More Alive, Surprising, and the Key to Lung Expansion (and a long life)

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Reading Time: 1 min 30 sec

I hope the next 22’ish breaths are the most nourishing of your day.

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4 THOUGHTS

1. Breathing Pattern and Mental Status

“Mental status (anxious versus calm) is reflected by breathing pattern and it is believed that conscious regulation is key to achieving control over mind/mental status.”

- Shreya Ghiya, Int. J. Res. Med. Sci. (2017)

Here is an excellent reminder that to regulate our mental states, we must first start by learning to consciously regulate our breathing 🙏

2. Surprisingly, It’s Not During Meditation

“Surprisingly, it is not during meditation that you make progress in meditation; it is during the rest of the day. What you do in meditation is get the power, install the dynamo; the actual work is done after you open your eyes, get up, and go out into the world.”

– Eknath Easwaran, Passage Meditation

What a great reminder that, ultimately, we make progress in meditation (and breathing) by bringing the results into the world. So here’s to carrying the calm, attentive, and joyful state we achieve during practice into our everyday life so we can truly advance 🙏

3. Key to Lung Expansion and a Long Life

“What Stough had discovered…was that the most important aspect of breathing wasn’t just to take in air through the nose. Inhaling was the easy part. The key to breathing, lung expansion, and the long life that came with it was on the other end of respiration. It was in the transformative power of a full exhalation.”

– James Nestor, Breath

What a great reminder of the power of a full exhale. By pushing more air out, we can get more in, improving lung capacity and (hopefully) lengthening life span 👏

4. It Will Lead You Where You Need to Go

“Follow the breath. Lean into it. The breath goes everywhere, and it will lead you where you need to go.”

- Wim Hof, The Wim Hof Method

That sounds like perfect advice to follow this week 🙏

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1 Quote

“You’re more alive when body and breath are permeated with the energy of awareness.””

— Larry Rosenberg

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1 Answer

Category: The Nose

Answer: Research has suggested that stress hormones oscillate between the left and right sides of the body in connection with this.

…

(Cue the Jeopardy! music.)

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Question: What is the nasal cycle?

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In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. my worst fear too

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This is the first program specifically made for people with diabetes to help manage their stress through breathing and mindfulness practices. In addition to the amazing program inside the app, we have some really neat things coming up, so sign up now!

Learn more here.

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Amazon Associate Disclosure

I’ve been recommending books for almost 6 years. Yet somehow, I just discovered that I could be an Amazon affiliate [face-palm]. In any case better late than never. Now, any Amazon link you click is an affiliate link. As an Amazon Associate, I earn from qualifying purchases. So, if you’d like to support my work, buying books through these links is helpful : )

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.

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Why Breath Control Matters, -148°F, and Engaging Fully in Life

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4 THOUGHTS

1. A Remarkable Fact About the Upper Airways (-148°F)

“…the upper respiratory tract is able to warm and saturate inspired air so that in climates as cold as minus 100°C [-148°F] air entering the alveoli has attained body temperature and is saturated with water vapor.” 

- Walker and Wells (1961)

My brain can’t fully grasp how remarkable that is over such a short distance…

Our airways are incredible.

2. Oral Posture and Nasal Breathing

“Try it for yourself: Open your mouth and place your tongue on your upper palate. Now try to breathe through your mouth. While it is possible to draw a wisp of air into the lungs, it will not feel right. It follows therefore that the tongue of a mouth breather will tend to rest on the floor of the mouth or suspended midway.”

– Patrick McKeown, The Oxygen Advantage

Patrick’s explanation here is perhaps the most commonsense reason for maintaining optimal oral posture: It promotes nasal breathing simply because breathing through your mouth is awkward when the tongue is against the roof of the mouth. 👏

3. Why Voluntary Breath Control Matters

“We can hold our breath, or breathe faster, or breathe slower, at any time, by choice. Why does this control matter? It matters because breathing is the link between our inner and outer experiences … It is also the link between the physical and emotional reactions we have to those experiences. In other words, what is happening within our bodies and minds is channeled through our breathing.”

- Anyen Rinpoche & Allison Choying Zangmo, The Tibetan Yoga of Breath

I have nothing to add except a few of these 🤯 🤯 🤯

4. A Neat Study on Slow Yogic Breathing and Vagal Stimulation

“These findings raise the possibility that mind-body techniques that use slow breathing at rest exert their breathing-related relaxation effects through vagal mechanisms.”

- Vagal Mediation of Low-Frequency Heart Rate Variability During Slow Yogic Breathing

This ingenious study separately blocked the parasympathetic and sympathetic nervous systems and then measured HRV during slow yogic breathing. By doing this, they conclusively found that increases in HRV were primarily due to increased vagal activity.

In other words, slow breathing is vagus nerve stimulation 👏

***

P.S. You get the full Science 411 on this paper when you sign up for the Breath is Life Learning Center.

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1 Quote

“Mindful Breathing is a useful practice in its own right. … However, I’d like you to think of it as a versatile training tool to help you engage fully in every meaningful task in your life.””

— Russ Harris

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1 Answer

Category: Diagnostic Breath Exercise

Answer: This physiological exercise is basically a forced exhale against a closed glottis, mouth, and nose.

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(Cue the Jeopardy! music.)

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Question: What is the Valsalva maneuver?

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In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. literally me every time

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* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.

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Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

Good Stress, Self Love, and Breathing for Happiness and Wisdom

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4 Thoughts

1. On & Off: The Stress-Reducing Effects of Fast Breathing

“Breathing really fast and heavy on purpose flips the vagal response the other way, shoving us into a stressed state. It teaches us to consciously access the autonomic nervous system and control it, to turn on heavy stress specifically so that we can turn it off and spend the rest of our days and nights relaxing and restoring, feeding and breeding.”

- James Nestor, Breath

Although I talk about slow breathing 99.9% of the time, this is an excellent description of the benefits of occasionally practicing fast breathing: We consciously turn on stress so we can then turn it off. 👏

***

P.S. If you’re interested, I just released a Book 411 on Breath. Sign up for the Breath is Life Learning Center to get immediate access 🙏

2. Breathing for Happiness, Love, and Wisdom

Thought #1 reminded me of this amazing quote from Rick Hanson, Ph.D., in Buddha’s Brain:

“Happiness, love, and wisdom aren’t furthered by shutting down the SNS [sympathetic nervous system], but rather by keeping the autonomic nervous system as a whole in an optimal state of balance.”

So here’s to using our breath—our remote control to our nervous system—to achieve an optimal state of balance and find a little more happiness, love, and wisdom this week 🙏

***

P.S. We also have a Book 411 on this one in the Learning Center : )

3. The Breath of Life Influences Everything

“Chronic overbreathing leads to loss of health, poor fitness, and compromised performance and also contributes to many ailments including anxiety, asthma, fatigue, insomnia, heart problems, and even obesity. It may seem strange that such a disparate range of complaints can be caused by or worsened by overbreathing, but the breath of life influences literally every aspect of our health.”

– Patrick McKeown, The Oxygen Advantage

And fortunately, this is also why improving our breathing can help with so many issues—because “the breath of life influences literally every aspect of our health.” 👏

4. The Best Definition of a Breathing Practice is…

Self-love. It covers all benefits for the body, mind, and spirit.

So don’t forget to show yourself some, this week.

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1 Quote

“Remember that every time you bring yourself back to full presence, you reap major rewards: you become more impactful, more memorable, and come across as more grounded. You’re laying the foundation for a charismatic presence.””

— Olivia Fox Cabane

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1 Answer

Category: Blood Reservoir

Answer: At rest, these organs contain approximately 10% of the total circulating blood volume.

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(Cue the Jeopardy! music.)

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Question: What are the lungs?

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In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. sorry Jerry I was in a jam

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* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.

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Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

Free OA App, 60 Seconds of Joy, and Breathing Improves Cognition

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4 Thoughts

1. Slow Breathing Improves Cognition: A 2022 Study

“Finally, at the applied level, these findings may have implications for individuals looking for a quick and easy method to alter their executive functions, for example, to better execute cognitively demanding tasks in their jobs.”

- J. Psychophysiology (2022)

This recent study found that 15-min of slow breathing:

• Improved attention control

• Improved working memory

• Increased cognitive flexibility

Take-home: slow breathing helps you plan, monitor, and execute your goals.

***

P.S. If you’re interested, there’s a new Science 411 for this one that goes through all the details.

2. Meditation, Yoga, and the Healing Touch of Prayer

Here’s a memorable passage from Breath, where James Nestor offers an eloquent summary of the benefits of slow breathing:

“In many ways, this resonant breathing offered the same benefits as meditation for people who didn't want to meditate. Or yoga for people who didn't like to get off the couch. It offered the healing touch of prayer for people who weren't religious.”  

Sounds good to me 🙏

***

P.S. Note that the key words are “in many ways”; not “in all ways.”  Breathing isn’t a one-to-one replacement for these other powerful health practices.  But, it is a nice option that covers many bases.

3. Patrick McKeown & the New Free OA App

Patrick McKeown and the Oxygen Advantage® team released a new app. It’s got a TON of guided breathing exercises and educational videos—and it’s all free!

