back to indexUsing Light (Sunlight, Blue Light & Red Light) to Optimize Health | Huberman Lab Podcast #68

            
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                 Welcome to the Huberman Lab Podcast,
             
            
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                 where we discuss science and science-based tools
             
            
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                 for everyday life.
             
            
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                 I'm Andrew Huberman,
             
            
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                 and I'm a professor of neurobiology and ophthalmology
             
            
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                 at Stanford School of Medicine.
             
            
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                 Today, we are going to discuss light
             
            
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                 and the many powerful uses of light to optimize our health.
             
            
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                 We're going to discuss the use of light
             
            
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                 for optimizing skin health, appearance, and longevity,
             
            
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                 for wound healing, for optimizing hormone balance,
             
            
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                 and for regulating sleep, alertness, mood,
             
            
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                 and even for offsetting dementia.
             
            
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                 One of the reasons why light has such powerful effects
             
            
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                 on so many different aspects of our biology
             
            
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                 is that it can be translated into electrical signals
             
            
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                 in our brain and body,
             
            
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                 into hormone signals in our brain and body,
             
            
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                 and indeed into what we call
             
            
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                 cascades of biological pathways,
             
            
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                 meaning light can actually change the genes
             
            
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                 that the cells of your bodies express,
             
            
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                 and that is true throughout the lifespan.
             
            
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                 Today, I will discuss the mechanisms
             
            
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                 by which all of that occurs.
             
            
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                 I promise to make it clear for those of you
             
            
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                 that don't have a biology background,
             
            
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                 and if you do have a biology background,
             
            
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                 I'll try and provide sufficient depth
             
            
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                 so that it's still of interest to you,
             
            
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                 and I promise to give you tools,
             
            
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                 very specific protocols that are extracted
             
            
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                 from the peer review literature
             
            
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                 that will allow you to use different so-called wavelengths,
             
            
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                 which most of us think of as colors of light,
             
            
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                 in order to modulate your health
             
            
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                 in the ways that are most important to you.
             
            
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                 For those of you that are thinking
             
            
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                 that the use of light to modulate health
             
            
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                 falls under the category of woo science,
             
            
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                 pseudoscience, or biohacking,
             
            
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                 well, nothing could be further from the truth.
             
            
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                 In fact, in 1903, the Nobel Prize was given
             
            
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                 to Niels Vinson, he was Icelandic, he lived in Denmark,
             
            
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                 for the use of phototherapy for the treatment of lupus.
             
            
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                 So there's more than 100 years of quality science
             
            
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                 emphasizing the use of light,
             
            
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                 and as you'll soon see,
             
            
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                 the use of particular wavelengths or colors of light
             
            
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                 in order to modulate the activity of cells
             
            
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                 in the brain and body.
             
            
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                 So while it is the case that many places
             
            
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                 and companies are selling therapies and products
             
            
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                 related to the use of flashing lights and colored lights,
             
            
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                 promising specific outcomes
             
            
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                 from everything from stem cell renewal
             
            
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                 to improvement of brain function,
             
            
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                 and some of those don't have any basis in science,
             
            
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                 there are phototherapies
             
            
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                 that do have a strong foundation in quality science,
             
            
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                 and those are the studies and the protocols
             
            
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                 that we are going to discuss today.
             
            
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                 But I thought that people might appreciate knowing
             
            
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                 that over 100 years ago,
             
            
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                 people were thinking about the use of light
             
            
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                 for the treatment of various diseases
             
            
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                 and for improving health,
             
            
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                 and indeed, many of those therapies are used today
             
            
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                 in high quality hospitals and research institutions,
             
            
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                 and of course, clinics and homes around the world.
             
            
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                 One of the more exciting examples of phototherapy
             
            
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                 in the last few years is the beautiful work
             
            
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                 of Dr. Glenn Jeffrey at University College London.
             
            
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                 The Jeffrey Lab is known for doing pioneering
             
            
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                 and very rigorous research
             
            
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                 in the realm of visual neuroscience.
             
            
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                 And in the last decade or so,
             
            
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                 they turned their attention to exploring the role
             
            
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                 of red light therapy for offsetting age-related vision loss.
             
            
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                 What they discovered is that just brief exposures
             
            
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                 to red light early in the day
             
            
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                 can offset much of the vision loss
             
            
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                 that occurs in people 40 years or older.
             
            
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                 And what's remarkable about these studies
             
            
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                 is that the entire duration of the therapy
             
            
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                 is just one to three minutes done
             
            
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                 just a few times per week.
             
            
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                 What's even more exciting
             
            
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                 is that they understand the mechanism by which this occurred.
             
            
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                 The cells in the back of the eye
             
            
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                 that convert light information into electrical signals
             
            
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                 that the rest of the brain can understand
             
            
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                 and create visual images from,
             
            
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                 well, those cells are extremely metabolically active.
             
            
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                 They need a lot of ATP or energy.
             
            
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                 And as we age, those cells get less efficient
             
            
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                 at creating that ATP and energy.
             
            
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                 Exposure to red light early in the day,
             
            
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                 and it does have to be early in the day,
             
            
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                 allowed those cells to replenish the mechanisms
             
            
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                 by which they create ATP.
             
            
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                 I'll talk about these experiments
             
            
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                 in more detail later in the episode and the protocols
             
            
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                 so that you can apply those protocols should you choose.
             
            
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                 But I use this as an example of our growing understanding
             
            
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                 of not just that phototherapies work, but how they work.
             
            
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                 And it is through the linking of protocols and mechanism
             
            
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                 that we, meaning all of us,
             
            
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                 can start to apply phototherapies
             
            
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                 in a rational, safe, and powerful way.
             
            
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                 I'm pleased to announce
             
            
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                 that I'm hosting two live events this May.
             
            
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                 The first live event will be hosted
             
            
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                 in Seattle, Washington on May 17th.
             
            
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                 The second live event will be hosted
             
            
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                 in Portland, Oregon on May 18th.
             
            
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                 Both are part of a lecture series
             
            
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                 entitled The Brain-Body Contract,
             
            
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                 during which I will discuss science
             
            
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                 and science-based tools for mental health,
             
            
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                 physical health, and performance.
             
            
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                 I should point out that while some of the material
             
            
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                 I'll cover will overlap with information covered here
             
            
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                 on the Huberman Lab podcast
             
            
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                 and on various social media posts,
             
            
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                 most of the information I will cover is going to be distinct
             
            
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                 from information covered on the podcast or elsewhere.
             
            
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                 So once again, it's Seattle on May 17th,
             
            
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                 Portland on May 18th.
             
            
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                 You can access tickets by going to HubermanLab.com slash tour
             
            
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                 and I hope to see you there.
             
            
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                 Before we begin, I'd like to emphasize
             
            
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                 that this podcast is separate
             
            
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                 from my teaching and research roles at Stanford.
             
            
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                 It is, however, part of my desire and effort
             
            
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                 to bring zero cost to consumer information about science
             
            
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                 and science-related tools to the general public.
             
            
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                 In keeping with that theme,
             
            
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                 I'd like to thank the sponsors of today's podcast.
             
            
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                 Our first sponsor is Athletic Greens, also called AG1.
             
            
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                 I started taking AG1 way back in 2012,
             
            
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                 so I'm delighted that they're sponsoring the podcast.
             
            
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                 The reason I started taking AG1
             
            
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                 and the reason I still take AG1 once or twice a day
             
            
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                 is that it covers my foundational vitamin,
             
            
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                 mineral, and probiotic needs.
             
            
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                 It also has adaptogens and things like zinc
             
            
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                 for immune system function,
             
            
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                 but the probiotics are one of the key features in there.
             
            
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                 I've done several podcasts on the gut microbiome,
             
            
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                 which are these trillions of microbiota
             
            
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                 that live in our digestive tract
             
            
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                 and that are crucial for our immune system,
             
            
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                 brain function, and so on.
             
            
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                 One way to enhance our gut microbiome
             
            
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                 to ensure that it's healthy
             
            
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                 is to make sure that we get the correct probiotics.
             
            
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                 And Athletic Greens has the correct prebiotics
             
            
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                 and probiotics that ensure a healthy gut microbiome.
             
            
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                 If you'd like to try Athletic Greens,
             
            
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                 you can go to athleticgreens.com slash Huberman
             
            
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                 to claim a special offer.
             
            
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                 They'll give you five free travel packs
             
            
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                 that make it very easy to mix up Athletic Greens
             
            
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                 while you're on the road, so in the car and on the plane.
             
            
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                 I should mention that Athletic Greens is delicious.
             
            
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                 I love the way it tastes.
             
            
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                 I mix mine with some water
             
            
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                 and a little bit of lemon or lime juice.
             
            
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                 The special offer is the five free travel packs
             
            
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                 plus a year supply of vitamin D3K2.
             
            
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                 Vitamin D3 has been shown to be important
             
            
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                 for a tremendous number of biological functions.
             
            
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                 Many of us who get sunlight get enough vitamin D3.
             
            
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                 Many of us, even if we do get sunlight,
             
            
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                 do not get enough vitamin D3.
             
            
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                 So the year supply of vitamin D3 also has K2,
             
            
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                 which is important for cardiovascular function,
             
            
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                 for calcium regulation.
             
            
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                 Again, go to athleticgreens.com slash Huberman
             
            
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                 to get the five free travel packs
             
            
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                 and the year supply of vitamin D3K2.
             
            
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                 Today's episode is also brought to us by Thesis.
             
            
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                 Thesis makes custom nootropics.
             
            
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                 Nootropic is a smart drug.
             
            
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                 And personally, I'm not a big fan
             
            
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                 of the concept of a smart drug,
             
            
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                 at least not the way that most people talk about smart drugs
             
            
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                 or nootropics, for the following reason.
             
            
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                 Being smart involves various things.
             
            
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                 There is creativity, there's focus,
             
            
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                 there's task switching, and so on.
             
            
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                 And each one of those involves different operations
             
            
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                 in the brain, different neural circuits,
             
            
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                 different neurochemicals have to be deployed
             
            
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                 in order for us to, for instance, be very focused
             
            
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                 or for us to be very creative
             
            
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                 or for us to be able to switch tasks easily.
             
            
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                 Thesis understands this.
             
            
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                 And for that reason, they've developed custom nootropics
             
            
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                 that are aimed at getting your brain and body
             
            
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                 of work or physical activity.
             
            
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                 In order to accomplish that,
             
            
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                 they've created unique blends of high quality ingredients.
             
            
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                 And each of those blends is designed
             
            
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                 to get your brain and body into a particular mode
             
            
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                 such as focus, clarity, or motivation.
             
            
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                 I've been using thesis nootropics for over six months now.
             
            
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                 And I have to say, it's been a total game changer
             
            
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                 and very unique from the experience
             
            
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                 of using sort of what I call catch-all nootropics.
             
            
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                 So with thesis, it's really directed
             
            
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                 toward particular brain body states.
             
            
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                 I should also mention
             
            
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                 that they tailor those custom blends to you.
             
            
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                 So by taking a quiz on their site,
             
            
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                 they will tailor the blend to you and your specific needs
             
            
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                 and the things you don't want.
             
            
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                 So if you want to try
             
            
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                 your own personalized nootropic starter kit,
             
            
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                 you can go online to takethesis.com slash Huberman.
             
            
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                 You'll take a three minute quiz
             
            
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                 and thesis will send you four different formulas
             
            
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                 to try in your first month.
             
            
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                 And then based on the outcomes with those,
             
            
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                 they can update your formulations for you.
             
            
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                 That's takethesis.com slash Huberman
             
            
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                 and use the code Huberman at checkout
             
            
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                 to get 10% off your first box.
             
            
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                 Today's episode is also brought to us by Element.
             
            
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                 Element is a properly balanced electrolyte drink
             
            
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                 that has no sugar.
             
            
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                 When we get our electrolytes in the proper ratios,
             
            
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                 the cells of our brain and body can function optimally.
             
            
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                 Many people are surprised to find
             
            
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                 that when they increase their sodium intake,
             
            
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                 provided that it is in proper balance
             
            
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                 with potassium and magnesium,
             
            
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                 they can think more clearly.
             
            
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                 They recover from exercise better and they have more energy.
             
            
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                 There is no surprise as to how that all works.
             
            
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                 However, every cell of your body
             
            
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                 requires the electrolytes to function.
             
            
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                 And in particular, the neurons of your brain and body
             
            
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                 require sodium in order to function.
             
            
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                 So while people with pre-hypertension and hypertension
             
            
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                 definitely need to be careful about increasing
             
            
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                 their sodium intake,
             
            
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                 many people do well to increase their sodium intake,
             
            
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                 again, provided it's in the proper balance
             
            
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                 with potassium and magnesium.
             
            
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                 Element provides that proper balance.
             
            
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                 If you'd like to try Element, you can go to Drink Element,
             
            
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                 that's lmnt.com slash Huberman
             
            
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                 to claim a free Element sample pack.
             
            
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                 You only cover the cost of shipping.
             
            
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                 Again, that's Drink Element lmnt.com slash Huberman
             
            
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                 to claim a free sample pack.
             
            
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                 Okay, let's talk about light.
             
            
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                 First, I want to talk about the physics of light.
             
            
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                 And I promise to make that very clear,
             
            
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                 even if you don't have a background in physics.
             
            
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                 And then I want to talk about the biology of light,
             
            
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                 meaning how light is converted into signals
             
            
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                 that your brain and body can use
             
            
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                 to impact things like organ health or disease,
             
            
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                 or how you can use light in order to repair
             
            
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                 particular organs like your skin,
             
            
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                 your eyes, your brain, et cetera.
             
            
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                 The physics of light can be made very simple
             
            
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                 by just illustrating a few key bullet points.
             
            
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                 The first bullet point is that
             
            
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                 light is electromagnetic energy.
             
            
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                 If the word electromagnetic feels daunting to you,
             
            
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                 well then just discard that
             
            
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                 and just think of light as energy.
             
            
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                 And think of energy as something that can impact
             
            
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                 other things in its environment.
             
            
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                 Now, the way to imagine light
             
            
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                 or to conceptualize light as energy
             
            
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                 is that all around you,
             
            
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                 light is traveling in these little wavelengths.
             
            
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                 And the reason for those of you that are watching,
             
            
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                 I'm making a little wavy motion with my hand
             
            
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                 is that's actually the way that light energy moves
             
            
            
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                 just like sound waves are coming at you
             
            
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                 and impinging on your ears.
             
            
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                 If you can hear me talking right now, that is happening.
             
            
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                 Those are sound waves,
             
            
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                 meaning the movement of air particles out there
             
            
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                 impacting your eardrum.
             
            
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                 Well, light energy is just little bits
             
            
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                 of electromagnetic energy traveling
             
            
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                 through your environment all the time in these little waves
             
            
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                 and impinging on your brain and body and eyes, et cetera.
             
            
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                 And as I mentioned before,
             
            
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                 energy can change the way that other things behave.
             
            
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                 It can cause reactions in cells of your body.
             
            
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                 It can cause reactions in fruit, for instance, right?
             
            
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                 You see a piece of fruit and it's not ripe,
             
            
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                 but it gets a lot of sunlight and it ripens.
             
            
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                 That's because the electromagnetic energy of sunlight
             
            
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                 had an impact on that plant or that tree,
             
            
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                 or even on the fruit directly.
             
            
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                 As a parallel example of energy
             
            
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                 and its ability to impact other things,
             
            
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                 we are all familiar with food
             
            
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                 and the fact that food has calories.
             
            
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                 Calorie is a measure of energy.
             
            
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                 It has everything to do with how much heat is generated
             
            
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                 when you burn a particular article of food,
             
            
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                 believe it or not.
             
            
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                 And it turns out that how hot a given article of food burns
             
            
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                 gives you a sense of how much energy
             
            
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                 it can provide your body in terms of your body's ability
             
            
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                 to store or use that energy.
             
            
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                 So again, think of light as electromagnetic energy,
             
            
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                 but really put that word energy into capital letters,
             
            
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                 embed that in your mind going forward,
             
            
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                 and you'll understand most of the first bullet point
             
            
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                 of what light is in terms of the physics of light.
             
            
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                 Now, the second thing that you need to understand
             
            
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                 about the physics of light
             
            
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                 is that light has many different wavelengths.
             
            
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                 And the simplest way to conceptualize this
             
            
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                 is to imagine that cover of that Pink Floyd album
             
            
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                 where there's a prism,
             
            
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                 you have a white beam of light going into that prism,
             
            
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                 and then the prism splits that beam of light
             
            
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                 into what looks like a rainbow.
             
            
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                 So you've got your red, your orange, your greens,
             
            
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                 your blues, your purples, et cetera.
             
            
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                 Anytime we have light in our environment
             
            
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                 that is so-called white light,
             
            
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                 it includes all those wavelengths,
             
            
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                 but sunlight and other forms of light
             
            
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                 also have other wavelengths of light that we can't see.
             
            
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                 So when we think about the rainbow,
             
            
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                 that's just the visible spectrum of light.
             
            
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                 There are also wavelengths of light
             
            
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                 that are not visible to us,
             
            
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                 but that are visible to some other animals
             
            
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                 and that can still impact your brain and body
             
            
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                 because there is still energy at those wavelengths.
             
            
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                 I'll give a few examples of this.
             
            
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                 Humans are not a species that can see
             
            
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                 into the infrared realm of the spectrum.
             
            
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                 A pit viper, meaning a snake that has infrared sensors,
             
            
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                 however, can sense in the infrared.
             
            
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                 So if you were to walk through a jungle
             
            
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                 and there's a pit viper there,
             
            
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                 it sees you as a cloud of heat emission
             
            
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                 because your body is emitting infrared energy all the time.
             
            
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                 You're casting off infrared energy.
             
            
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                 The snake can see it, you can't.
             
            
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                 If you were to put on a particular set of goggles
             
            
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                 that were infrared goggles,
             
            
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                 well, then you would be able to see the heat emissions
             
            
                link |
                
                 of any organism, human or otherwise,
             
            
                link |
                
                 that could emit infrared energy.
             
            
                link |
                
                 Let's take the opposite end of the spectrum.
             
            
                link |
                
                 We are familiar with seeing things that are blue or green
             
            
                link |
                
                 or very pale blue, but as we say below that,
             
            
                link |
                
                 meaning even shorter wavelength light is out there.
             
            
                link |
                
                 Ultraviolet light is a really good example
             
            
                link |
                
                 of light energy that's coming from the sun
             
            
                link |
                
                 and is in our environment
             
            
                link |
                
                 and is being reflected off surfaces all the time.
             
            
                link |
                
                 We don't see it and yet if it's very bright outside,
             
            
                link |
                
                 that ultraviolet light can burn our skin.
             
            
                link |
                
                 As you'll learn in today's episode,
             
            
                link |
                
                 ultraviolet light can also positively impact us.
             
