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AMA #16: Sleep, Vertigo, TBI, OCD, Tips for Travelers, Gut-Brain Axis & More
AMA #16: Sleep, Vertigo, TBI, OCD, Tips for Travelers, Gut-Brain Axis & More

AMA #16: Sleep, Vertigo, TBI, OCD, Tips for Travelers, Gut-Brain Axis & More

Huberman LabGo to Podcast Page

Andrew Huberman
·
15 Clips
·
Feb 29, 2024
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Episode Summary
Episode Transcript
0:00
Welcome to the huberman Lab podcast. We discuss science and science based tools for everyday life. Hello everybody and
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welcome.
0:12
I want to thank all of you premium huberman Lab podcast subscribers for joining. This is an exciting one, even though the backdrop here looks very much like the studio back in the United States. I am doing this. I am a live from Sydney Australia where I in the huberman lab podcast team have been for well over a week. We were in Melbourne, and we just did two live shows here in Sydney, and we're headed off to Brisbane tomorrow.
0:41
And it's been absolutely delightful. We've had so much fun talking science learning from people. That's a wonderful place. I want to get right into your questions and do my best to answer as many of them as possible and it's thoroughly clearly and succinctly as possible over the next hour. So I'm going to dive into those in just a moment just one last important thing before I do that, which is that I want to thank everyone for being a premium subscriber and let you know.
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That we based on your contributions to the premium channel have already as you know supported for Laboratories at Stanford Columbia University Salk Institute and Elsewhere for important projects on humans that are already leading to important therapeutic breakthroughs that we will soon share with you on the human lung podcast, but that this year 2024 we were fortunate enough to secure. No fewer than three dollar for dollar match donors who have generously agreed to
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To match our contributions from the premium channel to additional projects. Those are going to head out to a number of different universities and researchers working again on human studies. So no animal studies human studies on important projects everything from novel treatments for mental health issues headache and migraine some interesting stuff on immunology and cancer mindsets and immune system function and much much more also nutrition physiology.
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Exercise physiology Etc. So your contributions to the premium channel really do make a difference I can say this because I'm familiar with the challenges of raising funding for doing truly breakthrough work and getting things quickly out to the general public. So thank you. Thank you. Thank you. And now without further Ado. Let's get to your questions. The first question was is how are you managing to achieve your key Health pillars while in Australia and any
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other place you've enjoyed doing so all while working so hard. Well, thanks for the question. I'll answer this question in the context of what I think we all can and should and really will do because if your premium channel subscriber certain that you're taking your health, seriously. So first off, I think there's a bit of a misconception about the protocols on the huberman Lab podcast being that we are all including myself super super regimented about them to the point where we don't enjoy other things in life and that's
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We not true. So I view the protocols of the huberman Lab podcast as science-based actionable low cost zero cost minimal cost in almost all situations. There are few exceptions to that but it really designed to mesh with the rest of life and in hints mental health and physical health, which of course means remaining social staying on typical sleep schedules Etc. So the big ones for me when arriving here were of course to get morning sunlight as often as possible saw beautiful sunrise this morning over Sydney, but
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Even on the overcast days. We've had a few Rani overcast days to really make it a point to get outside and to get that morning sunlight. Also our crew did travel in with a red light not a red light panel. Although I do have a couple red light panels those little portable ones that I use from time to time the red lights. I'm referring to in reference to answering this question are the red lights which are just red light bulb that we actually travel with a red light bulb unit. It's just like a small, you know Screw in unit. You plug it in here.
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With an adapter, of course, and then in the evening, we've Switched Off the Lights in the place where we're staying and it just brings the overall levels of cortisol down low very quickly and it makes it very easy to get to sleep each night. It makes a big big difference and this is a very low cost tool you could essentially purchase any red light even red party lights and put those up and then switch off the regular overhead lights. It makes a big difference. That's probably even cost saving we've also stayed fairly regimented about exercise. So this morning
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took a great jog down to the ocean jumped in the ocean. If you don't have access to an ocean on vacation just getting outside and getting some movement early in the day can help shift your Rhythm really the quad factor of Shifting your circadian rhythm in a new place or becoming an early riser. If you want to do that is morning sunlight movement social engagement and in my case caffeine, although some people would opt for eating breakfast. I just happen to prefer to eat a little bit later in the day. So when you combine those things you are really amplifying that morning cortisol increase that I've
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About on the podcast morning catecholamine released a dopamine epinephrine and norepinephrine and those act in Synergy to create more early day in day time mood focus and alertness and enhance the transition to nighttime sleep, but of course that dimming of the lights and maybe even red light in the evening really really can help and so those are the biggies and then of course if you want to shift your circadian rhythm really quickly to be on a local schedule it helps to hop on the local meal schedule, but for me that always means skipping breakfast. I'm not a big breakfast eater. I
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claunch an afternoon snack sometimes and dinner. So when you do all of those things makes it very easy to stay with the health pillars. And of course Stress Control is important we're doing lives. There's a lot of work to do. So there's a daily for me Nan sleep deep roster Yoga Nidra protocol, by the way, you may be familiar with non-slip depressed and Yoga Nidra terrific zero cost practice for reducing stress, replacing or replenishing dopamine and mental and physical Vigor. I've talked about this in the studies that support this on the podcast. There's a huge
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An NST R script on YouTube that's again zero cost but while down here we recorded a 10-minute 20 minute and 30 minute and SDR script with a view of a beautiful Sydney Sunrise. Those should be posted to our huberman lab Clips channel in the not-too-distant future probably in the next couple weeks and then you can have different duration and SDR scripts that you can use again completely zero cost any time you like we've recorded also some additional meditations and we're considering
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during putting out a Spotify album. If you will of an SDR and meditations that are science-based of different duration. So if you like that idea, maybe just give a shout into the internet and hopefully we'll hear it or put a comment on the latest episode of the European law podcast on YouTube. And if that sounds like a good idea to you we will do more of that. These are again zero cost zero to access tools for enhancing mental health and physical health. So combining all of those is really what we've done next.
