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Peter Attia MDPeter Attia MD

Optimizing sleep: bedtime routine, molecule regimen, sleep trackers, & sauna [AMA 42 sneak peek]

Watch the full episode and view show notes here: http://bit.ly/3FnGqIM Become a member to receive exclusive content: https://peterattiamd.com/subscribe/ Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter/ In this “Ask Me Anything” (AMA) episode, Peter answers a number of questions on optimizing sleep. He describes his pre-bedtime routine, how he utilizes a sauna, and his current regimen of medicines and supplements for improving sleep time and quality. He goes in depth on each of the molecules that have shown promise in boosting sleep, including their mechanisms of action as well as any noteworthy contraindications. Peter also discusses sleep wearables, including both the positives and potential negatives of using such trackers, and much more. In this sneak peek, we discuss: 00:00 - Intro 02:25 - Peter’s current pre-bedtime routine 11:16 - Sauna: Peter’s routine, sleep benefits, and tradeoffs 18:12 - Importance of keeping an open mind as new information arrives 22:02 - Importance of reducing stimulation leading up to bedtime In the full episode, we also discuss: -Medications that can enhance sleep: mechanisms of action, contraindications, risks, and Peter’s regimen; -Why medications can enhance sleep, but should not replace good sleep habits; -Sleep supplements: mechanisms of action, contraindications, and Peter’s regimen; -Temperature during sleep, cooling devices, mattresses, and more; -A tip to help avoid straining your back in the morning; -Contrasting polysomnography with wearable sleep trackers; -Sleep tracking wearables: interpreting metrics, and the pros and cons of trackers; -Final takeaways on sleep; and -More. -------- About: The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 45 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more. Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life). Learn more: https://peterattiamd.com Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Podcasts: http://bit.ly/TheDriveGoogle Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions. I take conflicts of interest very seriously. For all of my disclosures and the companies I invest in or advise, please visit my website where I keep an up-to-date and active list of such companies.

Peter Attiahost
Dec 5, 202226mWatch on YouTube ↗

At a glance

WHAT IT’S REALLY ABOUT

Peter Attia Shares His Sleep Routine, Sauna Conversion, and Flexibility

  1. Attia says he can fine-tune his sleep habits because he now sleeps at home roughly 340 nights a year, versus 150 to 180 before COVID.
  2. His routine avoids evening alcohol, leaves about three hours between dinner and bed, and tolerates mild hunger at bedtime, which he says improves his sleep.
  3. He has reversed his view on sauna, from thinking its benefits were mostly healthy user bias to using it four to six nights a week, and says it has had a dramatic effect on his sleep.
  4. He stresses treating these habits as flexible guidelines rather than rigid rules, and urges people to experiment, stay open to changing their minds, and anchor to truth rather than being right.
  5. The episode ends before the discussion of his sleep molecule regimen, with a pitch for the paid membership that has the full AMA.

IDEAS WORTH REMEMBERING

5 ideas

Alcohol near bedtime undermines sleep quality

Attia says even two or three drinks several hours before bed linger, trading deep and REM sleep for light sleep and causing more frequent wake-ups.

A slightly empty stomach may help sleep

Based on his experience when fasting heavily, Attia aims for about three hours between dinner and bed and now goes to bed a little hungry instead of having a snack.

His view on sauna changed after revisiting the literature

He once believed sauna's benefits were mostly healthy user bias, but the consistent direction of results and plausible mechanisms made him think the magnitudes may be inflated but a real effect is likely.

Sauna carries opportunity and financial costs, not just physical risk

His routine takes about an hour start to finish, and he considers that worthwhile since it is also time with his wife, while noting others may not be able to spare that time or afford the setup. He ranks an hour of exercise above an hour of sauna.

Dry and infrared saunas may not be equivalent

Attia says the literature is mostly on dry saunas and the mechanisms differ, so infrared benefits are harder to attribute, though he still thinks they likely help. A warm bath or hot shower may offer some sleep benefit too.

WORDS WORTH SAVING

5 quotes

If you anchor to being right or if you anchor to knowing the truth, I, I... If you can be more in the camp of the latter, it's easier for you to accept change.

— Peter Attia

even the best experiments don't produce certainty. They just increase the probability of one idea being more likely than another.

— Peter Attia

these are general principles that are going to get violated quite often, but you wanna kind of revert back to them whenever you can.

— Peter Attia

I think if, if there was a little bit just m- more acceptance of, um, how uncertain things are and operating in a world of probabilities, uh, I think it would just be a lot easier for people to, to kinda navigate the changes that are, that are coming.

— Peter Attia

I, I think that's also a big part of this, is just kind of dialing down the rheostat of, of stimulation before bed.

— Peter Attia

Pre-bedtime routineAlcohol and sleep qualityMeal timing and bedtime hungerSauna routine and risk/rewardDry versus infrared saunasChanging your mind with new evidenceReducing stimulation before bed

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