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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!

 
 
 
 

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

 
 
 
 

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

 
 
 
 

1 Answer

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

…

(Cue the Jeopardy! music.)

…

Question: What is the Namib Desert?

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

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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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”

 
 

Listen to this post in 5 min 51 sec:

 

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!

 
 
 
 

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.

 
 
 
 

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

 
 
 
 

1 Answer

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

…

(Cue the Jeopardy! music.)

…

Question: What is obstructive sleep apnea?

(I learned this in Breath)

In good breath,

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

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

 
 
 

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

 
 

Listen to this post in 6 min 28 sec:

 

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!

 
 
 
 

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.

 
 
 
 

1 Quote

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

- James Nestor, Breath

 
 
 
 

1 Answer

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

…

(Cue the Jeopardy! music.)

…

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

In good breath,

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

P.S. Easter family get together

 
 

How Breathing Makes Everything Possible

 
 

Listen to this post in 5 minutes:

 

Greetings,

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

 
 
 
 

4 Thoughts

1. Breathing Makes Everything Possible

“That oxygen, life, and lungs all came into our world in relatively close succession is no coincidence.  Only with oxygen and some means of extracting it are all things possible—thinking, moving, eating, speaking, and loving.  Life and the breath are synonymous.”

- Michael J. Stephen, MD, Breath Taking

I often feel crazy. The more I learn about breathing, the more I feel like I must be falling for a big trick. It seems as if all of life’s problems come back to the breath. It really just seems too simple to be true.

Then, I read a beautiful quote like this. One that succinctly states just how breathing, quite literally, makes everything possible. And it reminds me that it is, in fact, the opposite: It’s not crazy that all of life’s problems come back to the breath. It would be crazy if they didn’t.

2. Lesser-Known Ways Nose Breathing Helps Diabetes

You probably know how indispensable nose breathing is by now. But there are other lesser-known reasons it is particularly helpful in diabetes.

In this recent article, I examine nasal breathing through the lens of diabetic complications, nasal and systemic nitric oxide, stress, and sleep.

It’s a different perspective, and I hope you learn something new about nose breathing, whether you have diabetes or not.

If you don’t have time to read it, here are a few take-home messages:

  • People with diabetes have reduced blood flow, reduced tissue oxygenation, and less bioavailable nitric oxide.

  • Nasal breathing increases blood flow, improves tissue oxygenation, and might increase an essential form of bioactive nitric oxide.

3. Take a Deep Breath (American Physiological Society)

“That’s the wonderful thing about it. There are no side effects. It’s cheap. And everyone has had the experience of taking a single deep breath—you take one, and you feel it; it’s relaxing.”

- Jack Feldman, PhD, Distinguished Professor in Neurobiology at UCLA

This one started out slow, but wow, there was so much good information, especially in the last section on “Slow Breathing and the Brain.”

Enjoy the excellent read:

Take a Deep Breath: Featured article from the January 2021 issue of The Physiologist Magazine

4. Why Most Breathing Advice for Beginners is Wrong

"Yes, in our hyperachieving, go-getter world, I’m telling you to lower the bar. Not because I don’t want you to achieve great things, but because I know that you need to start small in order to achieve them."

- BJ Fogg, Tiny Habits

Though well-meaning, most advice for starting a breath practice is wrong.

We’re told we need to do twenty minutes in the morning, twenty minutes before bed, and maybe six additional breathing "check-ins" throughout the day. It’s overwhelming just to think about it.

Sure, if your motivation is high, this approach might work. But it also might set you up for failure, instead of setting you up for long-term growth.

To make it stick, behavior change scientists say we need to start small. For example, starting with 1 minute is more valuable than starting with 1 hour.

And ironically, starting small is the only way to go big. As BJ tells us, "Over the last twenty years, I’ve found that the only consistent, sustainable way to grow big is to start small." Conversely, starting big often leads to giving up.

So let’s lower our breathing bars, start small, and create breathing habits that set us, and those we teach, up for lasting success.

Related: Stanford Researcher BJ Fogg on the ‘Tiny Habits’ That Lead to Big Breakthroughs

 
 
 
 

1 Quote

“Oxygen is the life force, the source of life’s infinite possibilities.”

- Michael J. Stephen, MD, Breath Taking

 
 
 
 

1 Answer

Answer: Over a lifetime, the average nose hair grows this long.

…

(Cue the Jeopardy! music.)

…

Question: What is over 6 feet?

This is the same resource as last week, but this is too ridiculous not to share : )

In good breath,
Nick

P.S. The dmv be like…

 
 

Oxidative Stress and Civilized vs. Wild Breathing

 
 

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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!

 
 
 
 

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 )

 
 
 
 

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)

 
 
 
 

1 ANSWER

(This one blows my mind…)

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

…

(Cue the Jeopardy! music.)

…

Question: What is your nose?

In good breath,
Nick

P.S. He was the dog.

 
 

Oxygen and The Most Effective Antioxidant

 

Most of my friends make fun of my bedtime (7:45 or 8:00 p.m.). In thought #4, you’ll learn how I’m trying to change that, at least until November…

With that said, here are 4 thoughts, 1 quote, and 1 answer for the week.

Enjoy!

 
 
 
 

4 THOUGHTS

1. Grow and Multiply Your Breathing Practice

"When it comes to the process of scaling habits, there are two general categories: habits that grow and habits that multiply."

- BJ Fogg, Tiny Habits

Some habits might grow organically: flossing one tooth might grow into every tooth. Others might not: eating an avocado a day might be enough. But, this might multiply into using olive oil instead of a sugary dressing at lunch.

With breathing, it usually grows first.

You might start with just two minutes. This might grow into 5, 15, or 30+ minutes a day. Then at some point, you will naturally find the right growth limit for you.

Then it multiplies.

