Speaker:

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.