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0:08
Welcome. To Dr. Reeves Show Radio
0:11
providing practical and science based solutions to
0:13
feeling your best to stay up to
0:15
date on the latest topics as well
0:17
as all of our prior episodes. Make
0:20
sure to subscribe in your podcasts
0:22
player for weekly updates. Visit Doctor
0:24
Rue show.com That's D
0:26
R. rustio.com
0:28
The following.
0:31
Discussion: It's for educational, Purposes Only
0:33
and is not intended to. Diagnose or
0:36
treat Any disease. Please Do.
0:38
Not apply any of this information without
0:40
first speaking with your doctor. Now let's
0:42
said that this show. Will.
0:44
Come back let's discuss exciting new research
0:47
that informs hundred improve sleep fatigue, in
0:49
mood and as you may know myself
0:51
and our research team are per viewing
0:53
this Niagara Falls of research. It's been
0:56
published on a daily basis. Pulling.
0:58
Out for you. The stories that
1:01
we feel are of the highest
1:03
quality and also have the highest
1:06
clickability. So today will cover a
1:08
few studies, One on which we
1:10
can learn how exercise can full
1:13
lean the gate the negative impacts
1:15
of poor sleep? Pretty amazing. Another
1:17
study showing that probiotics can improve.
1:21
Post. Infectious fatigue.
1:23
Whether. Be covered nineteen have seen
1:25
bar by are so another in
1:27
my mind. very relevant study. One
1:30
research paper on a natural
1:33
tool that is more effective
1:35
for improving insomnia then insomnia
1:37
medications. Will. Do a
1:39
quick examination of blue light
1:41
blocking glasses. Are these helpful
1:44
for sleep or hype. And.
1:46
Also, look at caffeine and a
1:49
couple insights regarding caffeine consumption and
1:51
what to do or not to
1:53
do regarding. Impacts on sleep.
1:56
okay so let's kick off with this really
1:58
in my mind fascinating study, 2023 observational
2:01
study in 92,000 individuals. So
2:06
even though it's observational and observational data
2:08
isn't necessarily as quality, it's
2:10
in 92,000 individuals, very high sample
2:13
size. Now they looked
2:15
at again, can exercise buffer the negative
2:17
impacts of sleep? Defining
2:19
insufficient sleep as
2:22
less than six hours per night. So
2:25
in some cases it might be you can't
2:27
sleep that long because you have insomnia or
2:30
you choose not to do to work
2:32
or other life events. But either way,
2:35
in those getting insufficient sleep,
2:37
less than six hours per night. If
2:42
they obtained exercise that was adequate
2:45
and adequate being defined as 150 minutes per
2:47
week of
2:50
moderate to vigorous exercise. So this
2:52
is not a lot, 150 is
2:55
three or four exercise sessions per week depending
2:57
on how long each session is.
3:00
And it didn't seem to matter what type of exercise.
3:03
But here's the key finding.
3:06
In those who didn't sleep well, there
3:09
was an 88% increase of this metric known
3:12
as all-cause mortality. So
3:14
that's death from any cause. So
3:17
if we add up accidents, falls,
3:19
cancers, heart disease, neuro-cognitive
3:21
diseases of whatever sorts, it
3:24
summaged to death from any cause, aka
3:26
all-cause mortality. So the people that didn't
3:28
sleep enough had an 88% increased
3:31
risk of death from any cause. Which
3:34
again was fully erased if
3:37
people exercised for 150 minutes per week.
3:42
Leading these researchers to state, a
3:46
higher volume of physical activity
3:48
attenuated the detrimental effects of
3:51
sleep duration on all-cause
3:54
mortality and cardiovascular
3:56
disease mortality risk. So,
4:00
As I've been trying to here on the show
4:02
for a while Encourage
4:05
you to exercise because
4:07
data like this are extremely compelling
4:11
Okay, this next study also found to be
4:13
quite relevant quite interesting 2023
4:16
randomized control trial 70
4:19
people who had fatigue after
4:21
an infection that infection may have been
4:24
have seen bar kovat 19 Borrelia
4:27
lime or a
4:29
respiratory tract infection They
4:32
were given either placebo or
4:34
a probiotic vitamin blend
4:37
containing a lactobacillus Blend
4:39
lactobacillus bifuribacterium type blend
4:43
at about 10 billion per day. So
4:45
standard probiotic dose Paired
4:47
with a vitamin that was a B complex
4:49
magnesium manganese and a prebiotic and
4:53
what they found was those in the
4:55
treatment group had improved quality of life improved
4:58
depression and improved
5:00
fatigue and This
5:03
is a graphic on narrate. But one of the things
5:06
here I wanted to point out so
5:08
I'm the show we're always trying to Determine
5:11
well, how long do I have to
5:13
do a therapy or a diet trial?