By creating a breathing practice that makes you feel good, you might begin eating healthier, exercising more, and sleeping better. You might also multiply your breathing practice by incorporating it into other areas of your life—like breath walking or nose breathing during exercise.

But it always happens in a way that’s right for you.

Luckily, there is no one right way to do this. Breathing can be (and is) applied in all domains of life. The best part is watching it grow and multiply in whatever way is right for you on your way to becoming the person you want to be.

2. The Most Effective (and biggest) Antioxidant

"In this regard, we can reasonably view the gigantism discussed in Chapter 5 as an antioxidant response. The increase in body size compensates for the higher external oxygen levels."

- Nick Lane, Oxygen

Oxidative stress is a major issue for people with diabetes. So, discussions on antioxidants always interest me. This one was somewhat crazy, though.

To start, Nick Lane argues that, if we flip our perspective, our circulatory system can be seen as a way of limiting oxygen delivery:

"Our elegant circulatory system, which is usually presented as a means of distributing oxygen to individual cells, can be seen equally as a means of restricting, or at least regulating, oxygen delivery to the correct amount."

His argument is supported by the fact that our cells and mitochondria function best at an oxygen "concentration of less than 0.3% of atmospheric oxygen." Thus, our bodies and circulatory system act to reduce atmospheric oxygen by ~99.7%.

Stated differently, our bodies essentially work as giant antioxidants.

"The development of multicellular organisms can even be considered an antioxidant response, which has the effect of lowering oxygen levels inside individual cells."

He even provides historical evidence that as oxygen levels rise, some species get bigger (hence the headline quote on gigantism). But they don’t get bigger because there is more oxygen for energy; they get bigger to protect them from it.

My mind hurts now too.

But the point is that our bodies were perfectly designed to deliver the right amount of oxygen to the cells—not too much, not too little. Problems arise when we disrupt that beautiful balance.

3. Slow Breathing Enhances Decision-Making

"The 5-2-7 pattern breathing exercise improved decision-making performance and prevented stress under overwhelming psychological pressure."

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

Here is an excellent article from Inc. on how slow breathing can help you make better decisions (based off a 2019 study).

I especially appreciated the practical advice they provided on how you might apply these findings in real life in the "Putting it into practice" section. Enjoy!

4. American Academy of Sleep and Multiplying Habits

"It is, therefore, the position of the American Academy of Sleep Medicine that these seasonal time changes should be abolished in favor of a fixed, national, year-round standard time."

- Journal of Clinical Sleep Medicine

Because nasal breathing at night changed my life, I am fascinated with sleep. So I take statements like this from sleep experts quite seriously. But it’s one thing to read an article and get inspired; it’s another to take action.

So this year, I have decided to try ignoring Daylight Savings Time.

This is something I can try in my life. My job allows me to come in later and stay later. And our daughter will be happy to have her sleep schedule unchanged.

I hope you’ll join me.

Not with the time change, but with whatever is firing you up these days. Here’s to multiplying our habits on our way to becoming the people we want to be.

P.S. My bedtime will now be a more reasonable 8:45 or 9:00 p.m. : )

 
 
 
 

1 QUOTE

"Man was created of the Earth, and lives by virtue of the air; for there is in the air a secret food of life…whose invisible congealed spirit is better than the whole earth."

- Michael Sendivogius (1604)

 
 
 
 

1 ANSWER

Answer: Although considered the "elixir of life," this gas was not discovered until the 1770s.

…

(Cue the Jeopardy! music.)

…

Question: What is oxygen?

In good breath,
Nick

P.S. Fitness is my passion.

 
 

Investing, Sleep, and the Most Important Rest in a Day

 

Greetings,

Here are four thoughts, one quote, and one answer (like "Jeopardy!") to consider this week. Enjoy!

 
 
 
 

4 THOUGHTS

As I have been making my way through Patrick McKeown’s latest book, The Breathing Cure, I’ve been reminded of just how powerful all this breathing stuff is. Patrick has sections on breathing for diabetes, epilepsy, hypertension, and more.

Of course, despite the catchy title, breathing does not "cure" any of these ailments. Still, it’s quite remarkable to see all the conditions it can help with.

Upon reflection, this makes a lot of sense if we remember that breathing is like an index fund for health. It invests a small amount into a wide range of the body’s functions, such as lung and heart health, autonomic balance, and sleep.

Over time, these tiny improvements combine and compound into overall better health. And as Patrick’s new book shows, these benefits can be helpful in many different conditions.

The key, however, is to find a breathing practice that is right for you, get started, and be consistent. Here’s to safely investing in your health today.

P.S. Unlike most financial investments, however, you also get an immediate return on investment with breathing. For example, just two minutes of slow breathing can improve autonomic balance and enhance decision-making.

2. Mouth Tape is Passive Income for Your Health

Wealthy people grow their wealth in their sleep.

Healthy people grow their health in their sleep.

Taping your mouth at night is like passive income for your health. It requires only a small upfront investment: putting the tape on before you go to sleep. All of the benefits—like deeper sleep, improved mental clarity, and reductions in sleep apnea—come without any additional effort.

Thus, we might be wise to take the advice of a 1983 paper published in the journal Sleep: "While asleep, shut your mouth and save your brain."

3. Slower Breathing Facilities Eudaimonia via Your Vagus Nerve

"This accumulating body of evidence suggests that slow-paced breathing is a cost-free and readily available way to facilitate eudaimonia by lowering blood pressure, improving psychophysiological well-being, and increasing happiness."

- Christopher Bergland—Slower Breathing Facilitates Eudaimonia…

As you will learn in this article, Eudaimonia is "the condition of human flourishing or living well." So, when a headline implies that slow breathing might help us achieve this, I’m all in. This quick read lived up to its promise. Enjoy!

