Ida del Mundo

Pete Mockaitis
Michael, welcome back.

Michael Breus
Thanks for having me. I’m excited to be here eight years later.

Pete Mockaitis
Yes, indeed. It’s been a while. You were one of the first and one of the longest episodes because I had so much I wanted to talk to you about sleep. So, thank you for bringing it.

Michael Breus
Of course.

Pete Mockaitis
I’d love to hear, any really fascinating new discoveries that you’ve made in the world of wellness, energy, sleep, drinking, and breathing that you’re excited about to share right off the top?

Michael Breus
Well, you know, I’ve got a new book coming out and I’m pretty excited about it. I mean, let me tell you why I wrote the book because I think that’s really the most important part, is I just think wellness is too fricking complicated. Like, I was at the gym the other day and this woman, she kind of finished an exercise and then she was just, like, sitting there, like, you could tell she was visibly confused at what was the next thing she was supposed to do. And I feel like all of wellness has sort of started to turn into that.

Everybody’s asking me, “Should I buy a sauna? What green drink should I have?” And they’re not even looking at, “Are they getting enough sleep? Do you have enough water in your body? Do you know how to breathe correctly?” So, I started thinking about it after I read a book my friend Joe Polish wrote called Life Gives to the Giver, and he was talking about these skills that you gain over time, and that one skill, sometimes a particular skill will, once you have it, will kind of topple over and then maybe make some other skills a little bit easier.

They called them dominoes, so I was like, “Well, I wonder what the dominoes of wellness are?” What are the fundamentals? Like, what is the DNA of wellness? What are the two or three things that you just got to get right for everything else to make sense? And sleeping, hydrating, and breathing kind of made sense to me.

If you look at the world’s records, the longest a person has ever gone without sleep is about 11 and a half days. Started hallucinating. It was pretty, pretty messed up. It wasn’t pretty. Pretty much kind of in a corner, sort of shaking to the side. But you look at how somebody can last without water, which, by the way, I do not recommend to anyone, three days is about as far as you’re really going to get. And then when you look at breathing, how long are you going to last without breathing? Without assistance, I think that the record is something like 11 and a half minutes, 12 minutes underwater, something like that.

But I started to think about, like, “What are the fundamental things that our body can only live without for a very short period of time?” Believe it or not, we can go without food for, like, 30 days. We can go without exercise for a lifetime, I think. I think a lot of people have proven that one. You can go a long time without doing a lot of stuff.

And so, then I said to myself, “Okay, these three feel like it. Let’s dive into the literature and see what there is to see.” Obviously, I know the sleep literature pretty well, but this book is not a repeat of that. What I really decided to do more of was look at, “Okay, well, what are the five big mistakes? Like, what are the five things that people are just screwing up with their sleep?” If they just fixed one or two of them, I swear to you, life would be so much easier.

Then I started to really dive into hydration. And, to be fair, I was never a hydration guy until I started to become a runner and live in Arizona at the same time. So, I really had to know and understand that from a runner’s perspective, but also started to really wanted to learn about hydration from an overall perspective.

I’m 56 years old now, and a lot of my contemporaries are finding that hydration is a bit of a challenge, and so really understanding what are my hydration needs, and then breathing, and then you start to think about breathing, like, “All right, come on, Michael, like, how bad could I be breathing? I mean, I’m alive, right? Like, this really shouldn’t be that difficult.”

If you start to look at the Indian and the Ayurvedic culture and history, you start to learn that some of the yogis and some of the people way back in the day, they’ve been doing some pretty interesting breathing techniques for a very long period of time, and they get incredible results. There’s breathing that slows you down, makes you sleep, turns on your parasympathetic nervous system. There’s breathing that hypes you up and turns on your sympathetic nervous system, and we use these techniques today.

If you go from standstill to running across a field, trust me, you’re using some breathing techniques, hopefully, fairly efficiently and fairly quickly. So, I started to say, “All right, can I make it easy? Can I make it straightforward?” So, what I did was I said, “Look, I’m going to set my alarm five times a day,” and I did this for myself just to kind of test it out, and I chose the times based on my chronotype.

And then during each one of those little five-minute periods of time, I have water, I do a breathing test. I’m focusing on something for my sleep, and, honestly, it’s now become ingrained as a habit, and it’s wonderful. Most of my patients tell me this is a great starting line for wellness, and I think that’s really what’s great about it, is you don’t have to worry about, “Do I have an exercise routine? How much protein should I have? Do I need creatine?” You know, it’s more like, “Hey, dude, just breathe and sleep and hydrate, and guess what, you’re like 50% there.”

Pete Mockaitis
Well, fascinating stuff. And I’m curious, you mentioned your patients, do you have a tale of transformation in terms of a professional who’s like, “Yeah, okay, okay, okay, sure, sure, sure, sleeping, hydrating, breathing, got it,” and then they did it? And what kinds of results can unfold for people who think they’re doing it fine, but then put some attention on it and to do it masterfully?