5:17
before I can judge if it's helpful
5:19
or not and Interestingly
5:21
in this study the difference
5:23
between groups did not become significant
5:26
until the six-month mark There's
5:29
a trend you see at
5:31
three months, but it really wasn't significant until
5:33
six So I
5:36
keep trying to share this because on the one
5:38
hand I fairly
5:40
uniformly See when working with
5:42
people if something is the right
5:44
fit they're gonna know inside of a month But
5:47
there are data points that have shown two
5:50
or three or even four months until
5:52
a real significant effect is realized So
5:54
this is something that you'll
5:56
have to take on a case-by-case basis, but just
5:58
wanted to share what I found interesting from
6:01
this paper regarding this
6:07
research paper, these findings
6:09
suggest that probiotics may be a
6:11
promising intervention for improving the health
6:13
of patients with post-infectious fatigue. Now
6:18
we mentioned a moment ago a tool
6:20
for insomnia, and this is
6:22
known as CBT, or Conitive
6:24
Behavioral Therapy. What
6:28
I find compelling and utilitarian
6:30
about this is the
6:32
fact that it's online. You didn't have to
6:34
go to a therapist's office. Obviously, that makes
6:36
this much more convenient. Four
6:38
thousand patients were given
6:41
sleep medication or cognitive behavioral
6:43
therapy or a combination of the two. At
6:46
six months, they found that the
6:48
cognitive behavioral therapy was more
6:50
effective than the medication for
6:52
insomnia, anxiety, depression, but
6:55
the combination of the two was the
6:57
best. So, logically,
7:00
I think you could consider starting
7:02
with cognitive behavioral therapy
7:04
if that's sufficient. Awesome. And
7:07
if it's not, you could consider
7:09
adding a medication of some sort on top
7:11
of that. And a few
7:13
resources for you. There's one fairly noteworthy book
7:15
called Quiet Your Mind and Get to Sleep.
7:18
We'll link to an online program
7:20
and also a directory for finding
7:22
a local cognitive behavioral therapist. Now,
7:25
on the topic of sleep, blue
7:27
light comes up. And
7:29
why blue light is relevant, you may already
7:31
know this, but your
7:34
eyes sense light, of course, and
7:38
the eyes will trigger the
7:41
suprachiasmatic nucleus,
7:44
which is part of the hypothalamus. And
7:47
the hypothalamus is the master regulator
7:49
of your endocrine system, which includes
7:51
melatonin. And so, when
7:54
we have daylight, this
7:56
inhibits the production of
7:58
melatonin, which is good because melatonin makes you sleepy.
8:00
You don't want to be sleepy during the day.