It’s an incredible gift from someone who, after 20+ years, still loves sharing breathing with as many people as possible 🙏

Go check out the app and enjoy all of the free OA exercises.

4. Sixty Seconds of Joy

For every minute you practice conscious breathing you gain sixty seconds of joy.

***

P.S. This is a play on an Emerson quote I saw on Insight Timer: “For every minute you are angry you lose sixty seconds of happiness.”

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1 Quote

“It is quite a striking example of evolutionary balance and beauty that the trees around us that give off oxygen and the trees in our lungs that absorb it share a similar structure.””

— Patrick McKeown

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1 Answer

Category: Oxygen Carrying Capacity

Answer: Our kidneys produce this hormone to help us maintain a healthy level of red blood cells (breath holds can amplify this process to boost oxygen carrying capacity).

…

(Cue the Jeopardy! music.)

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Question: What is erythropoietin?

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In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. I’ve done this writing blogs, emails, etc.

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* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.

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Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

How To Breathe To Live Longer, plus a New Take on "Breathe Light"

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Greetings,

Here are four thoughts, one quote, and one answer for this week.

I hope you enjoy!

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4 Thoughts

1. How To Breathe To Live Longer

Let’s synthesize some ideas on breathing for longevity and see how we can apply this knowledge in our own life today.

Part I: Breathe Through Your Nose

Here’s James Nestor describing how George Caitlin lived double the average life expectancy of his time:

“He credited his longevity to ‘the great secret of life’: to always breathe through the nose.” - Breath

Part II: Expand Your Lung Capacity

Next, here’s Nestor describing the Framingham Heart Study:

“They gathered two decades of data from 5,200 subjects, crunched the numbers, and discovered that the greatest indicator of life span ... was lung capacity … larger lungs equaled longer lives.” – Breath

Part III: Synthesis and Application

Part I is straightforward: breathe through your nose. But how do we expand lung capacity? Nestor provides a few different ways.

1. Light to moderate exercise

2. Lung expanding breathwork

3. Long and complete exhales

Lung-expanding breathwork includes things like Wim Hof w/ “belly, chest, head,” the Yogic Complete Breath, and most breathing taught in freediving.

Long exhales also increase lung capacity by allowing “more air to get in” on the next breath. But, they have the added longevity benefit of activating the “relaxation response.”

Alright, so there we have it. To live longer, we should breathe through our noses all the time, increase our lung capacity, and practice extended exhales.

And for the ultimate expression of longevity, let’s not forget what Michael J Stephen, MD tells us in Breath Taking:

“Those of us who practice breathing exercises today may well pass on more disease resistant genes to our descendants tomorrow.”

Here’s to living longer, today. : )

***

Related Quote: “For breath is life, and if you breathe well you will live long on earth.” - Sanskrit Proverb

P.S. Here’s how I implement this in my life:

• Nasal breathing 24/7.

• 15 min of slow breathing in the morning w/ extended exhales.

• 5-10 min of slow breathing before bed w/ extended exhales.

• Practice Wim Hof style breathing, ~5-10 min a day.

2. A New Definition of “Breathe Light”

You’ve probably heard of Patrick McKeown’s fantastic Breathe Light exercise. But, motivated by this excellent post, I decided to add another definition of “breathe light:”

Perform slow nasal breathing in the sunlight.

Nasal breathing releases nitric oxide into the airways and carries it into the lungs. Sunlight liberates nitrite from your skin and increases circulating levels of nitric oxide. When combined, you get better blood flow and oxygenation.

As Dr. Steven Lin says in the post,

Sunlight + Slow Breathing = Health + Happiness

***

Related: Insufficient Sun Exposure Has Become a Real Public Health Problem

Related: Sunlight May Be the Next Beet Juice

Related: Ultraviolet Radiation-Induced Production of Nitric Oxide:A multi-cell and multi-donor analysis

3. “Vision and Breathing May Be the Secrets to Surviving 2020”

“Stress, he says, is not just about the content of what we are reading or the images we are seeing. It is about how our eyes and breathing change in response to the world, as well as the cascades of events that follow.”

- Scientific American

I know, I know, it’s 2021. But I’m a slow reader : )

In any case, this is an excellent article from Scientific American. Breathing, stress, vision, and Andrew Huberman—it’s just all-around amazing.

I hope you enjoy it as much as I did, if you haven’t already read it…

***

P.S. Thanks to Ben Greenfield for sharing this article, which is how I found it.

4. The Most Important Part of Your Breathing Practice

Whether you’re breathing for longevity, energy, relaxation, or any other reason, here’s the most important part of the practice: to practice.

***

P.S. Inspired by Brian Johnson’s Notes on Creativity On Demand

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1 Quote

“Life is too short to be lived in fast forward. Slow down. Breathe it in. Enjoy it.”

– Ryan Holiday

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1 Answer

Category: Sunlight and Respiration

Answer: Although sunlight helps humans produce nitric oxide, it provides plants with their energy through this process.

…

(Cue the Jeopardy! music.)

…

Question: What is photosynthesis?

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In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. I felt this on a spiritual level

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Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

Lucid Breathing, Positive Feedback Loops, and Wim Hof’s Breath Mastery

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Hey,

Here are four thoughts, one quote, and one answer for this week.

I hope you enjoy!

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4 Thoughts

1. Why We Should (and Should Not) Care About HRV

“Over the years we've experimented with many different types of physiological and psychological measures. Heart rate variability (HRV) patterns… have consistently emerged as the most dynamic and reflective of our inner emotional states.”

- The Heartmath Solution

I’ve been on an HRV kick lately. And although I’m fascinated by the physiological implications of it—its correlation with disease and diabetes, its impact on stress, and so on—here’s another reason we should care: It’s the “most dynamic and reflective [measurement] of our inner emotional states.”

Of course, this makes perfect sense, as our emotional states impact our physiology, and vice-versa. HRV gives us an index for them all, which is why we should care about it.

But, we should also remember that high HRV isn’t the end goal. It’s the positive states associated with high HRV we’re after.

So here’s to using slow breathing to maximize HRV while (paradoxically) remembering that HRV is not the end goal.

***

Related Quote: “‘When a measure becomes a target, it ceases to be a good measure.’ Measurement is only useful when it guides you and adds context to a larger picture, not when it consumes you.” - James Clear, Atomic Habits

P.S. Huge thanks to Crussen for The Heartmath Solution. After taking his genuinely incredible Heart Coherence class, I contacted him, and he said Heartmath helped inspire it. I immediately grabbed the book and loved it.

2. The Positive Breathing-Relaxation Feedback Loop

“Slow breathing techniques with long exhalation will signal a state of relaxation by VN, resulting in more VN activity and further relaxation.”

- Frontiers in Human Neuroscience, 2018

Here’s a positive feedback loop we can celebrate: Slow breathing sends a message of relaxation via the vagus nerve, which increases vagal activity, further enhancing relaxation. Thank you, complicated physiology.

Practically, this is why when you start your slow breathing practice, you don’t feel much at first, but after a few minutes, you feel like a different person. You’re experiencing this positive breathing-relaxation feedback loop in action.

Complex science. Simple to experience.

Give it a shot today.

***

Related Quote: “Not only does VN control heart rate and slow deep breathing, slow respiration rates with extended exhalation could also activate the PNS by VN afferent function in the airways. This is a form of respiratory biofeedback.” - Same paper as above

Related: Longer Exhalations Are an Easy Way to Hack Your Vagus Nerve

3. A Wealth of Health | Breathing: Misconceptions and Tips (and Wim Hof’s Mastery)

“Taking control of the breath — consciously thinking about the unconscious respiratory mechanism — is the first step to improving a plethora of everyday struggles and habits.”

- The Breeze, Breathing: Misconceptions and tips

I picked that quote because it goes perfectly with Thought #4 below on Lucid Breathing. But the article is packed with information (and name drops, 😂). It covers a lot of ground, somewhat disjointedly, but I think you’ll enjoy it.

My favorite part was a reminder of something I often forget: That Wim Hof is a master of the breath (and marketing). Although his method frustrates many in the breathing community, James Nestor nailed it in this article:

“Everyone thinks that Wim Hof is breathing ‘Wim Hof breaths’ all the time,” Nestor said. “He’s not. He’s breathing like that for 20 minutes, and the rest of the time he’s breathing really slowly, and he’s humming.”

Enjoy!

***

Related: 20 One-Sentence Thoughts on the Wim Hof Method

4. Are Lucid Breathers the Future of Evolution?

“It seems to be only around 20 to 30% of the population are actually natural lucid dreamers…Maybe those 20 to 30% of people who do lucid dream are at the forefront of hominid evolution, and they are going to be the next species of preference. We just don't know.”

- Matthew Walker, Ph.D.

Maybe the same is true of lucid breathers? Interestingly, Nature made it difficult to control our dreams. It made it simple to control our breath—though most of us sleep right through it.

But control over our breath was not an accident. As Belisa Vranich and Brian Sabin tell us in Breathing for Warriors, “It's an invitation, an opportunity to take part in our own nature and evolution.”

