Ask Me Anything Part 20: Sleep Under the Influence

In their latest Ask Me Anything episode, Matt and Dr. Eti Ben Simon delve into the complex relationship between common substances and sleep. They first tackle cannabis, explaining that while THC may initially help with sleep onset, its chronic use is detrimental, leading to tolerance, withdrawal insomnia, and a powerful suppression of restorative REM sleep. The discussion then moves to two other major sleep disruptors: caffeine and alcohol. You'll learn how caffeine's long half-life can reduce deep sleep by up to 40% even when consumed in the afternoon, and how alcohol, despite its sedative properties, severely fragments sleep and decimates the quantity and quality of your nightly dream sleep.The conversation then explores more novel compounds and strategies, starting with a practical bio-hack, the "nappuccino," a precisely timed combination of coffee and a short nap to maximize alertness. From there, the hosts dive into the fascinating world of psychedelics, revealing how drugs like LSD and psilocybin act as potent wake-promoting agents that disrupt sleep before causing a significant "REM sleep rebound" on subsequent nights. They contrast this with ketamine, a dissociative that uniquely increases deep slow-wave sleep, potentially explaining its antidepressant effects. The episode concludes by looking at the intricate and largely unexplored role sleep plays in the therapeutic journey of these powerful psychoactive compounds.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.Matt will be the first to tell you that launching his sleep-related merchandise sales was incredibly smooth, thanks to our new sponsor Shopify and their integrated sales and inventory system. And now, just for you,  Shopify is generously offering an exclusive trial at shopify.com/mattwalker. Whether it's online or in-person sales, Shopify simplifies it all. So, be sure to stop in at shopify.com/mattwalker to start your exclusive journey now!Having personally used and purchased AG1 for over four years, Matt encourages you to try the new AG1 Next Gen formula with upgraded probiotics plus additional vitamins and minerals. Backed by 4 human clinical trials demonstrating a boost in healthy gut bacteria, AG1 continuously adapts to the latest science. Subscribe today and receive a FREE bottle of AG D3K2, an AG1 welcome kit, and 5 upgraded AG1 travel packs with your first order. Visit drinkag1.com/mattwalker to learn more and get started on your health journey.Tired of untrustworthy protein shakes? Show sponsor Puori prioritizes quality: hormone-free, GMO-free, and pesticide-free. Every batch is third-party tested for 200+ contaminants - you can even scan the QR code for lab results! Matt recommends the addictive dark chocolate flavor with 21g of protein. Ready to experience the Puori difference? Matt’s listeners get 20% off, so visit puori.com/mattwalker today!As always, if you have thoughts or feedback you’d like to share, please reach out to Matt or Eti:Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299Eti: X @etoosh, Instagram https://www.instagram.com/eti_bensimon/,  or email at [email protected]

Matt welcomes UCSF sleep expert Dr. Aric Prather to the podcast this week to discuss the science of psychoneuroimmunology: the link between our behavior and immune health. After a primer on the immune system’s innate and adaptive arms, Dr. Prather details how insufficient sleep dramatically increases your risk of catching a cold, significantly blunts vaccine effectiveness by reducing antibody response, and promotes a state of chronic, low-grade inflammation - a known pathway to numerous age-related diseases.Ultimately, the conversation illuminates a profound and actionable truth: sleep is arguably our most powerful, yet tragically overlooked, weapon in the daily battle for immunological health.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.One of our sponsors this week is the biochemical electrolyte drink company LMNT, and they are very kindly offering eight free sample packs when you purchase any one of their orders at drinklmnt.com/mattwalker. LMNT is an electrolyte sports drink that I can get behind - it's created from the basis of science, and it has no sugar, no coloring, and no artificial ingredients – all qualities that are so important to maintaining your blood biochemical balance. And now their new Lemonade Salt is squeezing onto the scene Tuesday, May 20th! This limited-time flavor is here to keep you at your best all summer long, and, just like summer, it’s here for a good time, not a long time, so stock up while supplies last! If you want to give Lemonade Salt or any of the fantastic LMNT flavors a try, just head on over to drinklmnt.com/mattwalker and get your free Sample Pack with your first purchase.Matt will be the first to tell you that launching his sleep-related merchandise sales was incredibly smooth, thanks to our new sponsor Shopify and their integrated sales and inventory system. And now, just for you,  Shopify is generously offering an exclusive trial at shopify.com/mattwalker. Whether it's online or in-person sales, Shopify simplifies it all. So, be sure to stop in at shopify.com/mattwalker to start your exclusive journey now! Matt’s good friend Dr. Peter Attia has helped develop David, a revolutionary new protein bar, and a sponsor of today’s episode! 28g of protein, 0g sugar, only 150 calories – the best ratio EVER! Amazing taste, six flavors, incredibly satiating, and a great source of the protein that helps build muscle, manage metabolic health, and keep you full. Visit davidprotein.com/mattwalker now for an amazing deal: Buy 4 cartons, and get a 5th FREE! . Hurry! Your new favorite protein bar awaits!As always, if you have thoughts or feedback you’d like to share, please reach out:Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299Dr. Aric Prather: https://www.aricprather.com/