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Was is I followed your sleep advice and I have seen a huge Improvement great. Happy to hear that wonderful, but I still wake up at night and only get five or six hours. Is that enough? Can you please give more advice if possible? Well, first of all, thanks for tuning into the Sleep advice. So the question of whether or not five or six hours is enough really depends on person context and by context, I mean, it can even change across the course of the Year by life circumstances.
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Has the criteria for insomnia are very clear insomnia is excessive daytime sleepiness due to lack of sleep at night, excessive daytime sleepiness due to lack of sleep at night. So if you're not falling asleep during the day or you feel reasonably good throughout the day maybe only need a brief 10-minute to 30 minute nap in the afternoon. Some people nap. Some people don't like to nap doesn't matter. But if you feel pretty good throughout the day and you have enough mental and physical energy and focus to complete the activities, you need to complete then I wouldn't worry so much about five to six hours.
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Would obsess over you know, these scary things that we hear we do if we're not getting 7 to 8 hours that we get dementia Etc because that's not necessarily the case. Everyone has different sleep needs the other thing and this is perhaps the most important thing for everybody listening to this really to think about is q q RT which is quality quantity timing, excuse me quality quantity regularity and timing Q QR T QQ RT, which is an acronym called.
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Joined by the great Matt Walker author of the book why we sleep. Yes our own terrific podcast in his own right as a series on the human Lab podcast coming out soon q q RT is what you really need to think about when you think about your sleep, so you want to think about the quantity. How much are you getting? Well you Rema who asked this question are getting five to six hours a night. Okay. What about the quality of that sleep? Is it consistently 5 to 6 hours with no breaks or is there a break in the middle one trip to the restroom in the middle? The night is considered normal and healthy for most people if you're
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Multiple trips to the restroom in the middle of the night you're waking up multiple times throughout the night on a regular basis. That's something to try and overcome. So the quality piece is important also whether or not you remember your dreams or you don't you want to make sure that you're getting a amounts of slow-wave sleep which dominates the first half of your sleep night and rapid eye movement sleep which dominates the second half of your sleep night because they have different roles in recovery of brain and body namely.
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Slow wave AK deep sleep is responsible for growth hormone release rapid eye movement sleep responsible for the unpacking or the uncoupling of a motions to Prior day and previous day experiences. And in that way acts as a kind of scrubbing out or a therapy for your emotional state. So are you feeling emotionally rested when you wake up as a good indication of whether or not you're getting enough rapid eye movement sleep some people like sleep trackers using their aid sleeper their whoop or there or a ring or something like that.
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I'm a fan of sleep trackers, but I think that relying too heavily on sleep scores can be risky there are data from Ali crumbs Lab at Stanford showing that if people receive a poor sleep score, even though they sleep well, their performance will drop if people get a good sleep score, even though their sleep was lousy, their performance is maintained or even enhance so you don't want to take anyone sleep score and over interpret it you want to look at the average and compare that to your subjective experience of sleep maybe.
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Yeah, I would say go about halfway through your day. If you can bear to do it before looking at your sleep score and see how you feel. Then. Look at your sleep score as opposed to the other way around that might be a good way to adjust for that belief effect. I just mentioned but if you're getting enough quantity, let's say you get five to six hours and quality or sleeping through that bout maybe with one Epic of waking up. And then the regularity of your sleet is that you're going to sleep more or less at the same time each night plus or minus an hour on let's say five to six days per week.
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Because sometimes we like to stay up on a weekend date and have some fun or something like that. And then the timing you know where that sleep is falling in. Your 24-hour schedule is really key. And here's what we're learning as a field that for many people who are early to bed early to rise types if they go to bed around 9 p.m. 9 30 and they only get six hours of sleep. They feel great. Whereas if they get the equivalent amount of sleep, but go to bed at 11 p.m. Or midnight. They
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Feel lousy. Similarly. If you're a night owl, you're somebody that really prefers to go to bed around 1:00 or 2:00 a.m. And wake up around. Let's say 10 a.m. If you take that equivalent amount sleep and you go to bed earlier, you're going to feel not so good. So getting the timing of your sleep in the 24-hour cycle, correct and fairly consistent. That's the are part of qqqr T. Correct is going to be beneficial so I wouldn't worry so much about five to six hours only. Here's what I would do Reema. I would take that.
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Five to six hours and before getting out of bed each morning. I would do a 10 to 30 minute and SDR non sleep deep rest protocol, which will allow you to feel deeply rested and frankly to recover. Whatever bits of sleep that you perhaps Miss during the night. I found that to be a tremendously beneficial practice waking up. I don't feel thoroughly rested doing a 10 to 30 minute NST R then getting out of bed and continuing the Dane if you don't have time to do that do that 10 minute, maybe 20 minute NS TR
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later in the day at any point and I think you'll see terrific results. Not just because you're recovering some sleep that you lost perhaps during the night or maybe you just need five to six hours but also because you'll get better at falling and staying deeply asleep through the practice of NST R in the morning or at some point throughout the day. I wouldn't recommend anything else elaborate unless you're feeling really exhausted during the day in which case then I would move to some of the more advanced sleep tools I've had
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To
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go I should denounce. This is a question. I'm not just telling you about my vertigo. I've had vertigo on and off and wonder what causes it is it hormones adrenals Auto lists moving around on this person knows about the cochlea hydration virus exposure. Zenana, I think is how you pronounce your name forgive me, if that's not the correct pronunciations of Donna. So vertigo is very interesting. Unfortunately, it's uncomfortable, but we can learn a thing or two right now that should be able to help you sadhana and others.
