types of sleep - Not Just Paleo
Transcription
types of sleep - Not Just Paleo
COPYRIGHT © Kevin Geary, Evan Brand, and Rebooted Body, LLC This work may not be distributed, altered, sold, copied, or otherwise manipulated without expression written permission from the authors. i PREFACE Evan Brand and I met shortly after I launched The Rebooted Body. I initially reached out to him as a guest for my podcast and after we recorded episode four -- which seems like ages ago now -- we got to talking about our outlook on health and fitness. It was pretty clear to me that we were going to end up collaborating on something down the road. We both share a passion for helping people in the most meaningful ways possible and avoiding the “typical” approaches. Well, that something is here and it’s designed to help you transform a hugely important area of your life and an area of your life that you likely struggle with: sleep. We’d like to invite you to the official REM Rehab private support group on Facebook. Click here to request access. ~ Kevin ii DISCLAIMER All material in this guide is provided for your information only and may not be construed as medical advice or instruction. No action or inaction should be taken based solely on the contents of this information; instead, readers should consult appropriate health professionals on any matter relating to their health and well-being. The information and opinions expressed here are believed to be accurate, based on the best judgement available to the authors, and readers who fail to consult with appropriate health authorities assume the risk of any injuries. The publisher is not responsible for errors or omissions. 3 1 INTRODUCTION At 34 years old, Cynthia is still in the early years of her teaching career. She’s starting to get into a groove and she loves what she does, save for the stress of conforming to federal education standards. It’s February and colder than ever. 27 degrees in Chicago. Lately, Cynthia has been noticing her weight climbing and she’s feeling a touch of depression, though she can’t really pinpoint the source. Between the weight gain, the depression, feeling rundown and the stress of her job, her performance as a teacher is suffering. For the first time this school year all she can think about is the Summer, her time off, her beach vacation and warm weather. Cynthia’s feelings and thoughts are typical of a large number of people. But contrary to conventional wisdom, those thoughts and feelings are not a requisite for being a human being. They’re consequences of specific behaviors. Not prioritizing sleep is a behavior that leads to massive physical and mental impact. The lack of attention people give to sleep drives their weight gain, their depression, and their general stress, just as it’s driving Cynthia’s. You might counter with, “but she’s not sleeping more in the Summer, yet she feels better at that time of year.” And that’s true. But, people are generally under less stress during the warmer months, they’re taking vacations, they’re out in the Sun which improves their Vitamin D levels (which chemically improves mood), they’re exercising more, and they’re losing excess weight because they know they’ll be wearing less clothing. Under optimal conditions, sleep becomes less critical. The more stress the body is under, the more sleep it needs. But that’s the opposite of how most people behave. The more stress we’re under, the more we tend to avoid sleep. Your body is a gauge. If you feel rundown, a tinge of depression, a cluttered mind, are experiencing less productivity and generally feel stressed, those are signs that your body is in desperate need of something. Of course, there’s a nutrition and exercise component to all of this, but you’ll come to find that sleep is often the number one factor. If you’ve had your nutrition dialed in for a while and you stay active and exercise on a regular basis and still feel like you’re not firing on all cylinders, then you must take a critical look at sleep. Similar to nutrition and exercise, you must learn to listen to your body and follow through to give it what it needs when it needs it. It’s also important to avoid making sleep mistakes so that when you do dedicate eight or nine hours to yourself for sleep, that time has a positive impact. Too often, people get eight or nine hours of sleep but only a few of those hours were of any quality. Even though the clock said they did things right, their body is screaming, “Hey, I’m sleep deprived over here!” ARE YOU GETTING ENOUGH SLEEP? Difficulty waking up, relying on caffeinated drinks, sugar and fat cravings, feeling revved up at night, afternoon energy slumps, muscle soreness that is lasting more than two or three days with regularity, signs of wacky hormones, the accumulation of belly fat, lack of focus and mental clarity, depressed productivity, and an unstable mood are all signs of not getting enough sleep. 5 Most of those issues in America are fixed with pills or unhealthy hacks (more coffee anyone?). Or, people just suffer through them. Sometimes we know we need more sleep but we’re not willing to take the time. Often, we’re unaware that it’s a sleep issue at all. As I mentioned before, getting 8 or 9 hours of sleep according to a clock doesn’t mean your body is getting the proper amount of quality sleep it needs. If the clock says one thing and your body says another, you need to look deeper. Sleep is one of those lifestyle factors that influences everything that’s important. I think people get this, but at the same time we’re not always willing to admit it. A SLEEP STIGMA Both authors of this book live in the United States. In this part of the world, productivity is everything, often to our detriment. People work long hours, make lots of sacrifices and tend to be over-scheduled. droves from heart disease, diabetes, and other preventable diseases directly linked to sleep and other lifestyle factors. Think about this: in many parts of the world, sleep deprivation is used as a form of torture. Where we’re from, people are voluntarily depriving themselves of quality, restorative sleep. If you dig even deeper you’ll find that most people who put themselves through this voluntary torture aren’t even that productive! They’re doing hours upon hours of busy work just so they can say they put the time in. Doing what needs to be done for your health and wellbeing often requires stepping outside of some box that society has placed you in. The unfortunate reality is that society is not set up as a healthy environment. You deserve better than this and you’re worth doing the work. It’s time to roll up your sleeves. TYPES OF SLEEP It’s as if sleeping is a weakness to some degree. If I’m asleep, I’m not adding to my company’s bottom line. If I take a nap, my kids won’t be getting my attention. If I go to bed earlier, I’ll miss my favorite television series. All known animals with a nervous system either sleep or show some kind of behavior related to sleep. And they engage in that activity for a third of their lives. But all sleep is not equal. There are two main types of sleep and each has its place: It’s unfortunate. We have a health crisis and the productivity-overeverything and entertainment-over-everything mindsets are one of the main causes. Not only do those thoughts and feelings impact sleep, they drive the stress cycle. The result is that we’re dying in NR E M SL E E P - THE Q UIE T SL E E P During NREM, there is little to no eye movement. You’re highly unlikely to dream in this state. It’s a very quiet sleep and brain activity is theorized to be more similar to your organized, conscious thoughts rather than the confusing, vivid imagination that occurs during REM. In 6 the beginning stages of NREM, you’re easily awakened, but as you transition into the later stages you enter slow-wave sleep or deep sleep. Most of your time asleep will be spent in NREM. REM SLEE P - TH E PA R A D OX ICA L S L E E P REM stands for “rapid eye movement” and is a literal observation for this type of sleep, named after the fluttering eyelids of people in REM sleep. Only about 90-120 minutes of your sleep each night is REM sleep, accumulated in short cycles, and it’s the lightest type of sleep occurring mostly in the morning hours. REM sleep is physiologically different from non-REM sleep in that the body becomes paralyzed as neurotransmitter production is completely shut down. In people with REM behavior disorder, this paralyzation does not occur and they act out the movements according to what they’re experiencing in their dreams. The purpose of REM is a collection of theories: from consolidation of memories, to brain and central nervous system development (based on the fact that babies spend up to 80% of their sleep in REM), to the “reset” of neurotransmitter receptors. Both types of sleep are absolutely necessary. Poor sleep occurs when the cycle and rhythm of sleep is disturbed (both obviously and not obviously) or shortened and when hormones are disordered. The focus of this guide is going to be about prioritizing sleep (because most people cause sleep related problems via their uncaring approach to sleep), avoiding common disturbances that interrupt rhythm and cycle, and regulating hormones. HOW THE SLEEP CYCLE WORKS Sleep is a cyclical process. While most people consider themselves to either be awake or asleep, there’s actually a complex transition period and distinct stages of sleep that you bounce back and forth between. Sleep anomalies are common during the initial transition and people may wrongfully consider them to be disorders. Hypnagogic hallucinations (e.g. the sensation of falling or hearing someone call your name) are quite common. Another aspect of Hypnagogia is the Tetris Effect, the continual review and literal experiencing of a repetitive action that was being performed prior to sleep. For instance, chess players often report seeing a chess board and moving chess pieces. Have you ever been suddenly startled for no reason during sleep transition? This is called The Myoclonic Jerk and is also very common. All of these things can occur during stage one of sleep, which is the formal transition period. Stage one is a light phase of sleep that only lasts five to ten minutes. If you’re awakened during this period of sleep you will feel as if you had not yet fallen asleep. If you make it through stage one, the next twenty or so minutes will be characterized by body temperature and heart rate decline. As far as brain activity goes, sleep spindles -- sharp spikes of brain activity -are a clear sign of stage two sleep and are an important aspect of this stage. The sleep spindles are theorized to maintain tranquility, map 7 nerve control to specific muscles (especially in children) and integrate new information into existing knowledge. At this point, stage three begins which is another transition period, this time between light sleep and deep sleep. Once deep sleep occurs, you’re considered to be in stage four, which lasts about 30 minutes. REM sleep is stage five sleep. This is where brain activity will sharply increase, muscle activity will be paralyzed, and dreaming is likely to occur. At this point in the explanation of sleep cycles you’re trying to add all of this time up and you’re coming to the conclusion that these stages are too short to constitute an entire night’s sleep. You’re right. That’s where the cyclical nature of sleep comes in. You don’t move through these stages, from one to five, and then wake up. Once the first cycle of stage four sleep is complete, you bounce back to stage two and three before entering REM. When you leave REM, you’re bounced back to stage two. You’ll repeat this process four to five times during the night. As sleep continues, REM stages become longer (up to an hour at a time). the clock in your bedroom -- is the mindset shift that will help you the most. And the more forward steps you take -- even small ones -- the more you’ll sleep your sleep improve. Our society looks down on food as medicine and lifestyle as medicine. They’d rather push drugs and “medications” instead of simple interventions and adjustments. This has led people to believe that simple changes can’t possibly transform their sleep -- or their health for that matter. “That nonsense won’t work, just write me a prescription for Ambien!” The truth is that Ambien is what’s NOT necessary. Evan and I are going to show you how to completely reboot your sleep with simple food and lifestyle tweaks to help you fall asleep faster, stay asleep longer, minimize disturbances, and wake up rested. Before all that, though, we want to make sure you fully understand the impact of poor sleep. Let’s get on with it. While learning about the sleep cycle is interesting, it doesn’t help you much. This isn’t a book of science, it’s a book about action. So what does help you? Understanding that everything about your lifestyle impacts the cycle -the foods you eat, the color of the light in your house at night, your routine, your stress levels, medications, your weight, your spouse, and 8 2 AT YOUR WORST It’s November in Atlanta and the temperature outside is a brisk 40 degrees at 8am. By 3pm, the temperature could climb as high as 65 degrees. That’s a 62% increase in temperature driven primarily the sun. Is there anything else that you know of that could cause such a massive temperature change in only a matter of hours? I don’t. The sun is a powerful influence on the temperature of the Earth and far more powerful than any other factor. Did you know that when it comes to your physical and mental performance and health there’s an influencer just as powerful? It’s called sleep. Just as the sun is the main deciding factor in the temperature of the Earth, sleep is the main deciding factor in the health and performance of your body. In a healthy individual, nothing else competes. Unfortunately, sleep is also one of the most neglected elements of health and performance. Either we are subject to lifestyle factors that prevent us from getting the sleep we need or we consciously decide to limit sleep in exchange for other things like “productivity” or entertainment. Limiting sleep or simply getting poor quality sleep has mild to severe consequences. Some of these you may know about and others may come as a surprise to you. Either way, it’s important to understand exactly what’s happening when your sleep is of low quality or low quantity. DEPRESSED METABOLIC FUNCTION In normal metabolic function, hormones like insulin respond to food intake by signaling muscles and fat cells to absorb glucose. This normalizes blood sugar and pushes vital nutrients into your cells. In type II diabetics, normal levels of insulin don’t trigger action by cells because the cells’ receptors are “deaf” to the signal; they’ve been overloaded with ever increasing amounts of insulin creating a cycle whereby a larger amount of circulating insulin is necessary before the cells’ insulin receptors will finally listen. This is called insulinresistance. You may not be a diagnosed type II diabetic, but there’s a chance that your lack of sleep is creating a situation where your body behaves like one. A study from the University of Chicago Medical Center tracked 11 healthy young men over the course of 16 nights. During the first three nights, these men were permitted to get 8 hours of sleep. For the following six nights, they were limited to four hours. And for the seven nights after that they spent 12 hours in bed, total. All of the men in this study were eating the same diet. The findings were shocking. The changes in glucose metabolism that occurred due to this decrease in sleep was significant. The men took 40% longer than normal to regulate blood sugar after a highcarbohydrate meal and both the secretion of insulin and the body’s response to insulin decreased by 30%. This is in line with the metabolic function of a type II diabetic. Only three nights of reduced sleep was required to suppress insulin sensitivity by 25% Not only does your body behave like a type II diabetic after periods of low quantity or low quality sleep, chronic sleep deprivation can lead to the development of full blown type II diabetes. 