weekly email

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!

 
 

 
 

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.

 
 

 
 

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

 
 

 
 

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.

(Cue the Jeopardy! music.)

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

P.S. I found this in Breath.


In good breath,

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

P.S. “NO GAME SCHEDULED”

 
 
 

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.

 
 

Phil Mickelson, and How Modern Science Helps Explain 2000-Year-Old Wisdom

 
 

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Hey,

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

 
 

 
 

4 Thoughts


1. The Real Lesson from Phil Mickelson: For Diabetes, and Life in General

Phil Mickelson used controlled breathing throughout the PGA Championship. So, when he won, it was an exciting moment for the breathing community.

But do you know what happened for the next tournament? He played poorly.

Of course, with sports, we accept that this is just part of the game. Even with his focused breathing, no one can win them all.

But do you apply this concept in your life, especially if you have diabetes?

Do you remember that life is more complex than sports? There’s no “one thing” that will ensure you always win.

But, and this is important, Phil still finished that next lousy round of golf. He didn’t just walk off the course because he wasn’t winning.

And that’s what we have to do. A high blood sugar doesn’t mean we should give up on our protocol. A poor night of sleep doesn’t mean this breathing stuff doesn’t work. Life is hard, and we all have off days. But, that’s precisely when we need our fundamentals the most.

Here’s to knowing we’ll have bad days and weeks, and finishing anyway, knowing we’ll eventually be on top again.

***

P.S. I know nothing about golf, so thanks to my dad for pointing out how bad Mickelson played when we hung out on Father’s Day, sparking this thought : )

2. Breathing is a Scalpel to Your Brain and Emotions

In 2017, a group of Stanford researchers discovered a small cluster of neurons that control your breathing—the breathing “pacemaker neurons.”

It turns out that these neurons extend to other parts of the brain that control emotions, and it’s a two-way street: The emotional areas can influence your breathing, but your breathing can also influence them.

On a recent RadioLab Podcast (aptly titled “Breath”), after learning this, Molly Webster likened her breathing to a scalpel to her brain and emotions:

I feel like, in a way, he almost gave me like a scalpel to get inside my own brain and control it…If I actually change my breathing, it will change this breath pacemaker region, and it will send an ‘I’m chill’ signal to the fight or flight directly, and it will calm down.

This brought a massive smile to my face. What a perfect analogy.

Practically and scientifically, you can know that when you take control of your breath, you take control of a small cluster of neurons that talk to other regions of your brain. So the scalpel is right there in your nose. Use it when needed.

***

P.S. Thanks to one of my best friends, Capt J.G., for sending me this podcast.

3. “Breathing Exercises for Better Metabolic Health”

Research shows that controlled breathing can positively impact our nervous system, reducing stress and maybe even improving glucose control.

- Levels, Breathing Exercises for Better Metabolic Health

This article is a perfect synthesis of research and practical advice on how breathing might help with blood sugars. It’s basically my entire website summarized into a 6-minute read…I feel rather long-winded now : )

Please read and share this one!

***

Related: My recent conversation with Evan Sorkoa, author of Yoga Therapy for Diabetes, on all things breathing, yoga, and diabetes.

Related: The Lesser-Known Benefits Of Nasal Breathing, Designed For Diabetes

Related: Why Slow Breathing is Beneficial for Diabetes

4. Moderate Breathing, in Moderation

“All breathing in moderation, including moderate breathing.”

A reader helped me add this one to the list of “Breathing Graffiti.” Thanks, M. Night Larry. It’s clever, and it has lots of practical wisdom too.

Remember that we take over 20,00 breaths a day. So Wim Hof is OK now and then. Breath holds are OK now and then. (If you’re in good health, of course.)

All breathing in moderation, even moderate breathing. That’s a simple and valuable principle to live by.

 
 

 
 

1 Quote

When the mental state is disturbed, the life energy (prana) gets unbalanced and this leads to irregular breath; hence to regulate the mental state the yoga practitioner should regulate the breath.

Hatha Yoga Pradipika, 300 A.D., from Role of respiration in mind-body practices: concepts from contemporary science and traditional yoga texts

***

P.S. This was from almost 2000 (!) years ago. The neurons controlling how this works (Thought #2) were only discovered in 2017. The paper linked above provides additional insight into the science behind this ancient wisdom.