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Even if they haven't had vertigo so vertigo this perception of falling or dizziness needs to be distinguished from lightheadedness. So if you're ever feeling dizzy, it's worth stopping and sitting or if you can't sit standing and closing your eyes and asking yourself a question. Do I feel like I'm ready to fall straight down or do I feel like I'm going to spin and fall down.
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Because in answering that question you can determine whether or not you are lightheaded. That would be the straight falling down or you have vertigo, which is you're dizzy, which is that you're going to spin and fall down. I do this in a safe place, please you can do this while bracing yourself against a wall or that's why I said ideally seated so you don't actually fall but in most cases if you're feeling that spin if you're feeling truly dizzy or feeling vertigo and my header only on purpose then
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chances are you've got some issue in either your visual system or your inner ear? Okay. So since this is being recorded on video I can display what I'm about to say, so your visual system and your inner ear system for balance have some really important features. I'm going to make this a very quick tutorial your head as you move through space is experiencing visual images going by all the time. Your retina is your eyes are essentially exposed to a lot of what's called.
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Visual slip imagine you're walking and you're trying to take a picture on your iPhone or a if you have an Android phone on your Android phone and you're moving its going to be blurry. Right? Well, there's a stabilization process in your body and brain. It's a magnificent one that frankly is built in into all jawed animals, whereby your head because it can move forward. So think nodding, right? So this is pitch for you Pilots, right? Yah moving from side to side. This would be the know.
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This will be the No No, so pitch. Yaw and roll which would be like the puppy look right pitch. Yaw and roll pitch. Yaw real.
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Those are the three major angles of visual slip and in an absolutely magnificent.
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Set of things your inner ear has three hula hoop, like shaped structures one that's arranged vertically so up on its end one. That's at an angle of about 45 degrees to that and another that's it's like a hula hoop flat on the ground and inside of each of those little hula hoop like tubes there little stones called Auto list. Okay, you heard that word earlier that roll around on the bottom just like marbles at the bottom of a hula hoop such that when you pitch
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nod the marbles in the vertical hula hoop slide back and forth when you
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say no the marbles and that hula hoop lying essentially parallel to the floor move around and then the one at 45 degrees when you roll your head from side to side those move and each of those sends a neural signals that Converge on the neural signals coming from the eye and get this when you move through space there is a precise offset of whatever visual slip you happen to be experiencing by walking the images of moving you're looking up.
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Looking at building as you're walking around you're talking to somebody they're moving their head and your eye is making little tiny movements little micro saccades on the millisecond timescale that act as a perfect image stabilizer. So what this means is this by the way called The vestibulo-ocular Reflex vestibular system ocular reflex, and it's mediated through a structure called the cerebellum and the back of the brain.
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This is why when you're on a boat when the Horizon is tipping back and forth. I have to be careful with this because I have four such a prominent seasickness based on a prior experience that I think about this too much. I might get nauseous when that Horizon is moving around your system becomes uncalibrated because you can't really keep the system jolting about in a regular way to be really careful your I'm getting dizzy. As I said dizzy not like headed and you will end up disrupting that slip.
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Processing you'll essentially overcompensate which is why whenever you feel sick on a boat, they say look at the Horizon fixate to something at a distance. Okay. So if you have vertigo almost certainly there's something going on in your inner ear. Yes, it can be caused by viruses. Yes. It could be caused by hormones these things tend to be transient. But the most important thing is going to be to Anchor the visual part of the vestibulo-ocular reflex. So what you're going to want to do is you're going to want
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Fixate on a point, maybe three or four feet away and then you're going to actually want to move closer to that point or if you don't have access to it. You would want to look at your hand your finger out in front of you and then slowly move it in toward your nose at some point. You'll feel like you're going to go cross-eyed and you can stop at that point then move out again then in again, what are you doing? When you're doing this? What you're doing is you're overriding the error signals the incorrect error signals that
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that exists in your kind of default setting at that when you have vertigo and you're forcing the visual component to dominate and then your inner ear mechanisms will adjust to that. So this is a very powerful tool if you ever feel nauseous or seasick. It's a very powerful tool if you ever like me you sit in the back of an Uber and in the Uber is too small you get out and you're like walk into a building where there are no windows your own. I don't really feel good get outside and look at a fixation Point some distance away. This actually happened the other day. We went to the gym. We went inside. There's Jim we've been in a in a van and then went inside.
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And weren't feeling well, so we decided to get out and just take a walk and fixate to the longest distance possible the fresh air of probably helped as well. But when doing that you are anchoring the visual part of the vestibulo-ocular reflex now, that's far and away better than trying to avoid moving your head to not get those little Stones moving around in the semicircular canals lots to say about this I could go on and on but hopefully you learn some biology and you learn to how to not be nauseous.
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If ever you feel dizzy or nauseous based on movement motion sick and we can talk about why you get motion sick, but it's through the vagus nerve, etc. Etc. But this is a very useful tool and if you ever just not feeling well, you know, unless you have a fever or something like that. I recommend getting outside and looking at the farthest fixation point with your vision that you possibly can and then walking toward it as far as you can safely. If not by actually just doing a few of these exercises of looking at your finger up close that's going to be very good.
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For anchoring the vestibular ocular reflex and not every time but many times people report feeling better. Especially if you've moved from one closed environment to another closed environment to another closed environment and so on. Okay. Next question is what can be done to improve brain function for people have been negatively impacted by things such as poor sleep poor diet and TBI early in life James. Yeah. This is a great question and I get this a lot. I think that it reminds me that a lot of the conversation that we have on the podcast is about
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out the good things that happen when you do things right in the bad things that happen when you do things wrong and while I think that's an important conversation what I've frankly failed to do enough and that's why I'm grateful for this question because it gives me the opportunity to talk more about the fact that your system is very robust. There is neuroplasticity and also, you know as my graduate advisor used to say, you know time machines broken which is not to say, you know, you're out of luck, but I wouldn't spend any extra energy thing.