4. Breathing Tranquility

"Tranquility. It’s the feeling we have when we truly TRUST ourselves. When we know we’re headed in the right direction and we’re able to quit comparing ourselves to everyone else and stop second guessing ourselves every 5 seconds."

- Brian Johnson

Although slow breathing induces a sense of tranquility, that’s not what this made me think of. It made me think of the tranquility that can come when you find the right breathing practice for you.

We’re all different, and there’s no "perfect" method for everyone. Tranquility comes when you find the one that’s right for you and you know you’re headed in the right direction, whether it’s the latest popular technique or not.

My breathing tranquility? Seven seconds in, eleven seconds out. Repeat.

 
 
 
 

1 QUOTE

"Sometimes the most important thing in a whole day is the rest we take between two deep breaths."

– Etty Hillesum

 
 
 
 

1 ANSWER

Answer: By consuming oxygen, carbon, and hydrogen and giving off carbon dioxide and water, these two processes are fundamentally alike.

…

(Cue the Jeopardy! music.)

…

Question: What are combustion and human respiration?

In good breath,
Nick

P.S. Follow me for more financial advice

 
 

Breath Walking with Gandhi

 

Today marks one year since I walked 100 miles for breathing and chronic disease. In that spirit, this week’s newsletter celebrates breathing and walking. Enjoy!

 
 
 
 

4 THOUGHTS

1. An Update on "Walking 100 Miles: How Chronic Disease Makes Us Stronger"

Here is a re-share of the blog I wrote a few months after completing the walk:

Walking 100 Miles: A Story of How Chronic Disease Makes Us Stronger

Reading it now, I would change the "Healthy Paradox" section. At the time, I felt quite conflicted that I had become unhealthy on my mission to promote being healthy. In hindsight, that shouldn't have been the case.

Undoubtedly, I was the most unhealthy I had been in a long time. But, I was training for a very difficult challenge. Hard things don’t come easy. Without my daily breathing practice, who knows how much worse I would have been.

I had forgotten that sometimes health is what you don’t see [#2].

2. The Surprising Trick This Breathing Expert Uses To Stop A Panic Attack

"So when Bentley tells you to take in quick, shallow inhales, it's understandable you may raise a brow….'Doing it intentionally and in a relaxed manner and setting can actually help open up the lungs,' Bentley adds, 'so that when one does try to breathe in fully, it actually relieves that feeling.'"

- Jamie Schneider, mindbodygreen

Tanya Bentley, Ph.D is the CEO of HHPF, the non-profit organization the 100 mile walk was for. In this article, Tanya describes a rather counterintuitive approach to dealing with panic attacks: intentionally hyperventilate.

Whenever I read something that goes against everything I’ve ever learned, I immediately think, "well this just might work." : ) Enjoy the quick read.

3. Breath Walking

"Synchronizing your breathing with the rhythm of your steps in order to walk more while providing less effort…Both energizing and meditative, the Afghan Walk offers a new opportunity to approach walking with a sense of well-being."

- The Afghan walk, the benefits of a regenerating walk

Here’s a unique article about combining breathing and walking through what is known as the Afghan Walk. The goal is to reach around 6-8 breaths per minute, which we know is linked to better cardio-autonomic balance. It’s always nice when practiced methods are validated by new science.

Since learning this technique, I’ve been practicing a modified version (inhale 4 steps, hold 1 step, exhale 6 steps, hold 1 step) a few times a day in my backyard. It’s rather phenomenal. Here’s to more breath walking today.

Thanks to L.M. for sharing the Afghan Walk with me!

4. Getting Healthy vs. Staying Healthy

With high motivation, you can get healthy pretty quickly. In one day, you could clean out your pantry, start a meditation practice, and sign up for a gym.

The real challenge is staying healthy when motivation wanes.

To do this, we must develop and maintain healthy habits. It must become customary to do things that are good for us, even when we don’t feel like it.

Fortunately, there are two simple, scientifically-proven habits you can easily create to get and stay healthy: Walk more, breathe less [see #1].

 
 
 
 

1 QUOTE

"Gandhi used to walk for miles every day repeating it to himself until the rhythm of the mantram and his footsteps began to stabilize the rhythm of his breathing, which is closely connected with the rhythm of the mind."

– Eknath Easwaran, Gandhi The Man

 
 
 
 

1 ANSWER

Answer: The highest recording of this measurement of oxygen consumption is 96.7 ml·min-1·kg-1.

…

(Cue the Jeopardy! music.)

…

Question: What is VO2max?

 
 

On Excellent Scientific Statements and Being Reasonable with Breathing

 

Greetings,

Here are 4 thoughts, 1 quote, and 1 answer related to breathing. Enjoy!

 
 
 
 

4 THOUGHTS

1. 18 Excellent Statements from Scientific Papers

"With breathing interventions being relatively rapid interventions to implement and also demonstrating a wide range of positive clinical outcomes, breathing interventions warrant closer consideration from healthcare professionals."

- Psychophysiology (2017)

Over the past few years, I have accumulated over 500 pages of notes on over 100 scientific articles on breathing. I’ve recently been going back through them as part of a project I’m working on.

In this post, I share 18 of the best "one-liners" I’ve come across. Enjoy!

2. Breathing, Autonomic Function, and Diabetes

One of the most significant benefits of slow breathing is its positive effects on autonomic function. This is typically measured by heart rate variability (HRV) and baroreflex sensitivity (BRS)—higher HRV and BRS indicate better function.

Perhaps unsurprisingly, people with diabetes generally suffer from lower HRV (Benichou et al. 2018; Kudat et al. 2006) and BRS (Bernardi et al. 2017; Esposito et al. 2016). This is due to many factors, such as fluctuating blood sugars and resting tissue hypoxia, which cause autonomic imbalance (Bianchi et al. 2017).