 
 

 
 

1 Answer

Category: Breathing in History

Answer: The healing power of the breath was recognized this far back.

(Cue the Jeopardy! music.)

Question: What is 7000 BCE? (pg. 58)


In good breath,

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

P.S. You know. Like a book.

 
 
 

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.

 
 

Phil Jackson on Focused Breathing, Nature’s CO2 Trick, and Wisdom of Yoga

 
 

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Hey,

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

 
 

 
 

4 Thoughts


1. Don’t Let Your Breathing Get Featured to Death

The answer starts with the noble intentions of engineers. Most technology and product design projects must combat feature creep, the tendency for things to become incrementally more complex until they no longer perform their original functions very well.

- Chip and Dan Heath, Made To Stick

Breathing practices are simple. But, as humans, we tend to make things more complex. We let “feature creep” take over (guilty here). As Chip and Dan tell us, it’s an innocent process, but sooner or later, things get “featured to death.

Feature creep can be seen in breathing in many ways—the infinite number of methods available, the untold number of bio-monitors you can wear, the countless places you can focus each breath.

These are all awesome things, and we should always be trying to improve our breathing. But, if your practice has lost its original function (relaxation, focus, etc.), then maybe it’s creeping too far.

Here’s to keeping our breathing fun and adding things that bring it more to life, not feature it to death.

***

Related Quote:The hardest thing in the world is to simplify your life because everything is pulling you to be more and more complex.” - Yvon Chouinard, Patagonia Founder

P.S. I find this to be more of an art than science with my practice. What’s “too much” for me might seem like “not enough” for you, so it’s very personalized.

2. How Nature Tricked Us into Thinking Carbon Dioxide is So Important

When you get interested in breathing, you eventually get fascinated by carbon dioxide (CO2). The more you learn, the more you feel like you’ve been duped the whole time: “Breathing is really about CO2, not oxygen.

Everywhere you look, this makes sense:

It just seems like CO2, not oxygen, is the star of breathing.

But just when you think you have it figured out, Nassim Taleb reminds you of the brilliance of Nature:

It is all about redundancy. Nature likes to overinsure itself. Layers of redundancy are the central risk management property of natural systems.

- Nassim Taleb, Antifragile

Ah-ha, reading this passage through the lens of breathing, we see it is really about oxygen. Nature is just smarter than us.

Nature built in layers of redundancy to ensure we always have enough—from our perspective, it seems wasteful. But paradoxically, that wasteful appearance is precisely due to how vital oxygen is.

As Taleb says, “Redundancy is ambiguous because it seems like a waste if nothing unusual happens. Except that something unusual happens—usually.

There’s no real practical wisdom here, just fun to consider the genius of Nature and evolution. Here’s to never-ending learning and never-ending 🤯

***

Related Quote: "And if the traveler is fortunate…the destination is two miles farther away for every mile he or she travels." - George Leonard

3. Breathe through Your Nose! Modern Research Confirms the Wisdom of the Yoga Tradition

Quite rightly, it revealed that breathing through the nose led to a 10 – 15% higher oxidation of the blood.

- Eddie Weitzberg, M.D. Ph.D.,

Breathe Through The Nose! Modern research confirms

Of course, if I see an article that starts with “Breathe through the nose!” I’m going to read it and share it : )

And even better, this one was written by one of the pioneers in nasal nitric oxide research, Dr. Weitzberg. He was part of the (now somewhat famous) study showing nose breathing increases oxygen by 10-20%.

It’s a quick read and a good reminder of how powerful nasal nitric oxide is.

Enjoy!

***

P.S. Check out the 3rd paragraph in the grey box titled “Nadi Shodana – to counter asthma.” It’s the best explanation I’ve heard for pinching your nose closed on a breath hold.

4. Phil Jackson on Focused Breathing Before a Big Game

When we made it to our banquet room, five minutes ahead of schedule, every player was already in his spot ready to sit and breathe together.

- Phil Jackson, Foreword in The Mindful Athlete

This was the morning of Game 7 in the 2002 Western Conference Finals. The Lakers won in overtime. Phil Jackson said the players kept the same cool on the court in overtime as they had in the banquet room breathing together.

Did they win because of breathing? Of course not. But did it help? Probably.