10 Quick Tip: While low carbohydrate diets are helpful for some people and not well tolerated by others, the evidence suggests that carbohydrate intake should be kept very low after periods of low quantity or low quality sleep. There are ways to mitigate the acute damage from this metabolic interruption that we’ll share with you later in this guide, but type II diabetes is something you want to avoid at all costs in the long term. DISORDERED EATING One of the main complaints from people interested in losing weight or who suffer from other unhealthy eating triggers is pervasive hunger -a hunger that just won’t go away no matter what they eat. A study by the International Journal of Endocrinology revealed that sleep deprivation (four hours of sleep per night) decreases Leptin levels by 19% (less satiety) and increases ghrelin levels by 28% (increased hunger) even after subjects were given a sleep compensation of 10 hours per night the following two days. If that’s not bad enough, subjects of a separate study noted an increase in preference for high glycemic, carbohydrate-based foods and salty food cravings increased by a massive 45%. There’s a little bit of a snowball effect here as well. You crave carbs, your satiety cues go down, your hunger goes up, your body is less able to handle carbohydrate intake because it can’t adequately remove sugar from the blood, your willpower is reduced (impaired judgement and ego depletion), your stress increases, and all of those things play on each other. In short, all roads lead to failure. Hunger to that degree can have many causes, but identifying the most powerful influencers will help you create the most positive change in the shortest amount of time. Sleep is a powerful influencer on hunger because it directly influences satiety hormones and creates a snowball effect. If one of your goals is to solve unhealthy eating patterns such as overeating, emotional eating and mindless eating, then sleep is critical. The consequences of negative sleep on hormonal and metabolic function are too great to overcome. This can lead to failure being blamed on things like “not having strong enough willpower.” In reality, that’s not the case at all -- poor sleep is the culprit. Leptin and Ghrelin are the two main appetite hormones. When these hormones are in balance, your hunger and satiety cues are aligned with your body’s needs and you’re free to take an intuitive approach to eating. When Leptin and Ghrelin are disordered, hunger can be pervasive and satiety is nowhere to be found. Kevin is an expert on disordered eating and eating triggers. If you want more on that topic from him, check out his action guide: 8 Unhealthy Eating Triggers and How to Conquer Them. Leptin is the appetite suppressant. Ghrelin is the appetite trigger. Poor sleep has a negative impact on both. DECREASED MENTAL PROCESSING 11 Are you on a mission to cut a few IQ points? I think it’s pretty safe to say that all of us need all the IQ points we have and can’t much afford to lose any. But dropping IQ points is exactly what you’re doing when you don’t prioritize sleep (or if you suffer from a sleeping disorder). Your brain has two separate types of memory, just like a computer. It has a hard drive that stores information for later recall -- declarative memory -- and it has memory that acts more like RAM (Random Access Memory) -- called non-declarative memory -- that processes everyday tasks such as motor skills and perception. That’s a “rough” parallel because once computers store information, that information doesn’t change. The human brain, however, continuously alters and reconstructs memories and information. There are other differences, but this isn’t a book on neurology. Continuing with the computer analogy, sleep is like defragmenting a computer hard drive. During your awake phase, you’re forming new memories (long-term potentiation). The actual mechanism of memory formation is the strengthening of nerve synapses, aided by the neurotransmitter Glutamate. Quick Tip: Glutamate is also found in the food additive MSG, which is why MSG can have negative neurological consequences. Glutamate is toxic to the brain at higher levels. allows this process to rest while pruning the synapses, healing excitotoxicity, and possibly engaging in “synaptic scaling,” a process of memory pruning much like hard drive defragmentation. A lot of information on computers is placed randomly on the hard drive -- it’s “fragmented” to different areas. During defragmentation, this information is reordered to be more logically placed while nonimportant information is discarded. The brain may have a similar function that occurs during non-REM sleep that is crucial to memory health and accessibility. Poor sleep negatively affects long term memory, short term memory, and cognitive speed and accuracy. It’s important to note that women tend to tolerate sleep loss better than men (better performance in some areas when sleep deprived), but recover from sleep loss slower. And as you’d guess, the older you get the more susceptible you are to the cognitive side effects of poor sleep. INCREASE IN RISK OF PREVENTABLE DISEASE It’s a given that every lifestyle factor with negative health consequences is going to increase your chances of developing a preventable disease. But, poor sleep has some unique negative health outcomes that are worth highlighting. TYP E II DIABE TE S A problem with active memory formation (when awake) is that the process creates a toxic calcium buildup in brain cells referred to as excitotoxicity. Sleep is theorized to be the restorative function that We already talked about how poor sleep affects blood glucose control. 4-6 hours of sleep can leave you with depressed metabolic 12 function akin to having type II diabetes. And chronically poor sleep can actually lead to the development of the disease. care greatly about your mating ability, athletic performance, and body composition. Obviously, disrupting your body’s ability to control blood glucose is bad news. On top of that, the scenario promotes weight gain, especially around the midsection which is also a precursor to diabetes. Scientists from the University of Chicago found men who get less than five hours sleep a night for a week or longer have greatly reduced levels of testosterone than those who get a good night’s rest. HEART D I S EAS E A University of Chicago study showed a negative correlation in coronary artery calcification (a precursor to heart disease) and sleep quantity. In other words, the less you sleep the more calcification and chance for heart disease you incur. Combine that with chronically elevated blood pressure, increased physical and mental stress, and increased inflammation, and poor sleep puts you well on your way to unexpectedly dropping dead from heart complications. If you have a history of heart disease in your family, sleep becomes even more important in your life. We hope you take this seriously because heart disease is the leading cause of death in the United States. It’s a tragic way to go when family is considered: there are no goodbyes, no planning or preparation, no nothing. One day you’re here and the next you’re gone. And it’s completely preventable in most cases. DE CLINE I N SE X D R I V E A LO N G W IT H IN H IB IT ED M USC LE GR OWT H A N D RE PA IR "Low testosterone levels are associated with reduced well being and vigor, which may also occur as a consequence of sleep loss" said Van Cauter. But, what does low testosterone mean exactly? How low are we talking about? The study found that poor quantity and poor quality sleep (5 hours or less) reduces a young man’s testosterone levels by the same amount as aging 10 to 15 years. That’s critical. It’s not just important for mating, it’s important for getting stronger and repairing muscles. Testosterone is an androgen hormone that plays a growth role in both males and females by binding to muscle cells and amplifying biochemical signals. It also has a direct impact on Human Growth Hormone (HGH). The reduction in testosterone has huge implications for improving body composition and reaching fitness goals. If you want to look good naked, that’s going to depend on your lean muscle mass (low body fat percentage with increased muscle definition). Attaining that lean muscle mass requires the ability of muscles to both repair and grow. Poor sleep is a direct hurdle to achieving those goals. Maybe you don’t care if you get cancer or diabetes. Perhaps you’re in the “we’re all going to die some day” camp. Even so, I bet you still 13 The implications of low testosterone continue -- it’s also been implicated in hair loss, loss of bone mass, and the accumulation of abdominal fat. For men, having testosterone levels slightly above average reduces the risk for high blood pressure, heart attack, and obesity. WORS ENE D D E P R E S S I O N One in five Americans is on prescription drugs for anxiety or depression. That’s significant, especially when you understand how closely mood is related to food and lifestyle. Instead of taking prescription drugs, Americans should be dialing in their nutrition, auditing their lifestyle and getting more sleep. If you suffer from anxiety and depression it’s important to understand that sleep and depression is a cycle: one typically worsens the other and vice versa. People with insomnia have a ten fold chance of developing depression compared to those who sleep well. This can be true even for people who suffer from localized depression such as Seasonal Affective Disorder (SAD), a type of depression that occurs at a certain time of year (usually winter). Sleep and keeping circadian rhythms on track is key to mitigating or preventing SAD. If you are on anxiety or depression medication and hope to get off that medication at some point, sleep and nutrition are going to play a pivotal role. For now, just know that sleep should be prioritized as it exacerbates the cycle of depression. TAKING ACTION TO AVOID BEING AT YOUR WORST Now that you understand the huge implications of low quality and low quantity sleep, it’s time to figure out exactly what you’re going to do about it. In later chapters we’re going to dive deep into the tactics of improving sleep, but right now we need to talk about the overall strategy of making sleep a priority so you feel able and willing to take action. Human beings are notorious for knowing why to do things and how to do things and still not following through. It’s called the “intentionbehavior gap” and it’s the single biggest hurdle standing in your way. This book is useless if you ingest the information and fail to take action. DO NOT SKIP THIS STEP. If you truly want to transform your sleep and your life, start by following through with the exercise below as it will help you create both momentum and motivation that are sustainable no matter what happens. STE P ONE: LIST YOUR “BIGGEST WHY’S” IN D E TAIL . Want to know what I hear most often from clients? It’s this: “Even once you tell me what I need to do, it’s consistency that I have trouble with.” You’re not alone if you think that. Most people have trouble with consistency when their why isn’t big enough. If you had some disease that was going to end your life and the doctor told you that all you had to do was get 8 hours of quality sleep per night, do you think you 14 would be able to follow through? Of course, because that’s a pretty important REASON to follow through. If you want to create momentum and motivation that doesn’t falter, you’re going to have to come up with some important reasons for why you want to take action. You’ll know you’ve identified important whys by asking yourself, “Am I willing to fight my ass off for this reason?” If the answer is yes, you’ve created a big why. Here’s an example: “If I don’t improve my sleep I’ll be a worse dad to my son because I’ll have less energy and I’ll be more prone to blowing up on him in frustrating situations. My son deserves a better version of me than that.” I think you’ll agree that’s a much more important why than, “I want to improve my sleep so I can feel better.” On a sheet of paper, list up