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Coming up on this episode of the Doctor's Pharmacy Not Getting Enough Key Sleep Supporting nutrients is bad. Blood sugar imbalances are bad. Gut dysbiosis is bad. Too much caffeine is bad. Alcohol is bad. All that messes up your sleep and not getting enough sleep messes up your life. It also messes up your health and it, by the way, leads to poor food choices. Now, I've been drinking AG1 every morning for many years and it's become a core part of my routine. In just 60 seconds, I get a daily dose of vitamins, minerals, prebiotics, probiotics and adaptogens all in one scoop. The biggest difference I've noticed is in my gut health. AG1's prebiotics and probiotics have really helped with my digestion and bloating. In fact, AG1 can double the amount of healthy bacteria in your gut, which helps with regularity and overall comfort. Plus, AG1 is made with bioavailable ingredients that are easy for your body to absorb and it's non GMO with no added sugar, a clean foundational supplement that supports whole body health. So this holiday season, try AG1 for yourself or even gift it to someone special. It's the perfect time to focus on supporting your body with an easy and surprisingly delicious daily health drink. And that's why I've been partnering with AG1 for so long. Every week of November, AG1 will be running a special Black Friday offer with a free gift for your first subscription. In addition, the welcome kit with vitamin D3 and K2. So make sure to check out drink ag1.comhymen to see what gift you can get this week. Let's drink ag1.com hymen to start your holiday season off on a healthier note while supplies last. If you heard me talk recently, you probably know how much I love Himalayan Tardy Buckwheat, a gluten free seed loaded with longevity promoting nutrients. My good friends at Big Bolt Health have been carefully growing and researching this ancient plant for years. After tons of positive feedback from me and thousands of customers, they produce the world's first 100% organic Himalayan Tartary Buckwheat sprouted powder that's easier to digest, richer in vitamins and minerals, and contains up to 10 times more plant nutrients like rutin and quercetin. I love this as a topper in my yogurt, a sprinkle on savory meals, or as an easy add to my smoothies and protein shakes. The sprout powder has no fillers additives or sugars and is farmed, sprouted and packaged in the usa. Right now, Big Bold Health is offering my listeners a special offer of 30 off this amazing product. You can try it now by heading to bigboldhealth.com and use the code Dr. Mark 30. Again, that's bigboldhealth.com this episode is brought to you by US Cellular. Don't sacrifice a great experience for a great deal. Now with US Cellular Prepaid, you'll get a new Samsung Galaxy A15.5G free without the hidden fees you get with other prepaid providers, so you can use U.S. cellular's nationwide 5G coverage without sacrificing anything. Terms apply. Visit us cellular.com for details. Before we jump into today's episode, I'd like to note that while I wish I could help everyone via my personal practice, there's simply not enough time for me to do this at and that's why I've been busy building several passion projects to help you better understand well you if you're looking for data about your biology, check out Function Health for Real Time Lab Insights. If you're in need of deepening your knowledge around your health journey, check out my Membership Community Hymen Hive. And if you're looking for curated and trusted supplements and health products for your routine, visit my website Supplement Store for a summary of my favorite and tested products. Welcome back to another episode of the Doctors Pharmacy and Health Bites, where we take juicy little bites into current health topics. And today we're discussing one of the most essential, yet often overlooked aspects of our health. Maybe the absolute foundation of our health sleep. Now we all know how important sleep is, just not in terms of getting enough of it, but ensuring that the quality of our sleep supports our overall well being and health. Sad news is millions of people struggle with sleep issues. Whether it's trouble falling asleep, staying asleep, simply not waking up, refreshed, getting up too early, the whole shebang. Now sleep is foundational to everything we do, from maintaining a healthy weight to supporting our immune system, even enhancing our brain function. Yet in our fast paced world, many of us aren't getting the deep, restorative sleep our bodies really crave and they need. And today I'm sharing my top health and nutrition tips to help you achieve better and deeper sleep so you can wake up feeling rejuvenated and ready to take on the day. We're going to explore how what you eat, how you manage stress and even your daily habits can significantly impact the quality of your sleep. Now by understanding the Connection between nutrition, lifestyle, and sleep. You're going to be better equipped to make the changes needed for