Michael Breus
Yeah, you know, it’s interesting. I think the devil is in the details, for sure, when it comes to people and how they follow it and how they adapt it. I found some really cool adaptations for people. As we get older, we start to lose touch with some of our thirst signals, we don’t realize that we’re thirsty. And so, I had one woman who really, you know, she just forgot to drink all the time. And so, what we did was we paired television – she liked to watch her shows at night – with tea, and so not caffeinated tea, obviously, because that would be bad for her sleep, but we used to call it tea and TV.

And so, we would actually just put on her phone a reminder, “Tea and TV.” And it was something that was that simple for her that allowed her to become hydrated. And then, to be honest with you, she started to become more motivated for her weight loss goals. Now I’m not saying that this is some miraculous recovery, and I’m not saying that she lost 50 pounds because she started doing tea and TV. But what I am saying is that something as simple as hydration can kickstart other behaviors that you’re just not motivated to do.

It’s very, very, very hard to be motivated when you’re tired, when you’re dehydrated, and when you’re out of breath, it just doesn’t work well. Now, as far as, like, looking at some pretty drastic people, I belong to a men’s group, and on every Sunday, we go for a hike, which is awesome. We have a great time, and it’s beautiful here in California, there’s a million places to go hiking. And we have a varied age range in our men’s group. We have guys that are probably in their late twenties, all the way on up till their eighties.

And so, for the older guys, we always make sure that we’ve got people in the front of the line, people in the back of the line, a little extra water, things like that, just to be thoughtful. And this one guy comes on the trip and he is a fairly robust guy, and he’s like, “Oh, I’m a camel. I don’t need to drink water.” And we’re like, “Bro, you need water,” and we kept trying to give him water, trying to give him water. Three-quarters of the way up the trail, he totally bonks. We have to call EMS. It’s a mess. So, those are the situations that you obviously want to avoid.

Now, the good news was, for that particular individual, he came back to do hikes a few weeks later, and we had absolutely no problems with him because he was able to stay hydrated. So, I think there are some pretty cool stories out there about people who are definitely finding something new about themselves from this, but I think it’s one of those things that you didn’t think about. So, I have had a couple of patients turn to me and say things like, “I’m not as grouchy all of a sudden,” which is kind of fascinating. Again, not something that you would have expected.

I had one spouse tell me that they were much more interested in being intimate with their partner because the partner just seemed like a different person. Their mood had changed, their ability to communicate was better, all of these different things. Now, I’d like to blame it on the Sleep, Drink, Breathe program that it was going to be fixing all of your marital woes, but I’m not convinced it will. I will tell you though, if you do it with your partner, it’s a fun thing to do together and it’s something that a couple can do to get healthy together.

Pete Mockaitis
Okay. Well, that sounds very pleasurable. Thank you, good doctor. Well, so let’s talk about these in sequence. When it comes to sleep, I’m curious, how big a deal is it if we get okay sleep, you know, maybe six and a quarter-ish hours a night versus great sleep, seven and a half plus hours a night? Is that fine or is that pretty consequential a difference?

Michael Breus
So, here’s what I’ll tell you, is it only matters when it matters. So, as an example, if you’re getting six and a quarter hours, and then, all of a sudden, you get five, you are screwed. But if you’re getting seven and then you get five, you can snap back from that very easily and be pretty good that day as well as the next. So, it really has to do with compliance and consistency, I think, is the two biggest things with sleep.

Because if you can just build a steady, solid base of good quality sleep, and it doesn’t have to be…I mean, again, we’re talking about minutes here. I’m talking about quality, right? So, I don’t care if you have six hours of sleep, as long as it’s super high quality, if that’s what works for you. But remember, the deal here is it’s not to get the least amount of the good stuff, right? Like, people seem to think it’s this kind of game.

Remember, sleep is recovery. This is what your body needs to do in order for you to get to your next step. So, by ripping it off, by limiting it, whether it’s through time or caffeine, is kind of foolish when you start to think about it because you’re going to need that body to repeat that activity again and again and again.

Pete Mockaitis
Now when you say “screwed,” what exactly does that mean in practice?

Michael Breus
Well, I mean, so for example, it really can depend. I mean, I have some people who, as an example, let’s say you’re normally getting seven hours of sleep and something terrible happens and your flight is delayed and you’re sleeping on the floor of the airport and you get five hours and then you have to go on television the next day, you’re probably going to be just fine, right? Because, yeah, you’re not feeling so great, but you’ve been getting seven hours of sleep.

If you’ve been getting six hours of sleep and that’s really not what your body needs, your body needs seven, your anxiety is going to increase significantly with this new added stress of not having slept well, on top of now being in a stressful situation. My guess is that, usually at that point in time, a lot of people reach for stimulants in order to kind of counteract that level of sleepiness.