Encouragingly, slow breathing at a rate of 4-6 breaths per minute is an effective way of increasing HRV (Steffen et al. 2021; Russell et al. 2017; Tavares et al. 2017; Chen et al. 2016; Lin et al. 2014; Van Diest et al. 2014; Vaschillo et al. 2006) and BRS (Rosengård-Bärlund et al. 2011; Bernardi et al. 2011; Joseph et al. 2005).

Slow breathing improves these markers by stimulating the vagus nerve, which activates the calming parasympathetic nervous system (Gerritsen and Band 2018). This helps people with diabetes restore autonomic balance.

It is simple and immediately useful, seeming too good to be true. But alas, science agrees: “Slow breathing could be a simple beneficial intervention in diabetes.”

3. How Stuff Works: Why Breathing Through Your Nose Is Best

"But wait, there's more. Breathing through your nose also increases the amount of oxygen in your blood more than mouth breathing, which is essential to virtually every cell, organ and tissue in your body."

- How Stuff Works
Why Breathing Through Your Nose is Best

This excellent article succinctly summarizes the benefits of nose breathing. It’s short, sweet, and packed full of great information. Enjoy!

4. With Breathing, Be Reasonable Not Rational

"Do not aim to be coldly rational when making financial decisions. Aim to just be pretty reasonable. Reasonable is more realistic and you have a better chance of sticking with it for the long run, which is what matters most."

- Morgan Housel, The Psychology of Money

I find many parallels between health and wealth. Here is another. We often get too bogged down with doing everything rationally. "This study said 20 minutes of slow breathing is best" or "That one said three times a day is needed."

Rather than following scientific studies exactly, I believe it’s better to aim for being "pretty reasonable." Find the time of day that works best with your schedule. Find the method that works best for you. Two slow breaths are better than no slow breaths. Four minutes a day is still better than zero minutes a day.

With breathing, be reasonable, not rational.

 
 
 
 

1 QUOTE

“But the nostrils, with their delicate and fibrous linings for purifying and warming the air in its passage, have been mysteriously constructed, and designed to stand guard over the lungs.”

– George Caitlin (1864), The Breath of Life

 
 
 
 

1 ANSWER

Answer: The internal surface area of these organs can be a great a 100 sq. meters, about half the size of a tennis court.

…

(Cue the Jeopardy! music.)

…

Question: What are the lungs?

In good breath,
Nick

P.S. No I need these

 
 

Breathing’s Indirect and Unseen Benefits

 

Welcome to another edition of The Breathing 411:

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

 
 
 
 

4 THOUGHTS


1. The Science of Breathing’s Indirect Benefits

Last week we learned that breathing is the only true compounding health habit. However, I believe the real magic occurs when breathing begins improving other areas of our lives. I’ve never had a reasonable explanation for these "indirect effects." They just seemed to happen. But now I do, thanks to Tiny Habits.

In this excellent book, behavioral scientist BJ Fogg shows us how tiny changes in one area of your life can lead to massive changes in others. It all comes down to a simple equation: B = MAP

A Behavior happens when Motivation, Ability, and a Prompt all come together. Makes sense. But the significant breakthrough Fogg discovered is the curved (nonlinear) relationship for when action occurs (adapted from his book below):

Befor_and_After.jpg

In this hypothetical example, we see how a breathing practice might help you exercise by increasing your motivation and physical ability (e.g., better sleep and oxygenation). The exercise prompt is now above the action line, and you exercise.

This is behavioral science, not physics. So there are no exact numbers for "motivation" or "ability." It will be unique from person-to-person. But this is where the real magic of compounding occurs. We move beyond just breathing, and begin fulfilling our own individual goals and ambitions.

P.S. Some examples from my life:

  • Walking 100 miles.

  • Having more energy to manage my diabetes.

  • Waking up before 4 a.m. every day for breathing research.

2. Health is What You Don’t See

"But the truth is that wealth is what you don't see. Wealth is the nice cars not purchased. The diamonds not bought. The watches not worn, the clothes forgone and the first-class upgrade declined."

- Morgan Housel, The Psychology of Money

Similarly, health is what you don’t see. It’s the cold you didn’t get, the late night you didn’t have, the stress you didn’t experience, the breathlessness you didn’t have after a brisk walk to catch your flight.

This is why the benefits of a long-term breathing practice might not be immediately apparent. You can’t measure the number of health issues that breathing helped you avoid. But that makes them no less important.


3. Longer Exhalations Are An Easy Way to Hack Your Vagus Nerve

"Just two minutes of deep breathing with longer exhalation engages the vagus nerve, increases HRV, and improves decision-making."

- Christopher Bergland, Psychology Today

Here’s another gem from Psychology Today on slow breathing, stress, and the vagus nerve. I may or may not have visualized "squirting some stress-busting vagusstoff" onto my heart when I took my next slow breath : )

4. Breath Matching

Rather than focus on any specific method, focus on your goals: to reduce anxiety, to increase focus, to improve autonomic function, to fall asleep, and on and on.

Then, based on those aspirations, find the right match. For combatting anxiety, you might choose extended exhales. For focus, you might pick box breathing.

But it’s not about the method; it’s about the outcome you wish to experience.

 
 
 
 

1 QUOTE

"Life and respiration are complementary. There is nothing living which does not breathe nor anything breathing which does not live."

- William Harvey, 1653, Lectures on the Whole of Anatomy

 
 
 
 

1 ANSWER

Answer: More than 60% of primary care physician visits are related to this condition.

…

(Cue the Jeopardy! music.)

…

Question: What is stress?

In good breath,
Nick

P.S. Really made me stop and think

 
 

Smiling and the Warren Buffets of Breathing

 

Greetings,

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

 
 
 
 

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.

 
 
 
 

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

 
 
 
 

1 ANSWER

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

…

(Cue the Jeopardy! music.)