So wake up in your breath. Use it to control this dream we call living.

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1 Quote

“The quality of our breath expresses our inner feelings.”

- TKV Desikachar

P.S. I found that quote here.

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1 Answer

Category: Heart and Breath Pacemakers

Answer: Although our heartbeat is controlled by pacemakers in the heart, the breathing pacemakers are located here.

…

(Cue the Jeopardy! music.)

…

Question: What is the brainstem?

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In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. My anxiety does not define me

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Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

How Breathing Improves HRV, Sleep, and “Keep Breathing. That’s the Key”

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Greetings,

I realized that last week marked one year of The Breathing 411—and 2.5 years of sending a weekly breathing newsletter. 🤯

Writing this newsletter is my favorite thing in the world to do, so thank you for reading, sharing, and practicing these ideas.

Alright, here are 4 thoughts, 1 quote, and 1 answer for this week.

Enjoy!

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4 Thoughts

1. The Mechanisms of How Breathing Improves HRV

“Inhalation causes an immediate rise in heart rate, followed (∼5 s) by increased blood pressure and baroreceptor firing. Exhalation results in an immediate decrease in heart rate followed (∼5 s) by decreased blood pressure and baroreceptor firing.”

- A Practical Guide to Resonance Frequency Assessment for Heart Rate Variability Biofeedback,
Frontiers in Neuroscience

Have you watched the Huberman Lab video showing how breathing immediately impacts heart rate? Check it out. The above passage explains how that process goes on to improve HRV.

Specifically, it’s that ~5-second lag between the rise and heart rate and rise in blood pressure that’s critical. And it’s this lag that makes breathing at a 5in/5out rhythm so beneficial (although it’s slightly different for everyone).

When we breathe like this, the messages from our breath and blood pressure synchronize, increasing their amplitude and increasing HRV.

Thus, there’s to magic behind how slow breathing improves HRV. It’s simply a harmony of body messages, which increases efficiency and, subsequently, improves resiliency and overall health.

***

Related: #2 Why Trampolines Are More Useful Than Science To Explain Slow Breathing

Related Quote: “The optimum breathing rate is about 5.5 breaths per minute. That’s 5.5-second inhales and 5.5-second exhales. This is the perfect breath.” - James Nestor, Breath

2. Breathing’s Version of Powered In, Unplugged, and System Restarts

• Nasal breathing is like having your computer plugged in. You’re getting a constant supply of energy via your power chord (nose and nasal airways).

• Mouth breathing is like unplugging from the charger. Sometimes it’s needed, and you can make it for some time, but eventually you’ll run out of juice.

But suppose you keep your computer plugged in 24/7, even at night when you close your laptop (via mouth tape).

What happens in that case? Well, even then, you’ll eventually have too many things running. You’ll need a restart.

Methods like Wim Hof/SKY/Tummo serve as this restart for your nervous system. They clean out all the junk, allowing you to return to your baseline.

Here’s to using our breathing to optimize our energy and meet whatever demands our systems have.

3. “Can Breathwork Help You Sleep? An Expert Explains”

“If you want to engage in breathwork for sleep, don’t get too hung up on the details. The key is to slow down your breath and really direct it to your belly using your diaphragm.”

- Can Breathwork Help You Sleep? An Expert Explains

In this article, Molly Atwood, an assistant professor of psychiatry and behavioral sciences at Johns Hopkins University, explains why deep breathing is so helpful for sleep. It’s super quick and practical—I loved it.

It was especially refreshing that there was nothing fancy or complex: “It’s not a super complicated thing to practice,” she says. “I think it would be hard to find something that would steer you completely wrong.” Amen, and enjoy!

***

Related: Self-Regulation of Breathing as an Adjunctive Treatment of Insomnia in Frontiers in Psychiatry, 2019

Related: Mindfulness training helps kids sleep better, Stanford Medicine study finds (July 6, 2021)

4. Turning Breathing Knowledge into Breathing Wisdom

“But not until that moment…did that knowledge become wisdom, that is, become how I felt.”

- Alex Lickerman, MD, The Undefeated Mind

What a perfect distinction for when knowledge becomes wisdom: It’s that moment when something you know becomes how you feel.

Here’s to turning breathing knowledge into breathing wisdom through continuous learning, practice, and insights.

***

P.S. Dr. Lickerman also describes an insight as “that most mysterious of experiences in which knowledge takes root in a person’s psyche and alters what he believes and therefore how he behaves.” Love it.

Related Quote: “Only knowledge that is used sticks in your mind.” - Dale Carnegie

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1 Quote

“Keep breathing. That’s the key. Breathe.”

- Gimli, Lord of the Rings: Two Towers (link to video)

P.S. Thanks E.S. for that quote. Along with sending me ridiculously good science articles, he also hits me with gems like this : )

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1 Answer

Category: Nasal Breathing and the Brain

Answer: Nasal airflow is encoded in this part of the brain, which then is projected onto emotional regions of the brain.

…

(Cue the Jeopardy! music.)

…

Question: What is the olfactory bulb?

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In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. My entire personality for the next 3 weeks

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Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

Nerdy Warriors of the Breath, Investing, and a Useful Look at HRV

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Greetings,

Here are four thoughts, one quote, and one answer for this week.

Enjoy!

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4 Thoughts

1. A Practical Look at HRV and Resiliency

“Resilience is the ability to return to normalcy, according to Jen Baker, director of athletics and recreation at John Hopkins University, a graduate of the US Naval Academy. It's your ability to bounce back and thrive, replace worry with objective things, to navigate and take steps forward.”

- Belisa Vranich & Brian Sabin, Breathing for Warriors

Slow breathing significantly increases heart rate variability (HRV) and, subsequently, increases resiliency. This has been shown time and time again. But, from a practical perspective, what does it mean to “increase resiliency?”

Does it mean you’ll never experience stress or anxiety again? No, certainly not. What it means is that the stressors won’t feel as severe and, as Jen Baker says, that you’ll bounce back faster. The stress is the same. You’re different.

So here’s to not trying to escape the world and its stressors, but instead having the tools—one being slow breathing—to bounce back to normalcy faster.

***

Related Quote: “To say that learning breath control is the most important component to forging mental toughness would not be an overstatement.” -Mark Divine, Retired U.S. Navy SEAL Commander

Related Quote: “By modulating the stress response via vagal stimulation from conscious breathing exercises, people can bolster their resilience to all forms of negative stressors; diabetes is no exception.” - Evan Soroka, Yoga Therapy for Diabetes

2. Where Are You Investing Your Breathing: GameStop or Real Estate?

Slow breathing methods can be “life-changing,” according to James Nestor. But, “they can also take a while, especially for those with…chronic conditions.” On the other end of the spectrum, he says methods like Tummo restore balance with a “violent shove,” which can also be helpful for some.

So how do you know which is right for you?

I liken it to investing. Slow, nasal breathing is like putting your money in real estate or an index fund. It’s pretty safe. There will be fewer ups and downs, and you’re almost guaranteed a positive return.

The “violent shove” techniques, on the other hand, are like investing in GameStop or crypto. You might see some incredible benefits in just one day. But, you also risk a significant loss the next if you're not diligent with it.

So the question is: Are you looking for short-term gains or long-term compounding? Are you timing the market or playing the long game? Maybe you want to have a “diversified portfolio” : ) There’s no right or wrong answer. Only you know which approach is right for you.

3. “'Email Apnea' Is a Real Thing-Here's How to Stop Holding Your Breath While Working (and Feel Less Stressed)”

“Learning (and really practicing) basic breathing techniques can also help reverse the effects of email apnea; it'll help you improve awareness of your own breath and breathing habits and teach you how to breathe more easily during times of stress.”

- Real Simple, ‘Email Apnea’ is a Real Thing

This article provides an excellent summary of email apnea and some practical things you can do to reduce how often it occurs. Or, at the very least, to help reverse some of its harmful effects.

As someone who still (after years of a daily breathing practice) occasionally experiences this, I thoroughly enjoyed the read. I hope you do too!

4. Nerdy Warriors of the Breath

“The old-school philosophers knew it was really hard to live in integrity with our highest ideals. They told us we needed to be WARRIORS of the mind, not mere librarians of the mind.”

- Brian Johnson

Meaning we have to live our philosophy, not simply recite it to other people. The same is true with breathing. But, with breathing, both are critical.

We have to be warriors of the breath. We have to live it and practice it, in easy and difficult circumstances. But, we also need to be librarians of the breath.

We need to have the science ready in our back pocket. We need to intrigue people with the experience, then back it up with the science, or vice-versa.

So here’s to being nerdy warriors of the breath, accomplishing great things with our practice, and then explaining the physiology of how it worked : )

***

Related: Breathing Science Library

Related: Rucking 100 Miles for Breathing

Extra Thought: Breathing I’m Exploring

I try my best to be a breathing warrior, and I practice every single day. I don’t share too much about it because everyone’s practice is their own. But, here are a couple of new things I’ve tried recently:

Breathwrk App: I’ve been having fun doing 1-3 min of each breath they offer. I use it sporadically throughout the day just to try something different. My three favorite breaths so far are:

1. No Worries

2. Clear Mind

3. Calm

Open: I’ve also taken a few on-demand breathwork classes through Open. I usually enjoy being in control, but I have genuinely loved these classes. Here are my two favorites (thanks Crussen!):

• Heart Coherence (this one was truly incredible)

• Symmetry (box breathing w/music—an excellent mix)

Here’s to never-ending growth, learning, and exploration of the breath.