8:04
And at nighttime, if you don't
8:06
have a lot of light exposure, you
8:09
inhibit the suppression or you allow
8:11
the production of melatonin and
8:13
therefore you sleep. So
8:16
it follows that techniques to reduce
8:18
blue light at night may improve
8:21
melatonin and therefore sleep. But
8:23
as you're probably accustomed to me asking,
8:26
show me the data. So a 2023 systematic review of
8:28
six randomized
8:31
control trials pitted
8:34
placebo, so non-blue light blocking
8:37
glasses, clear lenses essentially, versus
8:39
blue light blocking glasses that were
8:41
worn an hour and a
8:44
half to three hours before bed. And
8:47
they did find that the blue light
8:49
blocking glasses group had
8:51
improvements in sleep quality in
8:54
four of the six studies
8:56
that were analyzed. Now another
8:58
important study here looked at
9:00
healthy individuals who didn't have
9:02
insomnia at baseline. 2019
9:05
randomized control trial albeit small, 15 patients,
9:09
but they did find that in otherwise healthy
9:11
individuals, the use of
9:13
blue light glasses prior to
9:15
bed improved the
9:17
ability to fall asleep quickly, sleep
9:19
quality and also morning alertness. So
9:22
I think it's safe to say that
9:24
one strategy you could use to improve
9:26
your sleep would be blue
9:28
light glasses. Also, you
9:31
can use blue light filtering apps
9:33
on your computer, on your phone, and
9:35
just logically dim the lights in
9:37
your home and opt for lights that are more
9:39
yellow than they are white because the white will
9:41
have the blue and the yellow will have less
9:43
blue. And one point I wanted
9:45
to make, admittedly, with
9:49
no data, I found
9:51
it silly when I see people wear
9:53
blue light blocking glasses 24 seven as
9:56
a blue lights going to kill you. And
9:58
there's a data point. Finding that
10:00
blue light exposure during the day
10:03
is helpful for alertness, which makes
10:05
sense. 2019
10:07
observational study, they took
10:10
a small group of university students and
10:12
exposed them either to warm light, so
10:14
this is something that's gonna be more
10:16
yellow, or blue light. And
10:19
they found the blue light exposure group
10:21
had increased alertness, better mood,
10:24
and a reduction in their melatonin levels, which
10:26
during the day, obviously, you want. So
10:29
just a note, if you're one of the people who's
10:31
been led to believe that blue light
10:34
is always problematic, that's not
10:36
true. Blue light during the day is good.
10:38
Blue light prior to bed, we want to try
10:41
to filter out or reduce. Hey,
10:44
everyone, if you wouldn't mind, please leave the podcast
10:46
a quick review. And
10:49
speaking of sleep, caffeine, of course,
10:51
here is relevant, and caffeine
10:55
will block another
10:57
compound called adenosine, and
11:00
you need adenosine to build
11:02
up in order to sleep. So
11:04
if you block too much adenosine,
11:07
then it's built up when you try to go
11:09
to bed, and therefore you can't sleep. So
11:11
this is why caffeine timing can
11:14
be relevant, of course, to sleep. So
11:17
this brings us to a 2023 meta-analysis, and
11:21
they found that caffeine consumption, in
11:23
general, was associated with
11:26
45 minutes less of sleep, a
11:30
longer time to fall asleep, and
11:32
also less deep sleep. But
11:34
here's the kicker. These
11:37
effects did not occur. There
11:39
was no negative impact on sleep. If
11:42
the caffeine was consumed roughly
11:44
12 hours before bed, and
11:48
this is an important caveat, because
11:50
certainly with some of
11:52
the information that has
11:54
surfaced on the ability of
11:56
caffeine to derange sleep, We
12:00
often have the sort of baby with
12:02
the bathwater or this over correction wherein
12:04
people drink no caffeine and If
12:07
you drink the caffeine Early
12:10
in the day again roughly 12 hours There
12:13
doesn't seem to be any consistent negative
12:15
impact on one's sleep And
12:17
just some quick numbers here if you have 200 milligrams
12:20
of caffeine at 9 in the morning By
12:23
9 at night you'll have 25 milligrams
12:25
circulating if you have 200
12:27
milligrams at 1 You'll
12:29
have three times that you'll have 75 milligrams
12:33
circulating at 9 p.m. So
12:35
it's important to bear in mind that Timing
12:38
with caffeine is very important and I
12:40
would recommend getting the caffeine
12:43
in early in the morning now.
12:45
There's another thought
12:47
here which I haven't fact checked, but You
12:51
want to wait an hour and a
12:53
half from waking up before consuming caffeine
12:56
So you can have some adenosine build up
12:58
that the caffeine will then prolong so you
13:00
may have the best outcome in terms of
13:03
energy and This may
13:05
also reduce afternoon energy lols
13:08
If you wait an hour and a half from when
13:10
waking up and then have your caffeine and that's pretty
13:12
much what I do And
13:15
certainly I'm very mindful not to have caffeine at
13:17
12 or at 1 or at 2 I
13:21
can usually get away with something in that window
13:23
But honestly if I go a little bit beyond
13:25
that it becomes problematic people
13:28
are different in terms of their endogenous
13:31
caffeine clearance if you will So
13:33
you want to make note of where
13:36
that line is for you? But certainly
13:38
said simply the earlier the better with
13:40
caffeine consumption So
13:43
caffeine can give you energy mitochondrial
13:45
supports vitamins can also do the
13:47
same thing a 2023
13:50
observational study Looking
13:52
at 174 individuals with
13:55
chronic fatigue after a
13:58
COVID-19 infection were
14:00
given either control,
14:02
so this would be pain medications,
14:04
yoga, and counseling with control in
14:07
this study, or
14:09
they were given mitochondrial support,
14:11
CoQ10 and alpha lipoic acid,
14:14
plus the control. And what
14:16
they found was after two months, those
14:19
receiving the mitochondrial supplement on
14:22
top of the control interventions
14:25
had a 50% reduction in
14:28
fatigue, poor sleep, and
14:30
in pain. So
14:33
something to bear in mind that
14:35
can happen post-infection is
14:38
the inflammation that occurs can
14:41
lead to what's known as this mitochondrial
14:43
danger response. And
14:45
there are things that can be done to
14:48
support the mitochondria back to
14:50
fuller function. I
14:52
do feel mitochondrial supplements are an
14:54
area where we need better research.