And so, once you start to go down that path, you end up overstimulating because your body is, unfortunately, dehydrated because it hasn’t slept, and now you are kind of in this little bit of a death spiral where you’re amping up your anxiety while you’re amping up your caffeine. Usually, the performance is probably a B, B-minus, of what you would want it to have been had you been sleeping probably seven hours, where it could have easily been a B-plus or an A-minus, again, just from a rebound.

Pete Mockaitis
Yeah. And what I found is the consequence can be even greater in so far as when I’m well rested, and tell me if there’s some cool science on this so it’s not just my anecdote, when I’m well rested, I’m ready to take on the important but not urgent and not pleasant task that have tremendous strategic value.

Michael Breus
Absolutely.

Pete Mockaitis
And when I’m kind of sleep-deprived, it’s like, “Nah, I don’t feel like it. I’ll maybe do that later.” And so, in a way, if good sleep makes the difference between doing those things and not, over the course of a career, it could have a multimillion-dollar impact.

Michael Breus
Absolutely. And I think we see that with hydration and with breathing as well. So, I mean, I 100% agree that if you can have your body kind of in a flow state, in a mindset where… it might not be perfect, it might not be all, I’m getting my best ideas every single second, but it might be, “Hey, I’m going to do the blocking and tackling that needs to be done of trimming this email list, or creating better copy, or doing more editing,” or whatever it is, absolutely, I think, sleep, hydration, and breathing, all of which, again, if you can put it on kind of a schedule, it makes it so much easier.

It’s interesting, when you look at entrepreneurs in particular, and you look at people who are like, “Grow, grow, grow. I got to get my business going,” some of them have some of the worst wellness habits you’ve ever seen. They’re all coffee junkies or energy drink, I mean, I shouldn’t say all, there’s a lot. And that ends up playing a big role when, in fact, if you slept well and you were hydrated, you’d be shocked at how much energy you have. So, I think there are some things in there that I think could be super-duper valuable at any stage of business.

Pete Mockaitis
And it’s funny, you know, Michael, I don’t know how many podcasters you chat with who have, in fact, read dozens of full-text studies, randomized controlled trials of different sleep interventions, but I have because I’m a fiend for this sort of thing. And what I find interesting or sad, I don’t know, is that often sleep hygiene education is used as the control and sees almost no result as compared to the active intervention. So, how do you, in the position of educating, help make an impact here? Like, what do we need to do if sleep hygiene education is so lame it’s the control?

Michael Breus
So, number one, I love the fact that you brought this up, and it’s important that you’re thinking about it this way as well. So, number one, let’s be super-duper clear for your audience members, sleep hygiene just by itself, in and of itself, it barely does shit, like, let’s be fair. Now, if you do the opposite of sleep hygiene, like if you have a drum set in your bedroom, of course it’s not going to go well, super-hot room, lights all on, I get it, okay? That seems like it’s kind of like the no-duh of sleep is sleep hygiene to me.

But I think there’s something in between, like a sleep disorder, and I guess what you’d call disordered sleep, which is just sort of, like, “I wish I had some guidelines. I wish I had some evidence. I wish I had a few things that would really work that I could follow that were straightforward and simple to be able to allow me to get better sleep.”

So, one of them is, no matter what your chronotype is, if everybody out there just wakes up at the same time, seven days a week, not five days a week, seven days a week, biologically speaking, you set a process in motion so that your melatonin production becomes consistent at a very specific time every single night. It is exactly 14, roughly 14 hours, I shouldn’t say exactly, roughly 14 hours after you wake up.

So, if you wake up at 6:00 a.m., 14 hours later is 8:00 p.m. and that’s when your melatonin is going to go on board and start to work. That’s why people start to feel sleepy around 9:30, 10:00 o’clock. However, if you wake up at 6:00 a.m. during the week and 9:00 o’clock on the weekends three hours later, melatonin production is three hours later, which means your brain doesn’t even going to think about going to bed until 1:00 o’clock in the morning.

So, by keeping just this one habit, like this would be a better habit than listening to almost all of the sleep hygiene, again, don’t sleep with a drum set in your room with lights on in a very hot room, but if all you did was keep your wakeup time consistent, notice I didn’t say bedtime, but wake up time consistent, you could actually make a biological process in your body consistent that helps you fall asleep.

Pete Mockaitis
Well, I love it. Number one, that’s your top.

Michael Breus
That’s my top. And it doesn’t matter what your chronotype is. Now, I’ve mentioned the word a couple of times, and I know, Pete, you know what chronotype is, but for your audience members, I created a system called chronotyping, where you can take a quiz, you go to chronoquiz.com, and it’ll teach you what type of sleeper that you are.