to five big whys. You’ll refer back to this list when the road gets bumpy, so make sure your whys are compelling. And remember: you’re worth all of them. STEP T WO : C R E AT E S M A RT G OA L S T H AT ALIGN W I T H YOU R BI G WH YS Now that you have your big whys spelled out, it’s time to create SMART goals that will help you realize those whys. SMART goals are: Specific, Measurable, Attainable, Relevant, and Time-Bound. For example: “I’m going to go to bed 30 minutes earlier each night and use [example technique from this guide] to improve my sleep quality for three months while I work myself off of anxiety medication.” That goal is specific (I’m going to do this and this), measurable (did you get off anxiety meds?), attainable (you verified getting off meds in this time frame is possible), relevant (it aligns with a big why you set), and time-bound (it’s confined to a three month time frame). Under the big whys you’ve already listed on your worksheet, list three to five SMART goals that align with them. AU DIT YOUR LIFESTYL E It doesn’t matter how badly you want to reach your goals if your lifestyle creates severe limitations on how often you take action and follow through. I’m sure you’ve heard (or made) these excuses: “I was doing so well and then I just got too busy,” or “I was doing so well and then I got sick,” or “I was doing so well and then money started to get tight.” Take an honest look at your current lifestyle. Are you time poor, meaning you have very little time to spend on yourself or are you so busy that your sleep is affected? Do you have relationship problems that keep you up at night? Do you eat too late? Do you watch too much television close to bedtime? Do you drink too much coffee? Life always has a funny way of getting in the way, doesn’t it? There’s a reason for that: most people go through life with little to no margin. Margin is the extra room that allows for flexibility and being opportunistic. It’s the extra room that provides padding when difficult situations come up. It’s a defense against the circumstances life is going to throw at you. 15 Auditing your life shows you where margin needs to be increased. This will reduce stress and insure that you’re not making excuses for why you failed -- excuses that were avoidable from the start. Audit everything about your life. If you have a hard time thinking of all of the factors that apply to your lifestyle, buy a blank journal and spend three days journaling your actions and activities; then audit those journal entries. The next page contains a lifestyle audit diagram that Kevin uses with his Total Body Reboot clients. Feel free to use it as a guide. Are you willing to make changes? Figure out what all of the obstacles are and then work to find solutions for them. If you have trouble, head over to the REM Rehab Facebook Support Group and ask others for solutions (instructions in the preface). This isn’t rocket science, but it’s mission critical stuff. Without a meaningful why, you won’t stay motivated. And if you don’t remove the roadblocks, you’ll inevitably get derailed. 16 3 SLUMBER SLIP UPS There are two types of “not knowing.” One is not knowing what to do and the other is not knowing what not to do. The simplest and most straightforward way to make any positive change in your life is to figure out what action is working against you and to stop doing it. With regard to sleep, we call these, “slumber slip ups.” MEET DAVE Dave is a typical suburban dad. He has a secure 9 to 5 job that pays the bills and provides a cozy middle class life for his two children. He wakes up at 6:15am with his wife to rouse the kids from bed and get them ready for school. There isn’t a lot of time before the bus comes to pick the kids up, so breakfast is usually something fast. Today, it’s a bagel with cream cheese and a glass of orange juice. Dave’s commute is a bit rough. It’s 45 minutes both ways and he’s trying to get to work at the same time as everyone else in his city. That means a stressful dose of rush hour traffic. Thankfully, listening to The Rebooted Body Podcast and the Not Just Paleo Podcast help him stay engaged in something other than the traffic not moving quickly (no, we’re not afraid of shameless plugs). The work day isn’t always kind to Dave. He likes his co-workers, but his boss has a not-so-small problem with micromanaging people. It drives Dave bonkers. His lunch break offers a temporary moment of sanity -- he hits the meal truck for a big burrito. After work, Dave hits the gym and then makes it home just in time for dinner: home-made spaghetti and a much needed glass of wine. Later, he’ll throw back some popcorn while watching Monday Night Football. So manly, Dave. The kids are happy to be free from school and they display that by chasing each other around the house. Wanting to enjoy his wine in peace and quiet, Dave gets on to his kids about calming down and suggests they go play some video games in their room. Once the game starts, Dave will be enthralled with it until 11:30pm or so before turning it in for the night. Tomorrow, he’ll repeat all of that again. Dave’s story might not match your story, but there’s likely some similarities. An important takeaway here is that slumber slip ups occur throughout the day, not just at bedtime. In the following two chapters, we’re going to set you up for success closer to nightfall. In this chapter, we’re going to talk about all the stuff you do throughout the day that’s making it harder for you to fall asleep faster and stay asleep longer. SLUMBER SLIP UP: DIET DERANGEMENT There are a number of diet factors that affect your ability to get to sleep quickly and stay asleep for the entire night. Two of the most important factors are hormone regulation and overall metabolism. Eating things that disorder your hormones and slow your metabolism are going to wreak havoc on your sleep. HO R MO NE R E G UL ATIO N Dave isn’t doing very well on the hormone regulation front. He starts off the day with a massive blood sugar spike (bagel and orange juice) that sends insulin surging through his body. He repeats this cycle again at lunch and dinner. This has implications far and wide in the body. The preference would be a more steady blood sugar and insulin pattern throughout the day. 19 M ETABOL IS M As metabolism declines, so to does sleep quality. Dave may not have any issue here yet, but if he continues to eat this way he’ll eventually break his metabolism through chronic hormone dysregulation. If you’re currently “dieting” by using any sort of caloric deficit you’re going to eventually reduce your metabolism and start to affect your sleep as well. Yep, another reason diets don’t work. Getting the proper amount of calories for your needs is critical in maintaining metabolism and sleep quality. Quick Tip: If you still buy into the “calories-in, calories-out” model of nutrition, you definitely need to read this piece on the truth about calories at The Rebooted Body. For you ultra low carb readers, going ultra low carb for too long can also contribute to metabolic and sleep issues. In “Eating for Sleep” we’ll cover the nutrition protocol we recommend for the best sleep. SLUMBER SLIP UP: SWIMMING IN STRESS Our sleep subject, Dave, gets up early, deranges his hormone function multiple times per day with food (which by itself is a stressor on the body), has a micromanaging boss that drives his anxiety, sits in rush hour traffic for 90 minutes a day, and has two children. We don’t need to get too deep into the biological reactions that are happening during the hours Dave is awake, but I’m sure you agree that Dave sounds stressed. Two of the hormones that become problematic in this scenario are cortisol and adrenaline. C ORTISO L Cortisol is a steroid hormone released in response to stress, which can range from obvious stressors such as your boss yelling at you to not so obvious ones like low blood sugar. As with all hormones and their interactions with each other, the release of cortisol has some consequences: immune suppression, decreased bone formation, the storage of belly fat in some cases, and excess appetite (which is why being stressed makes you hungry). Cortisol is often talked about in a negative light, but it’s an extremely necessary and helpful hormone when not circulating in excess. The problems occur when we’re constantly stressed and cortisol never seems to clear. The natural ebb and flow of cortisol in the body is high production in the morning hours (about a 50% increase in production that helps you wake up), tapering off throughout the day in accordance with circadian rhythm. Other than that, acute spikes in cortisol will happen in response to stressors throughout the day. A few stressors and a few acute spikes are no problem; chronic stressors and chronically elevated cortisol levels have huge negative health and sleep implications. 20 Keeping cortisol as close to its natural pattern as possible is critical to achieving quality sleep. ADRENA LI NE Adrenaline is both a hormone and a neurotransmitter also released in larger quantity during stressful situations. It’s job is to regulate heart rate, blood and air channel diameters, and metabolic patterns through the manipulation of blood sugar control. If we get back to Dave, we can see the implications of adrenaline on sleep. Watching a 3 hour football game with ups and downs of excitement, tension, and horrible officiating (of course, right?) spike Dave’s adrenaline right before he goes to bed. If he’s watching his favorite team, the situation is even worse because he’s more emotionally invested. I know from my twelve years of experience as the head coach of an Olympic Taekwondo team how adrenaline can directly affect sleep quality. After a long, stressful competition day my mind would continue to race and I could still feel my body surging from the excitement. Falling asleep was exponentially harder after big tournaments. Three of the easiest ways to tell if your sleep is negatively affected by high stress levels is how fast you can fall asleep, whether or not you wake up in the middle of the night to pee (which sometimes is simply due to excess water consumption but not always), or if you wake up well before you’re supposed to and can’t go back to sleep. If any of those three things are occurring, it’s time to seriously address the stress. Tolerating stress and simply waiting for the work week to pass so you can sit down and take a breath is leading our population down the road to destruction. In chapter one we had you do a lifestyle audit to increase margin in different areas of your life. If you did that exercise, you’re likely already experiencing a reduction in stress. The more you audit, the more you’re going to be able to get rid of preventable stress in your life. In Chapter Six we’ll talk about other ways you can de-stress before hitting the sheets. SLUMBER SLIP UP: ARTIFICIAL LIGHT AT NIGHT Adrenaline’s interference with sleep is much more common than most people realize and is a great starting point to look at if you have trouble falling asleep. The first and one of the most detrimental lifestyle factors that contributes to poor sleep is night-time exposure to artificial light. STRES S M A NAG E ME N T The lightbulb has been around for a little over 100 years now. The problem is, humans have been around for an exponentially longer amount of time than that. Since the early time of man’s existence, the We all inherently know that too much stress is a bad thing, yet we continue to soak in it. 21 only light after sunset would have been in the form of fire and moonlight. Our eyes, brains and specifically our pineal glands are not adapted to the large amounts of after-dark light exposure that our modern life presents. Artificial light affects not only your sleep quality, but your probability for developing cancer, obesity, depression, ADHD, metabolic damage, and seasonal affective disorder (commonly referred to as SAD). From the most developed research company on the effects of artificial light at night time, Low Blue Lights: “The natural 24-hour cycle of light and dark helps maintain precise alignment of circadian biological rhythms, the general activation of the central nervous system and various biological and cellular processes, and entrainment of melatonin release from the pineal gland. Pervasive use of nighttime lighting disrupts these endogenous processes and creates potentially harmful health effects and/or hazardous situations with varying degrees of harm” Back to Dave and his football game: the TV blasting light at his face from 8:30pm to 11:30pm isn’t helping his sleep schedule. He also didn’t turn off the overhead lights in his man cave, so those are shining down on him as well. He also sent his kids to play electronic video games right before bed so he didn’t do them any favors either. All of these light sources are confusing your body’s natural rhythm. Mentally, you know it’s night and you’d like to get to sleep soon. Physically, your body is preparing for the opposite because of its exposure to artificial light. Do you see where this can become a huge problem, especially when you repeat the cycle night after night? SLUMBER SLIP UP: CAFFEINE AND ALCOHOL Caffeine and Alcohol are two of the most widely sold, used and abused drugs in the world. The impact of caffeine and alcohol on sleep quality is generally accepted and known, but not respected. That wine you're drinking at night? Gotta nix it if you want to reboot your sleep. Alcohol may help you relax and fall asleep faster, but the metabolic process of clearing it from your body causes a withdrawal period that's significant enough to disrupt your sleep. It's also known to disrupt the sleep cycle, preventing you from achieving normal periods of REM sleep. It doesn’t take an expert to realize that caffeine close to bedtime isn’t helping matters. But you may not realize that even caffeine intake around 1pm or 2pm can be hindering your sleep. Caffeine also interrupts the important neurotransmitter, GABA. When it comes to relaxation, anxiety or more importantly, sleep function, the calming neurotransmitter GABA is at play. Without