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How to Sleep Better, Boost Gut Health and Get More Energy with Professor Satchin Panda #306

Oct 25, 2022 2h 12m 52 insights
CAUTION: This podcast discusses fasting and its advice may not be suitable for anyone with an eating disorder. If you have an existing health condition or are taking medication, always consult your healthcare practitioner before going for prolonged periods without eating.   Ten years ago this week’s guest published a seminal paper on time-restricted feeding (TRF) and this research was hugely influential in kick-starting a global health phenomenon, now known as intermittent fasting. Professor Satchin Panda is a leading expert in the field of circadian rhythm research. He’s associate professor at the prestigious SALK institute, he’s recipient of the Dana Foundation Award in brain and immune system imaging and he’s also the author of two best-selling books The Circadian Code and The Circadian Diabetes Code.   Over the years, Satchin’s work has had a significant influence on the way I practise medicine and I’m delighted to welcome him back onto the podcast today for our second conversation so that he can update us on where we are with our understanding of this topic today. Research has shown that around 50% of us currently spread our meals and snacks across 15 or more hours of the day. But Satchin’s research suggests that 10 hours may well be the optimum window for eating for many of us. Having periods of time in every 24 hours where we are not eating is essential for repairing, resetting and rejuvenating all of our organs and tissues – and ultimately releasing anti-inflammatory signalling molecules that strengthen our immune system. We talk about the multiple benefits that people can experience when they compress their eating window. People sleep better, their digestion improves and their energy increases. Further proven benefits over time include weight loss, improved gut health and kidney function – not to mention some incredible results when it comes to reducing pre-diabetes and type 2 diabetes symptoms. And food, while important, is not all that counts when it comes to optimising our daily circadian rhythms. Satchin talks about the other simple lifestyle factors that are hugely important. He also shares some great advice on jet lag, shift work, ‘social hangovers’ and the optimum time for naps and exercise. It’s no exaggeration to say that Satchin’s work has revolutionised our understanding of health and wellbeing and it was a huge honour to speak to him again. I hope you enjoy listening. Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore or https://fblm.supercast.com. Show notes https://drchatterjee.com/306
Actionable Insights

1. Consult Doctor for Fasting

If you have an existing health condition or are on medication (e.g., for type 2 diabetes), always consult your healthcare practitioner before attempting prolonged periods of not eating.

2. Avoid Fasting with Eating Disorders

Do not restrict eating windows if you are suffering from or recovering from an eating disorder, as this advice may not be suitable for you.

3. Master Your Genetic Program

Eat all your meals and snacks within an 8-10 hour window daily to become the ‘master conductor’ of your genetic program, as this influences the timing and expression of over 80% of your genes.

4. Prioritize Daily Fasting Periods

Ensure you have consistent periods of not eating every 24 hours to allow your organs and tissues to repair, reset, and rejuvenate, and to release anti-inflammatory molecules that boost your immune system.

5. Adopt a 10-Hour Eating Window

Choose a 10-hour eating window that fits your lifestyle, ensuring your first meal is at least an hour after waking and your last meal is 2-3 hours before bedtime, without necessarily skipping breakfast or dinner.

6. Maintain Consistent Sleep Rhythm

Establish and adhere to a consistent sleep schedule, aiming for eight hours in bed to get seven hours of sleep, as this consistency optimizes your body’s rhythms and overall well-being.

7. Align Fasting with Sleep

Ensure your fasting period aligns with your deep sleep, as this is when crucial repair processes for your gut lining and other body tissues occur, free from the burden of digestion.

8. Delay First Meal After Waking

Avoid eating or consuming tea with milk and sugar for at least one hour after waking, as sleep hormones like melatonin are still high and can inhibit proper insulin release, making your body not ready to digest food perfectly.

9. Get Morning Light Exposure

Expose yourself to around 1000 lux of light for 30 minutes to an hour in the morning (e.g., by going outside, on a balcony, or opening windows) to synchronize your brain’s circadian clock, reduce sleepiness, and act as a strong antidepressant.