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About how many seat not seed scuse me. How many have to be careful? The seed oil debate is still a debate. It's unclear how many trans fats you were exposed to in childhood. You know, we know trans fats are bad. Everyone agrees there bad governments agree. They're bad. This is perhaps one of the few things that everybody agrees on in the nutrition space trans fats are bad when I was growing up trans fats were abundant in Foods. There are probably fewer of certain things that we have more of now that are bad. But you know, we ate a lot of trans fats we had margarine in our fridge.
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And there were other things that were probably weren't good for us that we consumed in every once in a while. I'll think gosh, you know, if I'd only been eating, you know, grass-fed meats and fruits and vegetables and and healthy grains as I do now back then imagine how much healthier I'd be but I really don't spend too much time on it and I don't think you should either I think the most important thing to remember is that biological systems unless they're really damaged, you know, you're talking about it, you know a major injury and even then there
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Very robust, you can overcome years decades of poor use or misuse of those systems that said if you have the opportunity to take care of them now I highly suggest you do. So for instance. If you haven't slept well for years now is the time to get it right? I wouldn't worry about the past surely you can always rescue some of your health and health span and lifespan poor diet. Same thing just it's a just do it kind of thing. Just Hop On Hop on the train of getting things right 80 to 90% of the time.
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TBI traumatic brain injury. Well, the episode of the huberman allow podcast. That's out right now with dr. Mark Esposito. He's an MD a neurologist originally trained at University of Pennsylvania now at University of California Berkeley, we talk about TBI, you know there a lot of different forms of TBI different Origins, you know, everything from Bomb Blast to car accident construction work to just slipped on the stairs at a party. I know someone that slipped on some wet floor at a party and you know has a
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brain injury. What do we know? Well you get back to the basics.
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Sleep is going to be important but there are some things like transcranial magnetic stimulation certainly things that reduce brain inflammation like glymphatic outflow. So glymphatic outflow is this washing of the brain at night that removes debris very very important in the weeks and months after traumatic brain injury to get adequate sleep for that reason, but then there are things that also seem to perhaps improve outcomes from traumatic brain injuries such as hyperbaric chamber. So hyper oxygen
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Nation treatments if you have access to those even things like elevating the feet slightly when you sleep by about 5 to 15 degrees is known to increase glymphatic flow during sleep, which Can We Believe by way of a crease clearance of a bunch of basically debris reactive oxygen species within the cells, but also debris outside the cells in the extracellular space. So between neurons or doesn't just empty space there's all this like heavily glycosylated stuff which basically just means this kind of like,
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Bungee carbohydrate stuff that fills in the spaces the clearance of some of the metabolites and some of the debris that's accumulated there by just sleeping with feet slightly elevated. Definitely not falling asleep in a chair up, right? That's the worst thing for lymphatic flow things like that. Some people will go on a Bonkers on all things anti-inflammation. They start taking tons of curcumin and they kind of get obsessed with inflammation as the enemy I wouldn't do that. In fact, there's some negative effects of things like curcumin in turmeric if you take it in high doses like limiting the
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Amount of the Hydra just tossed her own production, which I was not good. You don't want that male or female. You don't want to take too much turmeric or curcumin they're real issues with that to say nothing of the the Studies have shown in lead contamination in a lot of turmeric. So you want to check the sourcing very carefully. If you do consume any turmeric a little bit as probably fine cooking with it is fine, but we're here we're talking about supplementation and and you know just really not trying to turn inflammation into this terrible thing to the point where you're starting to do other things that are potentially
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During there's some really interesting evidence that 5 G maybe 10 grams depending on your body weight of creatine monohydrate per day can enhance creatine phosphate metabolism in the forebrain and enhance brain function under conditions of high altitude or TBI. I Take 5 to 10 grams of creatine. Just creatine monohydrate powder. Frankly. Any creatine monohydrate powder should be sufficient. There are other forms of creatine. They are not any better creatine monohydrate is the least expensive fortunately that mixed in water you take it with or without.
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About food some people ask a discreet to make your hair fall out. No, it does not make your hair fall out. But some people do experience it increase in DHT with with creatine monohydrate and there can be a DHT hair loss link. So if you think you're losing your hair from taking creatine then stop and see to the control experiment. It should grow back but 5 to 10 grams of creatine monohydrate something to explore hyperbaric chamber something to explore excellent sleep definitely do that and I just wouldn't obsess over past ills or wrongs to the extent that
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It impacts your ability to try and correct those in the present. I would say that about most everything but then again, I understand that as humans because we can remember the past the present and the future that sometimes, you know, it's difficult to let go of the mistakes of past that we made but that's just simply Being Human and I don't have a solution to that.
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Are we any closer to finding the cause of OCD? Well, I think we know what causes OCD. I think it's pretty clear that OCD is some form of Miss wiring in the basal ganglia the structures of the brain that are involved in go action and no go with holding action type behaviors and some Mal wiring of those structures to the dopamine reward system because here's what's interesting about OCD OCD
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Elves obsessions obviously, that's the O in OCD compulsions the actions. That's the sea in OCD but in a kind of a weird Twist of the neurology OCD is a situation where the compulsion does not remove the obsession rather it exacerbates it. Okay. The compulsion does not remove the obsession it exacerbates it so unlike a niche that you scratch with OCD the scratching of the itch makes it worse, which is actually what we experience when we
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Have a mosquito bite which by the way, I have absolutely loathes mosquito bites someone on my least favorite things in life. I have about 3,600 and Counting pet peeves. That's definitely high on the list of those the obsessive compulsive disorder is one that really needs to be treated frankly neurologically. It's one for which there are behavioral interventions, but it's clear that adjusting the pharmacology of the neural circuits involved in OCD really can't help.
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There again, there are behavioral treatments but for severe cases of OCD, it's just very very clear that interventions which include ssris which have been demonized a lot of people say, oh sir selective serotonin reuptake Inhibitors are terrible blah blah blah, you know, the serotonin hypothesis of depression is in true. Well, listen, the reality is this that all treatments for depression that are effective which include ssris in some cases cognitive behavioral treatments all of these sorts of things which are shown efficacy.