truly restful nights. So let's get started. Now, sleep is one of the most crucial pillars of health, and yet many people struggle to get enough or good enough sleep. I'm not talking about quantity. I'm talking about quality, too. Quality sleep is crucial to how well we show up in the world. And yet more than 50 million people, I've even heard 70 million have a sleep disorder. And over 100 million Americans of all ages reported not getting enough sleep. That's about a third of Americans. Now. Good quality sleep is crucial. It can help make or break our health. And today, I'm sharing my top health and nutrition tips to help you achieve better and deeper sleep. I want to give you an overview of the importance of sleep. It's critical for overall health, for longevity, for our mental clarity. We literally wash our brains at night. We literally take them to a car wash at night. If we don't sleep, we don't get that brainwashing, literally. It's essential to our emotional wellbeing. The importance of a good night's sleep cannot be understated. It helps us maintain a healthy weight, helps support our hormones like cortisol and melatonin, balances our blood sugar levels, our insulin. It's essential for our brain. It improves our cognitive function. It helps our memory consolidation, our ability to make and recall memories. It regulates our emotions and reduces the risk for depression. Not bad for just a good night's sleep. Now, it's essential also for our immune system. It reduces inflammation. It boosts something called autophagy, which is cellular cleanup and repair. It enhances DNA repair, tissue repair. Physical performance, reduces the risk of heart attacks. I mean, it's just an incredible medicine. Sleep is medicine. It's also responsible for activating the brain's immune system. When you sleep well, the glymphatic system, it's like your lymph system, but in your brain, cleans up all the waste. And it's a recently discovered system in the brain that plays a critical role in clearing waste and toxins to the brain while we sleep. Which is why when you sort of see people with Alzheimer's, there's often a sleep issue preceding it. In fact, sleep dysfunction or inadequate or poor quality sleep is a major risk factor for Alzheimer's and dementia. And that's really why getting adequate and quality sleep is so important for brain health. Now, during sleep, our brain cells shrink. It allows more space for the cerebral spinal fluid to Flow around and clear out the waste efficiently. But what kind of waste does the glymphatic system move? It's not like, you know, coffee grounds, right? It removes metabolic waste, metabolic waste products and things like amyloid beta and tau proteins, which are associated with neurodegenerative diseases like Alzheimer's. Now, for these reasons, good sleep is associated with all sorts of stuff. Chronic disease prevention, cancer prevention, diabetes prevention, obesity and weight, prevention of Alzheimer's, dementia, longevity itself. It boosts energy, vitality, focus, productivity and health span all those things that we love. Now, what disrupts our sleep? Now, there are three main types of sleep disorders. Insomnia. And there's two major types of insomnia. Sleep onset insomnia, where you have trouble falling asleep, and sleep maintenance insomnia, where you tend to fall asleep easily but wake frequently throughout the night. Now, my practice, the most common cause of sleep maintenance insomnia tend to be more chronic conditions like caffeine overuse or dependence, blood sugar imbalance, toxic overload, chronic stress with elevated cortisol and a bunch of other stuff. There's another big issue with sleep that's often undiagnosed called sleep apnea. And that's when you have intermittent periods where you're not getting adequate oxygen during sleep. Now, it can be short bursts of not breathing for a few seconds or longer bursts of 10 seconds or more. And it can lead to, you know, all kinds of damage to your brain, to your heart, your metabolic health. And, you know, it's often associated with snoring and waking up, you know, sort of suddenly in the middle of the night. Mouth breathing is also not great when someone is taking an air exclusively through their mouth instead of their nose. That's bad. And that can occur during the day or at night while sleeping. And people who struggle to breathe through their nose during the day, like if you have sinus or allergy issues, which are fixable with functional medicine, they're going to have a major problem with mouth breathing at night and during sleep. And that can affect your sleep not getting enough keys. Sleep supporting nutrients is bad. Blood sugar imbalances are bad. Gut dysbiosis is bad. Too much caffeine is bad, alcohol is bad. All that messes up your sleep. And not getting enough sleep messes up your life. It also messes up your health. And it, by the way, leads to poor food choices. It is a vicious cycle. I'm going to explain that. But there are serious consequences of sleep deprivation, which is you want to eat sugar and