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1 Quote

“There is another side of Kanchenjunga and of every mountain—the side that has never been photographed and turned into postcards. That is the only side worth seeing.”

- Thomas Merton

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1 Answer

Category: Breathing in Libraries

Answer: One of the first mentions of nasal breathing in a medical text occurred in this year and document.

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(Cue the Jeopardy! music.)

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Question: What is 1500 BCE, in the Ebers Papyrus?

P.S. I found this in Breath.

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In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. “NO GAME SCHEDULED”

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Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

Breathing Gives Us What Babies Want, 0.1 Hz, and The Miracle of the Nose

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Listen to this post:

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Hey,

Here’s your weekly dose of breathing and diabetes fun. Plus, a letter I wrote 10 years ago…

I hope you enjoy reading!

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4 Thoughts

1. Breathing Gives Us What Babies Want

In the Paradox of Choice, Barry Schwartz discusses a fascinating study:

• Group 1: Infants were able to control some dancing toys by turning their heads in their cribs. It made them really happy to see the toys.

• Group 2: Got “a free ride.” They saw the same toys, but theirs just randomly appeared when the Group 1 babies made them turn on.

The Group 2 babies still found this very entertaining, at least at first. But they eventually lost interest, whereas Group 1 didn’t:

“The different reactions of the two groups caused researchers to conclude that it is not dancing toy animals that are an endless source of delight for infants, but rather having control. Infants kept smiling and cooing at the display because they seem to know that they made it happen.”

I think this study demonstrates why breathing (especially Wim Hof) is so impactful. It taps into a desire that’s in us since birth—the desire for control.

Breathing gives it to us, immediately. We can instantly change our state, and we know we made it happen, not some external force. We become Group 1.

It’s like what Barry Schwartz says when interpreting those babies’ reactions:

“I did this, isn’t it great? And I can do it again whenever I want.”

2. The Upside of Diabetes

“When I was eleven years old, I was diagnosed with Type 1 diabetes. This taught me a lot of responsibility at a young age…I have to incorporate a lot of “thinking ahead” and problem solving into my daily routine…Furthermore, it has taught me to always be positive and to be grateful for every opportunity I have…Although I do not enjoy having diabetes, it has definitely had a positive impact on my life.”

I wrote that 10 years ago when I was applying for graduate school.

Fast forward to today, and it’s often depressing researching about breathing and diabetes. As excited as I get about breathing, I’m also continuously reminded of all the ways diabetes is ruining my health. Thanks, science.

But in reality, I’ve always felt that diabetes is the best thing to ever happen to me. And I still 100% agree with everything I said 10 years ago.

I’m not saying diabetes doesn’t suck. But, I try not to forget that it could be a lot worse and that it has had many positive impacts on my life.

So here’s to keeping a positive outlook, while simultaneously being realistic, knowing that we need to take extra good care of our bodies and health.

…

P.S. This was inspired by my recent re-reading of The Upside of Stress.

P.P.S. You can read the letter by clicking here.

3. How Slow, Deep Breathing Taps into A Natural Rhythm in Our Bodies

“Noble’s research demonstrates how tiny mechanisms throughout our cardiovascular system oscillate at that same frequency of 0.1 Hertz. ‘It’s almost like an inherent rhythm,’ he says. ‘Your breath may be unlocking this rhythm that you already have going on in the background.’”

- How Slow, Deep Breathing Taps Into A Natural Rhythm In Our Bodies

I read this article first thing in the morning with a cup of coffee. It was so good, I think I starting buzzing at 0.1 Hz : ) It’s just so awesome seeing “breathing” continue to seep into popular resources like Discover Magazine.

Read it, practice it, share it, and enjoy it. As they say in the article, “All you need is a pair of lungs, and some discipline.”

…

P.S. Another reason this was so much fun to read was because a 411 reader sent it to me. It’s my favorite thing in the world when you all send me such good stuff. Thanks, as always, “Midnight Larry!”

4. How To Get The Benefits of Breathing Without the Mastery

“Happily, the benefits of training in meditation arrive long before mastery does.”

- Sam Harris

The same is true for slow breathing. And it’s simple to get the benefits of breathing without mastery: Just get started.

I still suck at breathing. I’m continuously working on it. But I’ve seen incredible benefits because I practice every single day.

So don’t worry about perfection or mastery. Just get started. The best way to do that? Just four minutes a day—two in the morning, two before bed.

…

P.S. This was inspired by a +1 from my favorite teacher, Brian Johnson.

Related Quote: "How do you best move toward mastery? To put it simply, you practice diligently, but you practice primarily for the sake of the practice itself." - Robert Greene, Mastery

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1 Quote

“The nose is the silent warrior: the gatekeeper of our bodies, pharmacist to our minds, and weather vane to our emotions.”

- James Nestor, Breath

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1 Answer

Answer: In a blue whale, this organ weighs over 1,500 lbs.

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(Cue the Jeopardy! music.)

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Question: What is its heart?

I wonder what it’s resonant frequency is… : )

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In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. bet u just loooove school

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Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

Coherent Breathing, Diabetes, and How All Top Performers Use The Breath

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Thanks for clicking on another issue of The Breathing 411.

Here are 4 thoughts, 1 quote, and 1 answer for this week. Enjoy!

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4 Thoughts

1. Why We Should Practice Coherent Breathing, in just Two Sentences

“When oscillations of two or more systems are synchronised it increases physiological efficiency by enabling the functions of these systems to be coordinated. This prevents energy being wasted on non productive functions.”

- The Functions of Breathing and its Dysfunctions and Their Relationship to Breathing Therapy

Coherent (or resonant) breathing synchronizes different body systems, and I thought those two sentences perfectly summarized why it’s so important:

It improves efficiency and conserves energy.

To experience this yourself, you might think finding your particular resonant breathing rate requires special biofeedback equipment…and you’d be right. 

Fortunately, however, a 2006 study found that we get most of the benefits by simply breathing at 5-6 breaths per minute. Meaning you can get started right now without any fancy gear. It’s as simple as using a phone app.

Here’s to synchronizing our breathing for optimal efficiency today.

Related Quote: “Did it matter if we breathed at a rate of six or five seconds, or were a half second off? It did not, as long as the breaths were in the range of 5.5.” - James Nestor, Breath

P.S. The two apps I recommend are iBreathe and BreathWrk.

2. All Things Breathing and Diabetes

Patrick McKeown and I sat down a couple of months ago to talk about all things breathing and diabetes. It was a surreal experience to be chatting with the person who has taught me so much. We covered a lot of material from both personal and scientific perspectives.

Watch the full interview on YouTube here.

I hope you enjoy watching and listening.

Related Links:

• Diabetes, Oxidative Stress, and Slow Breathing (#2)

• Slow Breathing Has Profound Benefits for Diabetes

• The Lesser-Known Benefits of Nasal Breathing, Designed for Diabetes

• The Negative Feedback of Stress in Diabetes, and What We Can Do About It (#2)

3. Mick Fanning’s Breathwork is the Key to His Success

“Fanning’s performance coach, Nam Baldwin says breathwork is the foundation of mental and physical performance.”

- Mick Fanning’s scoliosis led him to breath work. Now, it’s key to his success

Aside from diabetes, one reason I became interested in breathing was surfing. So, when I saw this headline, I couldn’t wait to read it.

And it was better than expected. It was impossible to pick just one quote to share, so here’s another gem from Mick himself:

“You can change your moods, your thought patterns, just by concentrating on breath… and the better you breathe the better you perform.”

Enjoy the great read!

4. Maybe All Top Performers Focus on Their Breath?

And it’s not just Mick Fanning. In The Mindful Athlete, we learn that many top-performing teams and athletes use breathing as a critical component of their practice. They might not use “breathwork,” but they certainly make focusing on their breath a daily routine, especially before games:

“If they're mindful athletes, most of them are actually bringing their attention not to the game ahead, but to the present moment: fully concentrating on their breathing and, in doing so, centering themselves in that calm place where they are able to be in touch with the space between stimulus and response.”

- George Mumford, The Mindful Athlete

We’re all athletes in the game of life. (Having a chronic disease like diabetes makes each day like the Super Bowl.) We might not have personal trainers, nutritionists, or millions of dollars. But we all have the breath. And we all have access to the same control and awareness that these top performers do.

Let’s use it wisely.

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1 Quote

“What do Mahatma Gandhi, the martial artist Bruce Lee, Buddhist meditators, Christian Monks, Hawaiian kahunas, and Russian Special Forces have in common? They all used breathing to enhance their physical, mental, and spiritual well-being.”

- Richard P. Brown & Patricia L. Gerbarg,
The Healing Power of the Breath

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1 Answer

Answer: The cardiovascular system shows resonance at approximately this frequency.