enough GABA, the central nervous system fires too rapidly causes small effects such as anxiety and worry, but can have large 22 effects such as panic attacks, anxiety disorders and even Parkinson's disease. This is what chronic and extreme low GABA levels can do. I's a miserable experience that results from the delicate imbalance in the brain. Caffeine inhibits GABA production. Remember the way you felt after too much coffee? That is due to an overload of the neurotransmitter glutamate without adequate levels of GABA to balance it out. This is why coffee or caffeine in any form may cause anxiety for some and sleep issues for other. It's important to limit and watch your caffeine intake. Less is more. As we discuss the neurotransmitter serotonin in the book later on, this will all make even more sense. Serotonin is actually a precursor to GABA and enhances it's effect. This is why our recommendations for supplements including L-Tryptophan and 5-HTP later are listed. They have a double effect in supporting both mood and relaxation. What about third shift workers? Working crazy hours and avoiding caffeine sounds like a sick joke to some, but it’s important to limit consumption. A safe recommendation is no more than 40 mg within 6 hours of bedtime. A generic eight ounce cup of coffee contains anywhere from 95-200mg. The 6 hour time limit is important since the half life of caffeine can last 6 hours or longer depending on several factors: DO YO U SMO K E ? Smokers metabolize caffeine 50% faster than non-smokers. However, that’s not a recommendation to begin smoking or a justification for continuing! AR E YO U TAK ING BIRTH CO NTR O L? Oral contraceptives double the time it takes to metabolize caffeine. It can take anywhere from 5-10 hours for clearance. AR E YO U PR E G NANT? Caffeine’s half-life is 9-11 hours in pregnant women. Of course, you should already be severely limiting caffeine intake. HOW MUCH CAF F E INE DID YO U CO NSUME ? Caffeine’s effects and metabolism length is extended with more consumption. For example, 600mg of caffeine would stay in your system 3 times longer than 200mg of caffeine. HAVE YO U TAK E N OTHE R ME DICATIO NS? Other substances can also impact the rate of caffeine excretion. The most common drugs that impact the effects and breakdown of caffeine are antidepressants and NSAIDs like acetaminophen. SLUMBER SLIP UP: MEDICATIONS You can make a ton of changes to your diet and lifestyle that are designed to improve sleep while still seeing very little benefit because of a silent and hidden culprit like medication. 23 We’re not going to provide a complete list of medications that impact sleep quality because this isn’t that type of guide, but we recommend you talk to your pharmacist (who should know everything you take) and directly ask them if your medication regimen might have any impact on your sleep quality. New research is coming to light that shows how damaging sitting is to our health. Of course -- like the good productive citizens we are -- we tend to sit all of the time. We sit in the car, sit at work, sit at home; sit, sit, sit. We send our kids to schools where they sit and then insist that they sit and do their homework and sit to eat dinner. If they point out sleep interactions, ask them if there are any alternatives that won’t affect sleep. If there aren’t, research using nutrition and strategic supplementation to replace that medication if it’s not vital (don’t just take your doctor’s word that a medication is vital -- they’re paid to tell you it is). It’s a sedentary lifestyle no matter what way you slice it. And if you get away for an hour to exercise, you’re not erasing all of that sitting. The research is very clear that exercise does not undo large amounts of sitting or being generally sedentary. Also ask your doctor about gluten in medications. Most people aren’t aware that pharmaceuticals can contain gluten and get exposed without knowing it. If you’re gluten intolerant to any degree, that can negatively affect sleep as well. SLUMBER SLIP UP: NOT BEING ACTIVE OR SKIPPING EXERCISE Society tends to put things in boxes. As far as exercise goes, society tends to think that it’s good only for physical health and performance. Exercise is amazing for sleep and mental health as well as it increases serotonin production. It’s important to make the distinction between being sedentary and not exercising. You can exercise on a consistent basis and still be relatively sedentary. Think about life before all of these modern conveniences. People walked and did manual labor for a good portion of the day. When they weren’t walking or working, they were playing (physically -- not Playstation 4 while downing potato chips), cooking, or relaxing. Sitting used to be very minimal and now it’s uncommon for people to move around a lot. This doesn’t just have a huge impact on health, it disrupts sleep quality. When the body is not used physically, it has a harder time transitioning into sleep mode. When it’s not used physically and it has a bunch of stress built up inside it, that makes sleep even more difficult. To restore health and sleep quality (and seriously aid in fat loss), get in the habit of shunning your sedentary lifestyle. Remember, this has nothing to do with exercise. Here’s seven suggestions to un-sedentary yourself: 24 WAL K DA I LY The small amount of walking we do as humans these days is embarrassing. Walking is the most basic human function. The body craves it. At a minimum, 30-60 minutes of intentional walking daily is required. T RA NS ITION TO A STA N DI N G DE S K If you do work that requires a desk or station, find a way to raise your workspace so that you can stand and do your work. Buy a stool instead of a chair so you can lean when you get tired. Just avoid the 90 degree sitting angle and the rounded back at all costs. Is this convenient? Of course not. But neither is losing all human function, mobility and eventually your health. BREAK EV E RY 50 MI N U TE S You’re busy, I get that. But you’re not too busy to take a 10 minute break every 50 minutes. Use this time to walk to the water cooler and grab a few sips of water, socialize, stretch, do some impromptu bodyweight exercises, practice deep breathing, get outside in the sun, or any other healthful activity you can think of. This makes a world of difference. SI T LIKE YOU R A N CE STO RS Before the advent of chairs, humans had the mobility to squat between their legs (butt to ankle). The more we sit, the more we lose that ability and the loss of that ability is a precursor for disease and nursing homes. The boy pictured squats like humans are designed to squat. That’s how you should sit when you’re doing an activity, waiting for something, watching television, and so on. If you can’t squat like that, it’s a good sign you’re losing basic human function. The good news is that you can work to restore it. TAKE T HE STAIR S Almost all multi-story buildings these days have elevators and escalators. But they also have stairs. If you frequent these buildings, you have a unique advantage over your fellow humans -- you get to choose to take the stairs on a regular basis and get those leg muscles working. Of course, the leg muscles are the largest group of muscles in the human body; taking the stairs is no joke. 25 PL AY ( ESP E C IA LLY WI T H YO UR K IDS ) Play is so important for physical activity and stress relief. If you spend a few hours playing on a Saturday, I can guarantee you’ll sleep better that night. If you have kids, playing with them (away from electronics and preferably outdoors) enhances your relationship and teaches them one of the most important parts of life. Pick the ones that sound most important to you and start to implement them immediately. You can incorporate the others as you go -- or maybe you’ll find that just making a few of the changes in combination with implementing advice from the other chapters improves your sleep enough to meet your goals. The last thing we want you to do is stress out about all of this stuff and freeze up and do nothing. One step at a time, one day at a time -that’s all you need to focus on. WATCH LE SS T E LE V I S I O N Americans spend 34 hours a week watching television. That’s almost equal to the time they spend at work (and we think Americans work too much!). That’s an additional 34 hours of sitting, likely and additional 34 hours of mindlessly eating processed foods, and 34 hours not spent playing and moving. We get that television can be a useful outlet for zoning out every once in a while. And yes, some shows are educational and beneficial but most people abuse their televisions and iPads and laptops leading them to be more sedentary, more disconnected relationally, and less likely to sleep well (since the light from television and these devices interrupts sleep as we’ve already discussed). PROGRESS, NOT PERFECTION As you wrap up this chapter, you’re left with a lot to think about. In no way are we suggesting that you need to make all of these changes at once. 26 4 EATING FOR SLEEPING Nutrition plays a key role in sleep and it’s not just what you eat prior to bed or when you eat it that matters, but what your diet looks like on a consistent basis. This chapter is directly about eating for sleep. It’s not about eating to lose fat, eating to perform better in your Crossfit class or anything else. We’re not saying it WON’T work for those things, but the sole intention is to provide key concepts for eating for better sleep without including things that will be detrimental to your health (which it turns out are usually detrimental to sleep anyway). THE HIGH SUGAR, POOR SLEEP CONNECTION Hormones play such a key role in sleep. If you can get your hormones in order, sleep quality should follow. It’s not the only factor, but it’s a huge one. A major aspect of the typical, neolithic human diet is high sugar consumption. In 1822, the average American consumed less than 10 grams of sugar a day, or roughly the amount of sugar in a can of soda every five days. In 2012, Americans consumed 765g of sugar over the same five day period. That’s 130 pounds of sugar per year. Worse, that’s just refined sugar. Add to that all of the foods we eat that quickly convert to sugar in the body and the stress on hormones is compounded. Staples in the American diet like pasta, bread, and starches turn immediately to sugar in the body and all processed foods tend to have a very high glycemic load and act in the same manner. It’s so bad that our modern bodies have switched gears and bounce from sugar spike to sugar spike to get through each day. The result is that we have trouble burning both dietary and stored fat for fuel. We’re paying the price in the form of obesity, preventable disease, and poor sleep. Let’s look at the mechanism behind high sugar consumption and poor sleep. This is the 101 version. If you derange your hormones with sugar and high glycemic foods, you’ll begin to suffer from a degree of insulin resistance. The longer you do this, the worse it gets. Insulin is a hormone that helps regulate blood sugar and has the side effect of telling fat cells to store fat. In an individual with a functional metabolism, the body easily burns fat for fuel -- both dietary and stored fat -- when insulin levels normalize. In modern individuals who consume a high sugar diet and survive from sugar spike to sugar spike, the chronic insulin levels impair the body’s ability to use fat for fuel. So, what happens when you turn in for the night under this deranged scenario? Well, the normal metabolic state during sleep is a state of fat burning. If you’re unable to burn fat because of a disordered metabolism, your sleep is greatly interrupted. Many people have sleep disorders simply because their body is unable to metabolize fat during sleep. Of course, this is a vicious cycle. Once sleep is interrupted, other hormones, such as cortisol and glucagon, become deranged as well. Stress in general (impaired sleep being a driving factor of stress) drives up blood sugar (we already talked about how sleep issues disorder blood sugar). You’re probably getting stressed right now just thinking about it all! Take a deep breath because we’re going to talk about how to eat for hormone regulation and sleep. This is a key piece of the puzzle. Once you’ve shored up the slumber slip ups we talked about in Chapter 3 28 and have switched to the following hormone-regulating diet, you’ll be well on your way to beauty sleep. Lastly, they’ve led you to believe that fat consumption makes you fat and that’s wholly inaccurate. Hormone dysregulation, being sedentary, sleeping poorly, and eating ANTI foods makes you fat. THE ROLE OF DIETARY FAT IN HORMONE STABILITY You can rapidly and sustainably lose body fat with a diet that consists of 60% or more calories from fat. Saying that fat consumption makes people fat isn’t just inaccurate, it’s a deliberate lie. All of the evidence says it’s not the case. The biggest problem with low fat eating is that it drives high glycemic eating. There are only three main macronutrients: fat, carbohydrates, and protein. If you forego the fat, all you’re left with is protein and carbohydrates. That’s a big problem. You can’t provide your body with everything it needs by eating only protein and carbohydrates. And the absence of fat means you need to make up those lost calories with additional carbohydrates which further disorders hormones and leads to weight gain if activity and exercise levels don’t support that carbohydrate consumption. Fat is the key macronutrient in hormone regulation and satiety. It’s the only macronutrient that doesn’t cause an insulin response and it has a huge balancing impact on the hunger and metabolism regulating hormones leptin and ghrelin. Unfortunately, conventional wisdom has demonized and demagogued fat consumption based on bogus science. They’ve even promoted the use of unhealthy fats like vegetable and seed oils while ostracizing healthy fats such as well sourced butter, lard, tallow and even coconut oil. Don’t be afraid of fat -- include it at every single meal. Just stay away from the nasty vegetable and seed oils (clarified in the link above). Additionally, if you buy conventional meat it’s best to buy lean cuts and add dietary fat via high quality butter, coconut oil, etc. The fat in conventional meat is full of toxins that negatively impact your health -we only recommend eating fatty cuts of meat from pastured animals. By increasing your fat intake and maintaining protein intake, you’ll be increasing your satiety and you’ll naturally eat less food. You’ll also allow your body to burn stored body fat for fuel as hormone regulation improves the function of fat cells and the body’s ability to use both stored and dietary fat as fuel. Oh, and your sleep will improve! A TRYPTOPHAN-RICH DIET A study showed that a Tryptophan-rich breakfast combined with sunlight exposure would aid deeper sleep. 