As Phil goes on to say:

A lot of athletes think the trick to getting better is to just work harder, but there is a great power in non-action and non-thinking. The hardest thing after all the work and all the time spent on training and technique is just being fully present in the moment.

Focused breathing helped the Lakers achieve just that.

 
 

 
 

1 Quote

Breathing is the only system in the body that is both automatic and also under our control. That's not an accident of nature, not a coincidence. It's an invitation, an opportunity to take part in our own nature and evolution.

– Dr. Belisa Vranich and Brian Sabin, Breathing for Warriors

 
 

 
 

1 Answer

Category: Nature and Oxygen

Answer: Although still up for debate, it is recognized that these trees generally give off the most oxygen.

(Cue the Jeopardy! music.)

Question: What are Douglas-fir, spruce, true fir, beech, and maple?


In good breath,

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

P.S. Liked them and adopted them

 
 
 

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.

 
 

Applying Gandhi's Wisdom, The Science of Learning, and $100 to Your Breath

 
 

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Hey,

Welcome back to another issue of the The Breathing 411. Here are 4 thoughts, 1 quote, and 1 answer that I hope you enjoy this week!

 
 

 
 

4 Thoughts


1. Why Your Breathing Gains Get More Boring With Time

Gaining the first $100 at the track feels much better than winning the second $100, which feels better than winning the third $100, and so on. Eventually, if things get good enough, there is almost no psychological benefit when they get even better. This relationship reflects what economists call diminishing marginal utility.

- Barry Schwartz, The Paradox of Choice

Building off last week’sSatisfaction Treadmill,” let’s not forget this passage when our breathing, or anything else we’re working on, starts feeling boring.

We’re still making gains. They just might not feel as dramatic, because we already feel so good.

***

Related: James Clear’s Plateau of Latent Potential

2. Applying Gandhi’s Wisdom and Scientific Research to Appreciate Your Favorite Breathing Practice

Humans do not give greater credence to an objective record of a past event than to their subjective remembering of it.

- Make It Stick: The Science of Successful Learning

Translation: What you experience holds more weight than what you learn.

As the Make it Stick authors also tell us, research shows it’s “nearly impossible to avoid basing one's judgments on subjective experience.

Some might say this is a flaw of being human—we base things on emotions instead of facts. I say it’s amazing, at least when it comes to breathing : )

Because with breathing, this means that whatever you experience is what’s true for you. Your practice is yours; no science or statistics needed.

Practically, it means that if your experience with Wim Hof was terrific, then you should keep doing it. Or, if slow breathing was life-changing, do that.

As Gandhi tells us, “As long as you derive inner help and comfort from anything, keep it.” This applies perfectly to breathing. And science agrees.

***

P.S. If you like mouth breathing 24/7, I’m sorry, that doesn’t count here 😂

Related: “What is the Right Breathwork Method For Me?” from Breathwork Alchemy (Excellent Instagram post—concise and packed with wisdom)

3. Mouth Tape: End Mouth Breathing for Better Sleep and a Healthier Mouth

Becoming a nose breather is a process, but even repeated cycles of just a few minutes of nose breathing can effectively train your body to do it regularly.

- Dr. Mark Burhenne, Mouth Tape: End Mouth Breathing for Better Sleep and a Healthier Mouth

Mouth taping is odd. It’s perhaps the most important thing we can do for our health, but it’s hard to recommend without sounding slightly crazy.

Fortunately, Dr. Mark Burhenne wrote this great article, which covers basically every aspect of taping up at night. It will now be my go-to for anyone interested in the topic.

Enjoy the great read, and enjoy sharing it with others.

***

Related: Mouth breathing during sleep significantly increases upper airway resistance and obstructive sleep apnea

4. To Take Care of Your Heart, Take Care of Your Breath

In other words, the primary role of the heart is to distribute the oxygen brought into the lungs during inhalation, and to bring carbon dioxide back to the lungs where the excess can be breathed out.

– Patrick McKeown, The Breathing Cure (pg. 237)

I’ve never thought of it this way: Your heart’s main job is to make your breathing useful to the rest of your body. So from this viewpoint, it’s obvious they must work together. And all the science we review makes perfect sense.