starch all the time. And I can tell you that for sure, because I used to work in the emergency room or be up all night delivering babies, and all I wanted was sugar all night long and all the next day, any carb or sugar I could get my hand on. It was like an addiction. And normally I wasn't like that. So it's definitely the sleep deprivation. And they've done studies like this on young college students and it shows exactly this. Lack of sleep leads to all kinds of cravings for unhealthy foods like sugar and carbs. Because this happens because leptin levels decrease without enough sleep. Leptin is the hormone that makes you feel full. And what else happens when you eat sugar and starch or when you don't sleep? Your ghrelin levels increase without enough sleep. And ghrelin is the hunger hormone. So one, your appetite, I'm full hormone goes down and ghrelin, the hunger hormone, goes up. That's a bad combo. And that causes increased appetite and desire for high calorie foods. A greater craving for sweet, starchy foods, salty foods. So chronic sleep loss is actually linked to higher body mass index and weight gain. In fact, the study found that when healthy participants had their sleep shifted just by one hour each day and restricted sleep to stimulate jet lag, they were pre diabetic after three weeks. That's crazy. And their resting metabolic rate dropped by 8%. So you basically burn 8% less calories a day if you just didn't sleep. That's amazing. Now, what else affects sleep? Well, sleep hygiene. What is sleep hygiene anyway? People talk about it. What is it? Well, it refers to a set of practices and habits that set you up for a night of high quality sleep on a regular basis. These habits help create the ideal conditions for a restful, uninterrupted night's sleep. Good sleep hygiene starts when you wake up in the morning. Pay attention to your habits. What's getting in the way? So how do you optimize your routine for better sleep? Well, so let's talk about what those are. Create a sleep sanctuary. Make your bedroom your sanctuary. It should be dark. Blackout shades are ideal. Cool, 68 degrees or lower. I like to sleep at 63 or 4 degrees and quiet. If you don't live in a quiet spot, get these silicone earplugs. They work or white noise machine. But make sure you do the right thing. If you don't have blackout shades, use an eye mask. You can get a cooling pad. If you can't regulate temperature where you are, there's eight Sleep, which is a great sleep pad that goes on your bed that can cool you at night. Also, you might want to try mouth tape that forces you to breathe through your nose. If you're a mouth breather, helps activate your parasympathetic nervous system. Well worth trying. Remove distractions. Right? Just keep prep out of your room. Get the electronics out of the bedroom. Limit artificial light. You know, there's things that are kind of lit up in your bedroom at night that have weird lights on them. Like things that are plugged in. Just cover them over the black painter electrical tape. Just make sure you don't have any light in your room because your mitochondria are paying attention, your skin is paying attention. If your eyes are closed. Only sleep and sex should be allowed in bed. So move your tv, computer workstation out of your bedroom. Also probably a good idea to limit blue and artificial light at night. You can get these red light bulbs at night. You can use candles. You can use blue blocker glasses. Screen time not good before bed. Try to reduce or eliminate screen time at least an hour or two before bed. And make sure you can use apps like F Lux to change the settings on your computer. There's ways of shedding the setting on your phone so that it changes and removes all the blue light before bed. At the end of the day, you can use those blue light blocker glasses, a red light app on your phone, all those things. Because blue light does inhibit melatonin production. It may not be as big of effect as we think, but there's certainly a role. Make sure you kind of dim your lights in your house around 8 o'clock at night. If you don't have dimmer switch, put them in. Use lamps. Use incandescent bulbs. If you can go to bed and wake up at the same time every day. This is really important. People don't pay attention to this, but your body is a circadian machine, so it does well when you set it into a routine and schedule. Get 20 minutes of morning sunlight. That helps regulate your circadian rhythm and improve sleep quality. Helps regulate, you know, cortisol, melatonin. If you're a regular listener, you know that I often talk about the gut being central to your whole body health and the key to living those hundred healthy years. And this includes your skin, thanks to a fascinating connection known as the gut skin axis. The state of your gut can influence your skin's health and appearance, reflecting what's happening inside your body. That is where seeds DS01 daily symbiotic can be so effective. DS01 is more than just a probiotic for digestive health. With 24 clinically and scientifically