…

Question: What is a mudskipper?

 
 

Become A World-Class Breather

 

Greetings,

Here are four thoughts, one quote, and one answer to start off February. Enjoy!

 
 
 
 

4 THOUGHTS

1. Become a World-Class Breather

"World-class performers are less about complexity and more about optimizing simplicity…It’s about the fundamentals. But small, daily improvements on the fundamentals every day done with ridiculous consistency creates insane revolutions over time."

- Robin Sharma, Optimize Interview

Becoming a world-class breather is actually quite simple: reduce the complexity, optimize the simplicity.

Of course, you can still utilize a variety of advanced techniques. Kobe Bryant didn’t only practice shooting free throws, and Tom Brady doesn’t only practice taking snaps. But it all starts with optimizing the fundamentals.

The best way to do that? Nose, belly, quiet, slow, repeat. Let those benefits compound into "insane revolutions over time."

P.S. Don’t forget James Clear’s advice: We have to start before we can optimize.

P.P.S. I condensed the quote, but I’ve never heard so many buzzwords stringed together so eloquently and with so much conviction : ) Enjoy listening.

2. What Optimal Breathing Can Do for Diabetes 

Although it’s not a panacea, improving our breathing might be the simplest thing we can do for our overall health. And for diabetes, in particular, optimal breathing has several direct and indirect benefits that are especially useful.

For example, it can improve cardio-autonomic function, reduce stress and anxiety (see next thought), improve blood flow, and improve sleep. These benefits can lead to better insulin sensitivity, more stable blood sugars, and less risk of long-term complications. Not bad for something as simple as breathing.

3. Harvard Business Review: Why Breathing Is So Effective at Reducing Stress

"So what makes breathing so effective? It’s very difficult to talk your way out of strong emotions like stress, anxiety, or anger…But with breathing techniques, it is possible to gain some mastery over your mind."

- Harvard Business Review,
Research: Why Breathing Is So Effective at Reducing Stress

So much goodness in this quick article. It’s a nice complement to last week’s thought on using breathing instead of thinking, and much more. Enjoy!

4. A Breathing Competition?

Compete: from Latin competere,

in its late sense 'strive or contend for (something)'

from com = 'together' + petere = 'aim at, seek'

- Apple Dictionary

So to "compete" literally means to strive for something together. In that case, we can consider this newsletter to be a breathing competition, with all of us striving to become world-class breathers together.

I hope you enjoy this competition as much as I do.

This thought was inspired by this Optimize +1

 
 
 
 

1 QUOTE

"The pattern of your breathing affects the pattern of your performance. When you are under stress, deep breathing helps bring your mind and body back into the present."

– Gary Mack, Mind Gym

 
 
 
 

1 ANSWER

Answer: This is the longest recorded breath-hold that didn’t use pure oxygen inhalation.

…

(Cue the Jeopardy! music.)

…

Question: What is 11 min 35 sec?

 
 

More Breathing in Less Time

 

Greetings,

This week’s 411 is brought to you by espresso, curiosity, my appreciation for your readership, and espresso. Enjoy!

 
 
 
 

4 THOUGHTS

1. Use Breathing Instead of Thinking

"Social psychologists now know that the truth lies in the opposite direction. People need to change their actions and their minds will follow." – Sean D Young, Stick With It

Experts tell us it’s hard to think our way out of thinking. We need to act and let the mind follow. I believe this is what makes breathing so powerful. It gives you an action you can perform anytime to trick your mind into following.

If you’re anxious, you can breathe slowly, which will calm your nervous system and lead to calmer thoughts. If you’re tired, you can breathe rapidly and stimulate your nervous system, increasing your heart rate and alertness.

There are many ways to use actions to control your emotions and thoughts. But breathing is free and easy. Stop thinking, begin breathing.

2. Post-Meal Breathing for Better Blood Sugars & Digestion

Relaxing breathing methods have been shown to reduce blood sugar spikes associated with meals and glucose tolerance tests. In Breath (pg 43), James Nestor also tells us that right nostril breathing heats up the body and aids in digestion. Together, it seems like a post-meal breathing practice might be a good idea.

I have been testing this in a simple and practical way. Specifically, I’ve been spending ~3 to 5 minutes performing either alternate nostril or diaphragmatic breathing (or their combination) after lunch.

The results have been quite noticeable. My sugars are much better (and even get low sometimes) in the hour following the meal. And these short minutes are especially helpful midday to focus my mind and get me back to work quickly.

Science + Practicality = Better Living

Even if you don’t have diabetes, adding this tiny habit after eating might help with digestion and improve energy levels. Not bad for just a few minutes.

3. More Breathing in Less Time

Brian Johnson is my favorite teacher. Long-time readers are probably sick of me talking about him : ) His motto: More wisdom in less time. In that spirit, here are a few excellent summaries Brian has made of some of the best breathing books:

Enjoy!

Thanks to new 411 reader W.G. for inspiring this thought.

4. The Best Advice You Can Give Someone Interested in Breathing

"Start now. Optimize later. Imperfect starts can always be improved." - James Clear

The Oxygen Advantage, Wim Hof, The Art of Breath, Buteyko, Breatheology, SKY, ujjayi, and on and on. They are all phenomenal for different reasons.

But the most important thing is to choose one and start—experience for yourself how simple and powerful these practices are. You can optimize later.

 
 
 
 

1 QUOTE

In my own experience, a deep breath is always a good first reaction to a first report. Try to let the potato cool a bit before you pick it up.

— General Colin Powell, It Worked For Me

 
 
 
 

1 ANSWER

Answer: This "nasal nerve" is the first one emerging from the brain.

…

(Cue the Jeopardy! music.)

…

Question: What is the olfactory nerve?

In good breath,
Nick

P.S. Preach

 
 

Wim Hof in One Sentence, and A Calming Breath

 

Greetings everyone,

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

Enjoy!

