Pull Yourself Together: The Best Expert Advice to Make You Feel Incredible

Guest
Patrick McKeown, Dr. Shane O'Mara, Dr. Gina Poe, Dr. Neha Sangwan
Read time
~5 min
Uploaded
19 Aug 2024
Duration
1:02:36
Views
180.2K
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KEYPOINTS

  • 01

    Mel boils roughly 200 episodes down to three pillars: breathing, walking and sleeping

    She sets relationships aside and asks what you would focus on if you looked in the mirror with limited time. Her answer is not gluten-free diets, infrared masks or supplements, but three things you already do daily and, she argues, mostly do wrong. Nail them and you've covered '80% of your life.'

  • 02

    Mouth breathing pushes your body toward fight or flight

    Breathing coach Patrick McKeown has Mel notice that a mouth breath is faster and sits high in the chest, which he says activates more fight-or-flight. He recommends nose breathing at rest and during exercise. He says it raises blood oxygen uptake by nearly 10%, and that slightly higher carbon dioxide helps red blood cells release oxygen to muscles, organs and the brain.

  • 03

    Everyday breathing feeds stress, not just the other way around

    McKeown says dysfunctional breathing (faster, upper-chest, irregular) shows up in at least 10% of people but up to 75% of people with anxiety and panic disorder. He argues habitual poor breathing keeps stress high, not just the reverse, and that changing the breath works even when your mind is too busy for mindfulness. A stuffy nose, he adds, makes snoring and sleep apnea two to three times more likely.

  • 04

    Walking challenges the brain, not just the legs

    Neuroscientist Dr. Shane O'Mara of Trinity College Dublin breaks down a trip to the shop: standing up, balancing, orienting, building a mental map, pacing yourself on a hill, carrying bags home. Each is a small challenge that wakes up brain rhythms that stay quiet while you sit. His analogy: a new bike left in the garage for a year.

  • 05

    Being sedentary is linked to personality change and memory decline

    O'Mara says people who become more sedentary, even in midlife, grow less social and open and report more negative emotion. He cites a Chicago-area study of people in their late 60s and early 70s: walking a couple of miles three times a week grew memory-related brain regions and improved memory, while the inactive group declined more.

  • 06

    Small bursts of walking spread across the day beat one big session

    You don't need a 30- or 40-minute block. O'Mara favors lots of low-level activity with rests, like two minutes of walking every half hour, and warns that one workout won't 'zero out' a day of sitting. For heart benefits, walk fast enough that talking gets hard.

  • 07

    10,000 steps is made up, but adding 5,000 steps a day is a useful target

    O'Mara calls 10,000 invented, his favorite origin story being a mistranslation from a 1960s Japanese company. The average US adult walks about 4,000 steps, so adding about 5,000 gets most people close. He says all-cause mortality falls by something like 30 to 40% somewhere between about 4,500 and 7,500 steps a day.

  • 08

    Morning light sets the clock that runs your sleep

    UCLA sleep researcher Dr. Gina Poe, 30 years in the field, explains that every cell's clock is synced to a master clock, the suprachiasmatic nucleus, which light through the eyes resets daily. Morning light, even on a cloudy day, marks 'time zero.' Bright or blue light at night tells the system it's morning and pushes you later.

  • 09

    Deep sleep is when the brain cleans itself

    Poe describes a roughly 90-minute cycle through N1, N2 and N3, the deep slow-wave stage. In N3 the brain clears the day's 'junk', such as unfolded proteins. Skip it and you wake with a 'junky brain.' Mel adds that you're wired to sleep well, so stop calling yourself bad at it.

  • 10

    Stress ties all three pillars together

    Mel closes with physician Dr. Neha Sangwan, who says stress causes or worsens more than 80% of illness. When she asked colleagues why they didn't ask patients about the roots of their stress, they told her not to ask a question you can't handle the answer to. Mel's point: poor breathing, too few steps and bad sleep all add stress.

EXAMPLES

  • 01

    The five-second nose-pinch breath hold

    Take a normal breath in and out through the nose, pinch it, hold for five, then breathe normally through the nose for three or four breaths, and repeat. McKeown says the hold stimulates the vagus nerve to slow the heart, and carries pooled nasal nitric oxide into the lungs. Mel felt built-up pressure drop right away.

  • 02

    Nodding breath hold to clear a stuffy nose

    After a normal exhale, pinch your nose and nod while holding, working up to about 30 seconds, five or six times. McKeown says skip it if you're prone to panic or anxiety, pregnant or have heart problems. His 26-person Limerick pilot showed a 70% drop in rhinitis symptoms at three months, but was only published as an abstract and never followed up.

  • 03

    Mel's 2,800 steps versus Shane's 9,785

    Mid-interview Mel finds 2,800 steps on her phone; O'Mara shows 9,785. He points to the Hadza in Africa, who walk 10,000 to 20,000 steps a day and on average lack diabetes and excess fat. His first instruction: check what you actually walk.

  • 04

    Judy Robbins and the Wednesday walking group

    Mel's mother-in-law Judy walks at least five miles a day at 86, and her parents Bob and Marsha, 75 and 80, walk every morning. Mel's 6:30 a.m. Wednesday walking group in Southern Vermont gets her out even at 20 degrees in the dark. She suggests singles try a walking group instead of apps, and changing routes like her husband Chris.

  • 05

    Dr. Sangwan's five-question 'awareness prescription'

    Sangwan asked patients: Why this part of your body? Why now? What clues make sense in hindsight? What else needs healing? If you spoke from the heart, what would you say? She says patients later reported needing half their migraine medication or a third of their anxiety medication.

OTHER RELEVANT

  • 01

    Pillar one: close your mouth

    Breathe low and slow through your nose all day, including during exercise, and go back to the five-second pinch-and-hold whenever you notice racing thoughts. Do the decongesting version only if none of McKeown's warnings apply to you, and stop at whatever level feels comfortable.

  • 02

    Pillar two: add 5,000 steps to your own baseline

    Check your phone's step count first, then add about 5,000, which O'Mara puts at roughly 4 to 5 kilometers. Spread it out: two-minute walks between sitting stretches, walking errands, a group walk. On some walks, go fast enough that talking is hard.

  • 03

    Pillar three: Dr. Poe's four sleep habits

    Get outside light first thing, even two minutes helps and 20 minutes is plenty, ideally while walking. Exercise during the day hard enough to get your heart pounding. Take a warm bath at night, which warms your hands and feet and helps your core cool by about half a degree. Keep caffeine low and screens dim or blue-light-filtered in the evening.