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How To Sleep Better and Reduce Inflammation with Dr Roger Seheult #242

Mar 2, 2022 1h 57m 15 insights
This week, I welcome Dr Roger Seheult back to the podcast. Roger is a medical doctor who is quadruple board certified in internal medicine, pulmonary diseases, critical care medicine and sleep medicine. As well as his clinical practice, he is passionate about teaching doctors and the public via his teaching company MedCram and his YouTube channel. In this conversation, I was keen to focus on the topic of inflammation. Inflammation is a natural and necessary biological response to injury or infection, but thanks to our modern lifestyles, it’s become a response that doesn’t always go away when it should. Chronic unresolved inflammation in the body lies at the heart of conditions such as heart disease, stroke, cancer, depression, obesity, diabetes and dementia. And in this conversation, we look at some of the best things that you can do on a daily basis to reduce inappropriate inflammation and increase your chances of staying fit and healthy. We begin by talking about sleep, and Roger explains why quantity, as well as quality, is so important. We discuss the impact that a lack of sleep can have on inflammation and what we now know about sleep deprivation and our risk of disease. Of course, if you’re someone who struggles to sleep, this knowledge can just make you more anxious and this is something that Roger and I discuss. We share some practical tips for shift-workers, new parents and insomniacs. Roger explains the connection between stress and inflammation and he shares the type of exercise that studies show is most effective in lowering stress, anxiety and fear. Finally, we discuss why it’s not what we eat but when we eat that’s key to reducing inflammation. We’re not designed to be constantly digesting food, and Roger explains why practising time-restricted eating can result in amazing improvements in inflammation, metabolism and more. This conversation is full of actionable information to empower you to take control of your health. Roger has a brilliant way of simplifying complex ideas to motivate each and every one of us into action. I think you’ll really enjoy this conversation. Thanks to our
Actionable Insights

1. Practice Time-Restricted Eating

Restrict your daily caloric intake to an 8-10 hour window, avoiding all calories outside this period (except water), to significantly improve metabolism, reduce inflammation, and lower blood sugar. Ensure your last meal is 3-4 hours before bedtime to prevent issues like reflux and support metabolic processes.

2. Ensure 7-8 Hours Sleep

Aim for at least 7-8 hours of sleep per night, as insufficient sleep prevents essential bodily processes like toxin clearance and protein regulation, increasing risks for chronic diseases and inflammation. This is a fundamental step for overall health.

3. Optimize Daily Light Exposure

Expose your eyes to bright light first thing in the morning (even on cloudy days or with indoor lights) to advance your circadian rhythm, helping you feel sleepy earlier. Conversely, dim lights and avoid bright screens in the evening to prevent delaying your sleep onset.

4. Engage in Moderate Exercise

Incorporate moderate-intensity exercise, such as a brisk walk for 20 minutes three times a week, to significantly reduce depression, anxiety, and inflammatory markers like tumor necrosis factor alpha. This is more effective for stress reduction than high-intensity exercise.

5. Decatastrophize Sleep Struggles

Avoid anxiety about not being able to sleep, as this perpetuates insomnia; instead, remind yourself that occasional poor sleep is not a disaster and focus on reversing bad sleep behaviors. This approach helps build confidence in your ability to sleep.

6. Optimize Bedroom for Sleep

Remove televisions, work materials, and other distractions from your bedroom to create a strong association between the room and sleep. This helps your brain recognize the bedroom as a place solely for rest, reducing anxiety and improving sleep onset.

7. Implement Weekly Disconnect Day

Dedicate one day a week to disconnect from work and societal pressures, allowing yourself to rest, recuperate, and focus on personal well-being, family, or spiritual development. This proactive approach is crucial for managing chronic stress and preventing burnout.

8. Cultivate Strong Community Ties

Actively connect with family, friends, and community members to build a robust support system, as strong social connections are linked to better health outcomes and increased longevity. Having a community helps process fear and anxiety and provides practical assistance.

9. Recognize Sleep Apnea Signs

Be aware of symptoms like excessive daytime sleepiness, morning headaches, snoring, or observed breathing pauses during sleep, especially if overweight or having high blood pressure. These signs indicate potential obstructive sleep apnea, which requires medical diagnosis and treatment.

10. Treat Obstructive Sleep Apnea

If you suspect sleep apnea, consult a physician for diagnosis and treatment, which may include CPAP machines, masks, or dental devices to keep the airway open. Treating sleep apnea can significantly reduce risks of heart attacks, strokes, and hypertension.

11. Optimize Shift Work Schedule

If possible, arrange shift work to progress later and later (e.g., day to evening to night shifts) rather than shifting earlier, as this is easier for your circadian rhythm to adapt. If permanent night shifts are required, commit to turning night into day and day into night consistently.

12. Implement Basic Sleep Hygiene

Follow general sleep hygiene practices such as avoiding caffeine in the afternoon, only going to bed when sleepy, and getting out of bed if you can’t fall asleep within 15 minutes. These habits help reinforce healthy sleep patterns and reduce insomnia.

13. Exercise Personal Control

Take conscious control over your daily choices and set boundaries against societal pressures to protect your health habits, such as adhering to time-restricted eating or managing screen time. This internal locus of control is vital for maintaining long-term well-being.

14. Seek Accountability for Habits

Enlist the help of loved ones, spouses, or friends to hold you accountable for implementing new health habits, as external support can strengthen your resolve when personal willpower is challenged. This shared commitment helps ensure consistency in your routines.

15. Use Sleep Trackers Cautiously

While sleep trackers can be accurate, avoid fixating on the numbers if it causes anxiety about your sleep, as this can be counterproductive and worsen insomnia. Focus on overall well-being rather than strict adherence to metrics.