So, there are four different types. Early birds are now called lions, night owls are now called wolves, and we figured this out. Now, what’s even better is waking up at the right time based on your chronotype. So, chronotype turns out to be genetic and it’s something that I can show you. It’s a quiz. It’s like 30 questions online. Like, it’s not very long and it’s fairly accurate. We’ve had over 4 million people take the quiz now, and so we’ve really been able to kind of dive deep and get some interesting data out there.

And it’s quite fascinating to learn about these different chronotypes because it tells you a lot about the person’s personality and things like that. So, not only waking up at the same time, but if you wake up based on your chronotypical wakeup time, it’s even better. In truth, you end up needing less sleep.

Pete Mockaitis
Okay, that’s beautiful. And what’s interesting is, between the last time we spoke and now, I spent a night in the Vanderbilt Sleep Laboratory hooked up to a lot of things.

Michael Breus
Oh, nice. Tell me. Tell me.

Pete Mockaitis
They informed me, much to my surprise, and being a regular weight, a normal weight, that I had a mild case of obstructive sleep apnea.

Michael Breus
Oh, what were your numbers? Do you remember?

Pete Mockaitis
Oh, thank you for asking. My apnea hypopnea index was 9.1.

Michael Breus
That’s not very much.

Pete Mockaitis
So, yeah, it is. So, it’s mild, but I was experiencing sleepiness in the day, and so I’ve been doing some things and that has helped.

Michael Breus
So, what did you do about it?

Pete Mockaitis
But as I’ve learned, this sleep apnea business is apparently pretty widespread.

Michael Breus
Oh, it’s amazing how many people have sleep apnea that is undiagnosed. Now, here’s the thing, is you have to really understand sleep apnea and its consequences to really gain an appreciation for it. So, first of all, mild sleep apnea in somebody who’s fairly lean, like you are, is something that, in most cases, we may or may not decide to treat. But, as an example, for somebody who may have been a bit bigger, then we might’ve said to ourselves, “Hmm, they’re already putting a load on their heart because they’re a little bit bigger, so, cardiovascularly, that could, in the future, be problematic.”

We want to make sure, even with mild sleep apnea, that that isn’t putting an extra load on the heart. So, therefore, even somebody with the exact same numbers as you, let’s say nine, but let’s say had an additional 60 pounds on them, we would probably consider treating it at that point. Also, to be fair, their symptomatology would probably be much worse than yours. You just said anything that you reported was kind of mild, whereas somebody with 60 pounds on them at your height would probably have significant different symptomatology, I would gather, probably more severe. So, it’s interesting when you start to look at it.

For folks out there who want to know a little bit more about what we’re talking about, an apnea hypopnea index means the number of times that you stop breathing or almost stop breathing divided by the amount of time that you spend in bed per hour. So, Pete stopped breathing in his sleep or almost stopped, according to the numbers he reports, as roughly nine times an hour. Now, you might say to yourself, “Holy crap, nine times an hour, that’s once every six minutes. That seems like a lot, Michael.” So, let me give you the scale.

So, it’s 5 to 15 is mild, 15 to 30 is moderate, 30 and above is severe. Also, one thing that we don’t know about Pete as of yet is how low did his oxygen desaturate while having these events. That can also be a severity criteria as well. If I have somebody who stops breathing in their sleep nine times an hour but their oxygen dumps into the 80s, I’m treating that immediately because I’m concerned that they may have other things that could be going on.

Pete Mockaitis
Yes, thank you for asking. About 92-ish.

Michael Breus
So, that’s fantastic. So, we never want to see it going below 92, if at all possible. 90 is kind of like that lower rung where it’s like, “Okay, let’s just make sure it’s above 90 and then you’re okay.” But 92 is actually a better number to have. And on room air during the daytime, you’re probably 96-98.

Pete Mockaitis
Well, all that’s to say, so we’re getting into it, but I think it’s important, so if folks have no idea that they might have sleep apnea…

Michael Breus
Most don’t.

Pete Mockaitis
…what would be some telltale signs? And I’m going to say it, Oura Ring let me down on this one. Other people may love their Oura Rings and I think it’s great for other purposes, but it left me at the door.

Michael Breus
Well, it’s not diagnostic. Yeah, it’s not diagnostic for sleep apnea, number one. So, first of all, if we’re thinking trackers, everybody probably knows that Apple Watch just came out and is now actually tracking for sleep apnea. So, they actually will tell you, supposedly, if you’ve got sleep apnea. I don’t have the app as of yet, so I haven’t tried it out.

So, if you’re looking for trackers, that’s one that might be possibly helpful to do so. But to be fair, usually your bed partner will tell you. The person sitting next to you is going to tell you if you’re snoring, they’re going to tell you if you stop breathing in your sleep. You may actually experience it as well. You could wake up and be like, “Ahh,” and gasping or choking from air and trying to do that. So that could be a telltale sign.