 
 
 
 

4 THOUGHTS

1. 20 One-Sentence Thoughts on the Wim Hof Method

"Wim Hof breathing doesn’t help with the cold; your belief that it helps with the cold is what helps with the cold."

The Wim Hof Method. For some, it’s easy to point out its flaws. For others, it’s hard to deny its power. But one thing is certain: it’s confusing as hell for just about everyone.

In this post, I share 20 one-sentence thoughts about the WHM. You might still be confused, but at least we can be confused together : )

2. Why Nose Breathing Might Be Especially Important for Diabetics

We have recently learned that inhaled NO is transported systemically throughout the body (a paradigm shift in breathing science). Specifically, we discovered that:

Both of these findings are particularly important for diabetes. For example, people with diabetes suffer from reduced endothelial-derived NO and reduced blood flow. Diabetics also have a tendency to store less NO as SNO-Hb.

Collectively, these papers suggest that inhaled NO might be essential for people with diabetes, providing support that diabetics should be breathing nasally 24/7.

Ultimately, it will require better blood sugars to fix the issues with NO metabolism in diabetes. But breathing might also help here, as it both improves glucose control and helps reverse the harmful effects of high blood sugars.

3. How Breathing Can Calm Us - A Perfect Read

"Instead of trying to think yourself out of feeling anxious, you can do something concrete — breathe slow or fast, in a particular rhythm, or through one nostril — and sometimes find immediate relief." - Feeling anxious? The way you breathe could be adding to it

This TED/UC Berkeley article is a gem. It will be my new go-to for people interested in the calming effects of breathing. Enjoy the excellent read.

4. Breathing is Practical Idealism

"Mahatma Gandhi called this “practical idealism,” which means that it can be practiced in every aspect of life. It doesn’t call so much for great acts of heroism as for a continuing, persistent effort to transform ill will into good will, self-interest into compassion.” – Your Life is Your Message

Breathing is a form of "practical idealism." It’s idyllic in that we can talk about how "breath is life" or how it’s our body’s most important function.

But it’s practical in that it can be used by anyone, anytime, anywhere. It doesn’t call for huge acts, just simple changes like using your nose, slowing down your breath, and extending your exhales.

And, quite literally, it can transform "ill will into good will, self-interest into compassion." Not in some woo-woo way, but in a concrete way, by stimulating the vagus nerve and shifting dominance to your parasympathetic (calming) system.

 
 
 
 

1 QUOTE

"Life’s most persistent and urgent question is: What are you doing for others?"

- Martin Luther King, Jr.

 
 
 
 

1 ANSWER

Answer: Of the five senses, this is our oldest.

…

(Cue the Jeopardy! music.)

…

Question: What is smell?

In good breath,
Nick

P.S. They just show up

 
 

Intravenous Oxygen Delivery and The River of Breath

 

Welcome to another edition of the 411 newsletter. Here are 4 thoughts, 1 quote, and 1 answer for you to consider this week. Enjoy!

 
 
 
 

4 THOUGHTS


1. Intravenous Oxygen Delivery?

"For example, oral vitamin C is absorbed in the small intestine…but intravenous vitamin C bypasses the gut, achieving blood and tissue concentrations that are markedly higher than those achieved with the oral form." - Dr. Rhonda Patrick

While reading this, I thought, nose breathing is like intravenous oxygen delivery. It improves your body’s ability to use the oxygen you breathe, increasing tissue concentrations by 10% compared to the "oral form." But we don’t need any fancy equipment. We just have to breathe the way our bodies were designed.

So for fun, we can imagine nasal breathing to be like an IV, "injecting" oxygen to the organs, tissues, and muscles that need it most.


2. The River of Breath and Chemoreceptor Flexibility

Most popular breathing methods focus on pushing carbon dioxide (CO2) to one extreme, whether it’s with hyperventilation (low CO2) or breath holds and reduced breathing (high CO2). But this misses the point. The goal is to return our breathing to its natural physiological levels, to make it optimal.

So instead of picking a side, I prefer the idea of "chemoreceptor flexibility." To adopt a concept from Dan Siegel, we can think of it like a river. On one side is low CO2 and on the other is high. We want the flexibility to occasionally push to either side. But, we’ll be most efficient when we’re flowing down the middle.

 
Chemoreceptor_Flexibility.png
 

P.S. This also brings to mind James Nestor, who said, "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." - Breath, pg. 170

3. Breathing is a Communication Skill

"The quality of your breath lets dogs know if you are the one who has what it takes to be the leader, the one who can confidently lead them to food, safety and rest. That would be the belly breather." - Breathing is a Communication Skill

I love dogs. So even though this article isn’t strictly scientific or entirely correct (and even got a little woo-woo here and there), I enjoyed reading it.

Overall, it captures the essence of relaxed breathing and provides a unique idea of how our breathing communicates with our pets. Enjoy, fellow pet lovers!

4. The Best Slow Breathing Practice for You

The best slow breathing practice is the one you’ll commit to, the one you enjoy doing most. None of the science matters if you don’t put it into action.

So, I suggest you don’t worry about the "best practice" you read in a health book or on a website. Instead, just get started and be consistent with the one you enjoy most.

Extended exhales, box breathing, or ujjayi. One minute, two minutes, or twenty minutes. It can only help, and it’s the consistency that pays off.

 
 
 
 

1 QUOTE

"Be careful about reading health books. You may die of a misprint."

- Mark Twain

 
 
 
 

1 ANSWER

Answer: The total length of the airways running through your lungs.

…

(Cue the Jeopardy! music.)

…

Question: What is 1,500 miles?

 
 

One-Sentence Ideas and Your Breathing Identity

 

Happy New Year!