Of course breathing efficiently would make our hearts work more effectively. And of course we would see measurements like heart rate variability increase and blood pressure decrease.

That’s because the heart and breath can’t be separated. Thus, we might even say, to take better care of your heart, take better care of your breath.

***

Related Quote:Although the lungs are clearly an essential element of the processes we associate with breathing, they alone do not provide the whole story.” - Respiratory Physiology: A Clinical Approach

 
 

 
 

1 Quote

Deep breathing is a potent inducer of the parasympathetic system. The release of acetylcholine not only calms our organs, it also stimulates the release of serotonin, dopamine, and prolactin, the feel-good hormones targeted by medicines like Prozac and Zoloft. But yoga and breathing exercises produce this effect naturally and without side effects.

- Michael J. Stephen, MD, Breath Taking

 
 

 
 

1 Answer

Category: Nasal Airways

Answer: Although the effect is less commonly discussed, when this gas is released into the nasal airways, it helps warm incoming air.

(Cue the Jeopardy! music.)

Question: What is nitric oxide?


In good breath,

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

P.S. Except for what happens in my brain

 
 
 

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.

 
 

Treadmills, Metronomes, and Breathing Graffiti on 28 Famous Quotes & Idioms

 
 

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Hello fellow breathing nerds,

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

 
 

 
 

4 Thoughts


1. The Satisfaction Treadmill, and Why We Forget How Good Breathing Makes Us Feel

In addition to being aware of the hedonic treadmill, we should also be wary of the satisfaction treadmill. This is the double whammy of adaptation. Not only do we adapt to a given experience so that it feels less good overtime, but we can also adapt to a given level of feeling good so that it stops feeling good enough.

- Barry Schwartz, The Paradox of Choice

I thought treadmills couldn’t get any worse, but alas: the satisfaction treadmill.

It’s the reason you still enjoy your breathing or meditation practice, but aren’t sure why it doesn’t feel as good as it used to. It’s why you eat healthily, but still get excited about the latest “superfood” or supplement.

You have adapted to your new level of feeling good, which means it’s not good enough anymore. I say this confidently because I do it all the time—just ask my wife : )

This is, of course, not the best way to live, with breathing or anything else. And things like gratitude and prayer are clearly invaluable. But, in my experience, just having an awareness of the satisfaction treadmill is helpful.

Having awareness gives you space. You can decide if something really isn’t working anymore, or if you’ve simply adjusted to a new level of feeling good.

Here’s to slowing down (or even stepping off) the treadmill today.

2. Breathing as a Metronome for Centering Yourself

Now consider your breathing like a metronome, consistently and rhythmically connecting you to your own source, and providing you with a regular mechanism for re-centering yourself.

- George Mumford, The Mindful Athlete

Building on last week’s trampoline thought, here’s another way of looking at slow breathing. You can consider your breathing to be like a metronome, setting the tempo for many rhythms in the body.

Slow down the metronome, and you slow down and synchronize these other rhythms.

And the best part about it? You are the conductor, and the breath is always available, “providing you with a regular mechanism for re-centering yourself.

***

P.S. I listened to this book, so my apologies to George Mumford if my transcription has punctuation errors.

3. Babies Do It. So Do Fitness Trainers. Now Scientists Say It Might Even Improve Memory.

The results showed that when the participants breathed through their noses between the time of learning and recognition, they remembered the smells better.

- Forbes, Babies Do It. So Do Fitness Trainers…

Here’s an excellent article from Forbes. It starts out discussing memory and nasal breathing, but then goes into many other aspects of the nose.

They also provide 3 breathing exercises recommended by Dr. Andrew Weil. Of course, we all know 4-7-8, but the “Breath Counting” one was neat too.

Enjoy the great read.

***

Related: Nasal breathing synchronizes brain wave activity and improves cognitive function

Related Quote:In other words, mouth breathing can create fragility while nasal breathing can create resiliency.” - Tim Anderson in The Breathing Cure

4. Breathing Graffiti on 28 Famous Quotes, Sayings, and Idioms

To breathe, or not to breathe: that is the question.

Don’t put all your breaths in one basket.

- No One Ever

When I wake up low at night, I sometimes use breathing to help me fall back asleep (after eating glucose, of course). Other times, I accept that I won’t be sleeping for a while, and I just let my mind wander and laugh at my thoughts.