            
                link |
                
                 In fact, I will describe a particular set of new results
             
            
                link |
                
                 that show that ultraviolet light
             
            
                link |
                
                 viewed for just a few minutes each day
             
            
                link |
                
                 or landing on the skin for just a few minutes each day
             
            
                link |
                
                 can actually offset a lot of pain.
             
            
                link |
                
                 It actually has the ability to reduce the amount of pain
             
            
                link |
                
                 sensed by your body and we now understand
             
            
                link |
                
                 the specific circuits in the brain and body
             
            
                link |
                
                 that allow that to happen.
             
            
                link |
                
                 I'll talk about that
             
            
                link |
                
                 and the related protocols a little bit later.
             
            
                link |
                
                 So the important thing to understand
             
            
                link |
                
                 about the physics of light is that there's energy
             
            
                link |
                
                 at all these different wavelengths.
             
            
                link |
                
                 We only see some of those wavelengths,
             
            
                link |
                
                 which basically is to say that light impacts us
             
            
                link |
                
                 at many different levels and the so-called levels
             
            
                link |
                
                 that I'm referring to are the different wavelengths of light
             
            
                link |
                
                 and you're welcome to think of the different wavelengths
             
            
                link |
                
                 of light as different colors,
             
            
                link |
                
                 but do understand that there are truly colors of light
             
            
                link |
                
                 that you and I can't see and yet that have powerful impact
             
            
                link |
                
                 on your brain and body.
             
            
                link |
                
                 Now, the third bullet point to understand
             
            
                link |
                
                 about the physics of light
             
            
                link |
                
                 is that different wavelengths of light
             
            
                link |
                
                 because of the way that their wave travels
             
            
                link |
                
                 can penetrate tissues to different depths.
             
            
                link |
                
                 This is very, very important.
             
            
                link |
                
                 Today, we're going to talk a lot about red light therapies
             
            
                link |
                
                 and near infrared light therapies.
             
            
                link |
                
                 Those are so-called longer wavelengths.
             
            
                link |
                
                 Longer wavelength, just think of a bigger, longer wave,
             
            
                link |
                
                 a bigger curve, as opposed to short wavelength light,
             
            
                link |
                
                 which is going to be shorter.
             
            
                link |
                
                 A short wavelength light would be something like blue
             
            
                link |
                
                 or green light or ultraviolet light.
             
            
                link |
                
                 Blue, green and ultraviolet light,
             
            
                link |
                
                 because it's short wavelength light,
             
            
                link |
                
                 doesn't tend to penetrate tissues very easily.
             
            
                link |
                
                 It has to do with the way that the physics of light
             
            
                link |
                
                 interacts with the physical properties of your skin
             
            
                link |
                
                 and other tissues of your body.
             
            
                link |
                
                 But basically, if you were to shine UV light
             
            
                link |
                
                 onto your arm, for instance,
             
            
                link |
                
                 it could impact the skin on the surface of the arm
             
            
                link |
                
                 and maybe some of the cells
             
            
                link |
                
                 just beneath the top layer of skin,
             
            
                link |
                
                 but it wouldn't penetrate much deeper.
             
            
                link |
                
                 Long wavelength light like red light and near infrared light
             
            
                link |
                
                 has this amazing ability to penetrate through tissues,
             
            
                link |
                
                 including your skin.
             
            
                link |
                
                 And so if we were to shine red light
             
            
                link |
                
                 or near infrared light onto your arm,
             
            
                link |
                
                 it would pass through that top layer of skin.
             
            
                link |
                
                 It might impact it a little bit,
             
            
                link |
                
                 but it could penetrate deeper into your skin,
             
            
                link |
                
                 not just to the skin layers,
             
            
                link |
                
                 but maybe even down to the bone,
             
            
                link |
                
                 maybe even down to the bone marrow.
             
            
                link |
                
                 And for many people, this will be hard to conceptualize.
             
            
                link |
                
                 You think, well, wait, I've got a skin there.
             
            
                link |
                
                 Doesn't the light just bounce off?
             
            
                link |
                
                 And the answer is no,
             
            
                link |
                
                 because of the way that long wavelength light
             
            
                link |
                
                 interacts with the absorbance properties of your skin.
             
            
                link |
                
                 Absorbance properties is just the way
             
            
                link |
                
                 that the skin takes light energy
             
            
                link |
                
                 and converts it into a different form of energy.
             
            
                link |
                
                 And your skin is not able to take long wavelength light
             
            
                link |
                
                 like red light and near infrared light and absorb it,
             
            
                link |
                
                 but the tissues deeper in your body can.
             
            
                link |
                
                 So if you shine red light or near infrared light
             
            
                link |
                
                 onto the surface of your skin,
             
            
                link |
                
                 you'll see a red glow there as a reflectance
             
            
                link |
                
                 on the surface of your skin.
             
            
                link |
                
                 But a lot of the photon energy,
             
            
                link |
                
                 the light energy in those longer wavelengths
             
            
                link |
                
                 is indeed passing through those top layers of skin
             
            
                link |
                
                 into the deeper layers of skin
             
            
                link |
                
                 and can even make it into the deep layers of your arm.
             
            
                link |
                
                 And as we start to transition from the physics of light
             
            
                link |
                
                 to the biological impacts of light,
             
            
                link |
                
                 just understanding that the different wavelengths of light
             
            
                link |
                
                 impact our tissues at different levels,
             
            
                link |
                
                 literally at different depths,
             
            
                link |
                
                 will help you better understand
             
            
                link |
                
                 how light of different colors, of different intensities,
             
            
                link |
                
                 and how long you are exposed to those colors
             
            
                link |
                
                 and intensities of light can change the way
             
            
                link |
                
                 that the cells and the organs of your body work.
             
            
                link |
                
                 And if it didn't sound weird enough
             
            
                link |
                
                 that you can pass light through particular tissues
             
            
                link |
                
                 and have them land and be absorbed
             
            
                link |
                
                 at tissues deeper in your body,
             
            
                link |
                
                 well, it turns out that different wavelengths of light
             
            
                link |
                
                 are also best absorbed by particular
             
            
                link |
                
                 so-called organelles within your cells.
             
            
                link |
                
                 What are organelles?
             
            
                link |
                
                 Organelles are the different compartments
             
            
                link |
                
                 and different functions within a given cell.
             
            
                link |
                
                 So for instance, your mitochondria,
             
            
                link |
                
                 which are responsible for generating ATP
             
            
                link |
                
                 and energy in your cells,
             
            
                link |
                
                 those exist at a particular depth,
             
            
                link |
                
                 at a particular location within a cell.
             
            
                link |
                
                 They're not all at the cell surface.
             
            
                link |
                
                 They sit somewhat deeper in the cell.
             
            
                link |
                
                 The nucleus of your individual cells contains DNA,
             
            
                link |
                
                 and that sits at a particular depth
             
            
                link |
                
                 or location within your cell.
             
            
                link |
                
                 Different wavelengths of light
             
            
                link |
                
                 not only can penetrate down into different tissues
             
            
                link |
                
                 and into different cells of your body,
             
            
                link |
                
                 but they can also penetrate and access particular organelles,
             
            
                link |
                
                 meaning mitochondria or the nucleus
             
            
                link |
                
                 or the different aspects of your cells
             
            
                link |
                
                 that are responsible for different functions.
             
            
                link |
                
                 This is exquisitely important,
             
            
                link |
                
                 and it's exquisitely powerful
             
            
                link |
                
                 because as you'll learn today,
             
            
                link |
                
                 particular wavelengths of light
             
            
                link |
                
                 can be used to stimulate the function
             
            
                link |
                
                 of particular organelles within particular cells
             
            
                link |
                
                 within particular organs of your body.
             
            
                link |
                
                 I can think of no other form of energy,
             
            
                link |
                
                 not sound, not chemical energy, so not drugs,
             
            
                link |
                
                 not food, not touch,
             
            
                link |
                
                 no form of energy that can target the particular locations
             
            
                link |
                
                 in our cells, in our organelles, in our organs,
             
            
                link |
                
                 and in our body to the extent that light can.
             
            
            
                link |
                
                 if you had to imagine a real world surgical tool
             
            
                link |
                
                 by which to modulate our biology,
             
            
                link |
                
                 light would be the sharpest
             
            
                link |
                
                 and the most precise of those tools.
             
            
                link |
                
                 Now let's talk about how light is converted
             
            
                link |
                
                 into biological signals.
             
            
                link |
                
                 There are several ways in which that is accomplished,
             
            
                link |
                
                 but the fundamental thing to understand
             
            
                link |
                
                 is this notion of absorption of light energy.
             
            
                link |
                
                 Certain pigments or colors
             
            
                link |
                
                 in the thing that is receiving the light energy,
             
            
                link |
                
                 meaning the thing that the light energy lands on
             
            
                link |
                
                 are going to absorb particular wavelengths of light.
             
            
                link |
                
                 Now, I promise you that you already intuitively know
             
            
            
                link |
                
                 For instance, if you were to sit outside
             
            
                link |
                
                 on a very bright sunny day
             
            
                link |
                
                 and you had a table in front of you that was metal,
             
            
                link |
                
                 you might find it hard to look down at that metal table
             
            
                link |
                
                 because it's reflecting a lot of light
             
            
                link |
                
                 of particular wavelengths.
             
            
                link |
                
                 If that table were pitch black, however,
             
            
                link |
                
                 it wouldn't reflect quite as much
             
            
                link |
                
                 and you would be able to comfortably look at it.
             
            
                link |
                
                 If that table were red, it might be somewhere in between.
             
            
                link |
                
                 If that table were green,
             
            
                link |
                
                 it would be also somewhere in between,
             
            
                link |
                
                 but let's say it were very light blue,
             
            
                link |
                
                 well, then it might reflect almost as much
             
            
                link |
                
                 as a table that were just metal or a white table surface.
             
            
                link |
                
                 So the absorbance properties of a given surface
             
            
                link |
                
                 will determine whether or not light energy goes
             
            
                link |
                
                 and stays at that location
             
            
                link |
                
                 and has an impact on that location
             
            
                link |
                
                 or whether or not it bounces off.
             
            
                link |
                
                 Every biological function of light
             
            
                link |
                
                 has to do with the absorbance or the reflectance of light
             
            
                link |
                
                 or light passing through that particular thing,
             
            
                link |
                
                 meaning that particular cell or compartment within a cell.
             
            
                link |
                
                 I'd like to make it clear how this works
             
            
                link |
                
                 by using the three primary examples
             
            
                link |
                
                 of how you take light in your environment
             
            
                link |
                
                 and convert it into biological events.
             
            
                link |
                
                 We have photoreceptors in the back of our eyes.
             
            
                link |
                
                 These photoreceptors come in two major types,
             
            
                link |
                
                 the so-called rods and the cones.
             
            
                link |
                
                 The rods are very elongated, they look like rods,
             
            
                link |
                
                 and the cones look like little triangles.
             
            
                link |
                
                 Rods and cones have within them photo pigment.
             
            
                link |
                
                 They have dark stuff that's stacked up in little layers.
             
            
                link |
                
                 Rods absorb light of essentially any wavelength.
             
            
                link |
                
                 There's some variation to that,
             
            
                link |
                
                 but let's just say rods don't care
             
            
                link |
                
                 about the different colors of light.
             
            
                link |
                
                 They will absorb light energy, photon energy.
             
            
                link |
                
                 If it's red, if it's green, if it's blue, if it's yellow,
             
            
                link |
                
                 doesn't matter as long as that light is bright enough.
             
            
                link |
                
                 And it turns out that rods are very, very sensitive.
             
            
                link |
                
                 They can detect very, very small numbers of photons.
             
            
                link |
                
                 And rods are essentially what you use
             
            
                link |
                
                 to see in very low light conditions.
             
            
                link |
                
                 We'll return more to vision later.
             
            
                link |
                
                 The cones come in three major varieties.
             
            
                link |
                
                 At least for most people who aren't colorblind,
             
            
                link |
                
                 you have so-called red cones, green cones, and blue cones,
             
            
                link |
                
                 but they're not really red, green, and blue
             
            
                link |
                
                 in the back of your eye.
             
            
                link |
                
                 They are cones that either absorb long wavelength light,
             
            
                link |
                
                 red, that absorb medium wavelength light,
             
            
                link |
                
                 green, or short wavelength light, blue.
             
            
                link |
                
                 The reason that they can absorb different wavelengths
             
            
                link |
                
                 of light is they have different photo pigments.
             
            
                link |
                
                 So much as the example I gave before,
             
            
                link |
                
                 where you have different tables outside
             
            
                link |
                
                 in the sunny environment,
             
            
                link |
                
                 and some are reflecting light more than others,
             
            
                link |
                
                 others are absorbing light more than others.
             
            
                link |
                
                 Well, so too the photoreceptors,
             
            
                link |
                
                 meaning the cones are absorbing light of different
             
            
                link |
                
                 wavelengths to different extents.
             
            
                link |
                
                 And in a absolutely incredible way,
             
            
                link |
                
                 your brain is actually able to take that information
             
            
                link |
                
                 and create this perception that we have of color.
             
            
                link |
                
                 But that's another story altogether that we'll just touch
             
            
                link |
                
                 on a little bit more later,
             
            
                link |
                
                 but that if you want to learn all about,
             
            
                link |
                
                 you can go to our episode on vision.
             
            
                link |
                
                 So that's photoreceptors in the back of your eye,
             
            
                link |
                
                 absorbing light of different wavelengths, rods and cones.
             
            
                link |
                
                 The other place of course,
             
            
                link |
                
                 where light can impact our body is on our surface,
             
            
                link |
                
                 on our skin and skin has pigment too.
             
            
                link |
                
                 We call that pigment melanin.
             
            
                link |
                
                 We have within our skin multiple cell types,
             
            
                link |
                
                 but in the top layer of skin,
             
            
                link |
                
                 which is called the epidermis,
             
            
                link |
                
                 we have keratinocytes and we have melanocytes.
             
            
                link |
                
                 And the melanocytes are the cells that create pigmentation
             
            
            
                link |
                
                 And of course there is wide variation in the degree to which
             
            
                link |
                
                 there's pigmentation of the skin,
             
            
                link |
                
                 which has to do with genetics,
             
            
                link |
                
                 also has to do with where you were born and raised,
             
            
                link |
                
                 how much light exposure you have throughout the year, right?
             
            
                link |
                
                 So people toward the equator tend to have more melanocyte
             
            
                link |
                
                 activity than people who are located at the North pole.
             
            
                link |
                
                 And of course people live at different locations
             
            
                link |
                
                 throughout the earth,
             
            
                link |
                
                 regardless of their genetic background
             
            
                link |
                
                 or where they were born.
             
            
                link |
                
                 And so, as you all know, with light exposure,
             
            
                link |
                
                 those melanocytes will turn on genetic programs
             
            
                link |
                
                 and other biological programs that lead to enhanced
             
            
                link |
                
                 pigmentation on the skin, which we call tanning.
             
            
                link |
                
                 The way they do that is by absorbing UV light specifically.
             
            
                link |
                
                 So with melanocytes,
             
            
                link |
                
                 we have a very specific example of how a pigment absorbs
             
            
                link |
                
                 light of a particular length, in this case,
             
            
                link |
                
                 ultraviolet short wavelength light,
             
            
                link |
                
                 which in turn creates a set of biological signals within
             
            
                link |
                
                 those cells that in turn creates changes in our skin
             
            
            
                link |
                
                 So we have photoreceptors,
             
            
                link |
                
                 we have melanocytes and the third example I'd like to
             
            
                link |
                
                 provide is that of every cell of your body.
             
            
                link |
                
                 And what I mean by that is that every cell of your body,
             
            
                link |
                
                 meaning a cell that is part of your bone tissue or your bone
             
            
                link |
                
                 marrow or heart tissue or liver or spleen,
             
            
                link |
                
                 if light can access those cells,
             
            
                link |
                
                 it will change the way that those cells function for better
             
            
            
                link |
                
                 For many organs within our body that reside deep to our
             
            
                link |
                
                 skin, light never arrives at those cells.
             
            
                link |
                
                 A really good example of this that we'll touch on later is
             
            
            
                link |
                
                 Unless you have massive damage to your body surface,
             
            
                link |
                
                 unless you literally have a hole in your body,
             
            
                link |
                
                 light will never land directly on your spleen,
             
            
                link |
                
                 but the spleen still responds to light information through
             
            
                link |
                
                 indirect pathways.
             
            
                link |
                
                 And those indirect pathways arise through light arriving on
             
            
                link |
                
                 the skin and light arriving on the eyes.
             
            
                link |
                
                 So a key principle that I'm going to return to again and
             
            
                link |
                
                 again today is that the ways in which light can impact the
             
            
                link |
                
                 biology of your organelles, your cells,
             
            
                link |
                
                 your organs and the tissues,
             
            
                link |
                
                 and indeed your whole body can either be direct.
             
            
            
                link |
                
                 light onto your skin impacting skin or light onto your
             
            
                link |
                
                 photoreceptors impacting the photoreceptors of your eye,
             
            
                link |
                
                 or it can be indirect.
             
            
                link |
                
                 It can be light arriving on your photoreceptors,
             
            
                link |
                
                 the photoreceptors then informing another cell type,
             
            
                link |
                
                 which informs another cell type,
             
            
                link |
                
                 which then relays a signal and kind of a bucket brigade
             
            
                link |
                
                 manner off to the spleen and says to the spleen,
             
            
                link |
                
                 Hey, there's a lot of UV light out here.
             
            
                link |
                
                 We're actually under stress.
             
            
            
                link |
                
                 there's so much UV light that you need to activate an immune
             
            
                link |
                
                 program to protect the skin.
             
            
                link |
                
                 And in response to that,
             
            
                link |
                
                 the spleen can deploy certain signals and certain cell types
             
            
                link |
                
                 to go out and start repairing skin that's being damaged by
             
            
            
                link |
                
                 So we have direct signals and we have indirect signals,
             
            
                link |
                
                 but in every case,
             
            
                link |
                
                 it starts with light,
             
            
                link |
                
                 a particular wavelengths being absorbed by particular
             
            
                link |
                
                 pigments or properties of the surfaces that those light
             
            
            
                link |
                
                 And as you recall from our discussion about the physics of
             
            
            
                link |
                
                 it's not just about light impinging on the surface of your
             
            
            
                link |
                
                 Light can actually penetrate deep to the skin and access at
             
            
                link |
                
                 least certain tissues and cells of your body.
             
            
                link |
                
                 Even though you can't see those wavelengths of light,
             
            
                link |
                
                 they are getting into you all the time.
             
            
                link |
                
                 So perhaps the best way to wrap this discussion about the
             
            
                link |
                
                 physics and the biology of light with a bit of a bow is to
             
            
                link |
                
                 think about light as a transducer,
             
            
                link |
                
                 meaning a communicator of what's going on in the environment
             
            
            
                link |
                
                 And that some of those signals are arriving at the surface
             
            
                link |
                
                 and impacting the surface of your body.
             