29 L-Tryptophan is one of the 10 essential amino acids used in the body. This amino acid is responsible for an even larger part of our health beyond sleep quality. Without a proper level of GABA we can feel anxious, worrisome and have many negative thought patterns of doom and gloom. Of course, GABA depletion has a negative impact on sleep as well. Tryptophan is required for the production of serotonin, our feel-good neurotransmitter. Since a large amount of the serotonin we produce comes from the gut itself, quality foods containing tryptophan become critical. The good news is that we can support this neurotransmitter and restore balance with food. Specifically, the body uses sulfur to restore GABA levels. More importantly, the production of the hormone melatonin (a key sleep hormone) requires the presence of serotonin. It works like this: There are many sulfur-rich foods to choose from: grass-fed beef, eggs, cabbage, broccoli, cauliflower, Brussels sprouts, bok choy, onions, shallots, garlic, and leeks. There are others, especially foods related to those already listed. Food -> L-Tryptophan -> Serotonin -> Melatonin -> Quality Sleep Therefore, with the addition and presence of Tryptophan in the diet, the process of creating serotonin and melatonin is optimized. Aim to include tryptophan-rich foods in your diet on a regular basis from the following sources: Grass-fed Beef, Pasture-raised eggs, Turkey, Nuts & Seeds, Raw Dairy (if you have quality access). Eating a meal containing these foods three to four hours before sleep can put all of the right conditions for great sleep in motion. A GABA-SUPPORTING DIET Due to the fast-paced nature that the majority of us live in, our calming neurotransmitter GABA can become depleted. GABA can be thought of as your brain’s brakes -- it slows activity. By boosting our GABA levels with these foods, we can assure that our dietary intake is positively impacting our sleep. 7 GUIDELINES FOR EATING FOR SLEEP Eating for sleep is mainly about eating for hormone regulation, namely blood sugar stability. If you’re new to this way of eating, follow the seven guidelines below. # 1: E AT TWO TO THR E E HO R MO NE - STABIL IZ ING M EAL S PE R DAY. It doesn’t matter when you eat or how much you eat, it matters what you eat (though you should avoid large meals right before bed time). The three main macronutrients you’ll be consuming are fat, protein, and carbs and should be prioritized in that order. Fat first, protein second, carbs third. Make sure to eat the highest quality foods you 30 can find in each category (e.g. if you eat a fatty cut of meat for the fat and protein requirements, make it grass-fed. Choose non-starchy vegetables for carbs). Just like we’re prioritizing macronutrients, we have to prioritize the entire carbohydrate category as well. For now, all carbohydrates should come from plant sources, prioritized like this: As for quantity, eat until you’re sated and stop when you’re full. If you find that difficult, you may be suffering from some unhealthy eating triggers. Vegetables > Berries > Fruits # 2 : AVO ID SN ACKI N G. Snacking tells your body, “Hey, I’m going to give you food every two to three hours.” Then, you hit the sheets at night hoping to make it eight or nine hours without interruption. See the problem? Again, we’re going for hormone stability here based on the assumption that you might have some metabolic derangement. Once your metabolism is verified to be functional and sleep is improving, this prioritization matters little. # 5: AIM F O R O NE G R AM O F PR OTE IN PE R OU NCE O F L E AN BO DY MASS (NOT WE IG HT). So how do you make it through the day only eating two or three meals and no snacks? Once you prioritize fat and protein, you’ll see how easy it is, especially if you have some weight to lose because your body will be gnawing on that stored body fat now that your hormones are stabilized. This guideline is about making sure you eat enough protein AND making sure you don’t eat too much. The law of diminishing returns shows up quickly with regard to protein after a certain point. Eat too little and your body doesn’t get what it needs; eat too much and it turns to sugar and starts to lead us away from our goals. # 3: EAT WH OLE FOOD S A N D AVO ID A N T I F O OD S. One of the biggest mistakes people going “low carb” make is to prioritize protein. So they become high protein, moderate fat, and low carb. That doesn’t create optimal conditions. It’s fat that must be prioritized. You can easily follow the hormone-stability protocol of prioritizing fat, then protein, then carbs without caring whatsoever about quality. But, we want you to be healthier than that, so get all of your calories from whole food sources being careful not to eat processed foods and ANTI foods. Besides, the body always functions better on real food, and that means it sleeps better on real food too. # 4: WHEN YOU E AT P L A N TS , P R IO RIT IZ E T H E M L IKE THIS . . . To make sure you’re not eating too much or too little protein, aim for around one gram of protein per pound of lean body mass (that’s weight minus fat -- not total weight). # 6: DO N’ T DR INK SUGAR . 31 Naturally, you’re trying to limit sugar intake. When we’re talking about foods, that’s pretty straightforward. But, some people still run into problems with sugary drinks -- many times because they drink without thinking and aren’t always sure how much sugar is contained in a specific beverage. For example, how often do you have a margarita at a restaurant? Frozen margaritas can contain up to 90 grams of sugar. Their unfrozen counterparts are similar. And how many times have you said, “I’ll take two.” When working out, people tend to reach for sports drinks. But, that’s like reaching for a can of soda -- the sugar load is very similar. Do you put sugar in your coffee in the morning? That’s additional sugar consumption most people forget about. And don’t get us started on those sugar-laden lattes and cappuccinos. Quick Tip: We enjoy our coffee one of two ways: with heavy whipping cream or bulletproof (never with sweeteners). If you currently use Half and Half, milk, or sweeteners (natural or artificial) we highly recommend you try making the switch. In a world where everyone is only concerned about calories, the amount of sugar in beverages isn’t always clearly stated. You have to be vigilant so you’re not consuming these hidden sugars. # 7: S UPPL E ME N T WI T H RES ISTA N T STA RC H Resistant Starch (RS) is a starch that resists digestion. Where most starches convert to glucose in the small intestine as other carbohydrates do, RS resists digestion and passes through to the large intestine where it behaves much like dietary fiber and is fermented by gut bacteria (making it a prebiotic). “Instead of being digested by amylases in the upper digestive tract, it passes to the bowel, where it is fermented by bacteria into short chain fatty acids (SCFA). SCFA are acidic, so they lower bowel pH, which facilitates proliferation of good bugs and inhibits growth of pathogenic bacteria. All of this extra fermentation and availability of SCFA provides fuel or energy for the colonocytes [cells lining the colon], which are a barrier against infection.” There are a host of benefits to resistant starch, but the main one we’re after is blood sugar regulation and insulin sensitivity. RS intake is associated with several changes in metabolism which may confer some health benefits. RS intake seems to decrease postprandial glycemic and insulinemic responses, lower plasma cholesterol and triglyceride concentrations, improve whole body insulin sensitivity, increase satiety, and reduce fat storage. [source] There are other studies to back that one up, such as this one on insulin sensitivity and metabolism. There’s more on both glycemia and satiety here. For those of you who care greatly about fat accumulation, there’s this: 32 These data indicate that replacement of 5.4% of total dietary carbohydrate with RS significantly increased post-prandial lipid oxidation and therefore could decrease fat accumulation in the long-term. [source] In layman’s terms, resistant starch blunts blood glucose spikes when eating higher glycemic foods at the current meal as well as the subsequent meal. Yep, it enhances the second meal effect -- a physiological change in your body’s ability to clear glucose from the blood at meals directly following low carbohydrate eating or resistant starch consumption. What that means for you is more stable blood sugar which optimizes hormone regulation and -- in the end -- improves your sleep quality. The problem with resistant starch is that it’s hard to come by. For this reason, we recommend supplementation in the form of unmodified potato starch. To supplement with potato starch, simply blend 1 to 4 tablespoons with any cold liquid (if you heat resistant starch, it loses its resistant properties so don’t put it in anything hot). It doesn’t have any flavor, so you can blend it right in cold water or do what I do and blend it in your smoothie. Start out slow and gradually work your way up to 4 tablespoons. FOLLOWING THESE GUIDELINES Follow these guidelines to improve sleep for at least 45 days before making adjustments. After 45 days, feel free to venture away from these recommendations while being careful to watch for noticeable changes in sleep. It may be helpful to journal about your sleep for a few weeks after making changes; note the changes along with any changes in sleep patterns. After a few weeks, review the journal entries and see if you can pinpoint things that seem to really help or really hurt and then use that information to continue to optimize your sleep. A NOTE ABOUT ULTRA LOW CARB EATING AND SLEEP Many clients have complained that their sleep is not as good when they’ve undergone long periods of low carb eating. This is not true for everyone, but it’s a possibility for low carb eaters. If you’re a consistently low carb eater and you’re having sleep problems, consider adding in safe starches (potatoes, rice) or extra fruit as a test. Do this a few nights in a row and watch for sleep improvements. If you’re concerned about blood sugar spikes or aren’t particularly active, use resistant starch supplementation to blunt the effects and partition the starches and fruit toward the evening so there are no ill-effects on your cravings or energy levels during the day. 33 5 CALIBRATE YOUR CAVE Now that we’ve covered some of the damage that sleep deprivation causes, the hidden behaviors in your daily routine that inhibit sleep, and how best to eat for improved sleep, let’s talk about how to optimize your sleeping environment for success. This is one of the easier parts of this guide to take action on, so let’s get started. Your bedroom can either be set up for amazing sleep or pitiful sleep. If you were going to torture someone with sleep deprivation, you probably wouldn’t make it really dark, quiet, and cozy would you? While you might think your bedroom is dark, quiet, and cozy, you’re probably missing some key issues. Let’s optimize! SOME THINGS JUST HAVE TO GO Remove as many technological devices from your bedroom as possible. This includes alarm clocks, cell phones, tablets, televisions and dvd players. “What, no television!!” Right. We’d highly recommend you remove it as it doesn’t promote a sleep-friendly atmosphere. We know how painful that suggestion might be to some of you, but you can’t argue that watching The Walking Dead right before you turn in for the night is a great way to achieve deep sleep. If you do not want to remove these devices, keep them as far away from the bed as possible and cover ANY and ALL lights on these devices. You might not think the little LEDs on these devices emit enough light to interrupt sleep, but they do. A test on mice discovered that even a small light from a laser pointer is enough to disrupt the circadian rhythm and disorder melatonin production. Our optic nerve is responsible for sending a signal to the Suprachiasmatic Nucleus (SCN), which signals the body to wake up. Light of any kind also signals your SCN to start other processes associated with being awake such as raising body temperature and producing cortisol. This hormone is supposed to be highest in the morning to get you going, and lowest at night, not the opposite! If you tend to wake up an hour or two before you want to and have trouble going back to sleep, that’s a sign that your cortisol is offrhythm. Once cortisol production starts ramping up, it’s very hard to fall back asleep (there’s a hack for this in Chapter 7). Of course, light is a main precursor to cortisol production so you can see where light of any kind can become an issue. LIMIT WHAT YOU DO IN YOUR CAVE Some people spend a lot of time in their bedrooms. They watch television there, they work or play on their laptop or tablet, and they read books (usually with a light on). The brain associates where you sleep with sleep, except when you crowd out that activity with a bunch of other activities. In other words, you want to make sure that when you enter your bedroom, your brain begins associating that action with sleep and sleep only. There’s one concession: sex. So remember the two Ss: sex and sleep. That’s what your bedroom is for -- nothing more, nothing less. If we are engaged in activities beyond these two, our brains learn that the bed is