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(Cue the Jeopardy! music.)

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Question: What is 0.1 Hz?

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In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. …and the money will come

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Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

A Buffet of 13 Interesting Breathing Articles

I’ve been out of town, with less time than normal to work on the newsletter. So, I decided to share a buffet of interesting breathing articles this week.

I hope there are a few you enjoy!

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4 Thoughts

1. Study Shows How Slow Breathing Induces Tranquility

“Breathe slowly and smoothly. A pervasive sense of calm descends. Now breathe rapidly and frenetically. Tension mounts. Why? It’s a question that has never been answered by science, until now.”

- Stanford Medicine News Center

We all know that slow breathing calms us, and fast breathing stimulates us. But in this great article, we learn that there are specific neurons “spying” on our breathing, “reporting their finding to another structure in the brainstem.”

Enjoy the interesting read!

Thanks to new 411 reader A.L. for inspiring this thought!

Related: Feeling anxious? The way you breathe could be adding to it

Related: What Focusing on the Breath Does to Your Brain

2. This Ridiculously Simple Breathing Technique Is Scientifically Proven to Improve Mental Focus

“I can't promise that it will make everything go smoothly, or take all your jitters away. But I can guarantee that you'll feel more focused and calm than you did before.”

- Inc. Magazine

Perfectly said. If you need a quick way to increase focus, it might be as simple as making “your exhalations longer than your inhalations.”

Enjoy the super quick read.

And, if you want to dive deeper down the rabbit hole, here are a few more:

Related: Diaphragmatic Breathing Exercises and Your Vagus Nerve

Related: Longer Exhalations Are an Easy Way to Hack Your Vagus Nerve

Related: Slower Breathing Facilitates Eudaimonia via Your Vagus Nerve

Related: This 2-Minute Breathing Exercise Can Help You Make Better Decisions, According to a New Study

3. The Importance of Breathing, from the American Institute of Stress

Please do yourself and favor and check out this issue of Contentment from the American Institute of Stress. They dedicated the entire thing to breathing.

Here’s what’s included:

• The Health Benefits of Nose Breathing

• Healing Power Of The Breath

• The Setup Breath: Exhaling Deeply First

• Re-Association: Fusing Awareness and Sound with Deep Breathing Practices

• Take A Deep Breath

• Yogic Breathing: Ancient and Modern

• One-Minute Relaxation Exercise for Busy People

The first two were my favorites. You’re sure to find one or two you enjoy too.

P.S. I found this through an excellent Medium blog post.

4. Significant Brain Changes Found in Children Who Regularly Snore

“Children who regularly snore have structural changes in their brain that may account for the behavioral problems associated with the condition including lack of focus, hyperactivity, and learning difficulties at school.”

- Significant Brain Changes Found in Children Who Regularly Snore

This was a somewhat troubling read on how sleep-disordered breathing might explain hyperactivity and aggression in children.

With complex issues like these, it’s likely not as simple as “one thing.” But, this is an important read, especially if you have or work with children.

Thanks to great friend E.S. for sharing this with me.

Related: The influence of snoring, mouth breathing and apnoea on facial morphology in late childhood: a three-dimensional study. Thanks to HHPF for sharing this one.

Related Quote: “If respiration truly acts as a fundamental organizer of oscillatory brain activity, then surely its modulation could be utilized to modulate brain activity to promote sleep.” - Frontiers in Psychiatry (2019)

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1 Quote

“In a single breath, more molecules of air will pass through your nose than all the grains of sand on all the world’s beaches—trillions and trillions of them.”

- James Nestor, Breath

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1 Answer

Answer: In the early 1770s, this gas was independently discovered in England and Sweden.

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(Cue the Jeopardy! music.)

…

Question: What is oxygen?

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In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. Enough for the next 11 days

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Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

Breathing Through Negative Feedback Loops, and the WHM in 2.5 Minutes

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Welcome back to another issue of The Breathing 411.

Here are 4 thoughts, 1 quote, and 1 answer for the week. Enjoy!

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4 Thoughts

1. The Epiphenomena of Breathing

“However, a lightbulb also produces heat. Heat is not the function of the lightbulb, nor is it the reason we originally fashioned it […] It is an unintended by-product of the operation, not the true function. Heat is an epiphenomenon in this case.”

- Matthew Walker, Why We Sleep

Depending on you and your perspective, breathing can have many epiphenomena. For example, you might do a breathing practice to relax. But, as a by-product, it will also improve autonomic and cardiovascular function.

Perhaps your breathing practice is for better sleep. In this case, you’ll still experience the epiphenomena of better insulin sensitivity and better focus.

In fact, optimal breathing has so many “epi-benefits,” it’s hard to keep track. Luckily, you don’t have to. You simply pick one or two reasons that make sense for you, and let the rest happen on its own, like heat from a lightbulb.

Related Quote: “Replace the habit of taking short shallow breaths into the top of the lungs with the practice of taking a full deep breath. Nearly all of the benefits begin with this one simple change.” - Al Lee, Don Campbell, Perfect Breathing

2. The Negative Feedback of Stress in Diabetes, and What We Can Do About It

• Diabetes is a chronic stressor. [1]

• Chronic stress worsens blood sugar control. [2]

• It also reduces HRV, increasing susceptibility to more stress. [3]

• This then can increase anxiety. [4]

• Leading to more stress and worse blood sugar control. [2]

• Which then leads to the subjective feeling of more stress. [1]

It’s a merciless cycle.

Encouragingly, however: “Emerging evidence strongly suggests…that interventions that help individuals prevent or cope with stress can have an important positive effect on quality of life and glycemic control.”

You probably know where this is going : )

Slow breathing immediately helps:

• It reduces chronic stress by increasing vagal tone. [5]

• It improves both short- and long-term HRV. [6]

• It reduces anxiety. [7]

• It improves blood sugar control. [8]

The negative feedback loop of stress and diabetes won’t just go away. But slow breathing gives you an effective intervention you can use to help offset its harmful effects and prevent it from getting out of control forever.

Related Quote: “Slow breathing could be a simple beneficial intervention in diabetes.” - Nature Scientific Reports

3. How The Wim Hof Method Works, In 2.5 Minutes

“So what happens when you breathe this way is you stress your body out. […] You control your stress to a specific amount of time so that, for the rest of the day, you can chill out. So that is probably why Wim Hof’s method works so well.”

- James Nestor

Tomorrow is Wim Hof’s birthday. In that spirit, here’s a quick 2.5 minute clip of James Nestor explaining how the WHM works.

Enjoy!

Related: 20 One-Sentence Thoughts on the Wim Hof Method

Related Quote: “I’m not afraid of death, I’m afraid not to have lived fully.” - Wim Hof

4. We Are All Living Nasal Breathers

“All living things on our planet undergo a unescapable and predictable daily change in their environment: Day becomes night. […] To cope with this predictable daily change in light and dark, almost every living organism has developed an internal timing system, or circadian clock.”

- Satchin Panda, PhD, The Circadian Code

In The Circadian Code, we learn that, try as we might, we cannot override our circadian rhythm. Evolution programmed it into us. Trying to fight it with more coffee (talking to myself here) will only hurt us in the long run. We’re much better off aligning with it to achieve our best health outcomes.

This reminded me of a seemingly unrelated, yet similar concept: we’re all nasal breathers.  We can optimize our diets, exercise, and so on, but if we don’t breathe how evolution designed us to—through our nose—we’ll never reach our full health potential.

Related: Chronic sinus inflammation appears to alter brain activity

Related Quote: “Around 1500 BCE, the Ebers Papyrus, one of the oldest medical texts ever discovered, offered a description of how nostrils were supposed to feed air to the heart and lungs, not the mouth.” - James Nestor, Breath

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1 Quote

“The power of the breath has been used not just to heal, but to attain extraordinary feats that appear to defy laws of physiology. […] With mastery of his breath and his meditative practices, Hof is redefining what is considered physiologically possible for a human.”

- Michael J Stephen, MD, Breath Taking

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1 Answer

Answer: Although known as the Ice Man, Wim Hof has also completed a full marathon without water in this desert.

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(Cue the Jeopardy! music.)

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Question: What is the Namib Desert?

P.S. Here’s short clip of him walking. He’s mainly nose-breathing, probably to conserve water : )

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In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. Do drugs and stay out of school

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Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

How To Be a Straight-A Breathing Student, and Why Diabetics “Get It”

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Listen to this post in 5 min 51 sec:

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Yesterday was 4-11.

Yesterday was World Breathing Day.

Yesterday was also my birthday.

It’s almost as if it was meant to be this week…

Alright, here are 4 thoughts, 1 quote, and 1 answer for the week. Enjoy!

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4 Thoughts

1. How To Be a Straight-A Breathing Student

One of my favorite stories is the “50 lbs = A” parable. I even kept a post-it of that phrase on my monitor during my post-doc. As it goes, a professor found that grading ceramics students based on quantity—50 lbs gets you an A—led to better quality than grading them on one “masterpiece.”

The moral of the story: Quantity leads to quality.

