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Dr Rangan ChatterjeeDr Rangan Chatterjee

How Breathing Through Your Nose Will Change Your Life with Patrick McKeown

How do you breathe? It might not be something you’ve ever given much thought to, but my guest on this week’s episode is convinced you should.

Dr. Rangan ChatterjeehostPatrick McKeownguest
Feb 26, 20202h 5mWatch on YouTube

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At a glance

WHAT IT’S REALLY ABOUT

Nasal, Slow, Light Breathing Improves Sleep, Stress, Exercise and Health

  1. McKeown describes how switching from mouth to nose breathing at around 26 transformed his asthma, sleep and alertness, and argues that dysfunctional breathing is widespread and overlooked.
  2. He argues that nasal breathing supports diaphragmatic, slower breathing, oxygen uptake and delivery, nitric oxide benefits and an open airway during sleep, and links mouth breathing to sleep apnea risk and poorer sleep.
  3. The conversation covers how mouth breathing and diet in childhood may affect jaw, face and airway development, with McKeown citing orthodontic research and stressing it is never too late to change.
  4. McKeown teaches practical tools: the BOLT score (25 seconds as a minimum), exhale breath-holds to unblock the nose, slow breathing at six breaths per minute, and nasal breathing during exercise, with cited studies on efficiency and sprint performance.
  5. He compares his CO2-tolerance approach with the Wim Hof method, warns against breath-holding after hyperventilation near water, and recommends mouth taping, observing your breathing, and trying the practices for two weeks.

IDEAS WORTH REMEMBERING

5 ideas

Breathing pattern and stress feed each other in a loop.

McKeown says stress makes breathing faster and shallower, and that pattern can persist and feed back into stress and poor sleep; Chatterjee frames breathing as information sent to the brain.

Nasal breathing underpins good breathing mechanics.

McKeown says the nose targets the diaphragm, slows breathing, increases oxygen uptake and carries nitric oxide into the lungs, while the mouth is linked to upper-chest, fight-or-flight breathing.

Waking with a dry mouth signals compromised sleep.

McKeown says anyone waking with a dry mouth is not getting deep, refreshing sleep, and links mouth breathing, tongue position and weight on the belly to obstructive sleep apnea risk.

The BOLT score gives a simple measure of breathing function.

After normal exhalation, you pinch your nose and time to the first definite desire to breathe; McKeown cites research suggesting 25 seconds or more makes dysfunctional breathing unlikely, and says it can be improved.

Breath-holds can open the nose, build tolerance and sharpen focus.

McKeown describes exhale holds with nose pinching, repeated several times, to decongest the nose, build CO2 tolerance and prepare for performance, and notes precautions for high blood pressure, pregnancy and serious medical conditions.

WORDS WORTH SAVING

5 quotes

All I will say is this, Rangan, if anybody is waking up with a dry mouth in the morning, they are not having the deep and refreshing sleep that they need.

— Patrick McKeown

The information take a deep breath when you're stressed is absolute nonsense. It is based on nothing, and it helps nobody.

— Patrick McKeown

The human is the only animal that doesn't know what their nose is for.

— Patrick McKeown

We have been trained how to think, but we have not been trained how to stop thinking.

— Patrick McKeown

It really does seem apparent that we have, you know, quite literally under our nose one of the most powerful performance-enhancing drugs available that is completely free.

— Dr. Rangan Chatterjee

Read the available transcript
Nasal versus mouth breathingSleep, snoring and sleep apneaJaw and facial development in childrenBOLT score and CO2 toleranceBreath-hold exercises and unblocking the noseSlow breathing and stress resilienceNasal breathing during exercise

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SPEAKERS

  • Dr. Rangan Chatterjee

    host

    Medical doctor and host of the podcast “Feel Better, Live More” focused on lifestyle medicine and wellbeing.

  • Patrick McKeown

    guest

    Breathing coach and author/educator known for the Oxygen Advantage and Buteyko-style breathing methods.

High quality AI-generated summary created from speaker-labeled transcript.

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