            
                link |
                
                 But many of those signals are being taken by cells at the
             
            
                link |
                
                 surface of your body,
             
            
                link |
                
                 meaning your melanocytes in your skin and the
             
            
                link |
                
                 photoreceptors of your eyes,
             
            
                link |
                
                 and then being passed off as a set of instructions to the
             
            
                link |
                
                 other organs and tissues of your body.
             
            
                link |
                
                 Light can impact our biology in very fast,
             
            
                link |
                
                 moderately fast and slow ways.
             
            
                link |
                
                 But even the slow ways in which light can impact our biology
             
            
                link |
                
                 can be very powerful and very long lasting.
             
            
                link |
                
                 Just as a quick example of the rapid effects of light on our
             
            
                link |
                
                 biology, if you were to go from a room that is dimly lit,
             
            
                link |
                
                 or dark into a very brightly lit room,
             
            
                link |
                
                 you would immediately feel very alert.
             
            
                link |
                
                 You might say, no, that's not true.
             
            
                link |
                
                 Sometimes I wake up and it's dark and I kind of stumble out
             
            
                link |
                
                 and it's lighter out in the next room.
             
            
                link |
                
                 And it takes me a while to wake up.
             
            
                link |
                
                 But if we were to move you from a room that was very dark to
             
            
            
                link |
                
                 a signal conveyed from your eyes to an area of your brain
             
            
                link |
                
                 stem called the locus coeruleus would cause the release of
             
            
                link |
                
                 adrenaline similar to the release of adrenaline.
             
            
                link |
                
                 If you were to be dropped into very,
             
            
                link |
                
                 very cold water, all of a sudden,
             
            
                link |
                
                 you just an immediate wake up signal to your brain and body.
             
            
                link |
                
                 So that's an example of a rapid effect of light on your
             
            
                link |
                
                 biology, not a very typical one,
             
            
                link |
                
                 but nonetheless one that has a hardwired biological
             
            
                link |
                
                 mechanism at the other end of the spectrum or what we call
             
            
                link |
                
                 slow integrating effects of light on our biology.
             
            
                link |
                
                 So what I mean by that are ways in which your body is taking
             
            
                link |
                
                 information about light in the environment,
             
            
                link |
                
                 not in the sort of snapshot acute sense,
             
            
                link |
                
                 but averaging the amount of light in your environment.
             
            
                link |
                
                 And that average light information is changing the way that
             
            
                link |
                
                 your biology works.
             
            
                link |
                
                 But even though this is a slow process,
             
            
                link |
                
                 as I mentioned before, it's a very powerful one.
             
            
                link |
                
                 The primary example of this are so-called
             
            
                link |
                
                 circannual rhythms, circannual rhythms are literally a
             
            
                link |
                
                 calendar that exists within your body that uses not numbers,
             
            
                link |
                
                 but amounts of hormone that are released into your brain and
             
            
                link |
                
                 body each day and each night as a way of knowing where you
             
            
                link |
                
                 are in the 365 day calendar year.
             
            
                link |
                
                 Now that might seem kind of crazy, but it's not crazy.
             
            
                link |
                
                 The earth travels around the sun once every 365 days.
             
            
                link |
                
                 And depending on where you are on the earth, where you live,
             
            
                link |
                
                 you are going to get more or less light each day on average,
             
            
                link |
                
                 depending on the time of year.
             
            
                link |
                
                 So if you're in the Northern hemisphere in the winter months,
             
            
                link |
                
                 days are shorter, nights are longer.
             
            
                link |
                
                 In the summer months, days are longer, nights are shorter.
             
            
                link |
                
                 And of course things change whether or not you're in the
             
            
                link |
                
                 Northern hemisphere or the Southern hemisphere.
             
            
                link |
                
                 But nonetheless, in short days,
             
            
                link |
                
                 you have more darkness that's obvious.
             
            
                link |
                
                 And if you understand that light arriving on the eyes is
             
            
                link |
                
                 absorbed by a particular cell type called the intrinsically
             
            
                link |
                
                 photosensitive ganglion cell, it's just a name.
             
            
                link |
                
                 You don't need to know the name,
             
            
                link |
                
                 but if you want it's the so-called intrinsically
             
            
                link |
                
                 photosensitive ganglion cell also called the
             
            
                link |
                
                 melanopsin cell, because it contains an opsin,
             
            
                link |
                
                 a photo pigment that absorbs short wavelength light that
             
            
                link |
                
                 arrives through sunlight,
             
            
                link |
                
                 those cells communicate to particular stations in the brain
             
            
                link |
                
                 that in turn connect to your so-called pineal gland,
             
            
                link |
                
                 which is this little pea-sized gland in the middle of your
             
            
                link |
                
                 brain that releases a hormone called melatonin.
             
            
                link |
                
                 And the only thing you need to know is that light activates
             
            
                link |
                
                 these particular cells,
             
            
                link |
                
                 the intrinsically photosensitive melanopsin cells,
             
            
                link |
                
                 which in turn shuts down the production of melatonin from
             
            
            
                link |
                
                 If you think about this in terms of the travel of the earth
             
            
                link |
                
                 around the sun across the year,
             
            
                link |
                
                 what it means is that in short days,
             
            
                link |
                
                 because there's very little light on average landing on
             
            
            
                link |
                
                 the duration of melatonin release will be much longer
             
            
                link |
                
                 because as I mentioned before light inhibits,
             
            
                link |
                
                 it shuts down melatonin.
             
            
                link |
                
                 Whereas in the summer months,
             
            
                link |
                
                 much more light on average will land on your eyes, right?
             
            
                link |
                
                 Because days are longer.
             
            
                link |
                
                 Even if you're spending more time indoors on average,
             
            
                link |
                
                 you're going to get more light to activate these cells.
             
            
                link |
                
                 And because light shuts down melatonin production,
             
            
                link |
                
                 what you'll find is that the duration of melatonin release
             
            
                link |
                
                 for the pineal is much shorter.
             
            
                link |
                
                 So melatonin is a transducer.
             
            
                link |
                
                 It's a communicator of how much light on average is in your
             
            
                link |
                
                 physical environment.
             
            
                link |
                
                 What this means is for people living in the Northern
             
            
            
                link |
                
                 you're getting more melatonin release in the winter months
             
            
                link |
                
                 than you are in the summer months.
             
            
                link |
                
                 So you have a calendar system that is based in a hormone.
             
            
                link |
                
                 And that hormone is using light in order to determine where
             
            
                link |
                
                 you are in that journey around the sun.
             
            
                link |
                
                 Now this is beautiful.
             
            
                link |
                
                 At least to me, it's beautiful because what it means is that
             
            
                link |
                
                 the environment around us is converted into a signal that
             
            
                link |
                
                 changes the environment within us.
             
            
                link |
                
                 That signal is melatonin and melatonin is well-known for its
             
            
                link |
                
                 role in making us sleepy each night and allowing us to fall
             
            
            
                link |
                
                 Many of you have probably heard before,
             
            
                link |
                
                 I am not a big fan of melatonin supplementation for a number
             
            
                link |
                
                 of reasons, but just as a quick aside,
             
            
                link |
                
                 the levels of melatonin that are in most supplements are far
             
            
                link |
                
                 too high to really be considered physiological.
             
            
                link |
                
                 They are indeed super physiological in most cases.
             
            
                link |
                
                 And melatonin can have a number of different effects,
             
            
                link |
                
                 not just related to sleep, but that's supplemented melatonin.
             
            
                link |
                
                 Here I'm talking about our natural production and release of
             
            
            
                link |
                
                 according to where we are in the 365 day calendar year.
             
            
                link |
                
                 Indogenous melatonin,
             
            
                link |
                
                 meaning the melatonin that we make within our bodies
             
            
                link |
                
                 naturally, not melatonin that's supplemented,
             
            
                link |
                
                 has two general categories of effects.
             
            
                link |
                
                 The first set of effects are so-called regulatory effects,
             
            
                link |
                
                 and the others are protective effects.
             
            
                link |
                
                 The regulatory effects are for instance,
             
            
                link |
                
                 that melatonin can positively impact bone mass.
             
            
                link |
                
                 So melatonin can, for instance,
             
            
                link |
                
                 turn on the production of osteoblasts,
             
            
                link |
                
                 which are essentially stem cells that make more bone for us
             
            
                link |
                
                 that make our bones stronger,
             
            
                link |
                
                 and that can replace damaged aspects of our bone.
             
            
                link |
                
                 Melatonin is also involved in maturation of the gonads
             
            
                link |
                
                 during puberty, the ovaries and the testes.
             
            
                link |
                
                 Although there, the effects of melatonin tend to be
             
            
                link |
                
                 suppressive on maturation of the ovaries and testes,
             
            
                link |
                
                 meaning high levels of melatonin tend to reduce testicle
             
            
                link |
                
                 volume and reduce certain functions within the testes,
             
            
                link |
                
                 including sperm production and testosterone production.
             
            
                link |
                
                 And within the ovaries,
             
            
                link |
                
                 melatonin can suppress the maturation of eggs, et cetera.
             
            
                link |
                
                 Now, I don't want anyone to get scared
             
            
                link |
                
                 if you've been taking melatonin,
             
            
                link |
                
                 mostly effects of melatonin on those functions
             
            
            
                link |
                
                 but I should point out that one of the reasons
             
            
                link |
                
                 why children don't go into puberty until a particular age
             
            
                link |
                
                 is that young children tend to have
             
            
                link |
                
                 chronically high endogenous melatonin,
             
            
                link |
                
                 and that is healthy to keep them out of puberty
             
            
                link |
                
                 until it's the right time for puberty to happen.
             
            
                link |
                
                 So melatonin can increase bone mass,
             
            
                link |
                
                 but reduces gonad mass, so to speak.
             
            
                link |
                
                 It's going to have varying effects
             
            
                link |
                
                 depending on the ratios and levels of other hormones
             
            
                link |
                
                 and other biological events in the body.
             
            
                link |
                
                 But as you can see, melatonin has these powerful
             
            
                link |
                
                 regulatory effects on other tissues.
             
            
                link |
                
                 I should also mention that melatonin
             
            
                link |
                
                 is a powerful modulator of placental development.
             
            
                link |
                
                 So for anyone that's pregnant,
             
            
                link |
                
                 if you're considering melatonin supplementation,
             
            
                link |
                
                 please, please, please talk to your OBGYN,
             
            
                link |
                
                 talk to your other doctor as well.
             
            
                link |
                
                 You want to be very, very cautious
             
            
                link |
                
                 because of the powerful effects that melatonin can have
             
            
                link |
                
                 on the developing fetus and placenta.
             
            
                link |
                
                 For people that are not pregnant, in fact, all people,
             
            
                link |
                
                 melatonin has a powerful effect on the central nervous
             
            
                link |
                
                 system as a whole.
             
            
                link |
                
                 Your brain and spinal cord are the major components
             
            
                link |
                
                 of your central nervous system.
             
            
                link |
                
                 And melatonin, because it's associated with darkness,
             
            
                link |
                
                 which is just another way of saying that
             
            
                link |
                
                 light suppresses melatonin, melatonin is thereby associated
             
            
                link |
                
                 with the dark phase of each 24 hour cycle,
             
            
                link |
                
                 it can have a number of different effects
             
            
                link |
                
                 in terms of waking up or making our body feel more sleepy.
             
            
                link |
                
                 And it does that by way of impacting cells
             
            
                link |
                
                 within our nervous system,
             
            
                link |
                
                 literally turning on certain brain areas,
             
            
                link |
                
                 turning off other brain areas.
             
            
                link |
                
                 And it does that through a whole cascade
             
            
                link |
                
                 of biological mechanisms,
             
            
                link |
                
                 a bit too detailed to get into today.
             
            
                link |
                
                 So melatonin is regulating how awake or asleep we are.
             
            
                link |
                
                 It tends to make us more asleep, incidentally.
             
            
                link |
                
                 It's regulating our timing of puberty
             
            
                link |
                
                 and it's regulating how our gonads,
             
            
                link |
                
                 the testes and ovaries function,
             
            
                link |
                
                 even in adulthood to some extent,
             
            
                link |
                
                 and it's regulating bone mass.
             
            
                link |
                
                 As I mentioned before, melatonin also has protective effects.
             
            
                link |
                
                 It can activate our immune system.
             
            
                link |
                
                 It is among the most potent antioxidants.
             
            
                link |
                
                 So it is known to have certain anti-cancer properties
             
            
                link |
                
                 and things of that sort,
             
            
                link |
                
                 which is not to say that you simply want more melatonin.
             
            
                link |
                
                 I think a lot of people get misled
             
            
                link |
                
                 when they hear something like melatonin
             
            
                link |
                
                 has anti-cancer properties.
             
            
                link |
                
                 That doesn't mean that just cranking up
             
            
                link |
                
                 the levels of melatonin by supplementing it
             
            
                link |
                
                 or by spending time in darkness and not getting any light,
             
            
                link |
                
                 which would of course inhibit melatonin
             
            
                link |
                
                 is going to be beneficial for combating cancer.
             
            
                link |
                
                 That's not the way it works.
             
            
                link |
                
                 It is actually the rise and fall of melatonin
             
            
                link |
                
                 every 24 hour cycle and the changes in the duration
             
            
                link |
                
                 of that melatonin signal throughout the seasons
             
            
                link |
                
                 that has these anti-cancer and antioxidant effects.
             
            
                link |
                
                 So when we think about light impacting our biology,
             
            
                link |
                
                 the reason I bring up melatonin
             
            
                link |
                
                 as the primary example of that is A,
             
            
                link |
                
                 because melatonin impacts so many important functions
             
            
                link |
                
                 within our brain and body,
             
            
                link |
                
                 but also because hormones in general, not always,
             
            
                link |
                
                 but in general are responsible
             
            
                link |
                
                 for the slow modulatory effects on our biology.
             
            
                link |
                
                 And so I'm using this as an example
             
            
                link |
                
                 of how light throughout the year is changing the way
             
            
                link |
                
                 that the different cells and tissues
             
            
                link |
                
                 and organs of your body are working
             
            
                link |
                
                 and that melatonin is the transducer of that signal.
             
            
                link |
                
                 So at this point we can say
             
            
                link |
                
                 light powerfully modulates melatonin,
             
            
                link |
                
                 meaning it shuts down melatonin.
             
            
                link |
                
                 Melatonin is both beneficial for certain tissues
             
            
                link |
                
                 and suppressive for other tissues and functions.
             
            
                link |
                
                 What should we do with this information?
             
            
                link |
                
                 Well, it's very well established now
             
            
                link |
                
                 that one of the best things that we can all do
             
            
                link |
                
                 is to get the proper amount of sunlight each day.
             
            
                link |
                
                 And by proper, I mean appropriate for that time of year.
             
            
                link |
                
                 So in the summer months where the days are longer
             
            
                link |
                
                 and nights are shorter,
             
            
                link |
                
                 we would all do well to get more sunlight in our eyes.
             
            
                link |
                
                 And again, it's going to be to our eyes
             
            
                link |
                
                 because as you recall, the pineal sits deep in the brain
             
            
                link |
                
                 and light can't access the pineal directly,
             
            
                link |
                
                 at least not in humans.
             
            
                link |
                
                 So in order to get light information to the pineal
             
            
                link |
                
                 and thereby get the proper levels of melatonin,
             
            
                link |
                
                 according to the time of year,
             
            
                link |
                
                 we should all try and get outside as much as possible
             
            
                link |
                
                 during the long days of summer and spring.
             
            
                link |
                
                 And in the winter months,
             
            
                link |
                
                 it makes sense to spend more time indoors.
             
            
                link |
                
                 For those of you that suffer
             
            
                link |
                
                 from seasonal affective disorder,
             
            
                link |
                
                 which is a seasonal depression
             
            
                link |
                
                 or feel low during the fall and winter months,
             
            
                link |
                
                 there are ways to offset this.
             
            
                link |
                
                 We did an entire episode on mood and circadian rhythms
             
            
                link |
                
                 where we describe this.
             
            
                link |
                
                 So it does make sense for some people
             
            
                link |
                
                 to get more bright light in their eyes early in the morning
             
            
                link |
                
                 and throughout the day during the winter months as well.
             
            
                link |
                
                 But nonetheless, changes in melatonin,
             
            
                link |
                
                 meaning changes in the duration of melatonin release
             
            
                link |
                
                 across the year are normal and healthy.
             
            
                link |
                
                 So provided that you're not suffering from depression,
             
            
                link |
                
                 it's going to be healthy to somewhat modulate your amount
             
            
                link |
                
                 of indoor and outdoor time across the year.
             
            
                link |
                
                 The other thing to understand
             
            
                link |
                
                 is this very firmly established fact,
             
            
                link |
                
                 which is light powerfully inhibits melatonin.
             
            
                link |
                
                 If you wake up in the middle of the night
             
            
                link |
                
                 and you go into the bathroom and you flip on the lights,
             
            
                link |
                
                 and those are very bright overhead fluorescent lights,
             
            
                link |
                
                 your melatonin levels,
             
            
                link |
                
                 which would ordinarily be quite high
             
            
                link |
                
                 in the middle of the night,
             
            
                link |
                
                 because you've been eyes closed in the dark presumably,
             
            
                link |
                
                 will immediately plummet to near zero or zero.
             
            
                link |
                
                 We would all do well, regardless of time of year,
             
            
                link |
                
                 to not destroy our melatonin
             
            
                link |
                
                 in the middle of the night in this way.
             
            
                link |
                
                 So if you need to get up in the middle of the night
             
            
                link |
                
                 and use the restroom,
             
            
                link |
                
                 which is a perfectly normal behavior for many people,
             
            
                link |
                
                 use the minimum amount of light required
             
            
                link |
                
                 in order to safely move through the environment
             
            
                link |
                
                 that you need to move through.
             
            
                link |
                
                 Melatonin needs to come on early in the night.
             
            
                link |
                
                 It actually starts rising in the evening and towards sleep.
             
            
                link |
                
                 But then as you close your eyes and you go to sleep,
             
            
                link |
                
                 melatonin levels are going to continue to rise,
             
            
                link |
                
                 at least for several hours into the night.
             
            
                link |
                
                 Again, if you get up in the middle of the night,
             
            
                link |
                
                 really try hard not to flip on a lot of bright lights.
             
            
                link |
                
                 If you do that every once in a while,
             
            
                link |
                
                 it's not going to be a problem.
             
            
                link |
                
                 But if you're doing that night after night,
             
            
                link |
                
                 you are really disrupting this fundamental signal
             
            
                link |
                
                 that occurs every night,
             
            
                link |
                
                 regardless of winter, spring, summer, et cetera,
             
            
                link |
                
                 and that is communicating information
             
            
                link |
                
                 about where your brain and body should be in time.
             
            
                link |
                
                 And I know that's a little bit of a tricky concept,
             
            
                link |
                
                 but really our body is not meant to function
             
            
                link |
                
                 in the same way during the winter months
             
            
                link |
                
                 as the summer months.
             