for activity and that it should keep the body awake for them. Also, as we discussed earlier, the blue and artificial light from technology also plays a significant role in receiving the signal to 35 sleep. You definitely don’t want to be receiving blue light in the same environment you’re trying to sleep in. While we’re going to show you how to deal with blue light after dark in a later chapter, the brain activity that is created by these devices does not promote good sleep conditions. You may not immediately realize how many things you tend to do in your bedroom. Start by simply being aware of your bedroom activity over the next 72 hours. Once you have a handle on the things you tend to do in your bedroom, you can start transitioning to sleep and sex only. Lastly, while many people suggest reading before bed to make you sleepy, we don’t recommend it. The problem with reading is that it gets your mind thinking: new ideas, possibilities, character development, and so on. You don’t want to increase brain activity prior to bed. Also, you typically need artificial light to read -- and that’s already been ruled out. You might be wondering why the range is still so big. It’s important to keep in mind that everyone is a unique individual in unique living conditions. The material of your comforter and sheets, your mattress, your thyroid function, and your natural body temperature all play a roll in determining what specific temperature your body prefers for sleep. Quick Tip: A German study showed that putting on socks right before going to bed helped the subjects fall asleep faster and also woke up less during the night. (It’s worked for us too.) One of the concepts we’re going to discuss in the next chapter is keeping a sleep journal of changes you make along with sleep ratings. Temperature is one of the adjustable factors that we highly recommend you journal and experiment with. Making your room too hot or too cold at night is one of the most notorious sleep errors. KILL ALL EXTERNAL LIGHT TEMPERATURE REGULATION Science and evolutionary biology both point to the fact that we’ve adapted to a cooler temperature when we sleep. As the sun sets, a natural temperature decrease is what our bodies expect. The optimal temperature range for quality sleep is 60 to 68 degrees Fahrenheit. Any warmer or cooler and signs of restlessness start to occur. For many people that live in the city, light pollution is a major detriment to the population. You turn off the lights in your bedroom to prepare for sleep and close the blinds and there’s still some light getting in. Blocking out light through your bedroom windows with blackout curtains or Mylar material may hold the key to light-free sleep. 36 Mylar is the same material that lines the inside of astronauts spacesuits. It reflects out over 90% of UV rays and can also reduce your cooling costs in the summer. You can purchase an emergency blanket on Amazon for less than $5. Take measurements of your window size and trim the thin sheet of material to fit. The mylar will go on the inside of the window in front of the blinds or curtains. The shiny side should face outwards. Simply tape the corners of the material to the window and you’re set. The good news is that you’ll sleep better. The bad news is that the outside of your house will now look like a spaceship. Sorry. Evan’s wife allowed him to keep them up after seeing the 30% drop in the electricity bill in the summer. She didn’t mind the reduction in light beaming in the window either. If you’re not into the NASA look, you can buy premium blackout shades that are custom fit for your windows. It’s a more expensive solution, but it’s more elegant. DEALING WITH NOISE We now know that light affects cortisol production and sleep quality, but what about sound? If you live in the city you may hear frequent car traffic. If you live near train tracks you might hear a train at the wrong time of night or early morning. One of the author’s grandparents used to live near an airport and you’d constantly hear the planes, especially at night. Light isn’t the only enemy. One sleep study found that sound, both traffic noise and low frequency noise, interrupt normal cortisol patterns. After you’ve taken steps to block all light from entering your cozy cave, we recommend blocking out sound as well. Since there’s nothing you can do to the structure of your home, you’re only left with two options: a noise canceling device that you put into your ear or a white noise device. We don’t recommend putting things in or on your ears during sleep because the sensation can wake you up. Also, for safety reasons it’s important to still be able to hear in case of emergency -- survival is still an evolutionary necessity. That leaves us with white noise -- noise that is a constant amplitude throughout the audible frequency range. It can only be produced electronically or mechanically. True white noise sounds like constant, unwavering radio static. Thankfully, there are sound devices that simulate more favorable and less annoying white-noise style sound. By using these devices, you can over-ride external noise that would normally influence your sleep pattern. The white noise will prevent you from hearing these external sounds by delivering a steady dose of noise that does not negatively affect sleep. Think about it as if you’re blending ALL noise into a steady background noise that your brain can easily tune out. 37 In this way, adding noise to your room is actually the preferred method of canceling noise out completely. The technical term for this is “sound masking.” The preferred device is a $45 mechanical machine called the Marpac Dohm. This thing is no joke -- 4.5 stars on Amazon after 4000+ reviews. It’s portable for travel as well. Skip the rest of your options and go with this. Note: If you currently sleep in a silent room with no white noise, it can take a while to make the adjustment. But once you do, you’ll thank us. CLEAN AIR Even though the housemaid won’t admit it, the inside of our home is much dirtier than the fresh air outside. As far as airborne bacteria, allergens and other pathogens, indoor air quality is generally poor. Poor air negatively affects sleep. And in many cases, it’s so bad that it can cause congestion and respiratory issues that severely impact both sleep and health. You can improve the air quality of your bedroom with a simple HEPA air purifier. For this, we turn to another $45 device, the Honeywell Compact Air Purifier. There are much more expensive air filters and we’d recommend those for larger spaces, but this Honeywell compact air filter is enough for an 85 square foot space (your sleeping area). It’s permanent HEPA-type filter captures up to 99% of mold spores, pollen, pet dander, smoke and dust. As a final note about air quality, being a smoker or living with a smoker greatly impacts air quality and sleep quality and leads to many respiratory disorders. For the smoker, nicotine is a stimulant that can alter sleep quality. If you can’t quit, you should consider making the switch to ecigarettes as they produce an innocuous vapor. SHEETS AND SLEEPWEAR We know how much you love those satin pajamas you got for Christmas. Or the idea of having satin sheets. But, the truth is that the material of your clothing and bedding is a big factor in restorative sleep -- choose wisely and you sleep well, choose poorly and you don’t. We recommend light cotton that’s fitting, but slightly loose. Cotton is a wonderful material in that it provides a bit of warmth while being extremely breathable. Your clothing isn’t what should provide the warmth at night -- that’s the job of your bed sheets. The main goal of your sleepwear should be to provide a base layer while staying out of your way as you make adjustments during the night. Oversized shirts and night gowns can get you tangled up while satin or flannel pajamas can cause you to overheat or sweat too much. If you have temperature regulation down to a science, you can opt to sleep naked or in underwear only, though this can create problems if the room temperature drops too much (such as in the winter). 38 The preference here is to keep the human body as mobile and comfortable as possible while providing warmth via bedding, which should also be cotton sheets with a thick, warm comforter that allows the room to be on the cool side without making you uncomfortable. Note: Low quality innerspring mattresses will develop “black holes” and soft and hard spots. Sometimes these can be dealt with by flipping or rotating the mattress, but we’d prefer you to invest more in a mattress that doesn’t develop these issues. YOUR MATTRESS The Sleep Number bed is a popular air-based bed. We don’t recommend any air inflated beds and certainly don’t recommend water beds. Do you know your sleep number? Just kidding -- one of the authors had a sleep number bed and hated it! The key to mattresses is not too firm (which causes discomfort to build up during the night) OR too soft (which lacks the support you need and puts you in bad positions). If you sleep with another person, it’s important that their night-time adjustments don’t translate to your side of the bed (very typical for innerspring mattresses). Memory foam mattresses have become very popular, but they do have downsides. While movement doesn’t translate from one person to another, it can be difficult to adjust your sleep position and they can cause you to overheat due to the material and lack of breathability. As with everything, there are tradeoffs. We still recommend innerspring and if you REALLY care about your sleep, you might want to consider putting two separate beds side by side. This provides one bed for you and one for your partner which gives you the versatility of innerspring without the pitfalls (movement transfer). YOUR PILLOW It sounds silly for me to tell you this because it’s such an obvious factor, but I went weeks struggling with sleep while doing everything correctly all because my pillow was inadequate. Like all pillows, it started out just right. But over time it turned into a drooping, deflated, empty shell. Because I could bunch it up and make it “comfortable enough” to fall asleep, I neglected to change it out. Bad move. While I was able to fall asleep, I was tossing and turning. Of course, once you’re in La La Land you’re not quite sure why you’re unable to sleep well. It took weeks before I realized that the tossing and turning was starting only a couple hours after hitting the sheets because that’s exactly how long it took for my pillow to deflate and stop providing critical support. Like magic, once I swapped the pillow out my sleep went back to being wonderful. Don’t discount the necessity of a quality pillow and 39 take a good hard look at your pillow’s current state if you’ve had it for a while. WRAP UP Feel free to make changes slowly over time. You don’t have to go out and buy a noise machine, new pajamas, an air filter, a new mattress, and blackout shades all at once. Temperature is easy enough to fix. Light and noise are probably the first things you want to check off the list after that. Then you can start improving the other areas. Have fun! 40 6 REVAMP YOUR ROUTINE A client who was struggling with reaching their fat loss goals was coming to me for advice. Their nutrition was dialed in and they were doing the recommended exercise protocol, but something was still off. They didn’t feel great and their fat loss progress had stalled. Worse (according to them), it was their belly fat they were having trouble with. “What’s your sleep like these days?” I asked. “I’m not getting very good sleep, to tell you the truth,” they replied. So I pressed further, “okay, walk me through your bedtime routine.” “Well, about 11:30pm when my eyelids start to get really heavy I turn off the television, take a few sips of water, let the dog out, and jump in bed.” My client was spending a couple hours soaking up a bunch of blue light from the television and then jumping in bed not long after. Additionally, those sips of water were causing my client to have to get up around 3am to pee, disturbing the sleep cycle. Even if everything else was in place for great sleep, this “routine” was an unmitigated disaster. AFTER SUNSET, START BLOCKING BLUE LIGHT The setting Sun is a great cue for starting your sleep routine. This doesn’t mean you have to go to bed when the Sun sets, it just means you should start your routine, which can last as long as your schedule dictates. The key here is that the Sun is an organic trigger that your body and your circadian rhythm responds to. Once the Sun is down, the color of the light you interact with becomes critical. We discussed the why behind this in chapter three. For this reason, it’s important to identify all of the blue light producing devices in your home so you can take steps to mitigate them after sunset. There’s two ways that we recommend you take action with this: STE P ONE: F.LUX A bedtime routine should set you up for success and should start long before you’re feeling like you need to get in bed. Preferably, you should develop a very consistent schedule with your routine. The more it changes, the less “in rhythm” you’ll be. If you tend to use your computer after sunset, we recommend installing a program on your computer called f.lux. This is a free program you can install on Windows, Mac, and jailbroken iPhones and iPads. In this chapter we’re going to help you with ideas for creating an optimal bedtime routine. You don’t have to adopt it exactly; feel free to use these ideas to piece together your own. f.lux automatically shifts the color output of your monitor at sunset to an orange hue, completely removing the blue light. It does this according to your computer’s clock and automatically adjusts for Daylight Savings Time and daily sunset times. The installation of f.lux takes care of a major source of blue light after dark. The problem is that there are many other sources that f.lux can’t help you with, so an additional step is needed. 