Prepare for a tranquil journey into sleep as Matt returns with a voyage aboard "The Dreamer." Let go of the day's events and allow your mind to quiet as we travel to a busy coastal town. Tonight, you’ll meet Sophia, a painter whose vibrant and expressive works reflect the world around her, yet finds her own nights restless and her mind unable to settle. Her creativity is blocked and her thoughts race, keeping peaceful sleep just out of reach.Just as she sits by her window, watching the waves, a familiar, gentle vessel appears: The Dreamer. It has sensed her need for rest and has come to carry her away from the chaos. Join Sophia as she steps aboard, feeling the worries of the day begin to dissolve with the gentle motion of the boat. Let the vivid imagery of a secluded, moonlit cove and the soothing rhythm of lapping waves guide you toward your own state of deep calm. As Sophia finds profound peace and a restorative night’s sleep, allow this narrative to do the same for you, quieting your mind and carrying you to a place of deep, restful slumber.Matt will be the first to tell you that launching his sleep-related merchandise sales was incredibly smooth, thanks to our new sponsor Shopify and their integrated sales and inventory system. And now, just for you,  Shopify is generously offering an exclusive trial at shopify.com/mattwalker. Whether it's online or in-person sales, Shopify simplifies it all. So, be sure to stop in at shopify.com/mattwalker to start your exclusive journey now!As always, if you have thoughts or feedback you’d like to share, please reach out to Matt on Instagram.Matt: Instagram @drmattwalker or on X @sleepdiplomatYouTube https://www.youtube.com/@sleepdiplomatmattwalker9299

Matt delves into the science of "beauty sleep" this week, revealing it as somewhat of a scientific reality. He highlights research by Dr. Tina Sundelin, which demonstrates that sleep-deprived individuals are consistently perceived as less healthy, more fatigued, and less attractive. These visible changes are rooted in biological consequences like dilated under-eye blood vessels and elevated cortisol, a hormone that degrades vital skin collagen.Matt then differentiates between expression wrinkles and a distinct second class, sleep wrinkles, which are caused by the mechanical compression of the face against a pillow. To mitigate their formation, he explains several evidence-based strategies. These include adjusting your sleep posture to your back, using silk or satin pillowcases to reduce friction, and maintaining skin hydration to improve its natural elasticity. The episode concludes with a powerful reminder that while these scientific interventions are effective, true attractiveness comes from within, encouraging a graceful embrace of the natural aging process.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.One of our sponsors this week is the biochemical electrolyte drink company LMNT, and they are very kindly offering eight free sample packs when you purchase any one of their orders at drinklmnt.com/mattwalker. LMNT is an electrolyte sports drink that I can get behind - it's created from the basis of science, and it has no sugar, no coloring, and no artificial ingredients – all qualities that are so important to maintaining your blood biochemical balance. And now their new Lemonade Salt is squeezing onto the scene Tuesday, May 20th! This limited-time flavor is here to keep you at your best all summer long, and, just like summer, it’s here for a good time, not a long time, so stock up while supplies last! If you want to give Lemonade Salt or any of the fantastic LMNT flavors a try, just head on over to drinklmnt.com/mattwalker and get your free Sample Pack with your first purchase.Tired of untrustworthy protein shakes? Show sponsor Puori prioritizes quality: hormone-free, GMO-free, and pesticide-free. Every batch is third-party tested for 200+ contaminants - you can even scan the QR code for lab results! Matt recommends the addictive dark chocolate flavor with 21g of protein. Ready to experience the Puori difference? Matt’s listeners get 20% off, so visit puori.com/mattwalker today!As always, if you have thoughts or feedback you’d like to share, please reach out to Matt or Eti:Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299