            
                link |
                
                 There are functions that are specifically optimal
             
            
                link |
                
                 for the shorter days of winter.
             
            
                link |
                
                 And there are functions that are specifically optimal
             
            
                link |
                
                 for the longer days of summer.
             
            
                link |
                
                 So again, try to avoid bright light exposure to your eyes
             
            
                link |
                
                 in the middle of the night.
             
            
                link |
                
                 And for those of you that are doing shift work,
             
            
                link |
                
                 what I can say is try and avoid getting bright light
             
            
                link |
                
                 in your eyes in the middle of your sleep cycle.
             
            
                link |
                
                 So even if you're sleeping in the middle of the day,
             
            
                link |
                
                 because you have to work at night,
             
            
                link |
                
                 if you wake up during that bout of sleep,
             
            
                link |
                
                 really try hard to limit the amount of light,
             
            
                link |
                
                 which is going to be harder for shift workers, right?
             
            
                link |
                
                 Because there are generally a lot more lights on
             
            
                link |
                
                 and bright lights outside too.
             
            
                link |
                
                 You would want to close the blinds
             
            
                link |
                
                 and limit artificial light inside.
             
            
                link |
                
                 One way to bypass some of the inhibitory effects
             
            
                link |
                
                 of light on melatonin
             
            
                link |
                
                 is to change your physical environment
             
            
                link |
                
                 by for instance, dimming the lights.
             
            
                link |
                
                 That's one simple way, very low cost way.
             
            
                link |
                
                 In fact, you'll save money by dimming the lights
             
            
                link |
                
                 or turning them off.
             
            
                link |
                
                 The other is if you are going to use light
             
            
                link |
                
                 using long wavelength light,
             
            
                link |
                
                 because as you recall these intrinsically
             
            
                link |
                
                 photosensitive melanopsin cells within your retina
             
            
                link |
                
                 that convey the signal about bright light
             
            
                link |
                
                 in your environment to impact melatonin,
             
            
                link |
                
                 to shut down melatonin,
             
            
                link |
                
                 respond to short wavelengths of light.
             
            
                link |
                
                 So red light is long wavelength light.
             
            
                link |
                
                 You now understand that from our discussion
             
            
                link |
                
                 about the physics of light.
             
            
                link |
                
                 And if you were to use amber colored light or red light,
             
            
                link |
                
                 and even better dim amber or dim red light
             
            
                link |
                
                 in the middle of the night,
             
            
                link |
                
                 well then you would probably not reduce melatonin at all,
             
            
                link |
                
                 unless those red lights and amber lights
             
            
                link |
                
                 are very, very bright.
             
            
                link |
                
                 Any light provided it's bright enough
             
            
                link |
                
                 will shut down melatonin production.
             
            
                link |
                
                 One final point about melatonin,
             
            
                link |
                
                 and this relates to melatonin supplementation as well,
             
            
                link |
                
                 is that now that you understand how potently melatonin
             
            
                link |
                
                 can impact things like cardiovascular function,
             
            
                link |
                
                 immune function, anticancer properties,
             
            
                link |
                
                 bone mass, gonad function, et cetera,
             
            
                link |
                
                 you can understand why it would make sense to be cautious
             
            
                link |
                
                 about melatonin supplementation,
             
            
                link |
                
                 because supplementation tends to be pretty static.
             
            
                link |
                
                 It's X number of milligrams per night.
             
            
                link |
                
                 Whereas normally endogenously,
             
            
                link |
                
                 the amount of melatonin that you're releasing each night
             
            
                link |
                
                 is changing according to time of year,
             
            
                link |
                
                 or if you happen to live in an area
             
            
                link |
                
                 where there isn't much change in day length across the year.
             
            
                link |
                
                 So for instance, if you live near the equator,
             
            
                link |
                
                 well, then your body is accustomed
             
            
                link |
                
                 to having regular amounts of melatonin each night.
             
            
                link |
                
                 When you start supplementing melatonin,
             
            
                link |
                
                 you start changing the total amount of melatonin obviously,
             
            
                link |
                
                 but you're also changing the normal rhythms
             
            
                link |
                
                 in how much melatonin is being released
             
            
                link |
                
                 into your brain and body across the 365 day calendar year.
             
            
                link |
                
                 So while I'm somebody who readily embraces supplementation
             
            
                link |
                
                 in various forms for things like sleep and focus, et cetera,
             
            
                link |
                
                 when it comes to melatonin, I'm extremely cautious.
             
            
                link |
                
                 And I think it's also one of the few examples
             
            
                link |
                
                 where a hormone is available without prescription
             
            
            
                link |
                
                 You can just go into a pharmacy or drug store,
             
            
                link |
                
                 order online this hormone,
             
            
                link |
                
                 which is known to have all these powerful effects.
             
            
                link |
                
                 So I get very, very concerned
             
            
                link |
                
                 when I hear about people taking melatonin,
             
            
                link |
                
                 especially at the levels that are present
             
            
                link |
                
                 in most supplements.
             
            
                link |
                
                 It's been recognized for a very long time.
             
            
                link |
                
                 And in fact, there are now data to support the fact
             
            
                link |
                
                 that animals of all kinds, including humans,
             
            
                link |
                
                 will seek out mates and engage in mating behavior
             
            
                link |
                
                 more frequently during the long days of spring and summer.
             
            
                link |
                
                 That's right, in seasonally breeding animals,
             
            
                link |
                
                 of course, this is the case, but in humans as well,
             
            
                link |
                
                 there is more seeking out of mates and mating behavior
             
            
                link |
                
                 in longer day times of year.
             
            
                link |
                
                 Now you could imagine at least two mechanisms
             
            
                link |
                
                 by which this occurs.
             
            
                link |
                
                 The first mechanism we could easily map to melatonin
             
            
                link |
                
                 and the fact that melatonin is suppressive
             
            
                link |
                
                 to various aspects of the so-called gonadal axis,
             
            
                link |
                
                 which is basically a fancy way of saying
             
            
                link |
                
                 that melatonin inhibits testosterone and estrogen output
             
            
                link |
                
                 from the testes and from the ovaries.
             
            
                link |
                
                 I just want to remind people that both males and females
             
            
                link |
                
                 make testosterone and estrogen,
             
            
                link |
                
                 although in different ratios typically in males versus
             
            
                link |
                
                 females, and that both testosterone and estrogen
             
            
                link |
                
                 are critical for the desire to mate
             
            
                link |
                
                 and for mating behavior.
             
            
                link |
                
                 There's a broad misconception that testosterone
             
            
                link |
                
                 is involved in mating behavior and estrogen is involved
             
            
                link |
                
                 in other behaviors, but having enough estrogen is critical
             
            
                link |
                
                 for both males and females in order to maintain the desire
             
            
                link |
                
                 to mate and indeed the ability to mate.
             
            
                link |
                
                 I discussed this on the episode on optimizing testosterone
             
            
                link |
                
                 and estrogen, so if you'd like more details on that,
             
            
                link |
                
                 please see that episode of the Huberman Lab Podcast.
             
            
                link |
                
                 Okay, so if melatonin is suppressive
             
            
                link |
                
                 to the so-called gonadal axis and reduces overall levels
             
            
                link |
                
                 of testosterone and estrogen in males and females,
             
            
                link |
                
                 and the light inhibits melatonin,
             
            
                link |
                
                 then when there's more light, then there's less melatonin
             
            
                link |
                
                 and a more hormone output from the gonads.
             
            
                link |
                
                 And indeed that's how the system works,
             
            
                link |
                
                 but that's not the entire story.
             
            
                link |
                
                 It turns out that there is a second so-called parallel
             
            
                link |
                
                 pathway, meaning a different biological pathway that operates
             
            
                link |
                
                 in parallel to the light suppression of melatonin pathway
             
            
                link |
                
                 that provides a basis for longer days,
             
            
                link |
                
                 inspiring more desire to mate and more mating behavior.
             
            
                link |
                
                 So if we think of the first pathway involving melatonin
             
            
                link |
                
                 as sort of a break on these reproductive hormones,
             
            
                link |
                
                 the second mechanism is more like an accelerator
             
            
                link |
                
                 on those hormones, and yet it still involves light.
             
            
                link |
                
                 As I'm about to tell you, in animals such as mice,
             
            
                link |
                
                 but also in humans, exposure to light,
             
            
                link |
                
                 in particular UV blue light, so short wavelengths of light,
             
            
                link |
                
                 can trigger increases in testosterone and estrogen
             
            
                link |
                
                 and the desire to mate.
             
            
                link |
                
                 Now what's especially important about this accelerator
             
            
                link |
                
                 on the desire to mate and mating behavior and hormones
             
            
                link |
                
                 is that it is driven by exposure to light,
             
            
                link |
                
                 but it is not the exposure of light to the eyes.
             
            
                link |
                
                 It turns out that it is the exposure of your skin
             
            
                link |
                
                 to particular wavelengths of light that is triggering
             
            
                link |
                
                 increases in the hormones, testosterone and estrogen,
             
            
                link |
                
                 leading to increased desire to mate.
             
            
                link |
                
                 As it turns out, your skin, which most of us just think of
             
            
                link |
                
                 as a way to protect the organs of our body
             
            
                link |
                
                 or something to hang clothes on or ornaments on,
             
            
                link |
                
                 if you're somebody who has earrings and so forth,
             
            
                link |
                
                 your skin is actually an endocrine organ,
             
            
                link |
                
                 meaning it is a hormone producing
             
            
                link |
                
                 and hormone influencing organ.
             
            
                link |
                
                 I promise what I'm about to tell you next
             
            
                link |
                
                 will forever change the way that you think about your skin
             
            
                link |
                
                 and light and the desire to mate
             
            
                link |
                
                 and indeed even mating behavior.
             
            
                link |
                
                 I think the results are best understood
             
            
                link |
                
                 by simply going through the primary data,
             
            
                link |
                
                 meaning the actual research on this topic.
             
            
                link |
                
                 And to do so, I'm going to review a recent paper
             
            
                link |
                
                 that was published in the journal Cell Reports,
             
            
                link |
                
                 Cell Press Journal, excellent journal.
             
            
                link |
                
                 This is a paper that came out in 2021,
             
            
                link |
                
                 entitled Skin Exposure to UVB Light
             
            
                link |
                
                 Induces a Skin Brain Gonad Axis and Sexual Behavior.
             
            
                link |
                
                 And I want to emphasize that this was a paper
             
            
                link |
                
                 that focused on mice in order to address specific mechanisms
             
            
                link |
                
                 because in mice, you can so-called knock out
             
            
                link |
                
                 particular genes, you can remove particular genes
             
            
                link |
                
                 to understand mechanism.
             
            
                link |
                
                 You just can't do that in humans
             
            
                link |
                
                 in any kind of controlled way,
             
            
                link |
                
                 at least not at this point in time.
             
            
                link |
                
                 And this study also explores humans
             
            
                link |
                
                 and looked at human subjects, both men and women.
             
            
                link |
                
                 The basic finding of this study was that
             
            
                link |
                
                 when mice or humans were exposed to UVB,
             
            
                link |
                
                 meaning ultraviolet blue light,
             
            
                link |
                
                 so short wavelength light of the sort
             
            
                link |
                
                 that comes through in sunshine,
             
            
                link |
                
                 but is also available through various artificial sources.
             
            
                link |
                
                 If they received enough exposure of that light
             
            
                link |
                
                 to their skin, there were increases in testosterone
             
            
                link |
                
                 that were observed within a very brief period of time,
             
            
                link |
                
                 also increases in the hormone estrogen.
             
            
                link |
                
                 And I should point out that the proper ratios
             
            
                link |
                
                 of estrogen and testosterone were maintained
             
            
                link |
                
                 in both males and females,
             
            
                link |
                
                 at least as far as these data indicate.
             
            
                link |
                
                 And mice tended to seek out mating more and mate more.
             
            
                link |
                
                 There were also increases in gonadal weight,
             
            
                link |
                
                 literally increases in testes size and in ovarian size
             
            
                link |
                
                 when mice were exposed to this UVB light
             
            
                link |
                
                 past a certain threshold.
             
            
                link |
                
                 Now, as I mentioned before, the study also looked at humans.
             
            
                link |
                
                 They did not look at testes size or ovarian size
             
            
                link |
                
                 in the human subjects.
             
            
                link |
                
                 However, because they are humans,
             
            
                link |
                
                 they did address the psychology of these human beings
             
            
                link |
                
                 and address whether or not they had increases in,
             
            
                link |
                
                 for instance, aggressiveness or in passionate feelings
             
            
                link |
                
                 and how their perception of other people changed
             
            
                link |
                
                 when they were getting a lot of UVB light exposure
             
            
            
                link |
                
                 So before I get into some of the more important details
             
            
                link |
                
                 of the study and how it was done
             
            
                link |
                
                 and how you can leverage this information for yourself,
             
            
                link |
                
                 if you desire, I just want to highlight
             
            
                link |
                
                 some of the basic findings overall.
             
            
                link |
                
                 UVB exposure increased these so-called sex steroid levels
             
            
                link |
                
                 in mice and humans.
             
            
                link |
                
                 The sex steroid hormones, when we say steroids,
             
            
                link |
                
                 we don't mean anabolic steroids taken exogenously.
             
            
                link |
                
                 I think when people hear the word steroids,
             
            
                link |
                
                 they always think steroid abuse or use.
             
            
                link |
                
                 Rather steroid hormones such as testosterone and estrogen
             
            
                link |
                
                 went up when mice or humans had a lot of UVB exposure
             
            
            
                link |
                
                 Second of all, UVB light exposure to the skin,
             
            
                link |
                
                 enhanced female attractiveness,
             
            
                link |
                
                 so the perceived attractiveness of females by males
             
            
                link |
                
                 and increase the receptiveness or the desire to mate
             
            
            
                link |
                
                 UVB light exposure also changed various aspects
             
            
                link |
                
                 of female biology related to fertility,
             
            
                link |
                
                 in particular, follicle growth.
             
            
                link |
                
                 Follicle and egg maturation are well-known indices
             
            
                link |
                
                 of fertility and of course correlate
             
            
                link |
                
                 with the menstrual cycle in adult humans
             
            
                link |
                
                 and is related overall to the propensity to become pregnant.
             
            
                link |
                
                 UVB light exposure enhanced maturation of the follicle
             
            
                link |
                
                 which just meant that more healthy eggs were being produced.
             
            
                link |
                
                 These are impressive effects.
             
            
                link |
                
                 First of all, they looked at a large number of variables
             
            
                link |
                
                 in the study and the fact that they looked at mice
             
            
                link |
                
                 and humans is terrific.
             
            
                link |
                
                 I think that oftentimes we find it hard to translate data
             
            
                link |
                
                 from mice to humans.
             
            
                link |
                
                 So the fact that they looked at both in parallel
             
            
            
                link |
                
                 In the mice and in the humans,
             
            
                link |
                
                 they established a protocol that essentially involved
             
            
                link |
                
                 exposing the skin to UV light that was equivalent
             
            
                link |
                
                 to about 20 to 30 minutes of midday sun exposure.
             
            
                link |
                
                 Now, of course, where you live in the world
             
            
                link |
                
                 will dictate whether or not that midday sun
             
            
                link |
                
                 is very, very bright and intense,
             
            
                link |
                
                 or is less bright, maybe there's cloud cover, et cetera.
             
            
                link |
                
                 But since I'm imagining that most people are interested
             
            
                link |
                
                 in the ways to increase testosterone
             
            
                link |
                
                 and or estrogen in humans and are not so much interested
             
            
                link |
                
                 in increasing testosterone in mice,
             
            
                link |
                
                 I'm going to just review what they did
             
            
                link |
                
                 in the human population or the human subjects.
             
            
                link |
                
                 What they did is they had people,
             
            
                link |
                
                 first of all, establish a baseline.
             
            
                link |
                
                 And the way they establish a baseline
             
            
                link |
                
                 was a little bit unusual,
             
            
                link |
                
                 but it will make perfect sense to you.
             
            
                link |
                
                 They had people wear long sleeves and essentially cover up
             
            
                link |
                
                 and avoid sunlight for a few days
             
            
                link |
                
                 so they could measure their baseline hormones
             
            
                link |
                
                 in the absence of getting a lot of UVB light exposure
             
            
                link |
                
                 from the sun or from other sources.
             
            
                link |
                
                 Now, of course, these people had access
             
            
                link |
                
                 to artificial lights,
             
            
                link |
                
                 but as I've pointed out on this podcast before,
             
            
                link |
                
                 it's pretty unusual that you'll get enough UVB exposure
             
            
                link |
                
                 from artificial lights throughout the day.
             
            
                link |
                
                 And in the morning, you need a lot of UVB exposure,
             
            
                link |
                
                 or we should be getting a lot of UVB exposure to our eyes
             
            
                link |
                
                 and to our face and to our skin throughout the day,
             
            
                link |
                
                 provided we're not getting sunburned.
             
            
                link |
                
                 This is actually a healthy thing for mood
             
            
                link |
                
                 and for energy throughout the day.
             
            
                link |
                
                 It's only at night, basically between the hours
             
            
                link |
                
                 of about 10 p.m. and 4 a.m.
             
            
                link |
                
                 that even a tiny bit of UVB exposure from artificial sources
             
            
                link |
                
                 can mess us up in terms of our sleep
             
            
                link |
                
                 and our energy levels and so on.
             
            
                link |
                
                 And that's because of the potent effect of UVB
             
            
                link |
                
                 on suppressing melatonin.
             
            
                link |
                
                 So the point here is that they establish a baseline
             
            
                link |
                
                 whereby people were getting some artificial light exposure
             
            
                link |
                
                 throughout the day, but they weren't getting outside a lot.
             
            
                link |
                
                 They weren't getting a lot of sunlight.
             
            
                link |
                
                 And then they had people receive a dose
             
            
                link |
                
                 of UVB light exposure that was about 20 to 30 minutes
             
            
            
                link |
                
                 They had people wear short sleeves, no hat, no sunglasses.
             
            
                link |
                
                 Some people wore sleeveless shirts.
             
            
                link |
                
                 They encouraged people to wear shorts.
             
            
                link |
                
                 So they were indeed wearing clothing.
             
            
                link |
                
                 They were not naked and they were wearing clothing
             
            
                link |
                
                 that was culturally and situationally appropriate,
             
            
                link |
                
                 at least for the part of the world where this study was done
             
            
                link |
                
                 and they had people do that two or three times a week.
             
            
                link |
                
                 So in terms of a protocol that you might export
             
            
                link |
                
                 from this study, basically getting outside
             
            
                link |
                
                 for about 30 minutes, two or three times a week
             
            
                link |
                
                 in a minimum of clothing and yet still
             
            
                link |
                
                 wearing enough clothing that is culturally appropriate.
             
            
                link |
                
                 They were outside, they weren't sunbathing,
             
            
                link |
                
                 flipping over on their back and front.
             
            
                link |
                
                 They were just moving about doing things they could read.
             