studied probiotic strains and a plant based prebiotic. It's designed for benefits in and beyond the gut including healthy regularity, gut immune function, gut barrier integrity, heart health and yes, even clear health. Healthy Skin DS01 is formulated with specific probiotic strains and a plant based prebiotic clinically validated to support clear skin and to reinforce the gut skin axis, supporting healthy aging and nourishing the skin from the inside out. My belief in Seed science and their mission to set a new standard in probiotics is so strong that I've even joined their clinical board. Seed is offering my community 25% off to try DSL1 for themselves. Visit seed.comhymen that's S E D.comHyman H-Y-M-A N and use the code 25Hyman to redeem 25% off your first month of seeds DS01 Daily Symbiotic at seed.comhyman and use the code 25Hyman this episode is brought to you by United Airlines. When you want to make the most of your vacation, book with United. They're an airline that cares about your travels as much as you do. United is transforming the flying experience with Bluetooth connectivity, screens, power at every seat, and bigger overhead bins to help fit everyone's bag. And with their app you can skip the bag check line, get live updates and more. Change the way you fly. Book your next trip today@united.com make sure you exercise. Getting outdoor exercise first thing in the morning also really helps reset your Circadian rhythm. Just 20 minutes every day you just take a walk. You know, take your dog for a walk. You know, you can go for a walk, call a friend, listen to audiobook, habit stacking is great. I like to listen, to learn and so that's a great way to walk and get active both your mind and your body. Do strength training that helps three times a week to build muscle and balance your hormones. Make sure your diet's sorted, you know, and get yourself on a whole foods, nutrient dense diet during the day. Last meal no later than seven, no late night snacking, please. Caffeine intake. Make sure you limit that after noon, especially after 12pm or if you're really sensitive, just cut out altogether. If you're stressed and we all are, to tell you the truth, just do practices that help to reset your nervous system. Take an Epsom salt bath. Epsom salt is magnesium sulfate, has Benefits incredibly helpful. I do that regularly, almost every night. Magnesium sulfate is basically got sulfur, which is detoxifying. Magnesium is relaxing, gets through your skin. You can put 10 drops of lavender oil in there. I call that my ultra bath. And now lavender reduces cortisol. Do guided meditations, Yoga. Nidra, you can do yoga and stretching and breath work before bed. Maybe you can use a meditation or reset your nervous system with various apps like Calm or Headspace. I like binaural beats. You can use Nucom. That's one of my favorite apps, Nuclemon. Uh, maybe also write down what's in your head. You know, all this stupid stuff is in your head every day. And sometimes it's just good tonight to just write all down and let go of those thoughts. Uh, maybe you listen to calming music. Uh, you know, don't watch the news, don't scroll through social media, kind of read a book, do a puzzle, do something that's kind of just calming. Deep breathing also really helps. Uh, try the four, seven, eight technique. Breathe in for four, hold for seven, breathe out for eight and repeat. And just do that for a few minutes. All right. What else can you do to help your sleep detoxify? What am I talking about? Well, your immune system is really important to identify and neutralize toxic exposures. And the number one way it does this is through your detoxification pathways, which are most active while you sleep. In fact, your body does a lot of its waste elimination during sleep. First, you want to minimize exposure to environmental toxins that interfere with sleep. And there's a lot of them out there. There's like 80,000 toxins. And I test for them and it's amazing how many people are so polluted, literally. So where are you going to be looking for these personal care products? Look out for ones that are organic, paraben, phthalate, preservative and fragrance free. You can look at the environmental working group website, ewg.org and look at their Skin Deep app. And it's a great app. They can put in the products you use, make sure they're not full of crap. What are the good ones? What are the bad ones? EMFs sometimes are affecting people. Different people are sensitive, some people not. But they can definitely interfere with sleep through melatonin suppression. Change in brave wing patterns, increased wakefulness, stress response. So, you know, you can have one of those devices that automatically shuts off your wifi at night. Some people build a Faraday cage in their room. They literally put a sheet cloth over their bed that blocks out all the EMFs in the room really help with deep sleep. I notice when I go camping, I sleep way better. The EMFs also affect wakefulness. They affect your stress response. They change your brain