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We are all about what they're not about serotonin there about neuroplasticity. That's why some antidepressants enter on dopamine and norepinephrine other Center on serotonin there about neuroplasticity there about changing neural networks. They're not about neurochemical per se but the neuromodulators such as serotonin allow an access point. They are a wedge into the neuroplasticity process now with OCD in order to overcome these these Mal wirings. It's very important to get
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Plasticity, how do you get plasticity? Well you in my belief you work with an excellent psychiatrist who can prescribe the appropriate dose of drug to release the appropriate amount of neuromodulator then and this is really key. You have opened up the window for plasticity, but then it's really important that the proper behaviors are engaged in and when I did an episode on OCT I talk about what some of these are for instance. The person is exposed to the stimulus that causes the obsession or maybe this obsession.
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Arises spontaneously, they feel the impulse to complete the compulsion the behavior and they resist with the support of a therapist, but they're doing this in the context of having elevated levels of Serotonin or some other neuromodulator that then allows fewer Trials of resistance fewer times of needing to withhold the the behavior that this person so badly wants to perform because it's coming from within as this compulsion literally, then they are able to achieve plasticity.
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Any more quickly, perhaps also transcranial magnetic stimulation. So a conjunction of the correct Behavior the withholding Behavior may be a replacement Behavior that's often used use a replacement Behavior with the appropriate neurochemical milieu is the solution to OCD. Okay. Next question is if I'm just going to New York City from San Francisco. How do I control shifting my circadian rhythm by only three hours. So if you're going to New York City from San Francisco the best way frankly
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Would be to get up an hour earlier two days before you head off to New York and then another day you might try and shift by two hours before you go and then head to New York and do the last shift on the last day. Most people won't do that. It's just, you know takes a little bit of work, but they just don't have the time ability or your discipline to do that. But it is perhaps the best way I would say the best thing to do is to know your temperature minimum and I'll try and keep
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Keep this pretty simple. If you typically wake up at 8 a.m. Let's say just by way of example, that means that your minimum body temperatures at 6 a.m. Which means that if you want to get up earlier in the days where you travel to New York well in the couple of days before you leave anytime between 6 a.m. And 10:00 a.m. Get some bright light in your eyes, even if you go back to sleep. So for instance get up at 6 a.m. So an alarm clock I know you normally like to get up at 8 a.m. Get up at 6:00 a.m. Get some bright light in your eyes from artificial sources.
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Nurses or from sunlight maybe 5-10 minutes and go back to sleep until 8 a.m. You do that again the next night and then you head off to New York. You'll find the shift to be much easier. Now. Here's what you don't want to do. You want to make sure that you do not.
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View bright light before 6 a.m. So in the middle of the night, if you get up you need to use the restroom trying to use dim lights as dim as a safely possible Etc. And what are you doing? When you're doing this you could get into a long description of the science behind this and I'll probably do a podcast all about this at some point, but really what you're doing if you get up at 6 a.m. And getting some bright light exposure is you think about it. You're kind of looking at a New York sun rise of sorts. Okay, if it's not a sunrise you're getting some bright light that mimics sunrise at least to some extent nothing's quite like Sunrise but to
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I'm extent so in that sense, even if you go back to sleep, what you're doing is you're sending the light signal is like Gaber the time signal to your circadian clock of your hypothalamus that it should shift that you need to get up earlier and indeed that will happen over the course of about 23 days. The other thing you can do and I know this is this is kind of rare these days to get an answer like this. The other thing you can do is just fly to New York and force yourself to get up and just drink caffeine and get out and exercise and use the social rhythm of
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The activity of the city in order to get up earlier, but you will feel lousy late morning. And so you would only want to do that. If you could access a brief nap of anywhere from 30 to 90 minutes late morning, and then you'll feel fine. But my suggestion would be to some something back there like some animal or something like that answer so much so liked it. Yeah, it would be to just try and get a little bit of light exposure a couple hours before your normal. Wake up time then go back to sleep in the to
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Days before you head off to New York City. And of course everything here was set in the context of the New York City flight from San Francisco New York City, but the principal the logic holds and if you have any questions about this temperature minimum and wake up time and you want to get your circadian clock right for travel check out the episode that we did on jet lag and shift work and I'm realizing now as I say this and I'm my team is here and they're listening that I will do a video on the human lab Clips Channel where I explain
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Mature minimum and how to plug in your wake normal wake up time in order to essentially arrive at whatever time shift you want. We should I put that out as a newsletter to where it's a little chart where it says I currently wake up at 8 a.m. And then which means my in the nelse subtract two hours. My temperature minimum is 6 a.m. And I want to travel to whatever it is. I don't know Sydney Australia on this date from this city, and then we know the time change and then I can tell you exactly what to do for a couple days. I've done this for various.
34:41
US military groups have done this for people and close friends and who travel a lot and it works fabulously. Well, I can't eliminate jet lag for you don't I wish I could just eliminate jaw, like I can't do that, but I definitely can have the time that it takes for you to shift maybe more.
34:58
Hi. Hi, I love this in you show. Thank you. Thanks for coming out. Thanks for coming to Australia. Thanks for having us I take fish oil, but I'm not sure I'm getting the dose. Right? What are your thoughts on fish oil and dose? I have lots of thoughts on fish oil. I think it's a terrific tool. I think every time I see a study or a news article saying fish oil not shown to I just go gosh. All right, we'll listen whoever is reading wrote that article. You know, I I take no pleasure in your declining Health spinner lifespan, but
35:28
Whatsoever. But the rest of us are going to be taking fish oil and here's why there's just oh so much evidence that getting enough omega-3 fatty acids is great for brain health body health and I think that the the issue around fish oil is typically around contaminants. So you want to make sure that it doesn't have loads of mercury. So things like sardines cod liver oil Etc. You can get those from natural sources, except there's one problem. I hate sardines.