            
                link |
                
                 They could talk, they could go about other activities,
             
            
                link |
                
                 but they weren't wearing a broad brim hat
             
            
                link |
                
                 or a hat of any kind.
             
            
                link |
                
                 They're just getting a lot of sun exposure to their skin.
             
            
                link |
                
                 They did this for a total of 10 to 12 UVB treatments.
             
            
                link |
                
                 So this took several weeks, right?
             
            
                link |
                
                 It took about a month if you think about it,
             
            
                link |
                
                 two or three times per week for a total
             
            
                link |
                
                 of 10 to 12 UVB treatments.
             
            
                link |
                
                 These treatments, of course,
             
            
                link |
                
                 are just being outside in the sun.
             
            
                link |
                
                 And then they measured hormones
             
            
                link |
                
                 and they measured the psychology of these male
             
            
                link |
                
                 and female adult subjects.
             
            
                link |
                
                 Let's first look at the psychological changes
             
            
                link |
                
                 that these human subjects experienced
             
            
                link |
                
                 after getting 10 to 12 of these UVB light exposure,
             
            
                link |
                
                 outdoor and sunlight type treatments.
             
            
                link |
                
                 They did this by collecting blood samples
             
            
                link |
                
                 throughout the study.
             
            
                link |
                
                 And they saw significant increases
             
            
                link |
                
                 in the hormones beta estradiol,
             
            
                link |
                
                 which is one of the major forms of estrogen,
             
            
                link |
                
                 progesterone, another important steroid hormone,
             
            
                link |
                
                 and testosterone in both men and women.
             
            
                link |
                
                 Now, an important point is that the testosterone increases
             
            
                link |
                
                 were significantly higher in men that happened
             
            
                link |
                
                 to originate from countries that had low UV exposure
             
            
                link |
                
                 compared to individuals from countries
             
            
                link |
                
                 with high UV exposure.
             
            
                link |
                
                 Now, this ought to make sense if we understand
             
            
                link |
                
                 a little bit about how the skin functions
             
            
                link |
                
                 as an endocrine organ.
             
            
                link |
                
                 Many of you have probably heard of vitamin D3,
             
            
                link |
                
                 which is a vitamin that we all make.
             
            
                link |
                
                 Many people supplement it as well
             
            
                link |
                
                 if they need additional vitamin D3.
             
            
                link |
                
                 We all require sunlight in order to allow vitamin D3
             
            
                link |
                
                 to be synthesized and perform its roles in the body.
             
            
                link |
                
                 And it turns out that people who have darker skin
             
            
                link |
                
                 actually need more vitamin D3 and or more sunlight exposure
             
            
                link |
                
                 in order to activate that D3 pathway
             
            
                link |
                
                 than do people with paler skin.
             
            
                link |
                
                 And this should make sense to all of you,
             
            
                link |
                
                 given what you now understand about melanocytes,
             
            
                link |
                
                 that cell type that we discussed earlier,
             
            
                link |
                
                 because melanocytes have pigment within them.
             
            
                link |
                
                 And if you have darker skin,
             
            
                link |
                
                 it means that you have more melanocytes
             
            
                link |
                
                 or that you have melanocytes
             
            
                link |
                
                 that are more efficient at creating pigment.
             
            
                link |
                
                 And as a consequence, the light that lands on your skin
             
            
                link |
                
                 will be absorbed by those melanocytes
             
            
                link |
                
                 and less of it is able to impact the D3 pathway.
             
            
                link |
                
                 Whereas if you have pale skin,
             
            
                link |
                
                 more of the light that lands on your skin
             
            
                link |
                
                 can trigger the synthesis
             
            
                link |
                
                 and assist the actions of vitamin D3.
             
            
                link |
                
                 Similarly, in this study,
             
            
                link |
                
                 they found that people who had paler skin
             
            
                link |
                
                 and or who originated from countries
             
            
                link |
                
                 where they had less UVB light exposure across the year
             
            
                link |
                
                 had greater, meaning more significant increases
             
            
                link |
                
                 in testosterone overall than did people
             
            
                link |
                
                 who already were getting a lot of UVB exposure.
             
            
                link |
                
                 This led them to explore so-called seasonal changes
             
            
                link |
                
                 in testosterone that occurred normally
             
            
                link |
                
                 in the absence of any light exposure treatment.
             
            
                link |
                
                 So up until now, I've been talking about
             
            
                link |
                
                 the aspects of this study involving people getting outside
             
            
                link |
                
                 for about 20 to 30 minutes per day in sunlight
             
            
                link |
                
                 in a minimum of clothing.
             
            
                link |
                
                 There was an increase in testosterone observed
             
            
                link |
                
                 in both men and women.
             
            
                link |
                
                 The increases in testosterone were greater for people
             
            
                link |
                
                 that had paler skin than darker skin.
             
            
                link |
                
                 So the data I'm about to describe
             
            
                link |
                
                 also come from this same paper,
             
            
                link |
                
                 but do not involve 20 to 30 minute
             
            
                link |
                
                 daily sun exposure protocols.
             
            
                link |
                
                 It's simply addressing whether or not
             
            
                link |
                
                 testosterone levels change as a function of time of year.
             
            
                link |
                
                 They measure testosterone across the 12 month calendar.
             
            
                link |
                
                 This study was done on subjects living
             
            
                link |
                
                 in the Northern hemisphere for the entire year.
             
            
                link |
                
                 And so in the months of January, February, and March,
             
            
                link |
                
                 of course, the length of days is shortest
             
            
                link |
                
                 and the length of nights is longest.
             
            
                link |
                
                 And of course, in the spring and summer months,
             
            
                link |
                
                 June, July, August, September, and so on,
             
            
                link |
                
                 the days are much longer and the nights are shorter.
             
            
                link |
                
                 And what they observed was very obvious.
             
            
                link |
                
                 They observed that testosterone levels were lowest
             
            
                link |
                
                 in the winter months and were highest
             
            
                link |
                
                 in the months of June, July, August, and September.
             
            
                link |
                
                 Now, these are very important data.
             
            
                link |
                
                 At least to my knowledge,
             
            
                link |
                
                 these are the first data systematically exploring
             
            
                link |
                
                 the levels of sex steroid hormones in humans
             
            
                link |
                
                 as a function of time of year and thereby as a function
             
            
                link |
                
                 of how much sunlight exposure they're getting.
             
            
                link |
                
                 And what's remarkable about these data
             
            
                link |
                
                 is that they map very well to the data in mice
             
            
                link |
                
                 and the other data in this paper on humans,
             
            
                link |
                
                 which illustrate that if you're getting more UVB exposure,
             
            
                link |
                
                 your testosterone levels are higher.
             
            
                link |
                
                 This study went a step further
             
            
                link |
                
                 and explored whether or not the amount of sunlight exposure
             
            
                link |
                
                 that one is getting to their skin influences
             
            
                link |
                
                 their psychology in terms of whether
             
            
                link |
                
                 or not they have increased desire to mate and so on.
             
            
                link |
                
                 It's well known that sunlight exposure
             
            
                link |
                
                 to the eyes can increase mood.
             
            
                link |
                
                 And I talked about this in the podcast episode
             
            
                link |
                
                 with my guest, Dr. Samir Hatar,
             
            
                link |
                
                 who's the director of the Chronobiology Unit
             
            
                link |
                
                 at the National Institutes of Mental Health.
             
            
                link |
                
                 And Samir's recommendation is that people get
             
            
                link |
                
                 as much bright light exposure as they safely can
             
            
                link |
                
                 in the morning and throughout the day
             
            
                link |
                
                 for sake of both sleep and energy,
             
            
                link |
                
                 but also for enhancing mood and regulating appetite.
             
            
                link |
                
                 In this study, it was found that both males and females
             
            
                link |
                
                 had higher levels of romantic passion
             
            
                link |
                
                 after getting the UV treatment.
             
            
                link |
                
                 In fact, some of them reported increases in romantic passion
             
            
                link |
                
                 from just one or two of these UV treatments.
             
            
                link |
                
                 So they didn't have to go through all 10 or 12
             
            
                link |
                
                 in order to get a statistically significant increase
             
            
            
                link |
                
                 Now, when we talk about passion,
             
            
                link |
                
                 as the authors of this paper acknowledge,
             
            
                link |
                
                 there's really two forms.
             
            
                link |
                
                 There is emotional and sexual,
             
            
                link |
                
                 and they parse this pretty finely.
             
            
                link |
                
                 I don't want to go into all the details
             
            
                link |
                
                 and we can provide a reference and link to this study
             
            
                link |
                
                 if you'd like to look at those details.
             
            
                link |
                
                 But what they found was that women receiving
             
            
                link |
                
                 this UVB light exposure focused more on increases
             
            
                link |
                
                 in physical arousal and sexual passion.
             
            
                link |
                
                 Whereas the men actually scored higher
             
            
                link |
                
                 on the cognitive dimensions of passion,
             
            
                link |
                
                 such as obsessive thoughts about their partner and so on.
             
            
                link |
                
                 Regardless, both males and females experienced
             
            
                link |
                
                 and reported a increase in sexual passion
             
            
                link |
                
                 and desire to mate.
             
            
                link |
                
                 And we now know there were increases
             
            
                link |
                
                 in testosterone and estrogen,
             
            
                link |
                
                 which of course could be driving the psychological changes.
             
            
                link |
                
                 Although I'm sure that those interact in both directions,
             
            
                link |
                
                 meaning the hormones no doubt affect psychology
             
            
                link |
                
                 and no doubt the psychology,
             
            
                link |
                
                 these changes in passionate feelings,
             
            
                link |
                
                 no doubt also increased or changed
             
            
                link |
                
                 the hormone levels as well.
             
            
                link |
                
                 And I want to reemphasize that there was a component
             
            
                link |
                
                 of the study that had no deliberate daylight,
             
            
                link |
                
                 sunlight exposure for 20 or 30 minutes,
             
            
                link |
                
                 but rather just looked at hormone levels
             
            
                link |
                
                 throughout the year and found that the increase
             
            
                link |
                
                 in day length correlated with increases
             
            
                link |
                
                 in testosterone and sexual passion.
             
            
                link |
                
                 Now, my opinion, this is a very noteworthy study
             
            
                link |
                
                 because it really illustrates that sunlight
             
            
                link |
                
                 and day length can impact the melatonin pathway
             
            
                link |
                
                 and thereby take the foot off the brake, so to speak,
             
            
                link |
                
                 on testosterone, estrogen, and the desire to mate.
             
            
                link |
                
                 It also emphasizes that sunlight, UVB light,
             
            
                link |
                
                 can directly trigger hormone pathways
             
            
                link |
                
                 and desire to mate and mating behavior.
             
            
                link |
                
                 Now, the study went a step further
             
            
                link |
                
                 in defining the precise mechanism
             
            
                link |
                
                 by which light can impact all these hormones
             
            
                link |
                
                 and this desire to mate.
             
            
                link |
                
                 And here, understanding the mechanism is key
             
            
                link |
                
                 if you want to export a particular protocol
             
            
                link |
                
                 or tool that you might apply.
             
            
                link |
                
                 We talked earlier about how UVB light exposure
             
            
                link |
                
                 to the eyes triggers activation
             
            
                link |
                
                 of these particular neurons within the eye
             
            
                link |
                
                 and then with centers deeper in the brain
             
            
                link |
                
                 and eventually the pineal gland
             
            
                link |
                
                 to suppress the output of melatonin
             
            
                link |
                
                 and thereby to allow testosterone and estrogen
             
            
                link |
                
                 to exist at higher levels
             
            
                link |
                
                 because melatonin can inhibit testosterone and estrogen.
             
            
                link |
                
                 In this study, they were able to very clearly establish
             
            
                link |
                
                 that it is sunlight exposure to our skin
             
            
                link |
                
                 that is causing these hormone increases
             
            
                link |
                
                 that they observed in mice and humans.
             
            
                link |
                
                 And the way they did that
             
            
                link |
                
                 was to use the so-called knockout technology,
             
            
                link |
                
                 the ability to remove specific genes
             
            
                link |
                
                 within specific tissues of the body.
             
            
                link |
                
                 And what they found is that UVB light,
             
            
                link |
                
                 meaning sunlight exposed skin upregulated,
             
            
                link |
                
                 meaning increased the activity of something called P53,
             
            
                link |
                
                 which is involved in the maturation of cells
             
            
                link |
                
                 and various aspects of cellular function.
             
            
                link |
                
                 And the cells they were focused on were the keratinocytes,
             
            
                link |
                
                 which you are now familiar with from our earlier discussion
             
            
                link |
                
                 about the fact that the epidermis of your skin
             
            
                link |
                
                 contains mainly keratinocytes and melanocytes.
             
            
                link |
                
                 Sunlight exposure increased P53 activity in the skin
             
            
                link |
                
                 and P53 activity was required
             
            
                link |
                
                 for the downstream increases in ovarian size,
             
            
                link |
                
                 in testicular size, in testosterone increases,
             
            
                link |
                
                 in the estrogen increases
             
            
                link |
                
                 and the various other changes that they observed
             
            
                link |
                
                 at the physiological level
             
            
                link |
                
                 when animals or humans were exposed to sunlight.
             
            
                link |
                
                 So these data are important
             
            
                link |
                
                 because what they mean is that not only is it important
             
            
                link |
                
                 that we get sunlight exposure early in the day
             
            
                link |
                
                 and throughout the day to our eyes,
             
            
                link |
                
                 at least as much as is safely possible,
             
            
                link |
                
                 but that we also need to get UVB sunlight exposure
             
            
                link |
                
                 onto our skin if we want to activate this P53 pathway
             
            
                link |
                
                 in keratinocytes and the testosterone and estrogen increases
             
            
                link |
                
                 that are downstream of that P53 pathway.
             
            
                link |
                
                 So even though the gene knockout studies were done on mice,
             
            
                link |
                
                 they clearly show that if you remove P53 from the skin,
             
            
                link |
                
                 that these effects simply do not occur.
             
            
                link |
                
                 So in terms of thinking about a protocol
             
            
                link |
                
                 to increase testosterone and estrogen,
             
            
                link |
                
                 mood and feelings of passion,
             
            
                link |
                
                 the idea is that you would want to get
             
            
                link |
                
                 this two to three exposures per week minimum
             
            
                link |
                
                 of 20 to 30 minutes of sunlight exposure
             
            
                link |
                
                 onto as much of your body
             
            
                link |
                
                 as you can reasonably expose it to.
             
            
                link |
                
                 And when I say reasonably, I mean,
             
            
                link |
                
                 of course you have to obey cultural constraints,
             
            
                link |
                
                 decency constraints,
             
            
                link |
                
                 and of course you have to also obey the fact
             
            
                link |
                
                 that sunlight can burn your skin.
             
            
                link |
                
                 So many people are probably going to ask
             
            
                link |
                
                 what happens if you wear sunscreen?
             
            
                link |
                
                 In theory, because sunscreen has UV protection,
             
            
                link |
                
                 it would block some of these effects.
             
            
                link |
                
                 Now I'm not suggesting that people
             
            
                link |
                
                 do away with sunscreen entirely.
             
            
                link |
                
                 I do hope to do an episode all about sunscreen
             
            
                link |
                
                 in the future because sunscreen
             
            
                link |
                
                 is a bit of a controversial topic.
             
            
                link |
                
                 Skin cancers are a real thing
             
            
                link |
                
                 and many people are especially prone to skin cancer.
             
            
                link |
                
                 So you need to take that seriously.
             
            
                link |
                
                 Some people are not very prone to skin cancers
             
            
                link |
                
                 and can tolerate much more sun exposure.
             
            
                link |
                
                 You're probably familiar with the simple fact
             
            
                link |
                
                 that if you've gone outside on the beach with friends,
             
            
                link |
                
                 some people get burned very easily, others don't.
             
            
                link |
                
                 So you really should prioritize the health
             
            
                link |
                
                 and the avoidance of sunburn on your skin.
             
            
                link |
                
                 However, these data and other data point to the fact
             
            
                link |
                
                 that we should all probably be striving
             
            
                link |
                
                 to get more sunlight exposure onto our skin
             
            
                link |
                
                 during the winter months
             
            
                link |
                
                 and still getting sunlight exposure onto our skin
             
            
                link |
                
                 in the summer months,
             
            
                link |
                
                 provided we can do that without damaging our skin.
             
            
                link |
                
                 Another set of very impressive effects of UVB light,
             
            
                link |
                
                 whether or not it comes from sunlight
             
            
                link |
                
                 or from an artificial source is the effect of UVB light
             
            
                link |
                
                 on our tolerance for pain.
             
            
                link |
                
                 It turns out that our tolerance for pain
             
            
                link |
                
                 varies across the year and that our pain tolerance
             
            
                link |
                
                 is increased in longer day conditions.
             
            
                link |
                
                 And as we saw with the effects of UVB on hormones
             
            
                link |
                
                 and mating, again, this is occurring via UVB exposure
             
            
                link |
                
                 to the skin and UVB exposure to the eyes.
             
            
                link |
                
                 I want to just describe two studies
             
            
                link |
                
                 that really capture the essence of these results.
             
            
                link |
                
                 I'm going to discuss these in kind of a top contour fashion.
             
            
                link |
                
                 I won't go into it as quite as much depth
             
            
                link |
                
                 as I did the last study,
             
            
                link |
                
                 but I will provide links to these studies as well.
             
            
                link |
                
                 The first study is entitled skin exposure to ultraviolet B
             
            
                link |
                
                 rapidly activate systemic neuroendocrine
             
            
                link |
                
                 and immunosuppressive responses.
             
            
                link |
                
                 And you might hear that and think,
             
            
                link |
                
                 oh, immunosuppressive, that's bad.
             
            
                link |
                
                 But basically what they observed is that
             
            
                link |
                
                 even one exposure to UVB light
             
            
                link |
                
                 changed the output of particular hormones
             
            
                link |
                
                 and neurochemicals in the body,
             
            
                link |
                
                 such as corticotropin hormone and beta endorphins,
             
            
                link |
                
                 which are these endogenous opioids.
             
            
                link |
                
                 We've all heard of the opioid crisis,
             
            
                link |
                
                 which is people getting addicted to opioids
             
            
                link |
                
                 that they are taking in drug form, pharmaceuticals.
             
            
                link |
                
                 But here I'm referring to endorphins
             
            
                link |
                
                 that our body naturally manufactures and releases
             
            
                link |
                
                 in order to counter pain
             
            
                link |
                
                 and act as a somewhat of a psychological soother also,
             
            
                link |
                
                 because of course, physical pain and emotional pain
             
            
                link |
                
                 are intimately linked in the brain and body.
             
            
                link |
                
                 What they found was that exposure to UVB light
             
            
                link |
                
                 increased the release of these beta endorphins.
             
            
                link |
                
                 It caused essentially the release
             
            
                link |
                
                 of an endogenous pain killer.
             