If you wake up in the morning with a headache, that is absolutely a sign. It usually is due to oxygen deprivation causing that kind of swelling in the brain, which is not good. Also, depression, anxiety, moodiness, things of that nature, that up-and-down nature of that, of it all, that can certainly be a symptom or a sign of sleep apnea, and then of course daytime sleepiness, so just being tired, falling asleep at work, not performing, things like that.

Pete Mockaitis
Okay. So, if folks are thinking, “Hmm, that sounds like me,” I’ll say one of the easiest things I’ve discovered to assess this is just like the SnoreLab app, you get an audio of yourself, like, “Hey, there’s me stopping breathing. Whoa! Okay.” And, two, you could just get, like, sleeplay.com has an overnight test.

Michael Breus
Yeah, we sell them actually from Sleep Doctor as well. We have a full line of tests. It’s literally, you push on a button, and we do a full telecommunication with one of our doctors, so you actually meet with one of our doctors, talk about your symptomatology, they decide if it’s appropriate, send a test to your house. Believe it or not, the tests now are disposable.

Pete Mockaitis
I thought that was weird. I thought that was weird. But I’ll tell you my results from the test were almost identical to my results from the Vanderbilt Sleep Lab, and, oh, so much cheaper.

Michael Breus
Right. And easier, right? And in a better environment, I would argue, an environment more tailored to what your natural sleep would look like, right?

Pete Mockaitis
Yeah. Very good. Okay. So, there you have it. You might have sleep apnea, you don’t know it, take a look at that and the dividends could be huge. Waking up at the same time. What else would be maybe your number two hottest tip for improved sleep?

Michael Breus
I’ll be honest with you. I think it’s kind of the not tip. It’s the, “Don’t think that it’s just going to go away on its own because it’s not.” Everybody thinks that, “Oh, you know, I’m just stressed out and I’m supposed to sleep like crap right now,” or, like, “I’ve got three kids, I’m supposed to sleep like crap.” That’s actually not the case. So, it’s not going to go away on its own.

If you are not happy with either the quality or the quantity of your sleep, and, by the way, don’t confuse the two. Don’t think that just because you sleep more, it’s going to be better, because it might not. So, understand how things like caffeine, alcohol, affect your sleep. Possibly follow my 3-2-1 rule, which is: three hours before bed, stop alcohol; two hours before bed, stop food; one hour before bed, stop fluids. That will save you some trips to the bathroom and, hopefully, make you have some better sleep.

Pete Mockaitis
Very good. Well, now let’s talk hydration.

Michael Breus
You bet.

Pete Mockaitis
Good Doctor, you said that we can lose touch with our thirst signals as we age, but if we’re in the prime of our careers, can’t we just drink when we’re thirsty and call it good?

Michael Breus
I wish it worked. Unfortunately, as I take a sip, it doesn’t. So, what happens in a lot of cases is if we are sleep-deprived, and I think we’ve pretty much established that we are a sleep-deprived society, the signals don’t come as often as they should. So, believe it or not, our thirst meter, if you will, is off if you’re sleep-deprived. So that’s number one.

But let’s say you’re well-slept and your thirst meter should be on the mark, part of the problem is that we don’t have a solid understanding of what that amount should be. I started diving into the literature because, honestly, it was really kind of foreboding. And I’ve seen everywhere from 50 ounces a day to 130 ounces a day recommended. So, like, the problem is that nobody knows what they’re shooting for.

So, I actually developed a formula based on your weight and what’s called your uptick, so your ability to absorb water and then how much you would actually need in order to do that based on your weight, so, it’s quite simple. So, you just take your weight, you multiply it by 0.6, and that’s the number of ounces that you should drink.

Pete Mockaitis
My weight in pounds and not kilograms?

Michael Breus
That is correct. Pounds. And so, if you’re a 100-pound person, you should have 60 ounces of water. If you’re a 200-pound person, you should have 120 ounces of water. Now, you want to add 12 ounces for every half hour of exercise. That’s it. That’s the whole formula. Weight times 0.6 and then take that number and add 12 ounces for every half hour of exercise, and that will get you pretty much right as rain. The key here is to sip not chug it, and you want to get at least 30, I’m sorry, 40 ounces before noon because otherwise it’s tough to get all that water down without having to pee all night long.

Pete Mockaitis
Okay. Well, that’s very clear and direct. Thank you. All right.

Michael Breus
I like to prescribe water. I think it’s the best supplement out there.

Pete Mockaitis
Okay. Now, water, is it always water? Other beverages are just as fine or not as good? Or what’s your take?

Michael Breus
Well, you know what? That’s a great question. So, number one, there’s a lot of types of water, believe it or not. There are water enhancers, by the way. We can talk about that. But I think you can throw a couple of cups of coffee in there. I don’t have a problem with that. I would prefer if you could stay away from the sugary stuff.

