speaker:response to resistance training.
Speaker:And also, of all the different supplements that have been studied, it's probably one
Speaker:of the two best at lowering cortisol, at least when the cortisol has been sampled.
Speaker:Whereas, you can take someone else who's got a completely different sleep issue.
Speaker:So, take someone who has Restless Leg Syndrome, where they have this tingling
Speaker:sensation that comes on in their limbs, and it's normally just the legs, but
Speaker:for some people it's their arms as well.
Speaker:It comes on shortly before sleep, and it makes getting to sleep really
Speaker:hard, and it's really frustrating.
Speaker:Often that's driven by insufficient iron in some parts of the brain.
Speaker:And the way that that is therefore treated, is through iron supplementation.
Speaker:So no one's speaking about iron as a sleep aid, but for that
Speaker:person, iron is what they need.
Speaker:That is the best sleep supplement they could possibly take.
Speaker:For somebody else, something else is likely a better choice.
Speaker:So you take the example of someone, I'll take it an unusual example,
Speaker:someone doing an ultramarathon run.
Speaker:They don't have enough time in which to sleep and they're running
Speaker:for several days on the trot.
Speaker:And they're experiencing massive amounts of muscle damage each day because some
Speaker:of the running is downhill as well.
Speaker:And they're going to carry all that stuff with them.
Speaker:They therefore want to fall asleep quickly, have high quality sleep, and they
Speaker:want something that's going to support the recovery of their muscles and connective
Speaker:tissues between bouts of running.
Speaker:For them, something like tart cherry juice is going to be a really good
Speaker:choice because it's been shown to help with recovery from damaging exercise.
Speaker:improve various different metrics of sleep quality.
Speaker:And it's quite possibly slightly ergogenic in general, like it can promote
Speaker:endurance performance in certain contexts.
Speaker:So what I'm saying is you need to think about all of the effects of the product.
Speaker:For me personally, I would never recommend anything that doesn't have good randomized
Speaker:controlled clinical trials on it.
Speaker:I'm talking about well conducted studies of humans and
Speaker:therefore excellent safety data.
Speaker:And if not, then you can just use common sense.
Speaker:Tart cherry juice is going to be perfectly safe.
Speaker:It's.
Speaker:It's juice from cherries, like you, you don't need a long term safety
Speaker:study of tart cherry juice or tomatoes would be another instance, but
Speaker:for some things you do need that.
Speaker:So think about all of these different variables that are at play and then be
Speaker:meticulous about sourcing good products and look for products that have been
Speaker:third party testing, which I know is something that you guys do at Vitality
Speaker:Pro and I really commend you for that.
Speaker:Yeah, very much.
Speaker:That is definitely something that we.
Speaker:Well, we sort of built our business upon, and it's something that we've
Speaker:definitely noted in the industry.
Speaker:As you mentioned earlier, uh, what is said on the label is oftentimes completely
Speaker:wrong, whether it's the active ingredient in there is completely absent, or just
Speaker:in there, the dose that is completely, um, what's the word I'm looking for?
Speaker:Not reflective of, uh, of a clinically useful dosage.
Speaker:Just before we go on, I'd just love to get your thoughts on other ways to sort
Speaker:of promote sleep that don't necessarily utilize these sort of precursor molecules.
Speaker:So, things like glycine and phosphatidylserine compounds that help to
Speaker:sort of manipulate other systems in the body that can lower stress hormones such
Speaker:as cortisol or lower body temperature.
Speaker:Do you think those are an effective strategy, an effective tool?
Speaker:Or again, is it very much context dependent?
Speaker:Yeah,
Speaker:I think it does come back to the sleep phenotype.
Speaker:So what is this person presenting with?
Speaker:What is their particular sleep issue?
Speaker:And what's likely to be upstream of that?
Speaker:However, I also think that there are certain things that a lot of people
Speaker:who have sleep issues struggle with.
Speaker:And so there are certain candidates that work really well for a lot of people.
Speaker:And there are also supplements which might, based on the existing research,
Speaker:be good for sleep in some contexts, but the research quality is quite weak
Speaker:and there hasn't been that much of it.
Speaker:However, if you look at the totality of research on the supplement, then
Speaker:it seems to be a smart thing to add to your daily routine regardless.
Speaker:And personally, I'd put glycine in that category.
Speaker:I think glycine is a fascinating amino acid and it's come into the
Speaker:spotlight in the last few years for its potential pro longevity effects.