Quality is obviously essential to breathing. We do take more than 20,000 breaths per day, as it is. But, perhaps what’s more important is just starting and sticking to a consistent breathing practice.

So for breathing, we might say: Focused quantity leads to quality.

You might not begin with perfect diaphragmatic breathing, proper tongue placement, or proper volume. But with a consistent practice, you’ll naturally start noticing and improving these things.

So how about we write our own parable, where 50 breaths = A.

Or maybe just 5 breaths or 5 minutes. Regardless, it’s the focused, consistent quantity that counts. Here’s to becoming straight-A breathing students today.

Related: “If you want to master a habit, the key is to start with repetition, not perfection […] You just need to practice it.” - James Clear, Atomic Habits

2. Why the Power of Breathing is Actually Easy to Explain to People with Diabetes

Ask a diabetic what affects their blood sugar. They’ll either start laughing, or immediately blurt out “everything!”

So then, when you tell them that breathing literally impacts almost every bodily function, they’ll get it:

Everything affects my blood sugar. Breathing affects everything.

It just makes common sense for us diabetics to optimize it.

Related: The Lesser-Known Benefits of Nasal Breathing, Designed for Diabetes

Related Quote: “Breathing isn’t everything. But, breathing impacts everything.” - David Bidler

3. This Breathing Exercise Can Calm You Down in a Few Minutes

“Many people find benefit, no one reports side effects, and it’s something that engages the patient in their recovery with actively doing something.”

- Cynthia Stonnington, Chair, Department of Psychiatry and Psychology, Mayo Clinic, Phoenix, AZ

Here is yet another excellent article from Vice: This Breathing Exercise Can Calm you Down in a Few Minutes. In it, we learn about the power of resonant breathing from Cynthia Stonnington (above) and gain invaluable insights from a pioneer in breath research, Patricia Gerbarg.

Enjoy the awesome read!

Related: Decrease stress by using your breath (Mayo Clinic)

4. The Universal Structure of the Respiratory System

“There is something transcendent in the very structure of our respiratory system…Other examples of this configuration in nature abound—streaks of lightning converging into a single bolt only to diverge again as they approach the ground;

the tributaries of a riverbed unifying into one main waterway; the human body itself, branching from its trunk to arms and legs, then fingers and toes.

The lungs tap into something universal in their structure, maximizing uptake of the life force that surrounds all of us.”

- Michael J Stephen, MD, Breath Taking

Here's another gem from Breath Taking's prologue, reminding us just how remarkable, yet universal, the structure of our respiratory system is.

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1 Quote

“The daily use of breath practices can turn back the tide of stress, counteract disease progression, and improve overall quality of life.”

- Richard Brown & Patricia Gerbarg

The Healing Power of the Breath

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1 Answer

Answer: For every tooth you lose as an adult, your risk of this increases by 2%.

…

(Cue the Jeopardy! music.)

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Question: What is obstructive sleep apnea?

(I learned this in Breath)

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In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. 100% me. (Looking at you Wibbs)

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Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

A Danger of Breathwalking, and How I Almost Stepped on It

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Listen to this post in 6 min 28 sec:

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Welcome to another issue of The Breathing 411,

Here are four thoughts, one quote, and one answer to consider this week.

There’s also a fun bonus thought on the “Dangers of Breathwalking.”

I hope you enjoy it!

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4 Thoughts

1. The Lungs Lead, Heart and Mind Follow

“This knowledge is spreading back to the West through disciplines such as yoga and mindfulness, but also through techniques aimed at improving endurance, and even intimacy. These practices demonstrate that the mind and the heart follow the lungs, not the other way around.”

- Michael J. Stephenson, MD from Breath Taking

Study after study has shown that breathing gives you access and control over your heart and mind, in ways such as increasing heart rate variability and synchronizing brain waves. That is, the lungs lead, the heart and mind follow.

But even with all this research, sometimes it takes an eloquent quote from a respected pulmonologist to make it seem so obvious.

Related: HBR: Why Breathing Is So Effective at Reducing Stress

Related Quote: “The obvious is that which is never seen until someone expresses it simply.” -Kahlil Gibran

2. Why Slow Nasal Breathing Could Be More Important in Type-2 Diabetes

Both type-1 and type-2 diabetes benefit from slow nasal breathing.

However, it could be more beneficial in type-2 diabetes since the primary issues there are reduced insulin production and reduced insulin sensitivity.

And it just so happens that slow breathing increases insulin production and improves insulin sensitivity. But maybe most importantly, nasal breathing helps you sleep better, which will indirectly boost insulin sensitivity.

Obviously, slow breathing isn’t going to cure you of type-2. But it’s safe, effective, and super practical. It seems like a no-brainer.

P.S. For T1Ds like me, all these things are still very helpful. We just won’t get the added benefit of increased insulin production…stupid pancreas…

3. How to Improve Concentration Using Your Breath

“by focusing on and regulating your breathing you can optimize your attention level and likewise, by focusing on your attention level, your breathing becomes more synchronized.”

- How to Improve Concentration Using Your Breath

In this great short article, you’ll learn that to improve your concentration, “It’s as simple as breathing through your nose.”

You’ll also get some excellent quotes from James Nestor and the director of the Yale Stress Center. Well worth the quick read. Enjoy!

Related: The nose knows: How breathing through your nose improves your health (This was linked in the Thrive article—it’s an excellent deep dive into the benefits of nose breathing, mainly from clinical doctors. I absolutely loved it. I just didn’t agree with the very last sentence.)

4. John Wayne’s Perfect Breathing Advice (almost)

“Talk low, talk slow, and don't talk too much.”

- John Wayne, Advice on acting

If we replace “talk” with “breathe,” we arrive at the perfect breathing advice:

Breathe low, breathe slow, and don’t breathe too much.

Extra Thought: The “Dangers” of Breathwalking

I’ve become somewhat obsessed with breathwalking. I use it in short 1-3 min intervals several times a day. It’s phenomenal. Thanks again, Louise!

Last Tuesday, I was walking around my backyard, completely focused on my breath. Then, I came about this close 🤏 to stepping on a snake. The snake had its head up, ready to bite. And here I am, Mr. Breathwalker, completely oblivious…lol.

Luckily, I managed to jump over it (maybe letting out a quick scream) and immediately starting laughing at the irony of the situation.

Focusing on your breath most certainly improves your concentration. But in the comfort of your backyard, that concentration might backfire!

Related: Thanks to M.C. for sharing this excellent 4.5 min video:

Breathwalking With Dr. Jim Nicolai | Andrew Weil, M.D.

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1 Quote

“Few of these scientists set out to study breathing. But, somehow, in some way, breathing kept finding them.”

- James Nestor, Breath

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1 Answer

Answer: In 2018, it was estimated that this percentage of the U.S. adult population had diabetes.

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(Cue the Jeopardy! music.)

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Question: What is 13%? (and 90-95% of those cases are type-2)

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In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. Breathing is Mighty.

P.S. Easter family get together

Oxidative Stress and Civilized vs. Wild Breathing

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Listen to this Post as a 5-min Podcast:

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"You cannot breathe your way out of a Big Mac."

But apparently, slow breathing might help it taste better (see #3 below).

Ok, let’s get to it. Here are 4 thoughts, 1 quote, and 1 answer for the week. Enjoy!

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4 THOUGHTS

1. Is There Really “Dysfunctional” Breathing?

"Breathing is one of the body’s critical functions.  When its fundamental processes break down, the body will compensate, calling on structures such as the core muscles to help maintain respiration."

– Patrick McKeown, The Breathing Cure (pg. 152)

Breathing is the body’s most critical function. So as Patrick tells us, even if we do it incorrectly, the body will compensate by activating whatever muscles are needed to keep it going. Breathing takes precedence over everything.

So, we might say that breathing will always remain "functional" in that it will always do its main task of keeping us alive. But, it might be severely inefficient.

Thus, "dysfunctional" breathing is really just inefficient breathing.

This gives us two options. We can develop optimal breathing, which uses the nose and activates the diaphragm. Or, we can ignore our breathing and let the body compensate on its own, usually in ways that are detrimental to our health.

I say we choose option 1.

2. Diabetes, Oxidative Stress, and Slow Breathing

High blood sugars generate free radicals. These excess free radicals deplete antioxidants and ultimately cause oxidative stress. This negative feedback loop has been described as the "single unifying mechanism for diabetic complications."

To combat this, people with diabetes would ideally find a way to both reduce free radical production and increase antioxidant defenses. Slow breathing provides a natural and effective method of doing just this.

For example, slow diaphragmatic breathing reduces post-meal oxidative stress. It also reduces oxidative stress associated with intense, long-duration exercise. The hallmark paper on slow breathing & diabetes published in Nature even said:

"…our results lead to the hypothesis that slow breathing may exert some antioxidant effect, possibly via parasympathetic stimulation."

Taken together, slow breathing appears to be a simple and effective way to help with oxidative stress in diabetes. Quite amazing.

3. Apparently Slow Breathing Makes Food Taste Better

"Smooth, relatively slow breathing maximises delivery of the particles to the nose. Food smells and tastes better if you take your time."