Thanks for joining me for the first 411 of the year. Here are 4 thoughts, 1 quote, and 1 answer for you to consider this week.

 
 
 
 

4 THOUGHTS

1. 21 One-Sentence Breathing Ideas

"Weak is he who permits his thoughts to control his breath; strong is he who forces his breath to control his thoughts."

Breathing ideas are often long-winded, but they shouldn’t be.

Here are 21 one-sentence breathing ideas to kick off 2021. You’ll learn how breathing is the compound interest of health, the most effective way to breathe right now, and the best time to start a breathing practice. Enjoy!

P.S. Josh Spector’s excellent post on communication inspired this idea.

2. What Not to Focus On in 2021

"Just because you can measure something doesn’t mean it’s the most important thing." - James Clear, Atomic Habits

Focusing on any one outcome (e.g., CO2 tolerance or BOLT) is simplistic, even in breathing. The problem is, as James also states, "we optimize for what we measure." So, let’s avoid putting too much weight on any one measurement in 2021.

The alternative, James tells us, "is to build identity-based habits. With this approach, we start by focusing on who we wish to become." Measuring progress is important, but we don’t want our identity to be based on a measurement ("I have a high BOLT score"). Instead, we want the measurement to be an outcome of our identity ("I am someone who focuses on optimal breathing, so I have a high BOLT").

It’s a significant distinction.

3. "The Consequences of Sucking at Breathing"

"Without knowing it, you might be messing up your sleep, mood, digestion, heart, nervous system, muscles, brain, and even the development of your teeth and face structure." - Patrik Edblad, How to Breathe Properly – A (Surprisingly Important) Complete Guide

I love finding breathing articles from "non-breathing" people. It makes my heart (and lungs) happy. Even more so when they are excellently written, like this one.

My favorite part was that Patrik conveyed all the benefits of breathing without ever mentioning CO2. 👏 Enjoy the awesome read!

4. Harmonize the Butterflies in Your Stomach

"It's all right to have butterflies in your stomach. Just get them to fly in formation." - Dr. Rob Gilbert

Controlling your breathing is an easy way to help synchronize them.

 
 
 
 

1 QUOTE

"A hundred objective measurements didn't sum the worth of a garden; only the delight of its users did that. Only the use made it mean something."

- Lois McMaster Bujold

 
 
 
 

1 ANSWER

Answer: Approximately 2/3 of the mass of the human body is made up of this.

…

(Cue the Jeopardy! music.)

…

Question: What is oxygen?

In good breath,
Nick

P.S. A new reason to be upset

 
 

A Breakthrough in Respiratory Physiology

 

Happy End of the Year,

Thank you for sharing part of your Mondays with me during 2020. Here are 4 more thoughts, 1 quote, and 1 answer to reflect on as we wrap up the year.

Enjoy!

 
 
 
 

4 THOUGHTS

1. A Breakthrough in Respiratory Physiology

"We noted that the inhalation of NO led to a significant increase in nitrite and SNO-Hb. Nitrite peaked at 5 minutes and SNO-Hb peaked beyond 15 minutes, of discontinuing the NO inhalation." - Tonelli et al. (2019), PLOS ONE

Two weeks ago, we learned that inhaled NO is transported throughout the entire body. I promised to follow-up with newer research, and here it is.

This 2019 study, led by researchers at the Cleveland Clinic, found that inhaled NO increases circulating levels of SNO-Hb and nitrite. This matters because SNO-Hb is crucial to whole-body oxygenation.

The levels of inhaled NO studied here were much higher than what is produced in the nose. However, it seems likely that the NO we inhale during nasal breathing acts through this same pathway, assisting with oxygen delivery throughout the entire body. We’ll have to see what future studies show…

In the meantime, if you geek out on breathing, this represents a paradigm shift in respiratory physiology. Learn more in the full summary.

Here’s to another year of nasal breathing and continuous learning.

2. How to Begin Something New this Year

"If there’s one concept from my book I hope you embrace, it’s this: People change best by feeling good, not by feeling bad." – BJ Fogg, Tiny Habits 

Let’s remember BJ’s advice as we embark on any change in 2021. Specifically for breathing, we should remember that our practice should be natural, not burdensome. It should make us feel good, not be another source of worry.

More broadly, let’s not feel "obligated" to change, but instead, do it because it makes us feel good and improves our health. This just seems like common sense, but sometimes it takes a really smart person like BJ Fogg to state the obvious.

P.S. Do you remember BJ’s number one tip for feeling good? Celebrate. A lot.

P.P.S. Things that are hard during but make you feel good after, like workouts and cold showers, still fit into this : )

3. The Breathing Essentials and "Nice-to-Haves"

"The first section contains the essential things you need to follow…The rest are nice-to-haves. If you have the time and energy to add these things, your program will be a lot better." - CLI Guidelines

I do a lot of computer programming in my "job job." As a true nerd, I also occasionally read articles like this one in my free time. However, when I read this passage, I immediately saw how this concept could be applied to breathing.

The breathing essentials would be:

  • Nose breathing

  • Slow breathing

  • Diaphragmatic breathing

And the nice-to-haves:

  • Breath holds

  • Alternate nostril breathing

  • Fast & slow oscillations

  • And on & on

If you focus on the essentials, you’ll be on your way to better health. Throw in a few "nice-to-haves," and your breathing program will be that much better.

4. Some Breathing Quotes to Reflect On

"Have you ever observed that we pay much more attention to a wise passage when it is quoted than when we read it in the original author?" - Philip G. Hamerton

I love scrolling through quotes and reading ones that pop out. If you do too, here’s a page I hope you enjoy:

Page of Quotes

 
 
 
 

1 QUOTE

"As long as we have breath, as long as we are still conscious, we are each responsible for answering life’s questions." - Viktor Frankl

Thanks goes to Brain Pickings for this one 🙏

 
 
 
 

1 ANSWER

Answer: In the 2 h 15 min leading up to the New Year, the average person will take approximately this many breaths.