This thought came on one such night, Thursday, March 11th, to be specific. It seemed especially cheesy, so I decided to go with it : ) Some of them I actually found pretty funny, others I had to stretch a bit…

Here are 28 Popular Sayings with “Breathing Graffiti”

Shoot me an email if you have any good ones I didn’t think of so I can add them in.

P.S. #11 is my favorite.

***

Related: 21 One-Sentence Breathing Ideas

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

Related: 18 Excellent Statements from Scientific Articles

 
 

 
 

1 Quote

What I wear is pants. What I do is live. How I pray is breathe.

—Thomas Merton

Thanks to great friend E.S. for this one. Absolutely love it.

 
 

 
 

1 Answer

Category: Nasal Airways

Answer: These tiny hair-like structures oscillate at rates as high as 16 beats per minute.

(Cue the Jeopardy! music.)

Question: What are cilia?

P.S. I learned this in Ch. 3 (pg. 45) of Breath.


In good breath,

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

P.S. Let’s not get ahead of ourselves

 
 
 

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 Know-How, and Why Trampolines Are Better than Science

 
 

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Happy Monday,

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

 
 

 
 

4 Thoughts


1. The Ultimate Goal of Breathing Education is Breathing Know-How

Knowledge is not know-how until you understand the underlying principles at work and can fit them together into a structure larger than the sum of its parts. Know-how is learning that enables you to go do.

- Make It Stick

This is the ultimate goal of breathing education. Having the tools to “go do.” Fitting the principles of breathing into a coherent structure that’s larger than just “breathe through your nose” or “do the Wim Hof Method.”

Here are a few simple ways I try (emphasis on try) to do this in my life:

  • Exhaling through the mouth at the start of each slow breathing session.

  • Many short bouts of breathwalking, especially to reset between tasks.

  • Slow breathing after lunch when my blood sugars are weirdest.

And here’s a real-world example of breathing know-how used to help a 67 year old with breathlessness. (Note the range of breathing methods used.)

Here’s to building more breathing know-how today.

***

Related Quote:The shoe that fits one person pinches another; there is no recipe for living that suits all cases.” —Carl Jung

Related Quote:The people I distrust most are those who want to improve our lives but have only one course of action.” - Frank Herbert

(Both of those also apply to using breathing as a cure-all too.)

2. Why Trampolines are More Useful than Science to Explain Slow Breathing

Do you remember jumping on a trampoline with your friends? You all start out jumping at different rhythms—it’s really quite awkward at first.

But then, gradually, you begin jumping together. You start synchronizing the ups and downs, and each bounce gets a little bit higher. (Then, of course, someone eventually gets “launched,” but that’s beside the point : )

The analogy is that slow breathing does this for our bodies.

We have many mechanisms working at different rhythms to keep things in balance. Your heart might get one message to slow down, but then you began to inhale, sending it a new message to speed up. There’s just a lot going on.

But when you breathe slowly, several of these messages come together and begin to work in unison, like kids jumping together on a trampoline. This synchronization amplifies your natural rhythms, making things more efficient.

So next time you sit down to breathe at 4-6 breaths per minute, remember the trampoline. And take joy in how easily you can bring your body’s chaotic rhythms into complete harmony.

3. How Slow Breathing Might Help with Allergies

Researchers unveil relationship between presence of corticotropin-releasing stress hormone and increase in and degranulation of allergy-causing mast cells.

- Relieve your stress, relieve your allergies

Excess stress makes everything worse. It looks like allergies are no exception.

But the point of sharing this article is this: Maybe the stress-reducing benefits of a consistent slow breathing practice could help reduce allergy symptoms?

Seems like a reasonable thought…

***

Related: Decrease Stress By Using Your Breath (Mayo Clinic)

Related: Why Breathing Is So Effective at Reducing Stress (Harvard Business Review)

P.S. Thanks to new 411 reader A.K. for inspiring this thought!

4. Does This Mean Optimal Breathing is Optimal Living?

Life and the breath are synonymous.

- Michael J Stephen, MD

For breath is life, and if you breathe well you will live long on earth.

- Sanskrit Proverb.

From medical doctors to Sanskrit proverbs. Science journals to spiritual journeys. The breath is always equated with life.