Dr. Eti Ben Simon returns for yet another AMA episode, this time specifically focussing on sleep and women. Together, they delve into the nuanced differences in sleep patterns between men and women, exploring aspects like sleep duration, quality, and architecture, including variations in deep sleep and REM sleep. They discuss how females generally sleep slightly longer, experience fewer awakenings, and have more deep sleep early in the night, alongside a quicker onset of REM sleep. The conversation also touches upon the potential health risks associated with shift work, particularly night shifts, highlighting an observed associational link with increased risks for certain cancers, such as breast and skin cancer, though emphasizing this is not necessarily causal.The discussion then transitions to the profound impact of hormonal changes on female sleep throughout different life stages. Matt and Eti examine the common sleep disturbances during pregnancy, detailing the reasons such as physical discomfort, hormonal shifts, and frequent urination, and the consequences like mood disorders and increased risk of gestational diabetes. They further explore how sleep is affected by the menstrual cycle, with changes in REM and deep sleep across follicular and luteal phases, and then tackle the significant sleep challenges during menopause, including insomnia, sleep apnea, and restless legs syndrome, discussing management strategies like HRT and CBT-I.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.Tired of untrustworthy protein shakes? Show sponsor Puori prioritizes quality: hormone-free, GMO-free, and pesticide-free. Every batch is third-party tested for 200+ contaminants - you can even scan the QR code for lab results! Matt recommends the addictive dark chocolate flavor with 21g of protein. Ready to experience the Puori difference? Matt’s listeners get 20% off, so visit puori.com/mattwalker today!Having personally used and purchased AG1 for over four years, Matt encourages you to try the new AG1 Next Gen formula with upgraded probiotics plus additional vitamins and minerals. Backed by 4 human clinical trials demonstrating a boost in healthy gut bacteria, AG1 continuously adapts to the latest science. Subscribe today and receive a FREE bottle of AG D3K2, an AG1 welcome kit, and 5 upgraded AG1 travel packs with your first order. Visit drinkag1.com/mattwalker to learn more and get started on your health journey.Matt’s good friend Dr. Peter Attia has helped develop David, a revolutionary new protein bar, and a sponsor of today’s episode! 28g of protein, 0g sugar, only 150 calories – the best ratio EVER! Amazing taste, six flavors, incredibly satiating, and a great source of the protein that helps build muscle, manage metabolic health, and keep you full. Visit davidprotein.com/mattwalker now for an amazing deal: Buy 4 cartons, and get a 5th FREE! . Hurry! Your new favorite protein bar awaits!As always, if you have thoughts or feedback you’d like to share, please reach out to Matt or Eti:Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299Eti: X @etoosh, Instagram https://www.instagram.com/eti_bensimon/,  or email at [email protected]

Sleep expert Dr. Aric Prather joins Matt today for a fascinating discussion about insomnia's frustrating reality: trying to force sleep backfires; sleep arrives naturally. Dr. Prather highlights a surprising starting point: forget focusing on bedtime, prioritize a consistent wake-up time, even weekends. Noting that this anchors your internal clock and builds essential sleep pressure (the 'balloon'), he also cautions that sleeping in after a bad night disrupts this cycle. After touching on societal factors impacting sleep, the conversation shifts to managing the mental side—the stress and anxiety creating that 'tired but wired' state. Dr. Prather shares practical techniques: daytime micro-breaks, breathing exercises, and scheduling worry time to keep thoughts from hijacking the night. Listeners learn how the bedroom can become a trigger for wakefulness and how stimulus control (getting out of bed when not sleeping) breaks that association. Finally, they cover Time-in-Bed Restriction: deliberately spending less time in bed can paradoxically consolidate sleep by intensifying sleep drive, building confidence. This episode offers tools not for nightly success, but for improving sleep on average and reducing panic over occasional bad nights.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.One of our sponsors this week is the biochemical electrolyte drink company LMNT, and they are very kindly offering eight free sample packs when you purchase any one of their orders at drinklmnt.com/mattwalker. LMNT is an electrolyte sports drink that I can get behind - it's created from the basis of science, and it has no sugar, no coloring, and no artificial ingredients – all qualities that are so important to maintaining your blood biochemical balance. And now their new Lemonade Salt is squeezing onto the scene Tuesday, May 20th! This limited-time flavor is here to keep you at your best all summer long, and, just like summer, it’s here for a good time, not a long time, so stock up while supplies last! If you want to give Lemonade Salt or any of the fantastic LMNT flavors a try, just head on over to drinklmnt.com/mattwalker and get your free Sample Pack with your first purchase.Matt will be the first to tell you that launching his sleep-related merchandise sales was incredibly smooth, thanks to our new sponsor Shopify and their integrated sales and inventory system. And now, just for you,  Shopify is generously offering an exclusive trial at shopify.com/mattwalker. Whether it's online or in-person sales, Shopify simplifies it all. So, be sure to stop in at shopify.com/mattwalker to start your exclusive journey now!Having personally used and purchased AG1 for over four years, Matt encourages you to try the new AG1 Next Gen formula with upgraded probiotics plus additional vitamins and minerals. Backed by 4 human clinical trials demonstrating a boost in healthy gut bacteria, AG1 continuously adapts to the latest science. Subscribe today and receive a FREE bottle of AG D3K2, an AG1 welcome kit, and 5 upgraded AG1 travel packs with your first order. Visit drinkag1.com/mattwalker to learn more and get started on your health journey.As always, if you have thoughts or feedback you’d like to share, please reach out to Matt on Instagram.Matt: Instagram @drmattwalker or on X @sleepdiplomatYouTube https://www.