Speaker:It's one of a few supplements identified that's been studied in the ITP, the
Speaker:interventions testing program that's been shown to extend lifespan of a particular
Speaker:type of genetically diverse mouse and that's the gold standard way of Assessing
Speaker:candidate longevity interventions in mammals at this point in time.
Speaker:How Glycine is doing that.
Speaker:We don't fully understand, frankly, and a lot of people think that that's to do
Speaker:with some of its antioxidant and anti inflammatory actions, but surely it's
Speaker:due to a diversity of different actions.
Speaker:In the case of sleep, the existing clinical trials I don't
Speaker:find particularly compelling.
Speaker:They're small, they're underpowered, and with that said, they, they have
Speaker:so far shown some positive effects on sleep quality, quality and next
Speaker:day cognitive function too, during periods of insufficient sleep.
Speaker:And then As you're alluding to mechanistically, some of that seems
Speaker:to relate to glycine affecting neuromodulation at the master clock in
Speaker:the brain, and then in turn affecting regulation of body temperature
Speaker:by facilitating distal heat loss.
Speaker:So for me, I look at glycine and I think, is it something that's
Speaker:going to be a potent sleep aid?
Speaker:I don't know.
Speaker:Probably not.
Speaker:I think it's going to mildly improve sleep in many people, probably
Speaker:won't improve sleep in everyone.
Speaker:Is it something that most people benefit from consuming more of?
Speaker:Yes, I think it absolutely is.
Speaker:And so, for me, it's one of not that many ingredients where I
Speaker:give it a thumbs up regardless.
Speaker:Because most people have a kind of glycine gap where the total amount
Speaker:of glycine they consume each day is probably insufficient to meet their
Speaker:metabolic needs at certain times.
Speaker:Some people would define it as a conditionally essential amino acid.
Speaker:Sorry, Rob, for what you're going to say.
Speaker:Yeah, I was just going to say, especially when you look at how sort of dominant
Speaker:people's diets are in terms of methionine content, you oftentimes get a pretty
Speaker:stark sort of drop off in glycine, which is again going to then, yeah, result in,
Speaker:inability among other things to, yeah, uh, regulate that sort of not traumatic.
Speaker:And yeah, your body's ability to sort of regulate temperature in the evening.
Speaker:Yeah.
Speaker:So, so I think, I think glycine is a, is a good supplement
Speaker:for a lot of people to take.
Speaker:And I think we need more research on its effects on sleep specifically, but I'd
Speaker:feel relatively comfortable saying that if most people add three to five grams,
Speaker:a day to their diet, that's a good move.
Speaker:And a lot of people will be adding that anyway by taking
Speaker:10 grams of collagen powder.
Speaker:Collagen is about 30 percent glycine on average.
Speaker:And interestingly, there has actually been a study in the last year or
Speaker:so showing that when people consume collagen late in the day, they do see a
Speaker:small improvement in some sleep health metrics, which the authors chalked
Speaker:up to the collagen's glycine content.
Speaker:And mechanistically, mechanistically that does make some sense.
Speaker:Regarding phosphatidylserine, I'm not, I'm not a big fan, to be honest.
Speaker:I don't find the research particularly compelling.
Speaker:I think it's, it's perfectly safe.
Speaker:I think it's, it's an interesting adjunct intervention in particular
Speaker:for some older people who might be experiencing mild cognitive impairment.
Speaker:I think that some particular types of phosphatidylserine might be slightly
Speaker:good for brain health in general because of their incorporation into the brain.
Speaker:So membranes, there haven't been any good clinical trials
Speaker:showing any effects on sleep.
Speaker:Does it affect people's stress responses to things?
Speaker:Again, the jury is somewhat out.
Speaker:A lot of the early work looked at exercise training and whether it influenced
Speaker:things like cortisol and noradrenaline and adrenaline responses to exercise.
Speaker:And some of those studies showed that it did somewhat diminish
Speaker:those stress hormone responses.
Speaker:Thank you But others didn't find that.
Speaker:So, the literature is relatively inconsistent.
Speaker:I think the form does matter in this instance.
Speaker:And again, I think that for brain health in general, it's, it's probably weakly
Speaker:beneficial for a lot of people, but there are other candidate ingredients
Speaker:that I find much more interesting.
Speaker:And if we were focusing on how stress specifically might affect sleep, then
Speaker:there are things that I would reach for much sooner than phosphatidylserine.