Deductive reasoning might tell us that, if breath is life, then optimal breathing is optimal living.

 
 

 
 

1 Quote

By reducing tension, alleviating anxiety, and improving blood flow and oxygenation, breathing practices enhance speed, accuracy, strength, and endurance.

- Richard Brown, MD and Patricia Gerbarg, MD

The Healing Power of the Breath

 
 

 
 

1 Answer

Answer: A large portion of seasonal allergy sufferers are sensitive to pollen from this source.

(Cue the Jeopardy! music.)

Question: What is the grass?


In good breath,

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

P.S. Ready to tackle the day

 
 
 

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 Mystical Organ, and The 4 Best Ways to Keep Your Breathing Interesting

 
 

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Greetings,

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

 
 

 
 

4 Thoughts


1. The 4 Best Ways to Keep Your Breathing Practice Interesting

  1. Try New Methods

    • Example: Trying a new method or breathing rate each week.

  2. Make it Harder

    • Example: Gradually increasing the sides of your box breath.

  3. Use it in Harder Situations

    • Example: Using nasal-only breathing during a run or workout.

  4. Focus on Compounding (my favorite)

    • Example: Using the same method with ridiculous consistency.

P.S. Any #1-3 can actually be applied in #4 too.

2. How Slow Breathing Helps Lower Your Blood Sugar, Diabetes or Not

Slow deep breathing activates the calming parasympathetic nervous system. This might increase insulin sensitivity and, in people without type-1 diabetes, stimulate insulin production. The immediate result is lower blood sugar.

So, diabetes or not, these blood-sugar-balancing effects are pretty phenomenal. But if you have diabetes, the compounded benefits get even more impressive.

In one long-term study, type-2 diabetics who practiced slow deep breathing for 15 min twice a day for one year improved their HbA1c by as much as 2%.

To put that in perspective, every 1% reduction in HbA1c reduces the risk of heart attack by 14%, the risk of death by 21%, and the risk of microvascular complications by 37% in people with type-2 diabetes.

With results like these and no adverse side effects, slow breathing just seems like a no-brainer for helping manage blood sugars.

3. A Breathing Grab Bag

Here’s a hodgepodge of interesting articles to browse this week:

4. To Understand the Benefits of Breathing, Do This

Understanding is not conceptual, and therefore cannot be passed on. It is an immediate experience, and immediate experience can only be talked about (very inadequately), never shared.

- Aldous Huxley

My attempts to convey the benefits of breathing are “very inadequate,” at best.

I can share how breathing lowers blood sugar or increases HRV, which is fun and exciting stuff. But to understand it requires that you experience it.

So pick a method that resonates with you and go experience it for yourself. It’s too simple not to.

We must always remember that knowledge of understanding is not the same thing as the understanding, which is the raw material of that knowledge.

P.S. I found these passages in the Brain Pickings Sunday Newsletter.

 
 

 
 

1 Quote

The lungs are a mysterious and even mystical organ. They are our connection to the atmosphere, the organ that extracts the life force we need to exist.

- Michael J Stephen, MD, Breath Taking

 
 

 
 

1 Answer

Answer: Your “mysterious and even mystical” lungs breathe approximately this many gallons of air each day.

(Cue the Jeopardy! music.)

Question: What is 2,000?


In good breath,

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

P.S. Me this past Saturday

 
 
 

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

 
 

Listen to this post:


 

Hey,

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

I hope you enjoy reading!

 
 

 
 

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


 
 

 
 

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

 
 

 
 

1 Answer

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

(Cue the Jeopardy! music.)

Question: What is its heart?

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


In good breath,

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

P.S. bet u just loooove school

 
 
 

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.

 
 

Slow Breathing Really Does Help Everything, According to a 2020 Study

 
 

Listen to this post:


 

Hey,

It’s a fun post this week. Lots of good info, plus one of the best real-life breathing videos you’ll ever see.

I hope you enjoy it!

 
 

 
 

4 Thoughts


1. Slow Breathing Really Does Help Everything, According to a 2020 Study

The results of this review provide evidence that HRVB and PB at approximately six breaths per minute have positive effects on a variety of physical, behavioral, and cognitive conditions.