So, if you like sparkling water, that’s great. If you like carbonated water, I don’t have a problem with it. I’d stay away from soda, if you possibly can. But I’m also here to tell you that if you’re not going to drink and the only thing that’s going to get you to drink is a Diet Coke, fine. Drink your Diet Coke. I’d rather you get the fluid than not.

Pete Mockaitis
Okay. Well, so then let’s talk about these enhancers, these electrolytes, the powders, etc. Are they handy? And under what context?

Michael Breus
Yep, so that’s exactly how you should think of them, as handy and only under certain contexts. So, I did a little comparison in the book, looking at things like liquid IV and LMNT and a few others, and here’s what I can tell you. First of all, there’s a lot of sodium in these, and there’s nothing wrong with that, but here’s the thing. What they’re trying to do is create a barrier with the water-salt balance in your body. Because when you get too salty, your body wants more water. When you have too much water, your body wants more salt. So, that’s basically kind of how the whole thing works.

These packets of electrolytes are mostly salt, so you want to be careful, especially if you have high blood pressure, about dumping these things into your water bottle every day. Why I said I like the word “handy” is because you should have a packet with you, but you should use them sparingly. So, I would say, as an example, if you’re a runner and you run five miles every day, and you do a long run on the weekends, then I would use it for the long run on the weekends.

So, times where you’re going to be extra exposed or have a significant more energy expenditure, I think it makes a lot of sense because that helps keep that hydration going. But I want to be also clear about something, is using one of these products does not preclude you from drinking more water.

So, what a lot of people will do is they’ll pour this thing in, and they’ll think, “Oh, I don’t need to have my however many ounces because I’ve put my hydration multiplier in.” No, no, no, no, no. You still need the same amount of water. You just need to really think about these times and when to use it, and I would argue you probably already know when those are.

Pete Mockaitis
Okay. And then I’m thinking if I am consuming this much fluid, for some that could be quite the uptick. Am I going to have to go to the bathroom all the time? Or are there some strategies for this? What do I do?

Michael Breus
Yeah, so it turns out that you don’t have to go to the bathroom all the time. So, it’s kind of interesting. There’s a section in my book that looks at bladder control, actually, and here’s what’s fascinating is, as you learn to drink more water, your bladder and your body absorbs it quite nicely and can control it. So, you won’t see a huge uptick in bathroom breaks. You will for the first two weeks, but by the third week it levels itself out quite nicely and it’s not really any more than usually what you’re used to. Here’s an interesting little factoid, is that no living mammal can pee for longer than 21 seconds.

Pete Mockaitis
Now, I want to try it. I don’t think I’ve ever timed it before.

Michael Breus
Well, you will never not time it now. Everyone who is listening, I can assure you, is now, the next time you pee, you’re going to think about it. But if you pee for 21 seconds, you have truly emptied your bladder.

Pete Mockaitis
Okay.

Michael Breus
Challenge out there.

Pete Mockaitis
Well, the stopwatches coming out. That seems kind of short, intuitively, but, I mean, I don’t know. We’ll see.

Michael Breus
Wait till the next time you pee, and it’s like, it’s not a 1, 2, 3, 4, 5. It’s a 1 Mississippi, 2 Mississippi, you know, that kind of thing.

Pete Mockaitis
Okay. And so then is there a certain amount of fluid that I can only…? You said don’t gulp or guzzle. Like, is it 16 fluid ounces an hour? Or is there a guideline for, like, what’s going to be just more than what your body can deal with?

Michael Breus
So, here’s what I tell people, is you want to think of your body like a sponge. So, you know when you walk out in the morning to the sink and there’s this kind of shriveled block and it’s pretty hard you could probably hammer something with it, that’s your sponge, right? That’s your body when you first have water. And if you pull the spout and you put water on it, if you put a lot of water on it, it just rolls off. It doesn’t really get absorbed.

But if you have a slow stream, it slowly gets absorbed, absorbed, absorbed, and then the whole thing grows, and then finally, when it gets too much water, it basically overruns. That’s exactly how you should think about drinking. You’re the sponge. You don’t want to throw 20 ounces down your gullet because it’s not going to get absorbed. But if you sip it, you’ll be surprised.

So, my favorite technique for doing this is, every morning, one of my morning routines is, I call it the three 15s, where I sit on the edge of the bed and I take 15 deep breaths, then I get 15 minutes of sunshine, and I drink 15 ounces of water. So, while I’m getting my 15 minutes of sunshine, every minute I just take a gulp, and I’m outside, I get the sunlight, I get the vitamin D, it turns off my melatonin, and I’m breathing. Like, I don’t know how many that is. It’s past a quadruple.

Pete Mockaitis
Okay, all at once. All right. Well, any other do’s and don’ts when it comes to hydration?