            
                link |
                
                 Now, a second study that came out very recently,
             
            
                link |
                
                 just this last week, in fact,
             
            
                link |
                
                 published in the journal Neuron,
             
            
                link |
                
                 cell press journal, excellent journal,
             
            
                link |
                
                 is entitled a visual circuit related
             
            
                link |
                
                 to the periaqueductal gray area
             
            
                link |
                
                 for the anti-nociceptive effects of bright light treatment.
             
            
                link |
                
                 I'll translate a little bit of that for you.
             
            
                link |
                
                 The periaqueductal gray is a region of the midbrain
             
            
                link |
                
                 that contains a lot of neurons
             
            
                link |
                
                 that can release endogenous opioids,
             
            
                link |
                
                 things like beta enkephalin,
             
            
                link |
                
                 things like enkephalin, things like mu opioid.
             
            
                link |
                
                 These are all names of chemicals
             
            
                link |
                
                 that your body can manufacture
             
            
                link |
                
                 that act as endogenous painkillers
             
            
                link |
                
                 and increase your tolerance for pain.
             
            
                link |
                
                 They actually make you feel less pain overall
             
            
                link |
                
                 by shutting down some of the neurons that perceive pain
             
            
                link |
                
                 or by reducing their activity, not to a dangerous level.
             
            
                link |
                
                 They're not going to block the pain response
             
            
                link |
                
                 so that you burn yourself unnecessarily
             
            
                link |
                
                 or harm yourself unnecessarily,
             
            
                link |
                
                 but they act as a bit of a painkiller from the inside.
             
            
                link |
                
                 If you heard the word anti-nociceptive,
             
            
                link |
                
                 nociception is basically the perception
             
            
                link |
                
                 or the way in which neurons respond to painful stimuli.
             
            
                link |
                
                 So you can think of nociceptive events
             
            
                link |
                
                 in your nervous system as painful events.
             
            
                link |
                
                 And there I'm using a broad brush.
             
            
                link |
                
                 I realized that the experts in pain will say,
             
            
                link |
                
                 oh, it's not a really a pain circuit, et cetera, et cetera.
             
            
                link |
                
                 But for sake of today's discussion,
             
            
                link |
                
                 it's fair to say that nociception is the perception of pain.
             
            
                link |
                
                 So if this title is a visual circuit
             
            
                link |
                
                 related to the periaqueductal gray,
             
            
                link |
                
                 which is this area that releases these endogenous opioids
             
            
                link |
                
                 for the anti-nociceptive,
             
            
                link |
                
                 the anti-pain effects of bright light treatment.
             
            
                link |
                
                 The key finding of this study
             
            
                link |
                
                 is that it is light landing on the eyes
             
            
                link |
                
                 and captured by the specific cells
             
            
                link |
                
                 I was talking about earlier,
             
            
                link |
                
                 those intrinsically photosensitive melanopsin ganglion cells
             
            
                link |
                
                 is the long name for them,
             
            
                link |
                
                 but these particular neurons in your eye
             
            
                link |
                
                 and in my eye incidentally,
             
            
                link |
                
                 that communicate with particular brain areas.
             
            
                link |
                
                 These brain areas have names.
             
            
                link |
                
                 If you want to know them for you aficionados
             
            
                link |
                
                 or for you ultra curious folks,
             
            
                link |
                
                 they have names like the ventrolateral geniculate nucleus
             
            
                link |
                
                 and the inter geniculate leaflet.
             
            
                link |
                
                 The names don't matter.
             
            
                link |
                
                 The point is that light landing on the eyes
             
            
                link |
                
                 is captured by these melanopsin cells.
             
            
                link |
                
                 They absorb that light,
             
            
                link |
                
                 translate that light into electrical signals
             
            
                link |
                
                 that are handed off to areas of the brain,
             
            
                link |
                
                 such as the ventral geniculate.
             
            
                link |
                
                 And then the ventral geniculate communicates
             
            
                link |
                
                 with this periaqueductal gray area
             
            
                link |
                
                 to evoke the release of these endogenous opioids
             
            
                link |
                
                 that soothe you and lead to less perception of pain.
             
            
                link |
                
                 This is a really important study
             
            
                link |
                
                 because it's long been known that in longer days
             
            
                link |
                
                 or in bright light environments,
             
            
                link |
                
                 we tolerate emotional and physical pain better.
             
            
                link |
                
                 Previous studies had shown
             
            
                link |
                
                 that it is light landing on our skin
             
            
                link |
                
                 that mediates that effect,
             
            
            
                link |
                
                 It couldn't explain the entire effect.
             
            
                link |
                
                 This very recent study indicates
             
            
                link |
                
                 that it's also light arriving at the eyes.
             
            
                link |
                
                 And in this case, again, UVB light,
             
            
                link |
                
                 ultraviolet blue light of the sort that comes from sunlight
             
            
                link |
                
                 that is triggering these anti pain
             
            
                link |
                
                 or pain relieving pathways.
             
            
                link |
                
                 So once again, we have two parallel pathways.
             
            
                link |
                
                 This is a theme you're going to hear
             
            
                link |
                
                 over and over and over again,
             
            
                link |
                
                 not just in this episode,
             
            
                link |
                
                 but in all episodes of the Huberman Lab Podcast,
             
            
                link |
                
                 because this is the way that your brain and body are built.
             
            
                link |
                
                 Nature rarely relies on one mechanism
             
            
                link |
                
                 in order to create an important phenomenon
             
            
                link |
                
                 and pain relief is an important phenomenon.
             
            
                link |
                
                 So we now have at least two examples
             
            
                link |
                
                 of the potent effects of UVB light exposure
             
            
                link |
                
                 to the skin and to the eyes.
             
            
                link |
                
                 One involving activation of testosterone
             
            
                link |
                
                 and estrogen pathways as it relates to mating
             
            
                link |
                
                 and another that relates to reducing
             
            
                link |
                
                 the total amount of pain that we experience
             
            
                link |
                
                 in response to any painful stimuli.
             
            
                link |
                
                 So for those of you that are thinking tools and protocols,
             
            
                link |
                
                 if you're somebody who's experiencing chronic pain,
             
            
                link |
                
                 provided you can do it safely,
             
            
                link |
                
                 try to get some UVB exposure, ideally from sunlight.
             
            
                link |
                
                 I think the 20 to 30 minute protocol
             
            
                link |
                
                 two or three times per week is an excellent one.
             
            
                link |
                
                 It seems like a fairly low dose of UVB light exposure.
             
            
                link |
                
                 It's hard to imagine getting much damage to the skin.
             
            
                link |
                
                 Of course, if you have very sensitive skin,
             
            
                link |
                
                 or if you live in an area of the world
             
            
                link |
                
                 that is very, very bright and has intense sunlight
             
            
                link |
                
                 particular times of year, you'll want to be cautious.
             
            
                link |
                
                 Heed the warnings and considerations about sunscreen
             
            
                link |
                
                 that I talked about earlier or about wearing a hat.
             
            
                link |
                
                 But the point is very clear.
             
            
                link |
                
                 Most of us should be getting more UVB exposure
             
            
            
                link |
                
                 I can already hear the screams within the comments
             
            
                link |
                
                 or rather the questions within the comments saying,
             
            
                link |
                
                 well, what if I live in a part of the world
             
            
                link |
                
                 where I don't get much UVB exposure?
             
            
                link |
                
                 And I want to emphasize something that I've also emphasized
             
            
                link |
                
                 in the many discussions on this podcast
             
            
                link |
                
                 related to sleep and circadian rhythms and alertness,
             
            
                link |
                
                 which is even on a cloud covered day,
             
            
                link |
                
                 you are going to get far more light energy,
             
            
                link |
                
                 photons through cloud cover,
             
            
                link |
                
                 than you are going to get from an indoor light source,
             
            
                link |
                
                 an artificial light source.
             
            
                link |
                
                 I can't emphasize this enough.
             
            
                link |
                
                 If you look outside in the morning
             
            
                link |
                
                 and you see some sunlight,
             
            
                link |
                
                 if you see some sunlight throughout the day,
             
            
                link |
                
                 you would do yourself a great favor
             
            
                link |
                
                 to try and chase some of that sunlight
             
            
                link |
                
                 and get into that sunlight,
             
            
                link |
                
                 to expose your eyes and your skin to that sunlight
             
            
                link |
                
                 as much as you safely can.
             
            
                link |
                
                 And when I say as much as you safely can,
             
            
                link |
                
                 never ever look at any light, artificial sunlight
             
            
                link |
                
                 or otherwise that's so bright that it's painful to look at.
             
            
                link |
                
                 It's fine to get that light arriving
             
            
                link |
                
                 on your eyes indirectly.
             
            
                link |
                
                 It's fine to wear eyeglasses or contact lenses.
             
            
                link |
                
                 In fact, if you think about the biology of the eye
             
            
                link |
                
                 and the way that those lenses work,
             
            
                link |
                
                 that it will just serve to focus that light
             
            
                link |
                
                 on to the very cells that you want those light beams
             
            
                link |
                
                 to be delivered to.
             
            
                link |
                
                 Whereas sunglasses that are highly reflective
             
            
                link |
                
                 or trying to get your sunlight exposure
             
            
                link |
                
                 through a windshield of a car or through a window
             
            
                link |
                
                 simply won't work.
             
            
                link |
                
                 I'm sorry to tell you,
             
            
                link |
                
                 but most windows are designed to filter out the UVB light.
             
            
                link |
                
                 And if you're somebody who's really keen on blue blockers
             
            
                link |
                
                 and you're wearing your blue blockers all day,
             
            
                link |
                
                 well, don't wear them outside.
             
            
                link |
                
                 And in fact, you're probably doing yourself a disservice
             
            
                link |
                
                 by wearing them in the morning and in the daytime.
             
            
                link |
                
                 There certainly is a place for blue blockers
             
            
                link |
                
                 in the evening and nighttime,
             
            
                link |
                
                 if you're having issues with falling and staying asleep.
             
            
                link |
                
                 But if you think about it, blue blockers,
             
            
                link |
                
                 what they're really doing
             
            
                link |
                
                 is blocking those short wavelength UVB wavelengths of light
             
            
                link |
                
                 that you so desperately need to arrive at your retina
             
            
                link |
                
                 and of course also onto your skin
             
            
                link |
                
                 in order to get these powerful biological effects
             
            
                link |
                
                 on hormones and on pain reduction.
             
            
                link |
                
                 And in terms of skin exposure,
             
            
                link |
                
                 these data also might make you think a little bit
             
            
                link |
                
                 about whether or not you should wear short sleeves
             
            
                link |
                
                 or long sleeves, whether or not you want to wear shorts
             
            
                link |
                
                 or a skirt or pants.
             
            
                link |
                
                 It's all going to depend on the context of your life
             
            
                link |
                
                 and the social and other variables that are important.
             
            
                link |
                
                 Of course, I don't know each and every one
             
            
                link |
                
                 of your circumstances,
             
            
                link |
                
                 so I can't tell you to do X or Y or Z, nor would I,
             
            
                link |
                
                 but you might take into consideration
             
            
                link |
                
                 that it is the total amount of skin exposure
             
            
                link |
                
                 that is going to allow you to capture more or fewer photons,
             
            
                link |
                
                 depending on, for instance,
             
            
                link |
                
                 if you're completely cloaked in clothing
             
            
                link |
                
                 and you're just exposed in the hands, neck and face,
             
            
            
                link |
                
                 or whether or not you're outside in shorts and a t-shirt,
             
            
                link |
                
                 you're going to get very, very different patterns
             
            
                link |
                
                 of biological signaling activation
             
            
                link |
                
                 in those two circumstances.
             
            
                link |
                
                 Many of you I'm guessing are wondering
             
            
                link |
                
                 whether or not you should seek out UVB exposure
             
            
                link |
                
                 throughout the entire year or only in the summer months.
             
            
                link |
                
                 And that's sort of going to depend on whether or not
             
            
                link |
                
                 you experience depression in the winter months,
             
            
                link |
                
                 so-called seasonal affective disorder.
             
            
                link |
                
                 Some people have mild,
             
            
                link |
                
                 some people have severe forms
             
            
                link |
                
                 of seasonal affective disorder.
             
            
                link |
                
                 Some people love the fall and winter and the shorter days.
             
            
                link |
                
                 They love bundling up, they love the leaves,
             
            
                link |
                
                 they love the snow, they love the cold,
             
            
                link |
                
                 and they don't experience those psychological lows.
             
            
                link |
                
                 So it varies tremendously.
             
            
                link |
                
                 And there are genetic differences
             
            
                link |
                
                 and birthplace origin differences that relate to all this,
             
            
                link |
                
                 but really it has to be considered on a case-by-case basis.
             
            
                link |
                
                 I personally believe,
             
            
                link |
                
                 and this was reinforced by the director
             
            
                link |
                
                 of the Chronobiology Unit
             
            
                link |
                
                 at the National Institutes of Mental Health, Samir Hattar,
             
            
                link |
                
                 that we would all do well to get more UVB exposure
             
            
                link |
                
                 from sunlight throughout the entire year,
             
            
                link |
                
                 provided we aren't burning our skin
             
            
                link |
                
                 or damaging our eyes in some way.
             
            
                link |
                
                 In addition to that, during the winter months,
             
            
                link |
                
                 if you do experience some drop in energy
             
            
                link |
                
                 or increase in depression or psychological lows,
             
            
                link |
                
                 it can be very beneficial to access a sad lamp,
             
            
                link |
                
                 or if you don't want to buy a sad lamp,
             
            
                link |
                
                 because oftentimes they can be very expensive,
             
            
                link |
                
                 you might do well to simply get a LED lighting panel.
             
            
                link |
                
                 I've described one before,
             
            
                link |
                
                 and I want to emphasize that I have no affiliation
             
            
                link |
                
                 whatsoever to these commercial sources,
             
            
                link |
                
                 but I've described one before and I'll describe it again,
             
            
                link |
                
                 and we can provide a link to a couple of examples of these
             
            
                link |
                
                 in the show note captions, excuse me.
             
            
                link |
                
                 This is a 932,000 lux L-U-X light source
             
            
                link |
                
                 that's designed for drawing.
             
            
                link |
                
                 It's literally a drawing box.
             
            
                link |
                
                 It's a thin panel.
             
            
                link |
                
                 It's about the size of a laptop.
             
            
                link |
                
                 Very inexpensive compared to the typical sad lamp.
             
            
                link |
                
                 I actually have one that I position on my desk all day long.
             
            
                link |
                
                 I also happen to have skylights above my desk.
             
            
                link |
                
                 I'm fairly sensitive to the effects of light.
             
            
                link |
                
                 So in longer days,
             
            
                link |
                
                 I feel much better than I do in shorter days.
             
            
                link |
                
                 I've never suffered from full-blown
             
            
                link |
                
                 seasonal affective disorder,
             
            
                link |
                
                 but I keep that light source on throughout the day,
             
            
                link |
                
                 throughout the year.
             
            
                link |
                
                 But I also make it a point to get outside
             
            
                link |
                
                 and get sunlight early in the morning
             
            
                link |
                
                 and several times throughout the day.
             
            
                link |
                
                 And if it's particularly overcast outside,
             
            
                link |
                
                 or there just doesn't seem to be a lot of sunlight
             
            
                link |
                
                 coming through those clouds,
             
            
                link |
                
                 I will try to look at that light source
             
            
                link |
                
                 a little bit more each day
             
            
                link |
                
                 in order to trigger these mechanisms.
             
            
                link |
                
                 Now, some people may desire to get UVB exposure
             
            
            
                link |
                
                 and they want to do that through sources
             
            
                link |
                
                 other than sunlight.
             
            
                link |
                
                 And there, it's a little bit more complicated.
             
            
                link |
                
                 There are, of course, canning salons,
             
            
                link |
                
                 which basically are beds of UVB light.
             
            
                link |
                
                 That's really all they are.
             
            
                link |
                
                 I've never been to one.
             
            
                link |
                
                 I know people do frequent them
             
            
                link |
                
                 in certain parts of the world.
             
            
                link |
                
                 There, of course, people are covering their eyes.
             
            
                link |
                
                 They are only getting UVB exposure to their skin typically
             
            
                link |
                
                 because the UVB exposure,
             
            
                link |
                
                 or intensities rather, tends to be very, very high.
             
            
                link |
                
                 And so you can actually damage your eyes
             
            
                link |
                
                 if you're looking at a very, very bright
             
            
                link |
                
                 artificial UVB source up close.
             
            
                link |
                
                 So you really have to explore these options for yourself.
             
            
                link |
                
                 Sunlight, of course, being the original
             
            
                link |
                
                 and still the best way to get UVB exposure.
             
            
                link |
                
                 So without knowing your particular circumstances,
             
            
                link |
                
                 finances, genetics, or place of origin, et cetera,
             
            
                link |
                
                 I can't know whether or not
             
            
                link |
                
                 you need to use artificial sources.
             
            
                link |
                
                 You're going to have to gauge that.
             
            
                link |
                
                 Meanwhile, getting outside,
             
            
                link |
                
                 looking at and getting some exposure of UVB onto your skin
             
            
                link |
                
                 is going to be beneficial
             
            
                link |
                
                 for the vast majority of people out there.
             
            
                link |
                
                 And in fact, it's even going to be beneficial
             
            
                link |
                
                 for people that are blind.
             
            
                link |
                
                 People that are blind provided they still have eyes
             
            
                link |
                
                 often maintain these melanopsin cells.
             
            
                link |
                
                 So even if you're low vision or no vision,
             
            
                link |
                
                 getting UVB exposure to your eyes can be very beneficial
             
            
                link |
                
                 for sake of mood, hormone pathways,
             
            
                link |
                
                 pain reduction, and so forth.
             
            
                link |
                
                 A cautionary note, people who have retinitis pigmentosa,
             
            
                link |
                
                 macular degeneration, or glaucoma,
             
            
                link |
                
                 as well as people who are especially prone to skin cancers
             
            
                link |
                
                 should definitely consult with your ophthalmologist
             
            
                link |
                
                 and dermatologist before you start increasing
             
            
                link |
                
                 the total amount of UVB exposure that you're getting
             
            
                link |
                
                 from any source, sunlight or otherwise.
             
            
                link |
                
                 There are additional very interesting
             
            
                link |
                
                 and powerful effects of UVB light,
             
            
                link |
                
                 in particular on immune function.
             
            
                link |
                
                 All the organs of our body are inside our skin.
             
            
                link |
                
                 And so information about external conditions,
             
            
                link |
                
                 meaning the environment that we're in,
             
            
                link |
                
                 need to be communicated to the various organs of our body.
             
            
                link |
                
                 Some of them have more direct access
             
            
                link |
                
                 to what's going on outside.
             
            
                link |
                
                 So for instance, the cells in your brain
             
            
                link |
                
                 that reside right over the roof of your mouth,
             
            
                link |
                
                 your hypothalamus, they control hormone output
             
            
                link |
                
                 and they control the biological functions
             
            
                link |
                
                 that we call circadian functions,
             
            
                link |
                
                 the ones that change every 24 hours.
             