Speaker:I've actually never recommended phosphatidylserine to someone, not
Speaker:phosphatidylserine specifically, but in the case of stress related sleep
Speaker:issues, I think L theanine is a good candidate because It has an excellent
Speaker:safety profile, as far as we can tell.
Speaker:It's something that's part of the human diet anyway, by way of consuming tea.
Speaker:It's also present in small amounts in some mushrooms.
Speaker:And if you look at the research on L theanine and different forms of
Speaker:psychological distress that people are experiencing, It quite consistently
Speaker:has a small positive effect on how people feel in response to stress.
Speaker:And it hasn't been that well studied in this context, but
Speaker:it, it, it might mildly reduce.
Speaker:people's stress hormone responses as well.
Speaker:And there have been a few studies, and there's one good one in
Speaker:particular showing that L theanine can improve some sleep metrics, in
Speaker:particular rates of sleep quality.
Speaker:And then if you look at all of the effects of L theanine, it's probably
Speaker:weakly good for cardiovascular health.
Speaker:It also seems to affect a subset of immune cells in a way that's
Speaker:probably beneficial for most people.
Speaker:So, given the safety data, and given all of the effects of L theanine, including
Speaker:those on cognitive function too, because a lot of people take it early in the
Speaker:day with caffeine, and relates to that, and this actually is something that is
Speaker:really underappreciated, and it might be the biggest benefit of L theanine.
Speaker:L theanine might slightly offset the adverse effects of caffeine on sleep.
Speaker:And so in a society where a lot of us are mainlining caffeine, if
Speaker:there's something that you can take that's good for you in general.
Speaker:and it slightly diminishes the effects of caffeine on your sleep.
Speaker:That's an easy win.
Speaker:And that's where L theanine comes in.
Speaker:And then I mentioned ashwagandha earlier, and ashwagandha is interesting as
Speaker:something that can perhaps slightly more potently affect cortisol specifically.
Speaker:It also seems to have some effects on some of the sex steroids.
Speaker:So quite consistently increases testosterone in men.
Speaker:the magnitude of that increase over time seems to be something like 10 to 15
Speaker:percent from other people, but ashwagandha is a very promiscuous molecule.
Speaker:It seems to affect lots of different targets and there are some minor
Speaker:concerns related to some case studies that reported liver issues after taking
Speaker:certain types of ashwagandha extracts.
Speaker:Again, I think the form matters.
Speaker:I think we need more research on that specifically because it's just
Speaker:a series of individual reports.
Speaker:where people have experienced liver issues, but with ashwagandha it's
Speaker:definitely something that I would cycle.
Speaker:I wouldn't have any reservation saying that someone could take
Speaker:glycine or l theanine in modest doses, probably indefinitely,
Speaker:without any issues whatsoever regarding toxicity or what have you.
Speaker:That is not the case for ashwagandha and I probably wouldn't recommend
Speaker:that someone takes ashwagandha for longer than about a week.
Speaker:16 weeks at a time at the upper end of the range.
Speaker:A lot of the studies are 8 to 12 weeks.
Speaker:So I think 12 weeks is an appropriate period of use before you take
Speaker:a similar amount of time off.
Speaker:Yeah, no, I think you're completely right.
Speaker:Adaptogens in general need to be cycled.
Speaker:Just with regarding tolerance and some of these amino acids, do you
Speaker:think those need to be cycled?
Speaker:Uh, again, your, uh, your compounds like your L thene and your glycine, especially
Speaker:for their sort of, uh, psychoactive properties, are you going to develop
Speaker:a tolerance to some of these compounds do you think or less so than maybe your
Speaker:precursors like again, 5 HTP, et cetera?
Speaker:I think less so than something like 5 HTP or L tyrosine where there's clearly
Speaker:A known metabolic pathway and you're providing a precursor within that
Speaker:pathway, which has been shown to in some instances quite potently affect
Speaker:levels of an intermediary of interest like serotonin in the case of 5 HTP
Speaker:or dopamine in the case of L tyrosine.
Speaker:So, while they are amino acids, and they're influencing levels
Speaker:of certain neuromodulators.
Speaker:I don't think that glycine intake or taurine intake, say, are as
Speaker:big concerns as those others.
Speaker:Should people therefore cycle them?
Speaker:I think some of this relates to, to your personal risk tolerance.
Speaker:I personally, and I, I'm, I'm quite, I would say that I'm, I'm relatively
Speaker:particular about not taking things for extended periods if there are
Speaker:any safety concerns whatsoever.