Drift into tranquility tonight as Matt pilots your voyage to a deeply restful slumber in this calming sleep narrative. Prepare to release the day's hold and find solace on a serene sea, where the rhythm of the waves and the canopy of stars invite peaceful repose. Picture yourself embraced by the gentle motion of the water, the day's warmth slowly giving way to the cool embrace of a twilight sky, speckled with distant, shimmering lights. You will encounter "The Dreamer," a special vessel with a unique mission: to seek out souls yearning for serenity, such as a seasoned fisherman looking for profound calm, and escort them through the quietude of the night.Let Matt's steady narration and the vivid imagery of this coastal passage lull you into a profound state of ease. Allow yourself to shed the weight of your thoughts and daily pressures, finding a sanctuary of stillness in this peaceful narrative. Feel the comforting presence of the guiding stars and the gentle lapping of the water become a soothing balm, as the tale of The Dreamer helps navigate you away from the shores of worry and towards a restorative, deep sleep.Tired of untrustworthy protein shakes? Show sponsor Puori prioritizes quality: hormone-free, GMO-free, and pesticide-free. Every batch is third-party tested for 200+ contaminants - you can even scan the QR code for lab results! Matt recommends the addictive dark chocolate flavor with 21g of protein. Ready to experience the Puori difference? Matt’s listeners get 20% off, so visit puori.com/mattwalker today!Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299

Matt delves into the science of weighted blankets for sleep improvement in this week’s episode. These heavy covers (10-40 lbs) utilize Deep Pressure Stimulation (DPS), a concept originating from Dr. Temple Grandin's 1960s work. DPS is theorized to shift the nervous system from "fight-or-flight" to a calmer parasympathetic state by potentially increasing serotonin and activating brain regions involved in emotional regulation, like the insular cortex, thereby fostering a state conducive to sleep.Matt describes research whose highlights include a 2020 study where 42% of insomnia patients achieved remission with weighted blankets, and a 2021 study that showed healthy adults experienced increased deep sleep and less restlessness. Benefits are also noted for children with ADHD. Proposed mechanisms extend to reduced awakenings and anxiety. While studies show promise for specific groups, larger, objective trials are still needed. Weighted blankets (around 10% body weight) are best viewed as a potential aid alongside good sleep hygiene.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.One of our sponsors this week is the biochemical electrolyte drink company LMNT, and they are very kindly offering eight free sample packs when you purchase any one of their orders at drinklmnt.com/mattwalker. LMNT is an electrolyte sports drink that I can get behind - it's created from the basis of science, and it has no sugar, no coloring, and no artificial ingredients – all qualities that are so important to maintaining your blood biochemical balance. If you want to give LMNT a try, just head on over to drinklmnt.com/mattwalker and get your eight free samples with your first purchase. Matt will be the first to tell you that launching his sleep-related merchandise sales was incredibly smooth, thanks to our new sponsor Shopify and their integrated sales and inventory system. And now, just for you,  Shopify is generously offering an exclusive trial at shopify.com/mattwalker. Whether it's online or in-person sales, Shopify simplifies it all. So, be sure to stop in at shopify.com/mattwalker to start your exclusive journey now!Having personally used and purchased AG1 for over four years, Matt encourages you to try the new AG1 Next Gen formula with upgraded probiotics plus additional vitamins and minerals. Backed by 4 human clinical trials demonstrating a boost in healthy gut bacteria, AG1 continuously adapts to the latest science. Subscribe today and receive a FREE bottle of AG D3K2, an AG1 welcome kit, and 5 upgraded AG1 travel packs with your first order. Visit drinkag1.com/mattwalker to learn more and get started on your health journey.As always, if you have thoughts or feedback you’d like to share, please reach out to Matt on Instagram.Matt: Instagram @drmattwalker or on X @sleepdiplomat