35:57
And I don't want to slurp down a bunch of cod fat. I'm just not interested in that. So if you eat a lot of fatty ocean fish and it's really clean fish great. I don't most people don't so I believe in taking a high quality fish oil. There are a lot of different sources of these. In fact in the episode that we do with. Dr. Rhonda Patrick. There's a link in the show notes captions. I believe that takes you to a chart of the different fish oil sources and their level of relative levels of contaminants, etcetera, but most of the
36:26
Edible Brands out. There are not going to have any contaminants because they've been cleaned out. It's been checked for so I take the fish oil from a G1 or for momentous. That's just me. There are a lot of other great sources out there, but I will say this that's when I'm traveling and I take capsules. Typically I like to take it in liquid form and I will take the taken liquid form. I have no Financial relationship to the to the liquid non capsule forms of fish oil and I get the one that has a lemon flavor to overcome the absolutely disgusting flavor of cod liver oil, I guess.
36:57
I don't know presumably called like the taste of cod liver oil, but I don't so that's what I do. I'll take a tablespoon of that once a day and a protein shake. It tastes like lemon. It doesn't taste like cod and goodness. And when I travel I take the capsules from a G1 a momentous or they're excellent ones from other sources. Okay, lots of great sources out there. Now, what are we trying to do when we take fish oil? Yes, it can reduce inflammation. Yes, it can do a number of different things, but that's all by way of omega-3 fatty.
37:26
It intake right. Most people get far too much omega-6, right? This is why there's a seed oil debate. We're not gonna have that debate. Now. We put us all to sleep. Frankly. The key thing is to get enough Omega-3s and they're hard to get unless you're eating Krill unless you're large, you know baleen whale you're probably not even that much krill if you're getting fatty fish great, but when you take an omega-3 fatty acid in the form of fish oil
37:53
or you eat sardines for that matter what you're getting essentially is the substrate for a lot of other important building blocks not the least of which is the lipid bilayer that surrounds the neurons of your of your of your brain. And so basically the omega-3 fatty acids provide the substrate for some key building blocks of nerve cells and other cells in the brain and body and and this is perhaps the most important reason I can think of when you get out past one g of the EPA form of
38:23
3 K 1 gram of EPA form of a mega three per day it's clear. There's a either mild to moderate antidepressant effect so much. So that one can in some cases talk to your psychiatrist or psychologist partially offset the dosage of any antidepressant. I am not telling you to go off anti-depressant medication and go on to fish oil. That is not what I'm saying. I'm just saying that there's some impressive clinical trials showing that fish oil if taken at dosages of 123 grams of EPA per day.
38:53
Can have a mild to moderate antidepressant effect and I don't know anyone that wouldn't want to have a better mood. So I take one and a half grams of EPA which is not to say one and a half grams of fish oil. You need to look at the package and see how much fish oil would then look at how much EPA and typically it's less than 1 gram per serving. So you may have to take two servings some people say well is it safe to take two servings? I don't see any reason why not and then of course there the high potency fish oils for which there is certainly one gram or more of EPA. Keep in mind that
39:23
The
39:23
discussion about fish oil might sound kind of Health Food hippie store forgive me hippies health food store kind of stuff. But the reality is that EPA High concentration EPA is actually a prescription drug in the United States and elsewhere prescribed often for enhancing mental health and dancing cardiovascular health and on and on so, you know, we're not out on a limb or out on a fin as it were when we having this discussion. We're actually just talking about something for which
39:52
there's a lot of clinical evidence. There's a lot of biochemical evidence. There's a lot of mechanisms. So I take anywhere from one to two grams of EPA per day, even if that requires taking six rather than the suggested three capsules per day or taking a full tablespoon or even 2 tbsp of fish oil and frankly. Most people are getting too much omega-6 fatty acids and not enough omega-3. So shout out to the fish oils. What is the recommended protocol for measuring hormone levels? Hmm interesting how frequently do you have?
40:23
As monitoring these levels to accurately determine their typical range and I just have to try and pronounce your name of Allah. Drezna chanko. What a cool name will not let Jesse. I'm a big fan of like two-syllable first and her no not today. All right, so vola dredged in Schenck. Oh, thank you for this question and the opportunity to try and pronounce your name. So hormone levels. I think a good thing to do is in the absence of any apparent or suspected endocrine dysfunction.
40:53
Right. So we're talking about you feel pretty good. You're wondering if you're good under the if I say good under the hood that just sounds like we already Rhymes. So if you're feeling pretty good, I recommend getting your hormone levels checked once
41:07
If you can if you're still in your teens in your late teens after you've gone through puberty to establish a sort of Baseline. Most people won't do that because it's too late. I didn't do that once in your mid-20s again, we're talking about no suspected or apparent endocrine dysfunction. Okay, and your mid-20s you have a baseline something to compare to when you were in your say 18 to 20 and again, and when you're 25, that would be ideal. And then again, I would say when you're 30.
41:37
And then start once a year starting when you are 40 or older. I think that just, you know, just logically I would love to know what my hormone levels were when I was 25 when I was 30.
41:53
Maybe when I was yeah when I was 18, 25 30 35 and actually 35 is when I got my first blood blood draw for just getting a look under the hood. Like what's their what am I a sturgeon levels where my testosterone levels were my growth hormone levels this kind of thing. And then once you're 40 and older, I think once a year minimum and I realize that some people out there are going to say well that's ridiculous. Who what are you gonna do with that information? Well, you can do a lot with that information. You're going to figure out whether or not your LDL.