10. Dim Lights Before Bed

Two to three hours before bedtime, dim all lights at home and use indirect lighting (like table lamps) that doesn’t illuminate your face, to avoid bright light exposure.

11. Avoid Late-Night Work/Homework

Recognize that institutionalized late-night deadlines for homework or work contribute to ‘circadian chaos’ and sleep deprivation; try to complete tasks earlier to protect your sleep.

12. Consistent First Meal Time

Consume your first meal of the day (breakfast) at a consistent time daily, as this is the most powerful cue for re-synchronizing all your body’s internal clocks.

13. Optimal Dinner Time: 6-7 PM

For optimal health benefits, aim to finish your dinner by 6 or 7 PM, aligning your eating with your active period and allowing for a longer overnight fast.

14. Limit Eating Window to 13 Hours Max

Aim to limit your total eating window to no more than 13 hours in a 24-hour cycle to allow for adequate digestion, sleep preparation, and fasting.

15. Avoid Mistimed Healthy Eating

Be aware that eating healthy food at the wrong time, especially late at night when your body is not expecting it, can cause your body to react as if it were junk food, leading to negative effects.

16. Prioritize Afternoon Exercise

If time is limited, prioritize physical activity in the afternoon, as your muscles are more ready, flexibility is better, injury risk is lower, and it’s more effective at reducing blood glucose than morning exercise.

17. Take Early Afternoon Naps

Embrace early afternoon naps, as humans are biologically designed for them, and they can be beneficial for concentration, focus, learning, and creativity.

18. Avoid Late Afternoon Naps

Do not take naps after 3 PM or 4 PM, as napping too late in the day can interfere with your evening sleep quality.

19. Activate Device Night Shift

Enable the ’night shift’ or ’night light’ feature on all your electronic devices to change screen color composition from white to a warmer orange hue, mitigating the impact of blue light on your circadian rhythm and sleep.

20. Use Low Blue Light Bulbs

Replace regular bulbs in bedside lamps and other evening lighting with low blue light bulbs to create a more relaxing environment and reduce blue light exposure before bed.

21. Improve Sleep Quality

Adopting a 10-hour eating window can improve your sleep quality and satisfaction within 2-3 weeks, even if the total hours of sleep don’t significantly increase.

22. Improve Gut Health & Reduce Reflux

Eating within a 10-hour window can significantly improve gut health and reduce symptoms of acid reflux within 2-4 weeks.

23. Increase Daily Energy Levels

By improving sleep and gut health through time-restricted eating, you will experience an enhanced sense of energy throughout the day.

24. Improve Blood Sugar Control

Individuals with pre-diabetes or type 2 diabetes (on minimal medication) may experience improved blood sugar control, especially during fasting periods, by adhering to a 10-hour eating window.

25. Lower Blood Pressure

Time-restricted eating can lead to improvements in both systolic and diastolic blood pressure within 6-8 weeks for individuals with hypertension.

26. Enhance Organ Function & Recovery

Time-restricted eating can improve kidney function, muscle repair, and aid in recovery from injuries by supporting the circadian clock’s role in repairing tendons and ligaments.

27. Improve Athletic Performance

Time-restricted eating can enhance athletic performance, including strength and endurance, potentially leading to significant improvements in competitive activities.

28. Reduce Calories & Improve Nutrition

Eating within an 8-10 hour window can inadvertently lead to a modest reduction in calorie intake (5-20%) and an improvement in nutrition choices, such as reduced alcohol and processed food consumption.

29. Monitor Blood Pressure & Sugar

If you are on hypertensive drugs or have pre-diabetes/type 2 diabetes, monitor your blood pressure (after 4-6 weeks) and blood sugar (after 10-12 weeks) when adopting a 10-hour eating window, as medication adjustments may be necessary.

30. Opt for Black Hot Drinks

If you desire a hot drink within the first hour of waking, choose black coffee, black tea, or herbal tea to avoid interfering with insulin release and blood sugar processing.

31. Address Morning Sleepiness

If you consistently need coffee or tea to combat morning sleepiness, it’s a warning sign of insufficient sleep, suggesting you should consider going to bed earlier.