42 STEP T WO : B LU E B LOC K I NG G L AS S E S f.lux -- the computer program we just talked about -- only has you covered for computers and certain devices. What about all of the other stuff, like your television? And what if you’re going out after dark and have no control of the lights and devices around you? In this case, we recommend blue blocking glasses. These glasses will block the blue light from everything, no matter the circumstances. This brand is great option because the lenses wrap around and cover your peripheral vision. TWO HOURS BEFORE BED, TAKE YOUR MAGNESIUM Set a gentle alarm or notification/reminder for two hours before you want to go to bed. When that notification alerts you, take your magnesium supplement. The Natural Calm brand is our preferred brand and has the best ingredients and tastes very good as well. It’s our number one recommendation. There’s more information on why and how magnesium works to help you sleep in Chapter 7. Another supplement we recommend that’s a little more complex is called New Mood by Onnit which has 200mg of magnesium, 500mg of L-Tryptophan and 100mg of 5-HTP. There’s more information on LTryptophan in chapter four. SELF-PHYSICAL THERAPY ABOUT AN HOUR BEFORE BED Alright, you’ve set yourself up for success by blocking out blue light since the sun went down and so far your bedtime routine hasn’t interrupted anything that you normally enjoy doing. You’ve also given your body calming and sleep-inspiring supplements: magnesium and L-Tryptophan. On top of that you’ve been eating hormone stabilizing and sleep promoting foods. In other words, you’ve built a strong foundation for sleep success. At this point, it might take a little extra push to develop a new, but critical habit. It’s not always easy to pull yourself away an hour before bed but this is truly where the magic is going to happen. An hour before bed, foam roll or lay on an acupressure mat. This is going to start the process of relaxing your muscles and your mind. This is what we refer to as “self physical therapy” time. Accupressure, foam rolling, and myofascial release with simple tools like lacrosse balls release tension and stress, restore mobility, and prevent injury. We recommend combining meditation with your self-physical therapy time to start to wind your mind down. The fact that you’re doing this therapy after your magnesium supplementation is a bonus. This session should last about 15 minutes. We also recommend that you play some relaxing music during this time. If your spouse is already asleep or you just want to keep the general noise levels down (or maybe someone is making noise elsewhere that’s distracting), it’s a good idea to put on headphones. 43 Note: If you typically brush your teeth before bed, do that first. Teeth brushing shouldn’t interfere with the rest of your routine. If you aren’t sure how to do self-physical therapy, you can get access to Kevin’s Total Body Reboot self physical therapy module by visiting http://myrebootedbody.com/SPT/ -- it contains over a dozen self-physical therapy instructional video segments along with three full morning and night routines. POUR IT OUT ON PAPER This step is critical for maximizing the benefit of the following steps in the routine. Some people have an aversion to journaling or don’t feel that it will be beneficial. Almost everyone who actually follows through with journaling attests to how important it is and how much it helped them. Take our word for it and take action on this component of the routine. TAKE A RELAXING SLEEP-INDUCING BATH You’ve relaxed your muscles with magnesium and foam rolling or acupressure, you’ve relaxed your mind with meditation, now it’s time to completely empty your thoughts and emotions. If you want to incorporate this step, get your bath running and prepared before you do your foam rolling or acupressure meditation session. It’s frustrating to wait for a bath to fill and be ready and we’re trying to limit frustration during this hour. Any thoughts and emotions still bouncing around inside you can keep your mind busy and interfere with falling asleep. The best way to finish quieting your mind is to journal about your day. Pour it all out on paper. Immediately after your journaling session, hop in the bath. Now that your mind is clear you’ll be able to take full advantage of this special bath time. And no, this isn’t just any regular old bath, it’s a deep sleep inducing bath. Here’s the deal: the head stays busy until you evacuate things from it. Once your mind knows that attention has been paid to something via permanent record (writing, in this case) it’s willing to stop thinking about it and becomes at ease. WAR M WAT E R Your journal should be sitting on your side table ready to go. Spend 5 to 10 minutes journaling what happened during the day, your thoughts about those events, how you felt about those events, and how you want to feel about those events. The water should not be extremely hot, just warm and relaxing. I typically choose a temperature that will keep the water warm for about 20 minutes. You don’t want to start to feel cold toward the end of the bath. If you didn’t take magnesium as a supplement, you can add it to the bath now via epsom salt and it will be absorbed through the skin. 44 L IG HTS O F F You want the room to be dark during your bath, with your relaxing music still playing. If you need a little bit of light to help you get in and out of the bath and find your way around the bathroom, light a candle or two. Candles produce orange light so they’re fine. Again, avoid any sources of blue light during this time. ESSENTIAL OI LS Your bath may include the use of essential oils if your skin is not sensitive. We recommend the following oils specifically for sleep induction and you can experiment with them or rotate them as desired: lavender and roman chamomile (together), neroli, clary sage, vetiver, patchouli, sandalwood, cedarwood, and marjoram. You can also experiment with oil blends, which are pre-blended oils for specific purposes (such as relaxation). This essential oils set has some of the ones we mentioned along with blends that should do the trick. You can mix these essential oils straight into your bath and you can even put a drop on your pillow. If you’d like to fill the room with them, a diffuser is best. This isn’t just a great sleep exercise, it’s a wonderful habit that promotes mental and emotional health. It’s a great form of self-care. COMMENCE SLEEP WITH STRETCHLYING. Stretchlying is a little-known technique that places you in the optimal sleep position. It’s a little counter-intuitive and takes some practice, but you’ll quickly figure it out and it can have huge positive benefits for you. There’s a video we recommend you watch for getting into the proper position. You should begin every night’s sleep with this stretchlying technique as it puts your body in proper alignment. Of course, you’ll end up moving around at night, but this technique will help you fall asleep faster and stay asleep longer before you start making nighttime adjustments. THE OPTIMAL SLEEP POSITION Since the organs on the front of our bodies get compressed during sleep, it’s best to avoid this position. Also nerves and joints may become affected while lying on the stomach causing sore necks and tingling arms. If you’re a stomach sleeper, sorry to burst your bubble but that position is one of the worst. The side position is much better in terms of unwanted compression but there can be downsides to this position as well, especially if you’re using an inadequate pillow -- too much pressure is placed on the spine when your head is not in a neutral position. The best sleep position for most people is on the back. A slight head elevation with a soft and fluffy pillow may help. Additionally, to 45 achieve a cloud-like, fully supported sleep position, place additional pillows behind the knees and under the elbows while placing your hands on your chest. This puts the lower back and shoulders in a stable position. The goal is to learn about your individual body. While we can make recommendations, they won’t apply to everyone. And some people will have factors and circumstances that are unique to your situation. Systematic experimentation and evaluation is the key to determining your specific “sleep code.” Poor body alignment is one of the factors responsible for waking some people up multiple times per night. Set yourself up for success using the above tips. ACHIEVING THE MOST OPTIMAL ROUTINE There are so many factors that can contribute to good sleep or poor sleep. So how do you know what’s helping and what’s hurting? One thing we recommend is to use a separate sleep journal and make changes to your routine, diet, etc. systematically. As part of your routine, grade your sleep on a scale of 1 to 10 every morning you wake up and place that grade next to changes you’ve made. You may want to make sure a change gets repeated 3 days in a row and gets graded three times before you make a judgement about that specific change. Though this process sounds tedious, it’s an investment that gives you information that you can use for the rest of your life and ends all of the guess-work. You’ll know exactly what helps and what doesn’t and you’ll be able to spot other issues that need to be addressed as well that we may not have mentioned. 46 7 HACK YOUR HIBERNATION People will always seek out the more advanced tactics for improving their health, even if they do not have the basics covered. Are you guilty of that? Did you skip right to this chapter because it sounded the coolest? Don’t lie to me! Alright, let’s get on with it. Although nutritional supplements and vitamins may seem benign, they are just as capable of altering neurotransmitters and hormones as pharmaceuticals. Always consult with a qualified healthcare practitioner before trying anything listed in this guide. We prefer if you can find someone who specializes in sleep disorders, holistic medicine, or amino acid therapy. It’s also important to let someone close to you know if you are beginning or changing your supplement or vitamin regimen. That way, your perception of yourself will not be your only method of keeping track of mood changes, improvements or side effects. RECOMMENDED SUPPLEMENTS We don’t want to say that supplements are necessary for achieving quality sleep, but they certainly help. This is especially true if you can’t control all of the circumstances that affect sleep in your life (which is often the case). These are not in any particular order. We’ve placed a * next to the supplements we think you should start with. contains suntheanine is the highest-quality available. Other LTheanine supplements that do not list “sun” theanine are inferior. M AG NE SIUM* “Magnesium controls over three hundred enzymes in the body and mind. It is critical for maintaining healthy parasympathetic functioning, which produces a calm, relaxed nervous system, and is commonly deficient in people consuming a high-carbohydrate diet.” ~ Nora Gedgaudas | Primal Body Primal Mind. Magnesium glycinate is a form of magnesium that is absorbed extremely well and can ease the body into relaxation. Our clients have also reported a reduction in hot flashes from magnesium supplementation. A dosage of up to 800mg two hours before bed is recommended. Experiment with the dosage by watching your stools -- if you get diarrhea, you can back off a bit. Again, our preferred supplement is two teaspoons of Natural Calm. L -T HEA NIN E L - TRYPTO PHAN* A study showed that the amino acid L-Theanine, which is also found naturally in green and black tea, gave a significantly higher sleep percentage score for boys that were suffering from ADHD. The supplemental version of this amino acid can provide relief from stress and anxiety, while improving sleep quality. Supplemental capsules can purchased here. The dosage of 200-400mg can be wonderful for anxiety, physical tension and a racing mind that can interfere with restful sleep. The product that Dosages of 500mg are recommended. A high-quality capsule is available to purchase here. L-Tryptophan is a precursor to serotonin, giving this supplement a 1-2 punch for relaxation and happiness. 48 Do not take L-Tryptophan if you have a carcinoid tumor or are currently on antidepressants unless you are under careful, qualified medical supervision. KRILL O IL OR H I GH GRA D E F IS H O IL A study showed that Omega-3 supplementation helps improve symptoms of depression and sleep apnea. Artic Krill Oil, which is far superior to other types of krill, is available for purchase here. Recommended dosage is 2 capsules or 2,000mg per day. An alternative that we recommend is Nordic Naturals fish oil, which is a high quality, mercury-free fish oil. And hey, even if it doesn’t help you sleep it’s a supplement you should be taking anyway. VI TAM IN D* Vitamin D is arguably the most potent antioxidant in the body and actually works more like a hormone. One study showed that Vitamin D deficiency is another problem that can contribute to sleep problems and a majority of the population is deficient in it. Remember that the best way to get adequate Vitamin D is to get full body, non-sunscreen sun exposure. If that is not possible for you, supplementation is critical. If you have a need or interest in taking Vitamin D, first you should visit WellnessFX and order a test for 25-hydroxyvitamin D3 or choose their baseline or higher package that includes a Vitamin D test. The Vitamin D Council recommends levels to be 60 to 80 ng/dL. Recommended dosage is 1000IU per 25 pounds of bodyweight. D3 is the more bioavailable version and is very inexpensive. Our preferred brand is Nutrigold D3. You can also opt for a liquid emulsion form. VAL E R IAN R OOT Valerian is a flowering plant that is a common ingredient in herbal teas that promotes sleep (it’s often used to treat insomnia). It’s also been used to treat anxiety and gastrointestinal distress related to Irritable Bowel Syndrome. It’s also available as a supplement but we recommend drinking a valerian tea prior to bedtime. Some people have reported vivid dreams after drinking valerian tea and others have reported nightmares (though Kevin hasn’t experienced this personally). Everyone is different, but it’s worth experimenting with because valerian does work for most people. Kevin’s favorite brand is Yogi Bedtime. M EL ATO NIN The hormone melatonin is the last resort for sleep problems. A salivary melatonin test may be beneficial before considering supplementation to help determine your current circadian rhythm. 