…

(Cue the Jeopardy! music.)

…

Question: What is 2021?

In good breath,
Nick

P.S. Post-Christmas shopping deals

 
 

The Skill of Breath and Pillars of Health

 

Greetings,

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

 
 
 
 

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.

 
 
 
 

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

 
 
 
 

1 ANSWER

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

…

(Cue the Jeopardy! music.)

…

Question: What is a breathalyzer?

In good breath,
Nick

P.S. Every mom & dad on Christmas

 
 

A Breathing 4-Minute Mile, plus Inhaled Nitric Oxide

 

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

 
 
 
 

4 THOUGHTS

1. The Breathing 4-Minute Mile

The Wim Hof endotoxin study is breathing’s equivalent to a "4-minute mile."

People have been using breathing to modulate their autonomic nervous and immune systems for thousands of years. But Wim brought it to the world.

He proved it was possible, scientifically. And similar to how people now run 4-minute miles without using Roger Bannister’s exact training, I believe science will show that many breathing techniques work in similar ways.

But what matters most is that it’s possible. And it’s possible through breathing.

2. Inhaled Nitric Oxide has Whole-Body Effects

To date, I believe this might be one of the most important findings in breathing.

We typically believe the benefits of inhaled nitric oxide (NO) end in the lungs. However, a paper I recently reviewed showed it has whole-body effects.

Here are the take-home points from the study:

  • Their measurements were consistent with systemic transport and delivery of bioactive inhaled NO.

  • Inhaled NO can improve blood flow in distant regions where endothelial NO is suppressed—it works "where needed."

  • These effects on blood flow might be most relevant in diseases that disrupt endothelial-derived NO, like diabetes & many others.

If you’re interested, see the full summary for more details. I will be expanding on this topic with more recently-published research in the coming weeks.

3.   Why We Sigh - A Vice Article

"Breathing isn’t only the automatic exchange of oxygen and carbon dioxide, afterall. The way we breathe is influenced by our emotions and environment, and vice versa."

- Shayla Love, Why We Sigh

This was a fantastic read; I couldn’t recommend it more. I especially enjoyed the short passage about sighing and breathing variability.

I hope you all like it as much as I did.

4. Three Steps to Breathe Better Right Now

  1. Breathe through your nose.

  2. Slow down your breathing.

  3. Make each breath inaudible.

 
 
 
 

1 QUOTE

"How do you identify someone who needs encouragement. That person is breathing."

- Truett Cathy

 
 
 
 

1 ANSWER

Answer: In the atmosphere, nitric oxide is generated from this energetic process.

…

(Cue the Jeopardy! music.)

…

Question: What is lightning?

 
 

In good breath,
Nick

P.S. Doesn’t seem like a fair fight.

The Breathing 411 Newsletter

Each Monday I share 4 thoughts, 1 quote, and 1 answer like the ones you just read. If you enjoyed it, please sign up below.

 
 

Patch Your Breath, and Wim Hof’s Slow Breathing Method?

 

Happy Monday, and welcome back to another issue of The Breathing 411. Here are four thoughts, one quote, and one answer for you to reflect on this week.

 
 
 
 

4 THOUGHTS

1. Instead of a Bigger Engine, Patch the Hole in Your Boat

If you have a hole in your boat, a bigger engine or better fuel might keep you afloat longer. A more aerodynamic design might help you temporarily go faster. But either way, you’ll still be slowly sinking until you patch the hole.

Your breathing is that hole. You can eat better, workout harder, and take more supplements, which will all be very helpful. But until you "patch" your breath, you’ll never see the true potential of your energy and performance.

2. Diaphragmatic Breathing from the Cleveland Clinic

"But keep at it, because with continued practice, diaphragmatic breathing will become easy and automatic."

- Diaphragmatic Breathing, Cleveland Clinic

Last week, we discussed how diaphragmatic breathing improves recovery. Here’s a brief article from The Cleveland Clinic (regarded as one of the best hospitals and research centers worldwide) on how to get started.

Enjoy!

3. Become a Breathing Flâneur

"The flâneur continuously—and, what is crucial, rationally—modifies his target as he acquires information."

- Nassim Taleb, Antifragile

I propose we become breathing flâneurs. Let’s not be rigid with our techniques, but rather be open to change as we get new information.

Importantly, let’s rationally modify our approach based on the best information we have and the circumstances we find ourselves in.

The best way to do this is to have many options to choose from (slow breathing, Oxygen Advantage, Wim Hof, and so on) and use them as needed.

4. Wim Hof’s Slow Breathing Method - A Thought on Statistics

Here’s a fun thought about the infamous Kox et al. (2013) study on the Wim Hof Method (WHM). This paper scientifically validated that the WHM can allow people to control their autonomic nervous system and innate immune system.

There is a plot (their Figure 2) showing about 10.8 minutes of data. In that time, participants did 3 rounds of hyperventilation, and 3 breath holds. Each hyperventilation session was ~30 breaths. So, over the 10.8 minutes, they took about 90 breaths. On average, that’s ~8.3 breaths/min.

Thus, from a statistical perspective, the Wim Hof Method is slow breathing.

Now consider how much different it is to "breathe at 8 breaths/min for 11 minutes" compared to "performing three rounds of the WHM." This is why we must always put statistics into context…

But it’s also just fun to ponder : )

 
 
 
 

1 QUOTE

"Facts are stubborn things, but statistics are more pliable."

- Mark Twain

 
 
 
 

1 ANSWER

Answer: About 50% of the oxygen you breathe originated from this location.

…

(Cue the Jeopardy! music.)

…

Question: What is the ocean?

In good breath,
Nick

P.S. A fun thought exercise.