Matt and Dr. Eti Ben Simone are back again today to answer even more of your brilliant sleep questions! They begin by discussing smartphones, noting that the direct EMF impact on brainwaves is debatable, but that psychological activation and blue light are known disruptors. Moving onto naps, Matt explains longer ones can cause "sleep inertia," while short naps (20 mins) can be beneficial, unless insomnia is present.They then examine the full moon's debated effect on sleep, and how it is possibly obscured by modern lighting. Sleep paralysis is then explained as consciousness returning before REM sleep's muscle atonia ends, while "hypnic jerks" (jolts while falling asleep) are described as the brain misinterpreting muscle relaxation as falling. Finally, they explain that waking with an "earworm" is linked to memory consolidation and active music-processing brain areas during REM sleep.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.Tired of untrustworthy protein shakes? Show sponsor Puori prioritizes quality: hormone-free, GMO-free, and pesticide-free. Every batch is third-party tested for 200+ contaminants - you can even scan the QR code for lab results! Matt recommends the addictive dark chocolate flavor with 21g of protein. Ready to experience the Puori difference? Matt’s listeners get 20% off, so visit puori.com/mattwalker today!Matt’s good friend Dr. Peter Attia has helped develop David, a revolutionary new protein bar, and a sponsor of today’s episode! 28g of protein, 0g sugar, only 150 calories – the best ratio EVER! Amazing taste, six flavors, incredibly satiating, and a great source of the protein that helps build muscle, manage metabolic health, and keep you full. Visit davidprotein.com/mattwalker now for an amazing deal: Buy 4 cartons, and get a 5th FREE! . Hurry! Your new favorite protein bar awaits!Having personally used and purchased AG1 for over four years, Matt encourages you to try the new AG1 Next Gen formula with upgraded probiotics plus additional vitamins and minerals. Backed by 4 human clinical trials demonstrating a boost in healthy gut bacteria, AG1 continuously adapts to the latest science. Subscribe today and receive a FREE bottle of AG D3K2, an AG1 welcome kit, and 5 upgraded AG1 travel packs with your first order. Visit drinkag1.com/mattwalker to learn more and get started on your health journey.As always, if you have thoughts or feedback you’d like to share, please reach out to Matt or Eti:Matt: Instagram @drmattwalker, X @sleepdiplomat, YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299Eti: X @etoosh, Instagram https://www.instagram.com/eti_bensimon/,  or email at [email protected]

Matt takes the opportunity this week to explore the perplexing sleep phenomenon of night terrors (sleep terrors). Matt clarifies that these are distinct from nightmares, defining them as parasomnias arising from abrupt arousals out of deep Non-REM sleep, not REM sleep where dreaming occurs. He details the often dramatic symptoms – intense fear, screaming, sweating, rapid breathing, confusion, sometimes thrashing or sleepwalking – emphasizing the typical lack of memory of the event afterward. Matt discusses prevalence, noting night terrors primarily affect children (1-6%, peaking ages 3-5) and are usually outgrown, while adult cases (<1%) are rarer and often linked to other factors.Our host delves into the multifactorial causes, including potential genetic predispositions, stress, sleep deprivation, and, in adults, comorbid conditions like anxiety or sleep apnea, as well as alcohol use. He contrasts the impact on children versus adults and notes that diagnosis involves history and observation, sometimes supplemented by polysomnography (sleep studies). Management strategies discussed include optimizing sleep hygiene, managing stress (mentioning CBT-I for related anxiety), scheduled awakenings, and, rarely, medication as a last resort. Matt concludes by touching on ongoing research into the underlying mechanisms and potential future treatments.Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.One of our sponsors this week is the biochemical electrolyte drink company LMNT, and they are very kindly offering eight free sample packs when you purchase any one of their orders at drinklmnt.com/mattwalker. LMNT is an electrolyte sports drink that I can get behind - it's created from the basis of science, and it has no sugar, no coloring, and no artificial ingredients – all qualities that are so important to maintaining your blood biochemical balance. If you want to give LMNT a try, just head on over to drinklmnt.com/mattwalker and get your eight free samples with your first purchase. Matt will be the first to tell you that launching his sleep-related merchandise sales was incredibly smooth, thanks to our new sponsor Shopify and their integrated sales and inventory system. And now, just for you,  Shopify is generously offering an exclusive trial at shopify.com/mattwalker. Whether it's online or in-person sales, Shopify simplifies it all. So, be sure to stop in at shopify.com/mattwalker to start your exclusive journey now!As always, if you have thoughts or feedback you’d like to share, please reach out to Matt on Instagram.Matt: Instagram @drmattwalker or on X @sleepdiplomatYouTube https://www.youtube.com/@sleepdiplomatmattwalker9299