Speaker:I wouldn't personally, based on the literature that I've seen, have any
Speaker:reservation about taking glycine, taurine, L theanine in the long term.
Speaker:I would, taking 5 HTP or L tyrosine, or possibly tryptophan as well.
Speaker:So I think you need to take it on an ingredient by ingredient basis.
Speaker:But the reality is that we don't have those long term intervention
Speaker:studies that will give us that information about whether certain
Speaker:pathways are downregulated.
Speaker:And whether that is a concern and therefore these
Speaker:things do need to be cycled.
Speaker:But looking at the existing literature, I think that we do know
Speaker:something about the safety of a lot of these different substances.
Speaker:And there are bigger questions regarding some of them, like 5
Speaker:HTP or ashwagandha, than there are concerning others like L theanine.
Speaker:or glycine and obviously dose is really important here too.
Speaker:So in the case of glycine, if you look at some of the research on glycine, a lot
Speaker:of it, the majority of, and this probably isn't appreciated because I think in a
Speaker:lot of podcasts, people just think, Oh, glycine is that great sleep supplement.
Speaker:You've got to take three grams an hour before bed.
Speaker:And then that will sort your sleep issues.
Speaker:And that's what most of the research has shown.
Speaker:Most of the research on glycine has been on psychiatric patients.
Speaker:And a lot of it has used very, very high doses and using glycine in that way.
Speaker:That is probably an intervention that needs to be cycled,
Speaker:those types of high doses.
Speaker:3 grams of glycine, however, you get that from 10 grams of collagen, which you might
Speaker:consume by way of gnawing on the ends of your chicken bones at dinner each day.
Speaker:Would you be concerned about the 3 grams of glycine you get from that food matrix?
Speaker:No, you wouldn't.
Speaker:It's within the realms of what you'll get from your diet anyway.
Speaker:So, you contrast that with taking a large dose of 5 HTP.
Speaker:Would you get that from your diet?
Speaker:Maybe if you're eating a very large dose of certain plants?
Speaker:But, but probably not.
Speaker:So, I think we also just need to, to consider what's, what's normal
Speaker:in the context of, of the human diet and, and absent specific studies,
Speaker:think about what might make sense.
Speaker:I think a lot of this is just common sense.
Speaker:Three grams of glycine, I'm not personally concerned.
Speaker:100 milligrams of L theanine, not at all concerned.
Speaker:You know, that's a couple of cups of green tea.
Speaker:400 milligrams of L theanine, I start thinking about it.
Speaker:200 milligrams of L theanine, probably fine.
Speaker:So the dose makes the poison.
Speaker:Yeah, definitely.
Speaker:I think, as you said, it just comes down to common sense.
Speaker:And there's definitely nothing in my, what's your, uh, saying?
Speaker:There's no free lunch in biology.
Speaker:Uh, the moment you start, uh, moving one metric, you're gonna move another,
Speaker:and you're gonna skew amino acid profiles and create all sorts of
Speaker:imbalances upstream that can cause neurotransmitter issues potentially.
Speaker:Um, so, yeah, no, I couldn't agree more.
Speaker:Greg, I want to be respectful of your, of your time and thank you for it.
Speaker:I, I've definitely learned a lot.
Speaker:And, um, that's something I often say, but this time round, I really mean it.
Speaker:So thank you.
Speaker:Where's the best place people can find you at the moment?
Speaker:You seem to be involved in a lot, but, uh, for you, what
Speaker:is your lowest com, If you're
Speaker:listening to this, then you must like podcasts.
Speaker:And last year I started my own podcast, which is Reason and Wellbeing.
Speaker:So if you're interested in health and performance and critical
Speaker:thinking, then you might enjoy that.
Speaker:So that's Reason and Wellbeing.
Speaker:And there's also a YouTube channel, which is Ackroyd Potter PhD.
Speaker:It's the same handle that I use for Instagram and Twitter.
Speaker:People want to follow me there, but the podcast episodes go up on YouTube as well,
Speaker:and I'll probably add some additional content to the YouTube channel over time.
Speaker:So I'd probably funnel people in that direction.
Speaker:But yeah, if you do check out the podcast and let me know your
Speaker:thoughts and do feel free to send me spam via Instagram as well.
Speaker:And if I like your spam, I'll respond.
Speaker:And if I don't, then I won't.
Speaker:Fair enough.
Speaker:Well, thanks a lot.
Speaker:I really do or we really do appreciate it.
Speaker:And yeah, we'll have to do this again soon.
Speaker:But yeah, thanks a lot.