42:22
Sure. All is in healthy range. You're going to figure out whether or not your alt is in the healthy range. You're going to figure out what about your apob is in healthy range or you're going to figure out a lot more than just whether or not your testosterone is, you know, 400 600 800 or 1200 and I think we also need to be careful about over interpreting results of hormones because a lot of it has to do with the ratio of testosterone to estrogen or the ratio of free testosterone testosterone both in men and women
42:52
For instance if your testosterone level is 900 but you're free. Testosterone level is too. Well. Then you have a problem. Whereas if your total testosterone level is 500 or 600, but your free testosterone level is 15. Well, then you're probably doing pretty well. So I would say getting your hormone levels checked once a year after age 40 and prior to that once every three to five years starting at about age 18 would be ideal but most people don't
43:22
To do that. They either don't have the disposable income. I certainly didn't when I was 18 20 25 and I at that time it was really hard to get that measured unless you got a clinical problem. Now if anyone has a clinical problem that they suspect or is real then obviously more testing. I think great sources for endocrine profiling are things like inside tracker full disclosure. They are a sponsor of the podcast but they do an excellent job. It'll even come to your house the phlegm bottom us will come to your house if you want or you can go to a clinic so they make it all very easy, but there are other sources
43:52
As well, right? I'll never make these amas or anything else about specific companies for its own sake I just think inside tracker does a great job there a number of clinics like Merrick health and others online clinics that will do that. But it's part of a more comprehensive package of agreeing to work with them. At least that's how I understand it. I hope I didn't get that wrong but check and see nowadays. It's pretty easy to find ways to get your hormones checked, but I would suggest that the following things at least be on there.
44:21
Growth hormone or igf-1 rather igf-1 testosterone estrogen. This is true for women and men by the way, so igf-1 testosterone estrogen it will show up as estradiol on their free testosterone dihydrotestosterone cortisol. Keep in mind morning cortisol is always elevated relative to afternoon cortisol. It will be impacted by food. So you want to go in fast it in the morning ideally get this done early your creatinine levels which by the way will be elevated.
44:51
You're taking creatine. You're exercising hard. Your doctor will say your creatinine levels are elevated. And you say well great. Well, my creatine intake is elevated to so, you know take that. It's not going to be a problem necessarily to check with your doctor LDL cholesterol apob and probably a few others that would be good having therefore men and women sex hormone-binding globulin. It's like shbg and for women, especially progesterone and prolactin.
45:22
And project and any of the progestins are going to be important. And of course for women the trick is going to be when you get your blood taken with respect to your hormone cycle here ovulatory cycle and to try and make that at least consistent from test to test not necessarily having to go in both during the follicular and the luteal phase of your cycle, but always going in during, you know, mid follicular mid luteal and that can be challenging to do perhaps but that's going to be important because of course those are widely fluctuating levels across across the
45:51
The cycle but unless you're really obsessed with your hormone levels and and analyzing them taking them at multiple times throughout your menstrual cycle. Probably not necessary unless you're starting to think about conceiving or there's some issue PCOS or other issue. Okay. I find that I need to unscr after working out any thoughts on this. Yes. Well, first of all, I'm glad you're using NST R zero cost tool known to replenish mental and physical Vigor work. So so well.
46:21
I think it's great. I think it probably is accelerating your recovery. I think this tells me that you're probably working out really hard and hopefully not too long. If you find that you work out in the morning and then you're really really sleepy in the afternoon and the next day you might be working out too long or too hard. So maybe ratchet back the intensity a little bit or the duration. It's amazing how great we can feel when we work out to like 80 to 90% of our maximum output and duration we did.
46:51
The other day, you know the you know, we went out for a little jog run bounding skipping jumping jack thing and stopped at like 80 to 90 percent of Maximum and then went about the rest of the day and evening feeling great. If you do this, you know consistently you'll find you have more energy and there's actually a lot of solid physiology and physics to support why that is as opposed to if you go to the gym and you do every set to failure or even every exercise you include
47:21
On set to failure and you're grinding out for straps or your I don't know what kind of exercise you're doing or you're running more and more distance each day or with more intensity. You know, it's understandable how one gets kind of drawn to her addicted to that burn or the effort but keep in mind that is stress. You're stressing the body to produce a certain kind of adaptation either endurance or strength or hypertrophy or etcetera adaptation. So, you know, there's there's real Beauty in learning to love working out hard but to leaving the
47:51
Jim we're ending the run with ten to twenty percent of the gas in the tank and knowing that you can come back and do more and you actually kind of want to do more there's that it increases Vigor as opposed to taking yourself over that Cliff even a slight tend to 20% and then finding that you're kind of depleted and this is something that we don't hear enough about because we most people that are into fitness are into pushing themselves. It's also true for work. I think some of the best advice I ever got in the professional landscape was when I was a graduate student at UC Berkeley and an excellent.
48:21
All just by the name of bob Knight said the key is to figure out how much can you work each day consistently if that's four hours a day fine if that's eight hours a day fine. We're talking with weekend breaks because that was in the year of weekend breaks, maybe a weekend every once in a while where you have a deadline but by thinking about what you personally can really do consistently while maintaining sleep and mental health and physical health. You're going to go a lot further than doing like for instance what I did which is when you maniac and working 100-hour weeks as a graduate student and then ending up sick four times a year.
48:51
Ear and missing out on a bunch of days when I could have been in lab. So these days I try and get as much focused work done as possible. But trying make that as consistent as possible. If not from every day to the next overtime, you know figure out what those averages are and don't be ashamed of those averages. I would say declare those averages to people so they know what to expect and the fact that you can do more does not necessarily mean that you should do more because I think one of the best pieces of advice I ever got in the world of Fitness is more important.
49:21
Then training hard more important than doing any particular exercise is more important than anything is to not get hurt because if you get hurt you can't train so I love that you're doing an SDR after training. I love that you're making that part of your practice, but maybe also throttle back a little bit because you said I have to do it after training maybe throttle back a little bit on the duration or intensity of exercise and see how you feel. What can we do to optimize the function of our gut brain axis. That's very simple get enough sleep in addition to that avoid
49:51
Excessive intake of antibiotics, but if your doctor prescribes them take them Ima Be lever and antibiotics. Okay before the internet jumps. I mean, I'm not anti by I'm not anti antibiotic.