            
                link |
                
                 Well, those are just one or two connections,
             
            
                link |
                
                 meaning synapses away from those cells in your eye
             
            
                link |
                
                 that perceive UVB light, excuse me.
             
            
                link |
                
                 Other organs of your body, such as your spleen,
             
            
                link |
                
                 which is involved in the creation of molecules and cells
             
            
                link |
                
                 that combat infection.
             
            
                link |
                
                 Well, those are a long ways away
             
            
                link |
                
                 from those cells in your eye.
             
            
                link |
                
                 And in fact, they're a long ways away from your skin.
             
            
                link |
                
                 There are beautiful studies showing you that
             
            
                link |
                
                 if we get more UVB exposure from sunlight
             
            
                link |
                
                 or from appropriate artificial sources,
             
            
                link |
                
                 that spleen and immune function are enhanced.
             
            
                link |
                
                 And there's a very logical, well-established circuit
             
            
                link |
                
                 as to how that happens.
             
            
                link |
                
                 Your brain actually connects to your spleen.
             
            
                link |
                
                 Now it's not the case that you can simply think,
             
            
                link |
                
                 okay, spleen, turn on, release killer cells,
             
            
                link |
                
                 go out and combat infection.
             
            
                link |
                
                 However, UVB light arriving on the eyes
             
            
                link |
                
                 is known to trigger activation of the neurons
             
            
                link |
                
                 within the so-called sympathetic nervous system.
             
            
                link |
                
                 These neurons are part of the larger thing
             
            
                link |
                
                 that we call the autonomic nervous system,
             
            
                link |
                
                 meaning it's below or not accessible by conscious control.
             
            
                link |
                
                 It's the thing that controls your heartbeat,
             
            
                link |
                
                 controls your breathing, and that also activates
             
            
                link |
                
                 or flips on the switch of your immune system.
             
            
                link |
                
                 When we get a lot of UVB light in our eyes,
             
            
                link |
                
                 or I should say sufficient UVB light in our eyes,
             
            
                link |
                
                 a particular channel, a particular set of connections
             
            
                link |
                
                 within the sympathetic nervous system is activated
             
            
                link |
                
                 and our spleen deploys immune cells and molecules
             
            
                link |
                
                 that scavenge for and combat infection.
             
            
                link |
                
                 So if you've noticed that you get fewer colds and flus
             
            
                link |
                
                 and other forms of illness in the summer months,
             
            
                link |
                
                 part of that could be because of the increase
             
            
                link |
                
                 in temperature in your environment,
             
            
                link |
                
                 because typically longer days are associated
             
            
                link |
                
                 with more warmth in your environment
             
            
                link |
                
                 as opposed to winter days, which are short
             
            
                link |
                
                 when it tends to be colder out.
             
            
                link |
                
                 Well, that's true, but it's also the case
             
            
                link |
                
                 the people around you have fewer colds and flus
             
            
                link |
                
                 and that you will get infected with fewer colds and flus
             
            
                link |
                
                 and other infections because if those infections,
             
            
                link |
                
                 whether or not they're bacterial or viral,
             
            
                link |
                
                 arrive in your body, right, if you inhale them
             
            
                link |
                
                 or they get into your mouth or on your skin,
             
            
                link |
                
                 your spleen meets those infections with a greater output.
             
            
                link |
                
                 In other words, the soldiers of your immune system,
             
            
                link |
                
                 the chemicals and cell types of your immune system
             
            
                link |
                
                 that combat infection are in a more ready deployed stance,
             
            
            
                link |
                
                 If you want to know more about the immune system
             
            
                link |
                
                 and immune function, I did an entire episode
             
            
                link |
                
                 about the immune system and the brain in a,
             
            
                link |
                
                 you can find that at hubermanlab.com.
             
            
                link |
                
                 We talk about cytokines, we talk about killer cells,
             
            
                link |
                
                 B cells, T cells, et cetera, a lot of detail there.
             
            
                link |
                
                 So we often think about the summer months
             
            
                link |
                
                 and the spring months as fewer infections floating around,
             
            
                link |
                
                 but in fact, there aren't fewer infections floating around.
             
            
                link |
                
                 We are simply better at combating those infections
             
            
                link |
                
                 and therefore there's less infection floating around.
             
            
                link |
                
                 So we are still confronted with a lot of infections.
             
            
                link |
                
                 We're just able to combat them better.
             
            
                link |
                
                 What does this mean in terms of a tool?
             
            
                link |
                
                 What it means is that during the winter months,
             
            
                link |
                
                 we should be especially conscious of accessing UVB light
             
            
                link |
                
                 to enhance our spleen function,
             
            
                link |
                
                 to make sure that our sympathetic nervous system
             
            
                link |
                
                 is activated to a sufficient level
             
            
                link |
                
                 to keep our immune system deploying
             
            
                link |
                
                 all those killer T cells and B cells and cytokines
             
            
                link |
                
                 so that when we encounter the infections,
             
            
                link |
                
                 as we inevitably will, right,
             
            
                link |
                
                 we're constantly being bombarded with potential infections
             
            
                link |
                
                 that we can combat those infections well.
             
            
                link |
                
                 And as just a brief aside,
             
            
                link |
                
                 but I should mention a brief aside
             
            
                link |
                
                 that's related to tens of thousands of quality studies.
             
            
                link |
                
                 It is well-known that wound healing is faster
             
            
                link |
                
                 when we are getting sufficient UVB exposure.
             
            
                link |
                
                 Typically that's associated with the longer days
             
            
                link |
                
                 of spring and summer.
             
            
                link |
                
                 It is known that turnover of hair cells,
             
            
                link |
                
                 the very cells that give rise to hair cells
             
            
                link |
                
                 are called stem cells.
             
            
                link |
                
                 They live in little so-called niches in our skin
             
            
                link |
                
                 with these hair stem cells
             
            
                link |
                
                 and your hair grows faster in longer days.
             
            
                link |
                
                 That too is triggered by UVB exposure,
             
            
                link |
                
                 not just to the skin, but to the eyes.
             
            
            
                link |
                
                 There was a study published in the Proceedings
             
            
                link |
                
                 of the National Academy of Sciences a couple of years ago
             
            
                link |
                
                 that showed that the exposure of those melanopsin ganglion
             
            
                link |
                
                 cells in your eyes is absolutely critical
             
            
                link |
                
                 for triggering the turnover of stem cells
             
            
                link |
                
                 in both the skin and hair and also it turns out in nails.
             
            
                link |
                
                 So if you've noticed that your skin, your hair
             
            
                link |
                
                 and your nails look better and turn over more,
             
            
                link |
                
                 meaning grow faster in longer days,
             
            
                link |
                
                 that is not a coincidence.
             
            
                link |
                
                 That is not just your perception.
             
            
                link |
                
                 In fact, hair grows more, skin turns over more,
             
            
                link |
                
                 meaning it's going to look more youthful.
             
            
                link |
                
                 You're going to essentially remove older skin cells
             
            
                link |
                
                 and replace them with new cells.
             
            
                link |
                
                 And all the renewing cells and tissues of our body
             
            
                link |
                
                 are going to proliferate,
             
            
                link |
                
                 are going to recreate themselves more
             
            
                link |
                
                 when we're getting sufficient UVB light to our eyes
             
            
                link |
                
                 and also to our skin.
             
            
                link |
                
                 And so while some of you may think of light therapies
             
            
                link |
                
                 such as red light therapies or UVB therapies
             
            
                link |
                
                 as kind of new agey or just biohacking,
             
            
                link |
                
                 again, a phrase I don't particularly like this notion
             
            
                link |
                
                 of biohacking because it implies using one thing
             
            
                link |
                
                 for a purpose that it was never intended to have.
             
            
                link |
                
                 Well, it turns out that UVB exposure and red light
             
            
                link |
                
                 as we'll soon see is a very potent form
             
            
                link |
                
                 of increasing things like wound healing and skin health
             
            
                link |
                
                 for very logical mechanistically backed reasons.
             
            
                link |
                
                 So while I can't account for everything
             
            
                link |
                
                 that's being promoted out there in terms of this light source
             
            
                link |
                
                 will help your skin look more youthful
             
            
                link |
                
                 or will help heal your scars,
             
            
                link |
                
                 the mechanistic basis for light having those effects
             
            
                link |
                
                 makes total sense.
             
            
                link |
                
                 But what you should consider, however,
             
            
                link |
                
                 is that if the particular light therapy
             
            
                link |
                
                 that you're considering involves very local application
             
            
                link |
                
                 rather than illuminating broad swaths of skin,
             
            
                link |
                
                 and if it has no involvement with the eyes,
             
            
                link |
                
                 meaning there's no delivery of UVB or red light
             
            
                link |
                
                 or the other light therapy to the eyes,
             
            
                link |
                
                 it's probably not going to be as potent a treatment
             
            
                link |
                
                 as would a more systemic activation
             
            
                link |
                
                 of larger areas of skin and the eyes.
             
            
                link |
                
                 Now, again, a cautionary note,
             
            
                link |
                
                 I don't want people taking technologies
             
            
                link |
                
                 that were designed for local application
             
            
                link |
                
                 and beaming those into the eyes.
             
            
                link |
                
                 That could be very, very bad and damaging to your retinal
             
            
                link |
                
                 and other tissues.
             
            
                link |
                
                 Certainly wouldn't want you taking bright light
             
            
                link |
                
                 of very high intensity of any kind
             
            
                link |
                
                 and getting cavalier about that.
             
            
                link |
                
                 Typically the local illumination of say a wound
             
            
                link |
                
                 or a particular patch of acne
             
            
                link |
                
                 or some other form of skin treatment
             
            
                link |
                
                 involves very high intensity light.
             
            
                link |
                
                 And if the intensity is too high,
             
            
                link |
                
                 you can actually damage that skin.
             
            
                link |
                
                 And so as we'll talk about in a few moments,
             
            
                link |
                
                 most of those therapies for modifying skin
             
            
                link |
                
                 involve actually burning off
             
            
                link |
                
                 a small, very thin layer at the top of the epidermis
             
            
                link |
                
                 in efforts to trigger the renewal
             
            
                link |
                
                 or the activation of stem cells
             
            
                link |
                
                 that will replenish that with new cells.
             
            
                link |
                
                 So there's a fine line to be had between light therapies
             
            
                link |
                
                 that are very localized and intense,
             
            
                link |
                
                 which are designed to damage skin
             
            
                link |
                
                 and cause reactivation of new stem cells,
             
            
                link |
                
                 whether or not it's hair cells or skin cells, et cetera,
             
            
                link |
                
                 versus systemic activation
             
            
                link |
                
                 across broad swaths of skin in the eyes.
             
            
                link |
                
                 You really have to consider this on a case-by-case basis,
             
            
                link |
                
                 but at least for now,
             
            
                link |
                
                 just consider that increases in hormones,
             
            
                link |
                
                 reduction in pain by way of increases in enkephalin
             
            
                link |
                
                 and other endogenous opioids,
             
            
                link |
                
                 improving immune status by activating the spleen
             
            
                link |
                
                 and so on and so on,
             
            
                link |
                
                 really are all the downstream consequence
             
            
                link |
                
                 of illuminating large swaths of skin
             
            
                link |
                
                 and making sure that those neurons within the eye
             
            
                link |
                
                 get their adequate UVB exposure
             
            
                link |
                
                 or other light wavelength exposure.
             
            
                link |
                
                 Not simply beaming a particular wavelength of light
             
            
                link |
                
                 at a particular location on the body
             
            
                link |
                
                 and hoping that that particular illumination
             
            
                link |
                
                 at a particular location on the body
             
            
                link |
                
                 is going to somehow change the biology at that location.
             
            
                link |
                
                 Our biology just really doesn't work that way.
             
            
                link |
                
                 It's possible, but in general,
             
            
                link |
                
                 systemic effects through broad scale illumination
             
            
                link |
                
                 and illumination to the eye combined with local treatments
             
            
                link |
                
                 are very likely to be the ones that have the most success.
             
            
                link |
                
                 Now I'd like to shift our attention
             
            
                link |
                
                 to the effects of light on mood more specifically.
             
            
                link |
                
                 We talked about this
             
            
                link |
                
                 in terms of seasonal affective disorder,
             
            
                link |
                
                 but many of us don't suffer from seasonal affective disorder.
             
            
                link |
                
                 So I'd like to drill a little deeper
             
            
                link |
                
                 into how light impacts mood.
             
            
                link |
                
                 And here, I want to again paraphrase the statements
             
            
                link |
                
                 of Dr. Samra Hattar
             
            
                link |
                
                 at the National Institutes of Mental Health.
             
            
                link |
                
                 I should mention the director of the Chronobiology Unit
             
            
                link |
                
                 at the National Institutes of Mental Health
             
            
                link |
                
                 and perhaps one of the top one to two to three world experts
             
            
                link |
                
                 in how light can impact mood, appetite,
             
            
                link |
                
                 circadian rhythms, and so forth.
             
            
                link |
                
                 Samra stated on the podcast,
             
            
                link |
                
                 and he said in various other venues as well,
             
            
                link |
                
                 that getting as much UVB light in our eyes and on our skin
             
            
                link |
                
                 in the early day and throughout the day
             
            
                link |
                
                 as is safely possible is going to be beneficial for mood.
             
            
                link |
                
                 There's also another time of day,
             
            
                link |
                
                 or rather I should say a time of night
             
            
                link |
                
                 in which UVB can be leveraged in order to improve mood.
             
            
                link |
                
                 But it's actually the inverse
             
            
                link |
                
                 of everything we've been talking about up until now.
             
            
                link |
                
                 We have a particular neural circuit
             
            
                link |
                
                 that originates with those melanopsin cells in our eye
             
            
                link |
                
                 that bypass all the areas of the brain
             
            
                link |
                
                 associated with circadian clocks.
             
            
                link |
                
                 So everything related to sleep and wakefulness
             
            
                link |
                
                 that's specifically dedicated to the pathways
             
            
                link |
                
                 involving the release of molecules like dopamine,
             
            
                link |
                
                 the neuromodulator that's associated with motivation,
             
            
                link |
                
                 with feeling good,
             
            
                link |
                
                 with feeling like there's possibility in the world
             
            
                link |
                
                 and so on and so forth.
             
            
                link |
                
                 And other molecules as well,
             
            
                link |
                
                 including serotonin and some of those endogenous opioids
             
            
                link |
                
                 that we talked about before.
             
            
                link |
                
                 That particular pathway involves a brain structure
             
            
                link |
                
                 called the perihabenular nucleus.
             
            
                link |
                
                 The perihabenular nucleus gets input
             
            
                link |
                
                 from the cells in the eye that respond to UVB light
             
            
                link |
                
                 and frankly to bright light of other wavelengths as well.
             
            
                link |
                
                 Because as you recall, if a light is bright enough,
             
            
                link |
                
                 even if it's not UV or blue light,
             
            
                link |
                
                 it can activate those cells in the eye.
             
            
                link |
                
                 Those cells in the eye communicate
             
            
                link |
                
                 to the perihabenular nucleus.
             
            
                link |
                
                 And as it turns out, if this pathway is activated
             
            
                link |
                
                 at the wrong time of each 24 hour cycle,
             
            
            
                link |
                
                 Dopamine output gets worse.
             
            
                link |
                
                 Molecules that are there specifically to make us feel good
             
            
                link |
                
                 actually are reduced in their output.
             
            
                link |
                
                 So while UVB exposure in the morning
             
            
                link |
                
                 and throughout the day is going to be very important
             
            
                link |
                
                 for elevating and maintaining elevated mood,
             
            
                link |
                
                 avoiding UVB light at night is actually a way
             
            
                link |
                
                 in which we can prevent activation
             
            
                link |
                
                 of this eye to perihabenular pathway
             
            
                link |
                
                 that can actually turn on depression.
             
            
                link |
                
                 To be very direct and succinct about this,
             
            
                link |
                
                 avoid exposure to UVB light from artificial sources
             
            
                link |
                
                 between the hours of 10 PM and 4 AM.
             
            
                link |
                
                 And if you're somebody who suffers from low mood
             
            
                link |
                
                 and overall has a kind of mild depression
             
            
                link |
                
                 or even severe depression, of course,
             
            
                link |
                
                 please see a psychiatrist, see a trained psychologist,
             
            
            
                link |
                
                 But you would do especially well to avoid UVB exposure
             
            
                link |
                
                 from artificial sources, not just from 10 PM to 4 AM,
             
            
                link |
                
                 but really be careful about getting too much exposure
             
            
                link |
                
                 to UVB even in the late evening.
             
            
                link |
                
                 So 8 PM perhaps to 4 AM.
             
            
                link |
                
                 I can't emphasize this enough that if you view UVB light,
             
            
                link |
                
                 you activate those neurons in your eye very potently.
             
            
                link |
                
                 And if those cells communicate
             
            
                link |
                
                 to the perihabenular nucleus, which they do,
             
            
                link |
                
                 you will truncate or reduce the amount of dopamine
             
            
            
                link |
                
                 So if you want to keep your mood elevated,
             
            
                link |
                
                 get a lot of light, UVB light throughout the day,
             
            
                link |
                
                 and at night, really be cautious about getting UVB exposure
             
            
                link |
                
                 from artificial sources.
             
            
                link |
                
                 Now let's say you're somebody who has no issues with mood.
             
            
                link |
                
                 You're just the happiest person all year long,
             
            
                link |
                
                 or maybe you just have subtle variations in your mood.
             
            
                link |
                
                 You feel great about that.
             
            
                link |
                
                 Turns out that you still want to be very careful
             
            
                link |
                
                 about light exposure between the hours of 10 PM or so
             
            
                link |
                
                 and 4 AM, in fact, even during sleep.
             
            
                link |
                
                 There's a recent study that just came out
             
            
                link |
                
                 in the proceedings of the National Academy of Sciences,
             
            
                link |
                
                 and it's entitled light exposure during sleep
             
            
                link |
                
                 in pairs cardiometabolic function.
             
            
                link |
                
                 This is a very interesting study
             
            
                link |
                
                 where they took human subjects, young adults,
             
            
                link |
                
                 and having them sleep in rooms
             
            
                link |
                
                 that had different lighting conditions,
             
            
                link |
                
                 either dim light or slightly bright light.
             
            
                link |
                
                 Now, many people can't fall asleep in brightly lit rooms.
             
            
                link |
                
                 So they acknowledged this.
             
            
                link |
                
                 These were not very brightly lit rooms.
             
            
                link |
                
                 These were rooms that had just a little bit
             
            
                link |
                
                 of overhead room lighting, a hundred lux,
             
            
                link |
                
                 which is not very bright at all.
             
            
                link |
                
                 Or they had them sleep in a room that had very dim light,
             
            
                link |
                
                 which is less than three lux.
             