- Heart Rate Variability Biofeedback Improves Emotional and Physical Health and Performance: A Systematic Review and Meta Analysis

Good news. I’m not crazy, which is how I often feel after every paper I read leads me to say that “slow breathing helps with just about everything.”

But, that’s also the conclusion of a recent 2020 meta-analysis.

They found that, like we discuss all the time, slow breathing won’t “cure” any one particular thing. But, it does help many different things in small ways:

The overall effect sizes are modest but highly significant, suggesting that these methods may not be sufficient for treating any one problem but may be useful as a complementary intervention.

Amen to that. And like you already know, when combined and compounded, these small improvements add up to overall better health.

To learn more, click here and read my short summary of the study.

Or better yet, don’t read it. Instead, spend those few minutes breathing slowly and experiencing the positive benefits for yourself : )

Related: Breathing is the Compound Interest of Health and Wellness

Related: Cardiovascular and Respiratory Effect of Yogic Slow Breathing in the Yoga Beginner: What Is the Best Approach?



2. Diabetes Really Does Hurt Everything, According to Our 2020 Life Experience

Just kidding. Well, kinda.

But I believe the meta-analysis above in thought #1 highlights why slow breathing can be so beneficial for diabetes.

As we know, when not properly managed, diabetes hurts just about every aspect of health and wellness:

  • Anxiety

  • Distress

  • Autonomic function

  • Emotional regulation

  • Cardiovascular function

  • And on & on

So, if slow breathing helps many of these, even modestly, they’re still going to add up to considerable benefits for our diabetes control.

Of course, it’s not a cure-all. But slow breathing is possibly the simplest, safest, and most effective thing we can do to address many diabetic problems.

Related: Diaphragmatic breathing improves antioxidant status & HbA1c in type 2 diabetics


3. Breathing Exercises for Kids: Everything Parents Need to Know

The cure? Take a deep breath. That sounds like a useless platitude. It’s not.

- Breathing Exercises for Kids: Everything Parents Need to Know

Wow, this was a surprisingly good article. Quick and easy, and full of good information. It did have one typo about CO2, but I’ll let it slide since they provided so many awesome breathing books I can now get my daughter : )

And since they also provided this excellent advice for our children, nieces and nephews, and really just everyone in general:

You practice every day, you slow breathe every day, even when you’re not anxious, and then even though you become a little bit anxious, you have the bandwidth to not fall off the edge.

- Dr. Umakanth Katwa,
Director, Sleep Laboratory at Boston Children’s Hospital
Professor at Harvard Medical School

Sounds good to me.

Enjoy the excellent read!

Related: Watch this in action.

This is perhaps the best real-world 21-second breathing video ever recorded.

4. Words Are Not Always Adequate, or Important

Again, the likely explanation is that what is most easily put into words is not necessarily what is most important.

- Barry Schwartz, The Paradox of Choice

This is certainly true for breathing.

Heart rate variability, autonomic function, blood pressure, blood flow, anxiety, distress. Slow breathing helps them all, and they all sound good.

But are they what’s truly most important?

I think that 21-second YouTube video above is what’s most important.

And I don’t have words for that.

 
 

 
 

1 Quote

Adopt the pace of nature: her secret is patience.

- Ralph Waldo Emerson

 
 

 
 

1 Answer

Answer: Over 1.1 million children and adolescents below the age of 20 have this chronic disease, increasing their likelihood of anxiety and depression.

(Cue the Jeopardy! music.)

Question: What is type-1 diabetes?


In good breath,

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

P.S. WELL WHAT TIME DOES HE GET OFF?

 
 
 

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.

 
 

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

 
 

Listen to this post:


 

Thanks for clicking on another issue of The Breathing 411.

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

 
 

 
 

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:

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.

 
 

 
 

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

 
 

 
 

1 Answer

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

(Cue the Jeopardy! music.)

Question: What is 0.1 Hz?


In good breath,

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

P.S. …and the money will come

 
 
 

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!

 
 

 
 

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)

 
 

 
 

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

 
 

 
 

1 Answer

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

(Cue the Jeopardy! music.)

Question: What is oxygen?


In good breath,

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

P.S. Enough for the next 11 days

 
 
 

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

 
 

Listen to this post:


 

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

 
 
 

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”

 
 

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

 
 

Listen to this Post as a 5-min Podcast:


 

"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