- Vice, Apparently Slow Breathing
Makes Food Taste Better

This was a fun read from Vice. At first, I thought it seemed a bit silly. But the study was originally published in PNAS, so maybe there’s something to it?

If we pair this advice with Ch. 7 of Breath, we might say that to enjoy a meal, breathe slowly and chew more. I’m constantly working on the chew more part…

Enjoy!

4. Take the Nose, Take the Life

"Ancient Egyptian cultures also recognized the importance of the breath, the evidence of which we see today in the many ancient statues that had their noses broken off but otherwise were left untouched. This defacement was no accident, but a deliberate act by conquering groups to take the life, in this case the breath of life, away from these icons."

- Michael J. Stephen, MD, Breath Taking

This is on the first page of the book. Although Dr. Stephen never mentions the power of the nose again, it’s a rather remarkable statement that emphasizes just how important the breath (and nose) were to ancient cultures.

Related: The Warren Buffets of Nose Breathing (Thought #2 )

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1 QUOTE

"Civilized man may properly be said to be an open mouthed animal; a wild man is not."

- George Catlin, The Breath of Life (1864)

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1 ANSWER

(This one blows my mind…)

Answer: The inner surface of this organ has as many hair follicles as your head.

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(Cue the Jeopardy! music.)

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Question: What is your nose?

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In good breath,
Nick

P.S. He was the dog.

Smiling and the Warren Buffets of Breathing

Greetings,

Here are 4 thoughts, 1 quote, and 1 answer to consider this week. Enjoy!

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4 THOUGHTS

1. Breathing is the Only True Compounding Health Benefit

"Growth is driven by compounding, which always takes time."

- Morgan Housel, The Psychology of Money

Many investors are better than Warren Buffet. But did you know he bought his first stock when he was 11 years old? It’s not as exciting to talk about, but a large portion of his success is simply due to how long he’s been investing.

This is because compounding always takes time. And, just as importantly, it always takes consistency. If Buffet jumped in and out of stocks or randomly took time off, he might not have achieved his success. It took time and consistency.

These factors are also why breathing is the only real compounding health benefit. Most of us won’t stick to one health routine as long as Buffet has stuck with investing. It’s natural to try new workouts, start a new diet, and on and on.

But we’ll always be breathing. If we invest in simple changes like nose breathing 24/7, the benefits will compound (literally) for the rest of our life. Time becomes our friend. Since we will always be breathing, we will always be compounding.

2. Nasal Breathing, Smiling, and The Power of Compounding

"All these methods trained children to breathe through their noses, all day, every day. It was a habit they would carry with them the rest of their lives."

- James Nestor, Breath

In Breath, James Nestor describes tribal people with perfectly straight teeth, free of chronic illnesses, and who rarely got sick. Their secret? Nasal breathing.

This was not just any nasal breathing, though. It was a lifetime of nasal breathing. Nestor tells us that mothers would stand over their sleeping babies and close their mouths if needed. They even resisted smiling (!?!) with their mouths open.

This was compounding at its best. Nose breathing was in their genes, and it was passed down from generation to generation for millennia. The result, as Nestor recounts, was seemingly "superhuman physical characteristics" and perfect health. These tribal people were the Warren Buffets of nose breathing.

3. Diaphragmatic Breathing Exercises and Your Vagus Nerve

"When it comes to effective vagal maneuvers, any type of deep, slow diaphragmatic breathing…is going to stimulate your vagus nerve, activate your parasympathetic nervous system, and improve your HRV."

- Psychology Today
Diaphragmatic Breathing Exercises and Your Vagus Nerve

I basically highlighted this entire article : ) But what I appreciated most was the author sharing how he uses diaphragmatic breathing in a practical and straightforward way.

Enjoy stimulating your vagus nerve more today!

4. Become A Breathing Genius

"A genius is the man who can do the average thing when everyone else around him is losing his mind." – Napoleon

If you want to be a breathing genius, breathe averagely—nasal, slow, low—in stressful situations. Or David Bidler says, we don’t need more complicated breathing techniques; we need to apply simple ones to harder challenges. 

Give it a shot today when you inevitably find yourself in a stressful situation.

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1 QUOTE

"Those of us who practice breathing exercises today may well pass on more disease resistant genes to our descendants tomorrow."

- Michael J. Stephen MD, Breath Taking

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1 ANSWER

Answer: This fish can breathe through its gills in water and through its skin and mouth lining on land.

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(Cue the Jeopardy! music.)

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Question: What is a mudskipper?

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In good breath,
Nick

P.S. This actually happened with me and my wife

The Skill of Breath and Pillars of Health

Greetings,

Here are 4 thoughts, 1 quote, and 1 answer to reflect on this holiday week.

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4 THOUGHTS

1. Breathing is a Universal Skill

Most skills you learn in soccer don’t make you better at baseball.

Most skills you learn in tennis don’t make you better at hockey.

But the skill of breathing is universal, applicable in every domain, available every second of every day.

2. A New Foundation for the Pillars of Health

"Sleep is more than a pillar; it is the foundation on which the other two health bastions sit. Take away the bedrock of sleep, or weaken it just a little, and careful eating or physical exercise become less than effective, as we shall see."

- Matthew Walker, Why We Sleep

Beautifully said, but I would go a step further and state that breathing is the bedrock of healthy sleep. Remove correct (nasal) breathing at night, and even excellent sleep hygiene becomes less effective.

Of course, breathing isn’t a cure-all that replaces the other health pillars. But, it is the foundation on which they all sit. We’d be wise to make it a solid one.

Related: Three pillars of mental health: Good sleep, exercise, raw fruits and veggies - Note the portion about sleep quality versus quantity.

P.S. This thought also brings to mind James Nestor, who said, "No matter what you eat, how much you exercise, how skinny or young or strong you are, none of it matters if you’re not breathing properly."

3. "Take a Long, Deep, Deliberate Breath"

"Deliberate breathing is a simple, but powerful, skill you can practice every day...It can be used to improve your performance…and/or speed up your recovery." (my emphasis)

- Army Ready and Resilient

Here’s a quick read from Army Ready and Resilient. I don’t think I’ve seen a more succinctly written article on the benefits of breathing. Their advice for starting a daily practice, including the amount of time per day, is quite perfect.

Great to see this being brought to those who serve and protect.

Enjoy the quick read.

4. Ready for Change? Replace Positive Thinking with Positive Action

How we think change occurs:

1. Positive Thinking ("I want to begin a breathing practice soon")

2. Positive Speaking (Tell friends, "I’m starting a breathing practice")

3. Positive Action (You sit down with a phone app and start breathing)

How it usually happens:

1. Positive Action (You experience a change from breathing)

2. Positive Speaking (You share your experience with others)

3. Positive Thinking (You strive to understand how it happened)

Interestingly, we focus most of our energy on positive thinking and positive speaking, when all we need is positive action.

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1 QUOTE

"Breathing is a tool that enables anyone to perform better in every aspect of life. We can’t emphasize that enough."

- James Loehr & Jeffrey Migdow, Breathe In, Breathe Out

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1 ANSWER

Answer: This device has been measuring peoples’ breath to assist law enforcement since the 1950s.

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(Cue the Jeopardy! music.)

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Question: What is a breathalyzer?

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In good breath,
Nick

P.S. Every mom & dad on Christmas

Use it or Lose it + Eating and Breathing

Happy Monday! I hope you all have a great week ahead.

Here are 4 thoughts, 1 quote, and 1 answer for you to consider this week.

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4 THOUGHTS

1. The Nose: Use it or Lose it

"Machines: use it and lose it; organisms: use it or lose it."

- Frano Barovic, Antifragile

I had to get a new computer recently. My Macbook Pro gave me 7 great years, but it was time to move on. I decided to switch to a Macbook Air. I thought, "air is my favorite subject; I should get a computer called an Air." I’m that weird : )

So when I was recently re-reading Antifragile, the quote above (buried in a footnote) popped off the page. We expect machines like my computer to break over time: use it and lose it. But with our body, it’s the opposite: use it or lose it.

This is especially true for one particular organ, the nose. Here’s how James Nestor puts it:

"For noses clogged, you need to find a way of unclogging it. You can do that by breathing more through your nose because it's really a use-it-or-lose-it organ. The more you breathe through it, the more you're going to be able to breathe through it." - NPR Interview

We learned some tricks for unblocking your nose a couple weeks ago. But the ultimate nose-unblocking exercise is to simply use it or lose it.

2. Thinkr Review of Breath

"Though it seems as simple as inhaling and exhaling, the act of breathing is an overlooked artform that can do much more than just sustain life." - Thinkr Review of Breath

Speaking of James Nestor, here’s an excellent summary of his book Breath that I recently came across. It requires an email to sign-up, but you can unsubscribe afterward…although I’ve actually enjoyed the emails they’ve sent since.

If you haven’t read Breath or just need a refresher, this is a nice summary from a company with no vested interest in "breathing."

3. Using Breathing Science to Change the World

Changing our breathing is one of the simplest thing we can do to improve our health. Tiny changes, like switching to nose breathing 24/7, can dramatically impact our health and wellness. That’s why it is great to see researchers using breathing in practical ways that could really change the world.