14:56
So looking at something like this
14:58
is quite helpful, and
15:00
especially when given against a control group
15:02
to compare the effects and to mitigate
15:04
the impact of placebo. So if
15:07
you've had an infection, or otherwise if you're
15:09
struggling with fatigue, something to
15:12
consider might be CoQ10 100 mg per
15:14
day and alpha lipoic acid 100 mg
15:16
per day also. Hey
15:20
there, listeners. This is Erin Ryan with
15:22
the Dr. Ruscio team. Back to answer
15:24
just a few more questions about elemental
15:26
heal. You asked, will the
15:28
carbs in elemental heal feed fungus
15:30
or Candida? So there's no real
15:32
set research on this yet, but in Dr. Ruscio's
15:34
opinion, no. This formula
15:37
is absorbed in the first few feet of
15:39
the upper intestine, so it should starve fungus
15:41
just like it does bacteria. How
15:44
to reintroduce foods after the two
15:47
week elemental heal protocol. Okay,
15:49
so you want to start slow and use
15:51
a very limited number of foods. So maybe
15:54
start with steamed veggies or something like that.
15:56
Stay away from raw veggies or charred meats,
15:58
but take the time to. Introducing very
16:00
slowly so you can notice how you feel.
16:04
What about intense workouts while on the
16:06
two-week protocol? So since this is
16:08
a time to sort of reset the gut
16:10
and have it rest from digestion, it's probably
16:13
a pretty good time to just rest
16:15
your body altogether. So if you can
16:17
do something restorative like yoga or walking,
16:20
that's probably even better. So
16:22
there's a lot more info about Elemental
16:24
Heal on our website, drruscho.com. There
16:27
are customer reviews, research, scientific
16:29
evidence, ingredients, anything you want
16:31
to know about Elemental Heal is there on the
16:33
shop page. You can save 15% off
16:36
of Elemental Heal when you
16:38
use code GET-E-H. So
16:40
visit drruscho.com and use
16:43
code GET-E-H for 15% off. Coming
16:48
back to exercise, if you're someone who
16:51
hasn't quite gained traction with
16:53
exercising, this meta-analysis, I
16:56
think, could be for you. They
16:58
summarized 33 randomized control trials in
17:00
just over 2,000 individuals
17:03
with either fatigue or
17:06
with other chronic conditions,
17:08
autoimmune diseases, cancers, fibromyalgia,
17:11
IBS. And
17:13
this is what's interesting. They
17:15
found the most effective intervention for
17:18
fatigue was what's known
17:20
as extra gaming, so
17:22
game exercise programs,
17:25
if you will, like We Tennis.
17:29
That was the most effective. Now second to
17:31
that was either cycling
17:34
or a combination of aerobic and
17:36
strength training. Either one led
17:39
to the similar results of what's known
17:41
as a moderate effect size. So cycling
17:43
or aerobic plus strength, either
17:46
one of these led to a moderate impact.
17:48
But the extra gaming led to
17:50
a large effect size, leading
17:53
the researchers to conclude, physical
17:56
activity has a modest effect on fatigue
17:58
among adults with chronic conditions. conditions.
18:01
And where I think extra gaming is
18:04
interesting, this is just my thinking, but
18:07
if you're someone who hasn't really taken up
18:10
habitually the habit of
18:12
exercise, it might be
18:14
that you don't like going to the gym and
18:16
you get bored, and it may also be that
18:18
if you do go to the gym or a
18:21
walk or a run, you don't push yourself.
