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hubermanlab·December 8, 2022

Optimizing Deep Sleep: Behavioral and Supplemental Strategies for Enhanced Slow-Wave Sleep

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Summary

This episode of the Huberman Lab podcast addresses a common question regarding the improvement of deep sleep, also known as slow-wave sleep (SWS). Dr. Huberman explains that SWS is crucial for bodily tissue repair, growth hormone release, and the metabolic regulation of insulin and blood glucose, primarily occurring in the first half of the night. He distinguishes SWS from REM sleep, noting that SWS dreams are typically less emotionally charged, and highlights the limitations of commercial sleep trackers in accurately measuring sleep stages compared to laboratory methods like EEG and EMG.

The core of the discussion revolves around actionable strategies to increase SWS. Dr. Huberman emphasizes several "don'ts," including avoiding alcohol, caffeine, cannabis, and CBD within 8-12 hours of bedtime, as these substances, while potentially aiding sleep onset, significantly disrupt sleep architecture and reduce sleep quality. He also advises against consuming large meals within 2-4 hours of sleep to optimize growth hormone output, though he cautions against going to bed excessively hungry, which can also impair sleep initiation and quality.

For "dos," Dr. Huberman recommends incorporating 60 minutes of moderate-to-intense cardiovascular exercise (around 60% VO2 max) at least six hours prior to bedtime, citing research that shows it enhances slow-wave stability. He also discusses a supplement stack he personally uses: magnesium threonate (or bisglycinate), theanine, and apigenin, taken 30-60 minutes before sleep. A particular focus is placed on myo-inositol (900mg), which he finds especially beneficial for those on low-carbohydrate diets or experiencing hunger before bed, noting its broader benefits for mental health and anxiety reduction.

Finally, Dr. Huberman addresses concerns about an imbalance between REM and deep sleep, suggesting that while a perfect balance isn't necessary, striving for it indicates sufficient total sleep. He reiterates that adult sleep needs vary, but generally, 6-8 hours per night is a good target, with daytime sleepiness being a key indicator of insufficient sleep. The episode underscores the importance of a holistic approach, prioritizing behavioral changes before considering supplementation, and tailoring strategies to individual needs.

Key Quotes

"In the early part of the night, I would say in the first half of your night or so, most of your sleep is going to be slow-wave deep sleep. But then as you transition into the second half of your night, more of your sleep will be rapid eye movement sleep."
"Deep sleep, aka slow-wave sleep, at least for sake of this conversation, is vitally important in particular for repair of bodily tissues."
"Two things that you can do to really disrupt your slow-wave sleep are to drink alcohol within eight hours prior to bedtime or even at all."
"Likewise, avoiding caffeine within eight and ideally within 12 hours of bedtime would be preferable."
"It's well known that avoiding food intake in the two hours prior to sleep is going to greatly assist in the amount of growth hormone output that you achieve during the early stages of the night and the depth and duration of slow-wave sleep."
"Exercising intensely in the six hours prior to bedtime, for many people, not all, but for many people can disrupt the total amount of slow-wave sleep that they get and can also disrupt rapid eye movement sleep."
"Getting an hour of exercise that's moderately intense and making sure that you're not doing that exercise within the six hours prior to bedtime, and avoiding caffeine and alcohol... that has been shown to improve the quality and the overall architecture of sleep and slow-wave sleep in particular."
"I'm not a fan of melatonin for a variety of reasons, mainly the fact that most melatonin supplements out there don't actually contain the exact amount of melatonin that's listed on the bottle."
"The supplements that I've suggested and that I personally take in order to improve my sleep are magnesium threonate... theanine... and something called apigenin."
"There are an enormous number of studies on inositol for sake of mental health and for sake of enhancing various aspects of cellular function and for sake of improving sleep."
"One good metric of whether or not you are getting enough sleep is whether or not you're sleepy during the daytime or not."
"For most people, that is for 95% of people out there, getting at least six hours of sleep per night, at least, and ideally more like seven or eight is going to be the goal."

Concepts

Themes

  • Sleep Optimization
  • Behavioral Science for Health
  • Supplementation for Well-being
  • Neurobiology of Sleep
  • Metabolic Health
  • Recovery and Repair
  • Critical Evaluation of Technology

Related to:

Health Insights

Protocols

  • Avoid caffeine, alcohol, cannabis, and CBD within 8-12 hours prior to sleep.
  • Avoid large food intake in the 2-4 hours prior to sleep, balancing with not going to bed too hungry.
  • Engage in 60 minutes of moderate-to-intense cardiovascular exercise (approx. 60% VO2 max) at least six hours prior to bedtime.
  • Consider a sleep supplement stack: Magnesium Threonate/Bisglycinate, Theanine, Apigenin, and Myo-Inositol (900mg, especially for low-carb diets or hunger).

Research Cited

  • Studies on alcohol, cannabis, and CBD disrupting sleep quality (discussed with Matt Walker).
  • Research on REM sleep deprivation for treating depression (discussed with Dr. Nolan Williams).
  • Study: "Exercise Improves the Quality of Slow-Wave Sleep by Increasing Slow-Wave Stability" (on exercise and SWS).
  • Study: "The Impact of Myo-Inositol Supplementation on Sleep Quality in Pregnant Women: A Randomized Double-Blind Placebo Controlled Study" (on Myo-Inositol and sleep quality).

Actionable Advice

  • Get morning sunlight in your eyes or bright light of other kinds early in the day.
  • Avoid bright light from 10:00 PM to 4:00 AM.
  • Strive to balance the amount of slow-wave sleep and rapid eye movement sleep across the entire night.
  • Aim for at least 6 hours of sleep per night, ideally 7-8 hours for most adults.
  • Use daytime sleepiness as a metric for whether you are getting enough sleep.

Mechanisms Explained

  • Deep sleep facilitates growth hormone release for bodily tissue repair and protein synthesis.
  • Deep sleep is involved in the washout of debris within the brain, potentially preventing conditions like dementia.
  • REM sleep, characterized by sleep atonia and lack of adrenaline, is crucial for emotional repair and processing.
  • Myo-inositol can enhance sleep quality and adjust sleep architecture, potentially by reducing anxiety and impacting cellular function.
  • Exercise impacts the fine structure of brain waves during slow-wave sleep, improving its stability.

Contraindications

  • Melatonin supplements are often inaccurately dosed and can have broader hormonal impacts.
  • Intense exercise within six hours of bedtime can disrupt both slow-wave and REM sleep.
  • Going to bed too hungry can prevent falling asleep or staying asleep.
  • Theanine may enhance the emotional and elaborate nature of dreams, which might be undesirable for individuals prone to intense dreams, sleepwalking, or night terrors.

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