waves. So that's not good. Also folks, don't sleep with your phone next to your head or under your pillow or in your near your bed. Don't charge your phone next to your bed. No, if you leave your phone in your room, just turn it off. Like literally just turn the whole thing. Power down. Unplug anything that's plugged in next to your head. Turn off a wifi router at night. You know, just be smart. Cookware. Don't get exposed there. Teflon's bad. Watch out for those non stick cookware things. Plastic. Stay away from plastic, my friends. I know, it was the greatest thing. Dustin Hoffman said the future was plastic in the movie the Graduate. Well, it was. And it's also the end of us if we keep using plastic both in the planet and our health. We're getting microplastics pretty much everywhere. Sperm and penises and plaques in the arteries. It's. We're kind of polluted pretty bad. If you're using storage containers for your food, don't use plastic ones. Use glass or stainless steel. Air filters are great. Water filters are great. I recommend air. Dr. Aquatru are great. Remove any scented plugins or air fresheners. Those are full of toxic chemicals. So you know it's a lot of stuff I'm asking you to do. Just don't worry about doing all of it. Doing the best you can. It may seem daunting to replace all of your skin and hair products. Do it over time. Change your cooking tools and the household items and skincare products. Just sort of slowly do it and over time you'll find out the best stuff and just shift your purchases to new ones. So just try to find toxin free stuff when you're shopping. Like for example, next time you run out of shampoo and next time you go grocery shopping, make sure you get organic food if you can. And if you need to shut those old plastic food containers, get glass containers. Just these small changes do add up. The more you reduce your toxic exposure, the more effectively your immune system and your brain, your glymphatic system will heal your brain and help your body detox. You also want to support your detox pathways. Sweating is great. I love a sauna. I try to do a sauna almost every day. Exercise also is great. Hot baths are great. Really important to help remove toxins. Certain foods Are really good at removing toxins. The whole broccoli family, cruciferous vegetables are great. Broccoli, collards, kale, cabbage. They have glucosinolates, sulforaphanes, isocyanates, all these plant chemicals that upregulate glutathione and really help. Also supplements can help with sleep. What can you be taking? Well, a multivitamin that can fill in missing nutrient gaps in your diet. Magnesium is my number one sleep supplement. About two to 400, even 600 before bed. Usually start with magnesium glycinate. That helps a lot. Melatonin also can be very helpful. 0.3 to 3 milligrams wouldn't go higher than that. That can help reset circadian rhythms, especially when you're traveling or in time zone shifts. Now it's generally considered for short term use, but evidence is less care for long term, especially in children. So be careful of that. Melatonin use among kids has actually increased dramatically, which is crazy, 530% between 2012 and 2021. In it, they interfere with development, delay puberty. So it's a hormone. Be careful. B complex also helpful, really important for serotonin production. As I mentioned, melatonin, vitamin D3 also important. A randomized control trial found that supplementing with magnesium, melatonin and B complex for three months, once a day, one hour before sleep had a significant effect on sleep disturbances. It was highly effective for the treatment of patients with insomnia. Now that's better than taking a whole bunch of drugs. Additional sleep supplements for deep sleep and relaxation may include herbal supplements or teas, things like valerian root, passion flour, magnolia, rhodiola, chamomile, lemon balm, all calm the nervous system. And for people who are tired, wired and stressed, there's certain adaptogens can be helpful like ashwagandha at night, can help with high cortisol at night, help you get to sleep for your tired and wired people out there. Siberian ginseng or eleutherococcus also very helpful, can help relax the nervous system and promote better sleep. Probiotics, believe it or not, may help. Probiotics and gut microbiome plays a role in everything, including sleep. And probiotics support gut health. And a healthy gut can enhance the production of all kinds of neurotransmitters that are made in the gut, like serotonin and melatonin, which are crucial for sleep. So all that's really important, in fact, there's a probiotic that is out there that apparently helps with deep sleep and a Number of my patients have tried it and found it helps their deep sleep. So there's all kinds of research needed, but it's a very exciting field. 5 HTP also very helpful. This is a precursor to serotonin. It's a neurotransmitter that helps regulate mood and sleep by increasing serotonin levels. 