49 Melatonin may be effective, but should be used with caution, if at all. Using melatonin is similar to using any other hormone therapy. The body’s natural production is reduced when melatonin is added to the system. Melatonin supplementation can also worsen depression. Since melatonin regulates our insulin secretion, it’s best not to alter this harmony. However, as a last resort, use .5-2 mg dosage 1 hour before desired bed time. LIGHT THERAPY Light therapy, specifically devices that emit 10,000 lux, have been used to treat Alzheimer's, ADHD, seasonal and non-seasonal depression, jet lag and shift-work disorder. Light therapy can make profound shifts in neurotransmitter function. Specifically, the production of serotonin speeds up with the use of light therapy. Winter is the time for the lowest serotonin production. This therapy can also have a positive effect on dopamine in the brain. Quick Tip: Light is a major factor in melatonin production. Using the tips we’ve already talked about to avoid blue light exposure after dark as well as having access to real light during the day (rather than fluorescent lighting) is key to proper melatonin production. Don’t consider supplementation until you’ve fixed the factors that may be blocking the natural dosing of melatonin. Light boxes should be used upon waking for 5-20 minutes. The lightbox should be placed 12-18 inches away from the face in the peripheral vision. Good placements are on your bathroom counter while getting ready in the morning or your desk when checking emails in the morning. Getting your rhythm and natural melatonin production in order may start immediately upon waking. As an added tip, walk outside as soon as possible after waking and spend ten or fifteen minutes looking in the direction of the sunrise. Important notes for swing-shift or third-shift workers: Use the light box when YOU wakeup. If your “morning” is 11PM and you have a shift starting at midnight, use the light box upon waking. If your schedule dictates that you wake up before sunrise, do everything within your power to make adjustments to that schedule. The human body is designed to wake up with the sun, not before it. That’s a critical piece to stabilizing rhythm. Supplement with Onnit Melatonin5 with Lemon Balm. NatureBright carries one of the highest-quality, USA made, 10,000 lux light boxes available. If you can, get off third shift. We realize that there are a lot of factors that go into why you’re a third shift worker, but do everything within your power to make a change. Third shift work will destroy your health. Evan has spoken with Senior Scientist and Physicist Dr. Richard Hansler, the founder of the NASA funded Lighting Innovations 50 Corporation, for over 2 hours on his radio show about the extreme importance of this topic. Those interviews are here and here. EARTHING MATS Up until fairly modern times, shoes were uncommon. In fact, there are still millions of humans that do not wear or own shoes around the world. Obviously this is usually due to extreme poverty, not choice, but it’s still the natural condition for human beings. Besides manipulating the foot and causing all sorts of physical movement problems, modern shoes are comprised of synthetics, plastics, rubbers and many other 21st century materials that completely remove any connection to the Earth. The term earthing refers to the grounding of the human body’s electrical circuit via a special mat that grounds you just like being in contact with the Earth. This vital connection is responsible for rest, repair and growth. The mat allows you to maintain this connection while you’re indoors. In a study with a control group, the following results were seen after using earthing mats: 85% went to sleep quicker, 93% reported sleeping better throughout the night, 100% reported waking, being and feeling more rested, 82% experienced a significant reduction in muscle stiffness, 74% experienced the elimination of/or a reduction of chronic back and joint pain, and 78% reported improved general health. In the 21st century, most people can’t remember the last time their bare feet touched the dirt. Therein lies the problem. In addition, several subjects in the study also reported experiencing significant relief from asthmatic and respiratory conditions, rheumatoid arthritis, PMS, sleep apnea and hypertension. On top of that, we sleep on metal bed frames and springs, walk around on carpet and artificial wood and are completely disconnected from the highly-important source of natural energy. Dr Russell Whitten of Ojai, CA confirmed these findings when he took an interest in the study and additionally grounded 35 of his own patients and found similar results. Also, with the introduction of smart phones, tablets and many other electronics, we are adding even more extra electricity to the equation. It’s so bad that we now carry a large excess of electricity in the body. There’s no need for an earthing mat if you spend 8 hours a day walking barefoot in your garden or yard. However, most people do not have the time or resources to do this. Removing your shoes and placing your feet on damp grass, dirt, sand and mud will begin the reduction process. Over 100 pages of research and science discussing the technology and benefits of these modern grounding devices can be found in Dr. Stephen Sinatra’s book called Earthing - The Most Important Health Discovery Ever? 51 Throughout his book, numerous studies and thermal imaging cameras show the reduction in pain, inflammation and stress hormones built up in the body. People report less pain, higher quality, deeper sleep and an improvement in mobility and outlook in daily life. Evan uses a mat every night when he sleeps. He reports waking up more refreshed and having more sustained energy throughout the day. Not to mention, his chronic low back inflammation and pain has disappeared. Our human evolution of sleeping on the “ground” might be right after all! Here’s an earthing mat you can check out. This therapy was invented by Neurophysiologist Dr. John Lilly in 1954. Dr. Lilly determined that over 90% of our central nervous system’s workload was to focus on stimuli such as sight, sound, touch and most importantly, gravity. When you take these senses away, the part of our brain that focuses on examining and analyzing our environment is allowed to relax and calm down. This therapy can be extremely useful for creativity, anxiety, depression, racing thoughts, stress and other stress-induced conditions. Floatation centers are located across the world. A free website, where-to-float.com will help you find one near you. SENSORY DEPRIVATION Sensory deprivation, also known as REST (Restricted Environmental Stimulation Therapy) is the removal of sensory input such as light, sound, smell and gravity. This therapy technique is one of the most profoundly relaxing experiences a human will ever encounter. The therapy is done in what’s called a float tank or pod. These tanks vary in size, but all are large enough for one person to comfortably lay inside. The person lays in the tank which has an average of 10 inches of water and 1000 pounds of epsom salt dissolved into it. Oh, and it’s pitch black inside. A sense of floating and zero gravity follows. Not only does the large amount of epsom salt that is dissolved into the water allow you to float, it detoxes the body and provides an incredible absorption of magnesium, which we talked about earlier. As you settle into a relaxed, or theta state, the stress hormones adrenaline and cortisol plummet. A sense of relaxation and well-being obtained from a one hour session may last for up to 48 hours. There’s a good reason that pro athletes, writers, psychologists and many other high-performance people use these tanks regularly. Sometimes we will use a floatation session in combination with a therapeutic deep tissue massage for an incredible sense of peace and comfort. 52 HACKING ADRENAL FATIGUE 101 You’re going to prepare two separate concoctions: Adrenal fatigue is a collection of signs and symptoms that results when the adrenal glands function below the necessary level. This is a condition most associated with intense or prolonged stress. It can also arise after a bout of fighting off severe bacterial or viral infection. 1). 5 parts sugar + 1 part sea salt in a tiny cup. We’re quickly mentioning adrenal fatigue here because it can have a severe impact on sleep and most people haven’t heard of it and understand very little about it. Symptoms of adrenal fatigue are: You feel tired for no reason. You have trouble getting up in the morning, even when you go to bed at a reasonable hour. You are feeling rundown or overwhelmed. You have difficulty bouncing back from stress or illness. You crave salty and sweet snacks. You feel more awake, alert and energetic after 6PM than you do all day. 2). 1/8 to 1/4 tsp sea salt dissolved in a small glass of water. The salt/sugar hack is your back-to-sleep concoction, to be placed under your tongue if you happen to wake up in the middle of the night (or anytime before you’re supposed to wake up). The salt water hack is your adrenal-calming drink to be consumed immediately upon waking, before you even make it out of bed. Aside from those two hacks, you should probably do your own research on adrenal fatigue because the worse it gets, the harder it is to recover from it. When we say it can get bad, we mean it can be debilitating -- don’t take it lightly. If you suspect that you have some adrenal fatigue, there are steps you can start to take to begin to heal. HACKING A BAD NIGHT’S SLEEP Obviously, removing as much stress from your life helps immensely and improving sleep does as well. But sometimes it’s a vicious cycle: adrenal fatigue inhibits sleep and poor sleep exacerbates stress and adrenal fatigue. So frustrating! This guide is all about how to reboot your sleep so you can avoid low quality and low quantity sleep. But nobody is perfect, right? If you end up with a night of bad sleep, you still don’t have to suffer ALL of the consequences. There are two tactics that you can employ immediately: one that helps you fall back asleep quickly if you happen to wake up in the night (common with deranged cortisol or adrenaline or a busted circadian rhythm) and another that calms your adrenals. Before we close out this chapter, let’s talk about how to hack poor sleep and mitigate the damage it can cause. In chapter two, we talked about all of the side effects of poor sleep, including chronic poor sleep. One of those side effects is depressed 53 metabolic function. If you get 6 hours or less sleep per night, you’re basically a type II diabetic the following day -- physiologically. WELL DONE! You can mitigate the damage by following a strict low carb protocol. After a poor night of sleep avoid all sugar, grains, starches, and other high glycemic carbohydrates. In fact, the only carbs you should ingest should come from non-starchy vegetables. Your depressed metabolic function simply can’t handle anything beyond that. You made it to the end. Now, it’s time to put what you’ve learned into practice. Remember the “intention behavior gap” that I talked about earlier? It’s time to close that gap. Right now, make a list of FIVE changes that you’re going to implement and DO THEM. Don’t forget that we have a private support group specifically for REM Rehab readers on Facebook where you can go to discuss concepts in the book, ask questions, get additional tips and advice, and so on. Bad sleep also negatively affects immune function. For this reason, we suggest an extra 5000 IUs of Vitamin D and 800mg of Vitamin C -of course, you should also be supplementing daily with a good probiotic to promote gut health as well as experimenting with resistant starch. We’ll see you there! You can also mitigate the negative effects of poor sleep by taking a quick nap. However, this nap should be less than 20 minutes in length. Naps longer than 30 minutes can lead to “sleep inertia” which will leave you waking up groggy and even more tired. You can take up to two of these power naps the following day, but we don’t recommend taking one within a few hours of bed time as it may interfere with your ability to fall asleep that night. One night of bad sleep can be quickly overcome, but if you start compounding the problem night after night it really starts to take its toll and you’ll notice that it becomes much harder to achieve realignment. Good luck! 54 8 ABOUT THE AUTHOR: KEVIN GEARY Kevin Geary is a holistic health coach, founder of The Rebooted Body, and host of the rapidly growing Rebooted Body Podcast. His Total Body Reboot program is a sought-after online coaching program and community that combines ancestral science and modern psychology. Kevin personally works with clients in over 14 countries to reprogram their body and mind for sustainable fat loss, vibrant health, and peak performance through this signature program. Kevin is also the author of the action guide 8 Unhealthy Eating Triggers and How to Conquer Them and is working on a full book called Reboot Your Kids: How to Ditch Poor Eating and Upgrade Your Child’s Habits, Health, and Happiness. He lives in Atlanta with his wife, daughter, and American Pit Bull Terrier Naomi. 55 9 ABOUT THE AUTHOR: EVAN BRAND Evan Brand is the writer and podcast host behind Not Just Paleo. He uses personal experience along with his collaboration with experts in holistic medicine, neurofeedback, and alternative health to conquer one main goal...to help you discover what, why and how to simplify and improve your life in the 21st Century. From his time working in the 4,000 acres of the Temperate forests to his experiences drifting away in a sensory deprivation tank, Evan explores all realms of life to discover the true potential for human health and happiness. You can keep up with Evan and his show at NotJustPaleo.com 56