For example, imagine having a web browser add-on that, without you knowing it, alters your breathing to be more relaxed and rhythmic (rather than e-mail-apnea). That’s what "Breathing Edges" aims to do:

Toward Breathing Edges: A Prototype Respiration Entrainment System for Browser-based Computing Tasks

Or how about audio tracks that slow down your breathing while driving:

Just Breathe: In-Car Interventions for Guided Slow Breathing

Or audio tracks that speed up your breathing to keep you awake when you’re driving late at night:

Breath Booster!: Exploring In-Car, Fast-Paced Breathing Interventions to Enhance Driver Arousal State

It’s awesome to see things like this being developed, and it’ll be exciting to see what the next few years of research and application bring.

4. Can Eating Affect Your Breathing?

"One is able to compare the different fuel sources in this regard by examining the respiratory quotient (RQ), the ratio of carbon dioxide produced per unit of oxygen consumed in the production of energy…The RQ for carbohydrate is 1.0; for fats, it is 0.7; and for protein, it is 0.8." - Respiratory Physiology, A Clinical Approach

The "respiratory quotient" shows how much CO2 is produced per unit of oxygen consumed for energy production. For example, 30% less CO2 is generated when fat is used for energy compared to carbohydrates.

Thus, what you eat might affect how you breathe.

This might help explain why some endurance athletes prefer fueling with fat vs. carbs. Or why we can often hold our breath longer in the morning when we are fasted and using fat for energy. Less CO2 production means less breathlessness and extended breath holds.

This also explains why I start breathing heavily when I splurge on cheesecake : )

We often think about how breathing can help with digestion and post-meal blood sugar spikes. But I guess we should not forget the relationship goes both ways.

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1 QUOTE

"Since we cannot know all that there is to be known about anything, we ought to know a little about everything."

- Blaise Pascal

Thanks to new 411 reader T. V. for inspiring this quote.

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1 ANSWER

This section of the newsletter was inspired by my favorite TV show of all time, Jeopardy! With the passing of Alex Trebek yesterday morning, it feels impossible to make an answer about breathing this week. Instead, let’s honor the legacy of this great man.

Answer: From 1984 to 2020, Alex Trebek hosted more than this many episodes of Jeopardy!, earning him spot in the Guinness Book of World Records.

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(Cue the Jeopardy! music.)

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Question: What is 8,200?

We love you, Alex.

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In good breath,
Nick

P.S. I (accidentally) held my breath the whole time.

The Breathing 411 - Before There Were Harvard Studies

Welcome to another edition of The Breathing 4.1.1.

Below, I do my best to provide you with 4 useful thoughts, 1 insightful quote, and 1 fun answer (like "Jeopardy") related to breathing. Enjoy!

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4 THOUGHTS

1. Breathing is the Ultimate Self-Improvement Tool

"Never has there been a map, however carefully executed to detail and scale, which carried its owner over even one inch of ground."

- Og Mandino, The Greatest Salesman in the World

Action is the cornerstone of all improvement. We can read and learn all we want, but that is only storing potential energy. Action converts that energy into something useful.

Breathing is the most primitive form of taking action. It gives you something you can do, that actually does something. Breathing induces physiological and neurological changes in your state that are truly useful in any real-life situation.

It’s no wonder all ancient traditions focused on the breath. Before the internet, before you could major in positive psychology, before life coaches and Harvard studies, there was the breath. Breathing is the ultimate self-improvement tool.

2. Insomnia Identified as New Risk Factor for Type-2 Diabetes

"Insomnia was identified as a novel risk factor, with people with insomnia being 17% more likely to develop T2D than those without."

- ScienceDaily, 8 Sep 2020

I guess this shouldn’t be surprising, given that even one night of sleep deprivation significantly increases insulin resistance. But is there anything we can do about it? You’ve probably guessed my answer by now : )

Of course, "breathing" isn’t the cure for everything, and it certainly isn’t a magic pill for insomnia. But it might help.

Slow breathing activates the parasympathetic nervous system, relaxing the body, preparing it for sleep. Once asleep, nose breathing helps you wake up less (see last week’s 411), maintain rhythmic breathing, and ultimately sleep deeper. All of this might help reduce stress hormones and increase insulin sensitivity.

Overall, a simple change to your breathing, compounded over time, might help reduce your risk of type-2 diabetes (or at least help you manage it better), even if only the tiniest little bit.

Thanks to 411 reader R.D. whose interest in breathing and type-2 diabetes inspired this thought.

3. CO2 Tolerance and Chemoreceptor Flexibility

"Today, chemoreceptor flexibility is part of what distinguishes good athletes from great ones. […] All these people have trained their chemoreceptors to withstand extreme fluctuations in carbon dioxide without panic."

James Nestor, Breath, pg. 170

We discuss carbon dioxide tolerance a lot. But I prefer James’ terminology, using chemoreceptor flexibility rather than CO2 tolerance. Flexibility implies variability. It also implies robustness.

Of course, I believe the most critical part of this flexibility is the ability to withstand higher CO2, that is, CO2 tolerance. But let’s not forget about robustness and adaptability. Tension and relaxation. Stretching in both directions, not just one.

4. 100 Miles or 10 Minutes: Which is Harder?

I rucked 100 miles. It took almost thirty-six hours straight.

I’ve never made it 10 minutes "breathing" without getting distracted.

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1 QUOTE

"You can borrow knowledge, but not action."

- James Clear

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1 ANSWER

Answer: The average number of alveoli in your lungs.

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(Cue the Jeopardy music.)

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Question: What is about 480 million?

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In good breath,
Nick

P.S. Me Up at Night Worrying

The Breathing 411 - The Best (and Second Best) Time to Start

Welcome to another edition of The Breathing 4.1.1. Below, you’ll find 4 thoughts, 1 quote, and 1 answer (like "Jeopardy") related to breathing. Let’s jump right in.

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4 THOUGHTS

1. The Best Way to Invest in Your Health

Investing in your breathing is like putting your money in an S&P 500 index fund.

You’re investing a little bit into your body's many essential functions, including your respiration, autonomic nervous system, cardiovascular system, metabolism, and brain.

Suppose you picked only one of these areas to focus all of your attention on. If you got really lucky, it could make a massive difference in your life (like getting lucky with one stock). But with breathing, like with an index fund, you add a little to each bucket. Together, these gains add up to meaningful health benefits.

But unlike the stock market, there are no speculators, and there is no gambling. You just have to show up each day, add a little to your health fund, and enjoy the compounding over time.

2. A Never-Ending Cleanse?

"The waste that is collected by the blood and delivered to the lungs is expelled with the next inhale, but few people realize that 70 percent of the waste that our bodies generate is removed by the breath. Only 30 percent is removed via sweat and elimination."

- Al Lee and Don Campbell, Perfect Breathing

At first glance, that’s a pretty crazy statistic. But, it makes a lot of sense.

Those other ways of removing toxins (sweating, restroom breaks) only occur several times a day (or maybe not at all for sweating). We typically breathe 20,000+ times a day and upwards of 3000 gallons of air.

So, perhaps it is not surprising that our bodies use the breath to eliminate toxins. And maybe what’s more surprising is that optimizing breathing isn’t the first step of any "cleanse."

3. The Best (and Second Best) Time to Start a Breathing Practice

"Build before you have to.

- Build knowledge before you have to.
- Build strength before you have to.
- Build an emergency fund before you have to.

Let internal pressure drive you today, so you can handle external pressure tomorrow."

James Clear, 3-2-1 Newsletter (3 Sep 2020)

This excellent idea reminded me of the ancient Chinese proverb that begins: The best time to plant a tree was 20 years ago. If you want a tree now, you need to have planted it 20 years ago. If you need strength now, you need to have been building it previously.

The Chinese proverb, however, ends like this: The second best time is now.

With COVID-19 shining light on the importance of a healthy respiratory system, we all realized how critical a breathing practice is. With that in mind, I’d like to play off of that idea:

The best time to start a breathing practice was 12 months ago.
The second best time is now.

4. How Breathing Impacts Urination during Sleep

"But if the body has inadequate time in deep sleep, as it does when it experiences chronic sleep apnea, vasopressin won’t be secreted normally. The kidneys will release water, which triggers the need to urinate and signals to our brains that we should consume more liquid. We get thirsty, and we need to pee more."

- James Nestor, Breath, pg. 30

When people switch to nose breathing at night, they commonly notice they need to get up to pee less. Here, James explains why.

Vasopressin "communicates with cells to store more water," he tells us. When you get inadequate deep sleep, this communication is disrupted.

Nose breathing at night, as we know, reduces obstructive sleep apnea, leading to deeper sleep. This helps explain why we wake up less when we switch to nose breathing at night.

(Thanks to 411 reader J. M. for inspiring this thought!)

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1 QUOTE

“One day I noticed that I wasn’t breathing—I was being breathed.”

– Byron Katie

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1 ANSWER

Answer: The number of scents the human nose can smell.

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(Cue the Jeopardy music.)

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Question: What is 1 trillion?

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In good breath,
Nick

P.S. Only once every 257 years