32. Mitigate Coffee Acid Reflux

If you experience morning acid reflux from strong coffee, consider having a little food with it, as historically, this practice led to the development of breakfast to reduce such effects.

33. Maximize Indoor Morning Light

If indoors, sit by a window to get 800-1000 lux of light, or if in the bathroom, crank up dimmable lights or use integrated mirror lights to full strength to get adequate morning light exposure.

34. Combine Morning Exercise & Light

Integrate exercise with morning light exposure by taking a walk or run outdoors, or choosing a gym with ample natural light, to leverage the reciprocal benefits of both on your circadian clock.

35. Allow Time for Sleep-Wake Reset

Understand that it generally takes one day to reset your sleep-wake cycle for every hour of time zone change, so plan accordingly for recovery after travel or social jet lag.

36. Allow One Eating Window ‘Cheat Day’

Aim to maintain a 10-hour eating window for 5-6 days a week, allowing for one ‘cheat day’ where you can slightly extend your eating window, and still experience significant health benefits.

37. Prioritize Carbs Earlier in Day

Consume your sweet treats or complex carbohydrates earlier in the day when your body’s blood sugar control is more efficient, as glucose regulation is less effective in the evening.

38. Increase Protein & Fat at Dinner

Plan your dinner to include more protein and fat, as these macronutrients can help sustain you through the nightly fast and align better with your body’s evening physiology.

39. Bodybuilders: Optimize Eating Timing

Bodybuilders who switch from frequent eating to time-restricted eating often report reduced acid reflux and increased energy levels throughout the day.

40. Delay Breakfast for Natural Hunger

Consider delaying your breakfast to align with your body’s natural hunger cues, which often peak in the evening, and to accommodate social and cultural aspects of dinner.

41. Prioritize Practicality & Personal Fit

While striving for optimal health, remember to balance the pursuit of perfection with practical considerations and choose an eating pattern that sustainably suits your lifestyle.

42. Ensure Balanced Diet

If you choose a very compressed eating window (e.g., one meal a day), ensure that meal is nutritionally balanced with the right proportion of macronutrients and micronutrients to avoid deficiencies.

43. Monitor Your Eating Window

Objectively monitor your current eating window to understand your habits, as many adults unknowingly eat for 15 hours or longer, which can be a starting point for making beneficial changes.

44. Seek Support for Lifestyle Changes

When adopting new eating patterns, especially if you have existing health conditions, seek support and education to help you adapt and sustain the changes.

45. Set Devices to Minimum Brightness

Adjust the default brightness setting on all your electronic devices to the minimum, so they automatically revert to a low brightness at night, reducing disruptive light exposure.

46. Fast & Minimize Light on Eastbound Flights

When flying eastbound (e.g., US to Europe), fast during the flight, finish your last meal before boarding, and minimize light exposure (using an eye mask) to help reset your body clock to the new time zone upon arrival.

47. Substantial Breakfast Upon Eastbound Arrival

After an eastbound flight, have a substantial breakfast around 10 AM (after a long fast) to help reset your body clock to the new time zone.

48. Eat on Westbound, Skip Dinner on Arrival

When flying westbound (e.g., UK to US), eat your meal on the plane, but upon landing in the evening, skip dinner and fast until breakfast the next morning to aid in time zone adjustment.

49. Daytime 10-Hour Eating for Shift Workers

Even on 24-hour shifts, shift workers can adopt a 10-hour eating window, often choosing a daytime window ending between 7-9 PM, which can lead to more energy and better sleep on off-days.

50. Consistent Eating Window for Changing Shifts

For shift workers with frequently changing schedules, try to maintain a consistent eating window (e.g., noon to 10 PM) across both work and off days to minimize circadian disruption.

51. Shift Workers: Prioritize Safety

If driving home after a night shift, prioritize safety by consuming black coffee or tea if needed, but consider decaffeinated options or public transport to avoid caffeine’s interference with restorative sleep.

52. Morning Coffee Exceptions

Consider exceptions for morning coffee if your job requires high alertness (e.g., physician), for public safety while driving, or if it’s a deeply cherished personal habit.