Michael Breus
Well, one thing for people to know, and this is kind of weird, but it’s actually a truism, you can actually drink too much water, and this can happen. It’s happened actually at a fraternity hazing and things of that nature. You can actually make somebody toxic by putting too much water into them or into your body. As a matter of fact, was it Brooke Shields, actually had this happen? She was overhydrating and she overhydrated so much that she actually went unconscious and passed out. So, you can go to the other side of water. So, again, balance is sort of key here.

Pete Mockaitis
Okay. Well, let’s talk about breathing.

Michael Breus
Yeah, let’s talk about it. It’s amazing how many people don’t know how to breathe, it’s actually quite remarkable.

Pete Mockaitis
So, what are we doing wrong, exactly?

Michael Breus
Well, that’s the right question. It’s like, “Well, Michael, are we doing something wrong? I mean, we’re alive, right? So how wrong could it be?” I would say some of the biggest things that we see people that are doing that are actually just not helping with their breathing, number one is their breathing is too shallow. Number one, that puts much bigger load on the heart. Number two, you actually get about half as much air. Taking a long, deep belly breath, and then kind of letting it go through your diaphragm, actually extends the lungs and allows your heart to slow down, which is much more healthy, generally speaking.

So, one of the things that we do is we breathe in a too shallow of a way so it’s just very light repetitive breaths. The other biggie that we do is we’re too mouthy. Too many people are mouth breathers. That can be due to congestion. That can be due to people just not really thinking about it, but in a majority of cases when people are mouth-breathing, it’s basically like putting leaded gas into the engine because you get every bacteria, virus, particulate, everything is coming right through the mouth, straight into the lungs, and kind of gumming up the works.

And then I think the other big one, and there’s actually six breathing problems, but I think these are the big three. People forget to breathe. Do you ever do this, Pete? I have this happen to me every once in a while. Like, if I’m concentrating, like if I’m playing a video game or I’m watching something, I’m just there and then, all of a sudden, I realize, I’m like, “I forgot to breathe.” I start to breathe again. Do you ever do that?

Pete Mockaitis
I’m sure.

Michael Breus
So, that’s something that people do as well. And, again, getting people more thoughtful about breathing, in general, turns out to be a great idea. And the yogis and the Ayurvedics and that culture has done such an amazing job of teaching us so many different kinds of breathing. I utilize several of these different types of breath work in the book, and it’s fun. It’s fun to actually try some different things out.

I’ve tried the hyperventilation breathing called Kundalini breathing. That was quite an experience for me. I’ve also tried the 4-7-8 breathing. This is a technique that I utilize actually in the middle of the night for many of my patients. So, people who wake up in the middle of the night can’t return back to sleep. My favorite technique then is 4-7-8 breathing.

So, it’s exactly what it sounds like. Slowly breathe in for a count of four, you hold for a count of seven, you breathe out for a count of eight. This was a technique that was developed by Dr. Andrew Weil for the Navy SEALs to help them lower their heart rate so they could shoot in between heart rates for long range snipers. So, this is a great technique you can utilize.

I utilize it before I go on stage. I utilize it in the middle of the night. It’s one of those great things that will just dump your heart rate super-duper quick and allow you to breathe better. So, I think there’s a lot out there. There’s more out there than you might imagine on breathing, in general.

Pete Mockaitis
Okay. So, if we’re breathing through the mouth, we have some negative impact associated with just sucking in the microbes, pathogens, etc.

Michael Breus
You bet.

Pete Mockaitis
I guess I’m curious, like what’s really at stake when we breathe optimally, versus we breathe with just kind of without any thought to it?

Michael Breus
So, oxygen transport, and so it all has to do with energy. So, for folks out there who want more energy, shallow breathing is never going to get you there unless it’s super-duper forceful. So, I would argue that all of your energy, remember, oxygen is the fuel that lights the sugar fire that is your energy. So, when we eat something, it all gets broken down into glucose and then stored as either fat or glucose, and so we need something to light that on fire to create energy. That something is oxygen.

And so, by taking small, shallow breaths and unfiltered breaths, what ends up happening is we get bad quality air, and we don’t get enough air, which means we don’t have enough fuel for the fire and we don’t have enough energy.

Pete Mockaitis
Okay, understood. And then, you’ve got a few changes you recommend, so we’ve already covered the using your nose and bring it into the diaphragm. Any other top things we’re getting wrong?

Michael Breus
Well, I think just being thoughtful about breathing and thinking about it is probably one of the biggest things that I want you to do. And let’s be fair, you don’t have to do something crazy, okay? Like, a lot of people turn to me, like, “Oh, Michael, you learned all these crazy breathing techniques. I’m not a meditator. I’m not a yoga person. I don’t know how to do those things.” Wrong. This is just breathing we’re talking about.