18:24
And when we're playing games, it's easier to
18:26
get wrapped up in the game and work
18:28
harder without realizing it. And as someone who's
18:31
played sports throughout my life, I can say
18:33
this is clearly when I work the hardest.
18:35
So something to consider if
18:38
you're not getting traction with exercise
18:40
might be extra gaming. Okay,
18:43
and then the final two studies bring
18:46
us back to mood and
18:48
stress, this time looking at
18:50
the impact of meditation. 10,000
18:52
subjects with anxiety,
18:57
sadness, and or stress
19:00
were given a meditation app called
19:03
Insight Timer. And
19:05
they found that meditation was effective for
19:08
improving either the
19:10
anxiety, the sadness, and or the stress when
19:14
people practiced it four to seven
19:16
days per week. They
19:19
didn't find that the length of the
19:21
session had an impact, and this I
19:23
think is very crucial. You'll
19:25
sometimes hear someone say, Oh, I meditate for
19:27
45 minutes per day. And my
19:30
internal response to this boy, where do you find the
19:32
time? And if you're
19:34
someone who is being told, well, it's got
19:36
to be 20 minutes. If it's not 20
19:38
minutes, it's not sufficient. And
19:40
then you therefore don't meditate, you
19:42
might miss the key finding from this
19:44
fairly large study, which
19:47
was consistency was more important than
19:50
duration. And the four
19:52
to seven days per week was was the real
19:55
mark to try to hit here. But again, not
19:58
giving yourself a quota regarding time
20:01
and this leads to the researchers
20:03
comments, our findings suggest
20:05
that it was the consistency of
20:07
practice, not the length
20:09
of individual sessions that
20:12
was the most important predictor of
20:14
change. So, one
20:16
thing to keep in mind and as I say
20:18
with diet, don't let the perfect be
20:21
the enemy of the good. So, here that same
20:23
thing would apply. And
20:25
I just wanted to tie one concept
20:27
to why it may have been
20:30
those undergoing the insight
20:32
timer meditation practice had
20:34
improved sadness and stress and
20:37
what have you. This comes from a 2014 clinical
20:40
trial and what they
20:42
did was put people in
20:44
a functional MRI before
20:47
and then after meditation.
20:51
And while they were in the MRI, they
20:54
showed them startling images. In
20:56
fact, I wanted to share one with you but I
20:58
wasn't sure if we get some sort of YouTube censorship.
21:00
It's a person pointing a gun in your face
21:03
and it's certainly unpleasant to look at. And
21:06
here's what they found. In
21:09
the people who were practicing
21:11
mindfulness meditation, when
21:14
scanning their brains, there was
21:16
a significantly lowered
21:19
activation of their amygdala, a
21:22
center in the brain that tends to over function
21:24
when people are stressed and anxious. And
21:27
what was elegant about this study in particular is
21:29
they compared it to a control group. So,
21:33
half of the people practice
21:35
mindfulness meditation, the other half
21:37
didn't do anything. They get in
21:39
the functional MRI, scan their brains
21:42
while showing them these scary images and
21:45
they see a really noteworthy
21:47
reduction in the
21:49
fear governing center of the brain, the
21:51
amygdala. So, I just
21:53
wanted to tie that in for you regarding one
21:55
of the things happening in the brain that Is
21:59
beneficial. When you medicaid.
22:02
So to run this all out.
22:04
in summary, there is a lot
22:06
of power in your hands exercise
22:09
as because can fully negate the
22:11
negative impact of sleep and also
22:13
improve your energy. Probiotics along with
22:15
a multi vitamin essentially can improve
22:18
fatigue. Comment. Behavioral therapy
22:20
can be more effective than. Mano.
22:23
Therapeutic of medication. Mitochondria.
22:26
Support can improve your energy as Co
22:29
Q ten an awful A public acid
22:31
and meditation can improve your mood and
22:33
your brain health. So so many great
22:35
tools that you can use to improve
22:37
your health. And I hope that
22:39
is do improve your health and that you let me know
22:41
about it in the comments. Are you
22:43
guys the seductor? so I will tighten up. And
22:52
leave. A review. shows.com
22:55
as question for any hi
22:57
first comment for Today show
22:59
and sign up to receive
23:01
weekly updates that are are
23:03
you have seen as oh.
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