5 HTP promotes relaxation. It helps promote sleep quality. So that's great. Gaba, another great one to take. I like something called 200 milligrams of Zen, which is Gaba and theanine. I take that at night. It's our inhibitory neurotransmitter. So it's sort of like the natural Valium. It makes you stay calm and easier to fall asleep and stay asleep. L Theanine, that's another one. I think it's great. It's the amino acid that's found in green tea that promotes relaxation without causing drowsiness. It increases the production of gaba, serotonin and dopamine, all of which help improve sleep quality. And L Theanine, which comes from green tea, also reduces anxiety and stress, making it easier to achieve deep restorative sleep. Now I'm going to link to all these supplements in my online supplement store so you know exactly which product to get, where to find them, what's good and what's not. Because not all supplements are created equal. So be careful out there. As we bring today's episode to a close, I want to leave you with a reminder of just how powerful and essential quality sleep is for your overall health and well being. Now, we often overlook the importance of a good night's sleep and rest, but it's truly the foundation upon which so many other aspects of our health are built. For mental clarity and emotional resilience, to physical vitality and exercise performance, to long term wellness, to longevity itself. The benefits of deep restorative sleep cannot be overstated. Now, we covered a lot of ground here today. We explored how your diet, your lifestyle, even your environment can either support or sabotage your sleep. Whether it's making sure you're getting the right nutrients, creating a sleep friendly environment, or managing stress effectively, there are lots of ways you can take control and improve your sleep quality. Remember, it's about progress, not perfection. Start by making small manageable changes. Whether it's just adjusting your evening routine, incorporating more sleep supportive foods in your diet, cutting back on late night screen time, whatever it is, just try to do the basic things. And I encourage you to reflect on the tips we've discussed and identify a few that resonate with you. Try implementing them consistently and see how your sleep and ultimately your life begins to improve. Make sure to prioritize your rest. Remember, you deserve to wake up feeling refreshed and ready to take on the day. Thanks for joining me today and don't forget to rate, review and follow the Doctor's Pharmacy and our Health Bites wherever you get your podcast. Stay healthy, stay informed and I'll see you next Friday for another episode of Health Bites. Thanks for listening today. If you love this podcast, please share it with your friends and family. Leave a comment on your own best practices on how you upgrade your health and subscribe wherever you get your podcasts and follow me on all social media channels at Dr. Mark Hyman and we'll see you next time on the Doctor's Pharmacy. For more information on today's episode, please check out my new video and audio podcast, Health Hacks. It airs every Tuesday and includes a more detailed breakdown of these Friday Health Bites episodes. I'm always getting questions about my favorite books, podcasts, gadgets, supplements, recipes and lots more. And now you can have access to all of this information by signing up for my free Marks picks newsletter@drhyman.com MarkSpix I promise I'll only email you once a week on Fridays and I'll never share your email address or send you anything else besides my recommendations. These are the things that helped me on my health journey and I hope they'll help you too. Again, that's drhiman.commarkspix thank you again and we'll see you next time on the Doctor's Pharmacy. This podcast is separate from my clinical practice at the Ultra Wellness center and my work at Cleveland Clinic and Function Health where I'm the Chief Medical Officer. This podcast represents my opinions and my guests opinions and neither myself nor the podcast endorsed the views or statements of my guests. This podcast is for educational purposes only. This podcast is not a substitute for professional care by a doctor or other qualified medical professional. This podcast is provided on the understanding that it does not construct, constitute medical or other professional advice or services. If you're looking for your help in your journey, seek out a qualified medical practitioner. You can come see us at the Ultra Wellness center in Lenox, Massachusetts. Just go to ultrawellnesscenter.com if you're looking for a functional medicine practitioner near you, you can visit ifm.org and search find a practitioner database. It's important that you have someone in your corner who is trained, who's a licensed healthcare practitioner and can help you make changes, especially when it comes to your health. Keeping Keeping this podcast free is part of my mission to bring practical ways of improving health to the general public. In keeping with that theme, I'd like to express gratitude to the sponsors that made today's podcast possible.