One of the techniques is you breathe. You hold one nostril closed, and you breathe in through one nostril, and then you breathe out through another nostril. That’s the technique. This isn’t hard stuff, but what it does is it allows you to be purposeful in your breath work. It allows your heart rate to go up and down in ways, shapes, and forms that causes other things to happen in your body, like melatonin to be produced, or cortisol to be produced, or things like that. So, it’s really quite powerful. Honestly, I was kind of surprised, because when I went into this, I’m like, “What am I going to learn about breathing?” I was shocked.

Pete Mockaitis
Well, one of your suggestions is to strengthen your diaphragm, and I’d love to get your hot take on, I guess they call it respiratory muscular training, RMT, with tools like The Breather, but do you think that’s worth doing?

Michael Breus
So, here’s what I think. I don’t think it’s worth spending a ton of money on a bunch of fancy gadgets and gizmos. There are actually some things that you can buy on Amazon for 20 bucks that can actually help strengthen your breathing quite nicely. But the big thing to do is, again, in the Sleep, Drink, Breathe programmatic book, where we have these five separate times throughout the day where we have you do different things, you’re breathing at all five of those times, you will naturally begin to strengthen just by doing some deep diaphragmatic breathing, even if that’s the only technique that you do.

So, the good news here is, I think if you if all you did was buy the book and follow the program, your diaphragm is going to get stronger.

Pete Mockaitis
Okay. Well, Michael, tell me, anything else you want to make sure to mention before we hear about your favorite things?

Michael Breus
Well, here’s the deal, is I feel like the book is a little bit like a ticket. So, if you buy the book, you actually send me a copy of the receipt and I then send you all this cool stuff. So, I actually have got several lectures that I’m doing live that you’ll be invited to join. You get the plan immediately for free right there, so even before the book comes out. There’s a couple of different things in there that I think you’ll like.

Also, you are entered into a drawing for a free mattress. So, we’re going to have several mattresses that we’re going to give away for people who are doing that. So, it’s going to be a lot of fun. We’re definitely looking forward to it. So, if you get a chance, go to SleepDoctor.com/book, and check it out.

Pete Mockaitis
All right. Well, now could you share a favorite quote, something you find inspiring?

Michael Breus
So, I heard Nelson Mandela once say, “I never lose. I only win or learn.” 

Pete Mockaitis
Okay. And a favorite study or experiment or bit of research?

Michael Breus
I think, for me, the most interesting research that came out was when they started studying narcolepsy to help insomniacs. So, they started to learn, genetically speaking, what was going on with narcoleptics and make them feel so sleepy to try to understand how we could help people with insomnia. I thought that was a really cool application of the science.

Pete Mockaitis
Well, that is cool. Now, I have to know, is there a one weird trick from narcoleptics that helps them snap into sleep immediately?

Michael Breus
Well, so it opened up a whole line of genetic work and possible new drug therapy, actually. So, there are actually several companies now that are looking at the on switch for narcolepsy as a potential on switch for people with insomnia, but not at that level, of course. And so, it’ll be interesting to see what happens next.

Pete Mockaitis
Okay. And a favorite book?

Michael Breus
Well, my all-time favorite book is Where the Sidewalk Ends by Shel Silverstein. But I just read Man’s Search for Meaning by Viktor Frankl, and that was just powerful.

Pete Mockaitis
All right. And a favorite tool, something you use to be awesome at your job?

Michael Breus
Probably my pillow because I’m a sleep doctor. I love my pillow. I actually have several pillows that I utilize. One is from a company called InfiniteMoon. I have no affiliate anything with these companies. InfiniteMoon, they make a cool, really good pillow called The Curve and then something called Sleep Crown. Now, this is weird. This is a pillow that I actually put over my head and it actually helps. I don’t know why. It’s just so damn comfortable and I really enjoy it.

Pete Mockaitis
And is there a key nugget you share that really seems to connect and resonate with folks; you hear them quote it back to you often?

Michael Breus
Sleep is a lot like love. The less you look for it, the more it shows up.

Pete Mockaitis
Okay. And if folks want to learn more or get in touch, where would you point them?

Michael Breus
Head on over to SleepDoctor.com and check out my book. You’re welcome to ping me on Facebook, TikTok, all of those. And I have a YouTube channel where I’m now doing some really fun, interesting videos. So, if you get a chance, check it out there, throw me some comments.

Pete Mockaitis
All right. And do you have a final challenge or call to action for folks looking to be awesome at their jobs?

Michael Breus
Here’s my final call to action, is do yourself a favor and just consider your sleep, your hydration, and your breathing, in what it could do for your overall performance, whether that’s your work performance, your relationship performance, or your personal performance, and see if it’s something that might be interesting for you. You might be surprised.

Pete Mockaitis
All right. Michael, it’s been fun once again. Good luck and good sleep.

Michael Breus
Thank you. I appreciate it. Wishing you some sweet dreams, Pete.