50:03
I always want to say that I'm not anti antibiotic. I am not pro antibiotic, but I am Pro probiotics. I'm probiotic. So I think you should ingest 124 servings of low-sugar fermented foods per day. So sauerkraut kimchi, not 0 or kefir or otherwise, whatever you like and fits with your nutrition preferences in plan. I think it's also very important that you don't overuse antiseptics like antiseptic mouthwashes and hand rinses and all that stuff.
50:32
Was all discussed on a podcast episode I did with dr. Justin Sonnenberg on the urine Lab podcast, which is just to say that Justin who's a professor at Stanford and is amazing even said that he'd let his kids eat lunch when they've been playing outside without washing their hands before eating lunch because he wants the probiotic makeup of their gut to be diverse including from outside. Now, I'm presuming that's not a public park. I'm assuming it's their yard. So we're not talking about gross stuff being on their hands. We're talking about a little dirt here and there turns out owning a pet increases.
51:02
Has the diversity of your microbiome lots of things like that. I mean, I don't want to go around, you know, licking people's pets. It's okay to let them lick you and depending on what your preferences are, but don't lick them. But when you interact with people you shake their hands or pets you're increasing the diversity of your microbiome when you eat low sugar fermented foods, you want to make sure also you get enough fiber both Prebiotic and probiotic fibers of fruits and vegetables the fiber debate for me just like
51:32
Me roll my eyes. I mean, it's so clear that fiber is good for us for gut motility and for offsetting cancers of the gut. I mean, I realize they're the people out there who are really into elimination diets where they just only me, but I mean, there's just so much good data on fiber especially from fibrous vegetables. It just seems like what? Yes, I mean, it's almost silly that we have the debate frankly, but I'm sure someone out there who's pure carnivore will be shouting, but guess what you're shouting and you're constipated.
52:04
last question
52:08
Regarding the subject on tongue cleaning from the oral health episode. Can you please share a bit on brushing tongue scraping tongue and generally how best to clean the tongue.
52:20
So tongue cleaning came up on the oral health episode. I talked to four different dentists and a periodontist in preparation for that episode almost all of them remarkably extraordinarily converged on the same advice except for some slight deviations around frequency of flossing. It's kind of cool right a field where almost everybody seems to agree. I realize that it isn't the usual sample size, but I picked them from diverse locations backgrounds trainings Etc. Every one of them said brush and floss your teeth every one of them.
52:50
antiseptic alcohol-based mouthwashes are bad and every single one of them said that brushing your teeth before sleep is especially important because at night you produce less saliva and you want to be able to remineralize your teeth that is fill in cavities that are starting to form while you sleep so brush your teeth floss ideally as well before sleep, but at least brush and of course in the morning to for everyone's sake but
53:14
if we're talking about tongue brushing and scraping it was clear that the tongue scraping was advised if done correctly. Okay, because there are certain bacteria that grow on the tongue that you don't want there and that scraping can help with the turnover of healthy bacteria there in addition to removing some of the bad bacteria, but that most people scrape their tongue too hard and rather it would be wise to brush your tongue gently with a soft toothbrush. And by the way, you should also
53:43
Use a soft brush for your teeth, but not the same one that you use for tongue brushing. So the takeaway that I was told and makes a lot of sense to me based on what I know now about the biology physiology and care of the mouth is that you want to use a different soft toothbrush to brush your tongue. Then the soft brush that you use to brush your teeth and that you do not need to use anything on it. But if you wanted to put a little bit of salt and baking soda that is perfectly fine a lot of people wonder whether
54:13
Baking soda scrapes the enamel off the teeth. It actually is low on the abrasion scale dentists have believe it or not and abrasion scale with a list of things of how much enamel it scrapes off into given pressure. These dentists have done their work. It's really really cool. I can't say I always liked dentist. I didn't like going the dentist. They always seem like nice people but now I have newfound respect for dentist. They really care about their craft and oral health has been kind of pushed to the back seat of the different aspects of Health. I consider it one of the major pillars have been taught and physical health because taking care of your
54:43
Teeth your gums or mouth glue. Your oral microbiome is critical for cardiovascular health. It's critical for brain health. One of the bad bacteria streptococcus mutans that can proliferate in the mouth. Especially after sugary eating sugary foods can make it through the blood-brain barrier and maybe it's thought one of the causes of dementia can disrupt your neurons your brain and body is a system. Everything is talking everything else. And so yeah brush your tongue. We use a separate soft brush to do that and replace it every few weeks.
55:13
Two months either can I suppose get expensive but probably not as expensive as some of the other health issues that were just described. So I appreciate that question. We didn't talk about oil pulling on the podcast a lot of people ask about that some people like to switch oil and then spit it out as a way that's oil pulling for oral health and all the dentist. I spoke to said and not big fans of oil pulling but none of them said it would be particularly bad, but you know, so if you enjoy it or you think
55:43
It works for you great. But none of them really pointed to any clear evidence that was going to be beneficial. So I was told that was the last question and we are coming up on the our again. I want to thank everybody for joining this am a doing this from Australia Sydney Australia. What's interesting down here is because we are below the equator everything is reversed. Right? So this was actually it's being presented you obviously I was I'm actually upside down but they turn the camera so I would appear right side up to you.
56:13
Also when I'm down here I drink my ag1. Normally I swish it counterclockwise by nose here reflexively mm swishing it clockwise. So anyway, lots of interesting stuff going on. We'll talk about that how that all works. It's not through the vestibular ocular reflex. It turns out but maybe on a future episode of the podcast about the relationship between location relative to the equator and neural functioning and I'm just kidding but what I'm not kidding about as they appreciate that you tuned in and last but certainly not least. Thank you for your interest in
56:42
science.
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