            
                link |
                
                 If you want to get a sense of how bright three lux is
             
            
                link |
                
                 versus a hundred lux,
             
            
                link |
                
                 I would encourage you to download the free app Light Meter.
             
            
                link |
                
                 I have no relationship to the app.
             
            
                link |
                
                 It's a pretty cool app.
             
            
                link |
                
                 However, I've used it for a long time
             
            
                link |
                
                 where you can basically point your phone
             
            
                link |
                
                 at a particular light source, sun or otherwise,
             
            
                link |
                
                 and you just press the button
             
            
                link |
                
                 and it'll give you an approximate readout of lux,
             
            
                link |
                
                 which is the light intensity that the phone happens
             
            
                link |
                
                 to be staring out at at that location.
             
            
                link |
                
                 It's not exact, but it's a pretty good
             
            
                link |
                
                 back of the envelope measure of light intensity.
             
            
                link |
                
                 So these subjects were either sleeping in a very dim room,
             
            
                link |
                
                 three lux is very, very dim,
             
            
                link |
                
                 or a somewhat dim room, a hundred lux.
             
            
                link |
                
                 In this study, they measured things like melatonin levels.
             
            
                link |
                
                 They looked at heart rate.
             
            
                link |
                
                 They looked at measures of insulin and glucose management.
             
            
                link |
                
                 Now, in previous episodes,
             
            
                link |
                
                 I've talked about how glucose blood sugar is regulated
             
            
                link |
                
                 by insulin because you don't want your glucose levels
             
            
                link |
                
                 to be too high, hyperglycemia or too low.
             
            
                link |
                
                 Hypoglycemia and the hormone insulin is involved
             
            
                link |
                
                 in sequestering and shuttling glucose in the bloodstream.
             
            
                link |
                
                 Basically how well you manage glucose in the bloodstream
             
            
                link |
                
                 can be indirectly measured by your insulin levels.
             
            
                link |
                
                 And it's well-known that sleep deprivation
             
            
                link |
                
                 can disrupt glucose regulation by insulin.
             
            
                link |
                
                 However, in this study,
             
            
                link |
                
                 subjects were sleeping the whole night through.
             
            
                link |
                
                 It just so happens that some of the subjects
             
            
                link |
                
                 were sleeping in this very dimly lit room, three lux,
             
            
                link |
                
                 and other subjects were sleeping
             
            
                link |
                
                 in a somewhat dimly lit room, a hundred lux.
             
            
                link |
                
                 What's incredible about this study is that both rooms
             
            
                link |
                
                 were sufficiently dim that melatonin levels
             
            
                link |
                
                 were not altered in either case.
             
            
                link |
                
                 This is really key.
             
            
                link |
                
                 It's not as if one group experienced a lot of bright light
             
            
                link |
                
                 through their eyelids and others did not.
             
            
                link |
                
                 Melatonin levels were not disrupted.
             
            
                link |
                
                 And given how potently light can inhibit melatonin,
             
            
                link |
                
                 this speaks to the fact that this very dim condition
             
            
                link |
                
                 of three lux and the somewhat dim condition of a hundred lux
             
            
                link |
                
                 was not actually perceived by the subjects,
             
            
                link |
                
                 nor was it disrupting these hormone pathways.
             
            
                link |
                
                 They also looked at glucose responses.
             
            
                link |
                
                 They had people essentially take a fasting glucose test
             
            
                link |
                
                 in different conditions.
             
            
                link |
                
                 I won't go into all the details,
             
            
                link |
                
                 but here's what they found.
             
            
                link |
                
                 In healthy adults,
             
            
                link |
                
                 even just one night of sleeping in a moderately lit
             
            
                link |
                
                 environment, this hundred lux environment caused changes,
             
            
                link |
                
                 increases in nighttime heart rate,
             
            
                link |
                
                 which means that the sympathetic nervous system
             
            
                link |
                
                 was overly active as compared to people that slept
             
            
                link |
                
                 in a completely dark or in a very, very dimly lit room.
             
            
                link |
                
                 Decreases in heart rate variability.
             
            
                link |
                
                 And here I should point out that heart rate variability
             
            
                link |
                
                 or HRV is a good thing.
             
            
                link |
                
                 We want heart rate variability.
             
            
                link |
                
                 So they saw increases in heart rate,
             
            
                link |
                
                 decreases in heart rate variability and increases
             
            
                link |
                
                 in next morning insulin resistance,
             
            
                link |
                
                 which is an indication that glucose management is suffering.
             
            
                link |
                
                 So this is powerful.
             
            
                link |
                
                 The results of this study essentially indicate that even
             
            
                link |
                
                 just one night of sleeping the whole night through
             
            
                link |
                
                 in a dimly lit environment is disrupting the way
             
            
                link |
                
                 that our autonomic nervous system is functioning,
             
            
                link |
                
                 altering so-called autonomic tone,
             
            
                link |
                
                 making us less relaxed is probably the best way
             
            
            
                link |
                
                 Even though we are asleep,
             
            
                link |
                
                 disrupting the way that our cardiometabolic function
             
            
                link |
                
                 operates such that we have lower heart rate variability
             
            
                link |
                
                 and increased insulin resistance.
             
            
                link |
                
                 This is not a good thing for any of us to experience.
             
            
                link |
                
                 So while we've mainly been talking about the positive
             
            
                link |
                
                 effects of UVB light and other forms of light.
             
            
                link |
                
                 Now we have two examples,
             
            
                link |
                
                 one from the work of Hatar and colleagues showing
             
            
                link |
                
                 that UVB exposure via the perihabenula can diminish
             
            
                link |
                
                 the output of dopamine and other molecules that make
             
            
                link |
                
                 us feel good if that UVB exposure is in the middle
             
            
                link |
                
                 of the night or late evening.
             
            
                link |
                
                 And now we have yet another study performed in this case
             
            
                link |
                
                 in humans indicating that even if we fall asleep
             
            
                link |
                
                 and sleep the whole night through,
             
            
                link |
                
                 if the room that we're sleeping in has too many locks,
             
            
                link |
                
                 too much light energy,
             
            
                link |
                
                 that light energy is no doubt going through the eyelids,
             
            
                link |
                
                 which it can activating the particular cells in the eye
             
            
                link |
                
                 that trigger an increase in sympathetic nervous system
             
            
                link |
                
                 activation and disrupting our metabolism.
             
            
                link |
                
                 And this study rests on a number of other recent studies
             
            
                link |
                
                 published in Cell,
             
            
                link |
                
                 which is a superb journal and other journals showing that
             
            
                link |
                
                 during the course of a healthy deep night's sleep,
             
            
                link |
                
                 our body actually transitions through various forms
             
            
                link |
                
                 of metabolic function.
             
            
                link |
                
                 We actually experience ketosis like states.
             
            
                link |
                
                 We experience gluconeogenesis.
             
            
                link |
                
                 We experience different forms of metabolism associated
             
            
                link |
                
                 with different stages of sleep.
             
            
                link |
                
                 Not something that we're going into in depth in this podcast,
             
            
                link |
                
                 we will in a future podcast.
             
            
                link |
                
                 What this study shows is that light exposure even in sleep
             
            
                link |
                
                 is disrupting our autonomic, in this case,
             
            
                link |
                
                 the sympathetic arm of the autonomic nervous system
             
            
                link |
                
                 in ways that are disrupting metabolism probably in sleep,
             
            
                link |
                
                 but certainly outside of sleep.
             
            
                link |
                
                 So that we wake up and have our first meal of the day,
             
            
                link |
                
                 or even if you're intermittent fasting,
             
            
                link |
                
                 you eat that first meal of the day.
             
            
                link |
                
                 If your sleep is taking place in an environment
             
            
                link |
                
                 that's overly illuminated,
             
            
                link |
                
                 well, that's disrupting your cardiac function
             
            
                link |
                
                 and your metabolism.
             
            
                link |
                
                 I've been talking a lot about UVB light,
             
            
                link |
                
                 which is short wavelength light.
             
            
                link |
                
                 So UV light, blue light, maybe even some blue green light,
             
            
                link |
                
                 that's going to be short wavelength light.
             
            
                link |
                
                 Now I'd like to shift our attention to the other end
             
            
                link |
                
                 of the spectrum, meaning the light spectrum,
             
            
                link |
                
                 to talk about red light and infrared light,
             
            
                link |
                
                 which is long wavelength light.
             
            
                link |
                
                 Many so-called low level light therapies,
             
            
                link |
                
                 the acronym is LLLT, low level light therapies
             
            
                link |
                
                 involve the use of red light and infrared light.
             
            
                link |
                
                 Sometimes low level light therapies involve the use of UVB,
             
            
                link |
                
                 but more often than not these days,
             
            
                link |
                
                 when we hear LLLT, low level light therapy,
             
            
                link |
                
                 it's referring to red light
             
            
                link |
                
                 and near infrared light therapies.
             
            
                link |
                
                 Low level light therapies have been shown to be effective
             
            
                link |
                
                 for a huge number of biological phenomenon
             
            
                link |
                
                 and medical treatments.
             
            
                link |
                
                 I can't summarize all of those now.
             
            
                link |
                
                 It would take me many, many hours.
             
            
                link |
                
                 It would be an effective episode for curing insomnia,
             
            
                link |
                
                 but it wouldn't inform you properly
             
            
                link |
                
                 about the use of light for your health.
             
            
                link |
                
                 Rather, I'd like to just emphasize
             
            
                link |
                
                 some of the top contour of those studies
             
            
                link |
                
                 and point out that for instance,
             
            
                link |
                
                 low level light therapy with infrared light
             
            
                link |
                
                 has been shown to be effective for the treatment of acne
             
            
                link |
                
                 and other sorts of skin lesions.
             
            
                link |
                
                 Been some really nice studies actually,
             
            
                link |
                
                 where they use subjects as their own internal control.
             
            
                link |
                
                 So people who believe it or not
             
            
                link |
                
                 agreed to have half of their face illuminated
             
            
                link |
                
                 with red light or near infrared light
             
            
                link |
                
                 and the other half of their face serve as a control
             
            
                link |
                
                 and to do that for several weeks at a time.
             
            
                link |
                
                 And you can see pretty impressive reductions
             
            
                link |
                
                 in skin lesions, reductions in scars from acne
             
            
                link |
                
                 and reduction in acne lesions themselves,
             
            
                link |
                
                 meaning the accumulation of new acne cysts
             
            
                link |
                
                 with low level light therapy
             
            
                link |
                
                 using red light and infrared light.
             
            
                link |
                
                 Sometimes however, there is a resistance of that acne
             
            
                link |
                
                 to the low level light therapy
             
            
                link |
                
                 such that people will get an initial improvement
             
            
                link |
                
                 and then it will go away despite continuing the treatment.
             
            
                link |
                
                 So you're probably asking, or at least you should be asking,
             
            
                link |
                
                 how is it that shining red light on our skin
             
            
                link |
                
                 can impact things like acne and wound healing, et cetera?
             
            
                link |
                
                 Well, to understand that we have to think back
             
            
                link |
                
                 to the beginning of the episode
             
            
                link |
                
                 where I described how long wavelength lights
             
            
                link |
                
                 such as red light and near infrared light,
             
            
                link |
                
                 which is even longer than red light,
             
            
                link |
                
                 can pass through certain surfaces, including our skin.
             
            
                link |
                
                 So our skin has an epidermis, which is on the outside
             
            
                link |
                
                 and the dermis, which is in the deeper layers.
             
            
                link |
                
                 Red light and infrared light
             
            
                link |
                
                 can pass down into the deeper layers of our skin
             
            
                link |
                
                 where it can change the metabolic function
             
            
                link |
                
                 of particular cells.
             
            
                link |
                
                 So let's just take acne as an example.
             
            
                link |
                
                 Within the dermis, the deep layers of our skin,
             
            
                link |
                
                 we have what are called sebaceous glands
             
            
                link |
                
                 that actually make the oil that is present in our skin.
             
            
                link |
                
                 Those sebaceous glands are often nearby hair follicles.
             
            
                link |
                
                 So if you've ever had an infected hair follicle,
             
            
                link |
                
                 that's not a coincidence
             
            
                link |
                
                 that hair follicles tend to get infected.
             
            
                link |
                
                 Part of it is because there's actually a portal down
             
            
                link |
                
                 and around the hair follicle,
             
            
                link |
                
                 but the sebaceous gland is where the oil is created
             
            
                link |
                
                 that is going to give rise to, for instance, acne lesions.
             
            
                link |
                
                 Also in the dermis and the deep layers of the skin
             
            
                link |
                
                 are the melanocytes.
             
            
                link |
                
                 They're not just in the epidermis,
             
            
                link |
                
                 they're also in the deeper layers of the skin.
             
            
                link |
                
                 And you have the stem cells that give rise
             
            
                link |
                
                 to additional skin cells.
             
            
                link |
                
                 If the top layers of the epidermis are damaged,
             
            
                link |
                
                 those stem cells can become activated.
             
            
                link |
                
                 And you also have the stem cells
             
            
                link |
                
                 that give rise to hair follicles.
             
            
                link |
                
                 So by shining red light or near infrared light
             
            
                link |
                
                 on a localized patch of skin,
             
            
                link |
                
                 provided that red light is not of such high intensity
             
            
                link |
                
                 that it burns the skin,
             
            
                link |
                
                 but is of sufficient intensity
             
            
                link |
                
                 that provides just a little bit of damage
             
            
                link |
                
                 to the upper layers of the skin, the epidermis,
             
            
                link |
                
                 and that it triggers certain biological pathways
             
            
                link |
                
                 within the cells of the sebaceous gland
             
            
                link |
                
                 and the stem cells within the hair cell niche
             
            
                link |
                
                 and the stem cells in skin.
             
            
                link |
                
                 What happens is the top layers of the skin
             
            
                link |
                
                 are basically burned off by a very low level of burn
             
            
                link |
                
                 and or the cells in the deeper layer
             
            
                link |
                
                 start to churn out new cells
             
            
                link |
                
                 which go and rescue the lesion,
             
            
                link |
                
                 essentially clear out the lesion
             
            
                link |
                
                 and replace that lesion with healthy skin cells.
             
            
                link |
                
                 This does work in the context of wound healing,
             
            
                link |
                
                 getting scars to disappear.
             
            
                link |
                
                 It also works to remove certain patches of pigmentation.
             
            
                link |
                
                 There are sometimes cases where people will get
             
            
                link |
                
                 a red blotchiness due to certain skin conditions
             
            
                link |
                
                 or some darker pigmentation that they want removed
             
            
                link |
                
                 or that they need removed
             
            
                link |
                
                 because it's a potential skin cancer threat.
             
            
                link |
                
                 Now, how is red light actually doing it
             
            
                link |
                
                 within the cells of the sebaceous gland,
             
            
                link |
                
                 the stem cells, et cetera?
             
            
                link |
                
                 Well, long wavelength light
             
            
                link |
                
                 can actually get deep into the skin.
             
            
                link |
                
                 I mentioned that before,
             
            
                link |
                
                 but can also get into individual cells
             
            
                link |
                
                 and can access the so-called organelles,
             
            
                link |
                
                 which I described at the beginning of the episode.
             
            
                link |
                
                 In particular, they can access the mitochondria
             
            
                link |
                
                 which are responsible for producing ATP.
             
            
                link |
                
                 Now, the simple way to think about this
             
            
                link |
                
                 for sake of this discussion is that as cells age
             
            
                link |
                
                 and in particular in very metabolically active cells,
             
            
                link |
                
                 they accumulate what are called ROSs,
             
            
                link |
                
                 reactive oxygen species.
             
            
                link |
                
                 And as reactive oxygen species go up,
             
            
                link |
                
                 ATP energy production in those cells tends to go down.
             
            
                link |
                
                 It's a general statement,
             
            
                link |
                
                 but it's a general statement that in most cases is true.
             
            
                link |
                
                 There are some minor exceptions that don't concern us
             
            
                link |
                
                 that have to do with cell types different
             
            
                link |
                
                 than the ones that I'm talking about now.
             
            
                link |
                
                 So the way to think about this is that red light passes
             
            
                link |
                
                 into the deeper layers of the skin,
             
            
                link |
                
                 activates mitochondria, which increases ATP
             
            
                link |
                
                 and directly or indirectly
             
            
                link |
                
                 reduces these reactive oxygen species.
             
            
                link |
                
                 These reactive oxygen species are not good.
             
            
                link |
                
                 We don't want them.
             
            
                link |
                
                 They cause cellular damage, cellular death,
             
            
                link |
                
                 and for the most part,
             
            
                link |
                
                 just inhibit the way that our cells work.
             
            
                link |
                
                 So if you've heard of red light
             
            
                link |
                
                 or near infrared light therapies designed to heal skin
             
            
                link |
                
                 or improve skin quality or remove lesions
             
            
                link |
                
                 or get rid of scars or unwanted pigmentation,
             
            
                link |
                
                 that is not pseudoscience, that is not woo science,
             
            
                link |
                
                 that is grounded in the very biology of how light interacts
             
            
                link |
                
                 with mitochondria and reactive oxygen species.
             
            
                link |
                
                 Some of you may also find it interesting to note
             
            
                link |
                
                 that some of the cream-based treatments for acne,
             
            
                link |
                
                 for instance, like retinoic acid,
             
            
                link |
                
                 Retin-A is actually a derivative of vitamin A
             
            
                link |
                
                 and the pathway involving retinoic acid and vitamin A,
             
            
                link |
                
                 believe it or not,
             
            
                link |
                
                 is very similar to the natural biological pathway
             
            
                link |
                
                 by which photopigments in the eye convert light information
             
            
                link |
                
                 into biological changes within those cells.
             
            
                link |
                
                 So the key point here is that light is activating
             
            
                link |
                
                 particular pathways in cells
             
            
                link |
                
                 that can either drive death of cells
             
            
                link |
                
                 or can make those cells essentially younger
             
            
                link |
                
                 by increasing ATP by way of improving mitochondrial function
             
            
                link |
                
                 and in recent years,
             
            
                link |
                
                 there've been some just beautiful examples
             
            
                link |
                
                 that exist not only in the realm of skin biology,
             
            
                link |
                
                 but in the realm of neurobiology,
             
            
                link |
                
                 whereby red light and near infrared light
             
            
                link |
                
                 can actually be used to enhance the function of the cells
             
            
                link |
                
                 that for instance, allow us to see better
             
            
                link |
                
                 and indeed cells that allow us to think better.
             
            
                link |
                
                 So now I'd like to review those data
             
            
                link |
                
                 because not only are they interesting in their own right,
             
            
                link |
                
                 but they also point to some very interesting
             
            
                link |
                
                 and powerful application of low cost or zero cost tools
             
            
                link |
                
                 that we can use to improve our vision.
             
            
                link |
                
                 If you are somebody who's interested
             
            
                link |
                
                 in the use of red light or near infrared light,
             
            
                link |
                
                 so-called LLLT, low level light therapies
             
            
                link |
                
                 for treatment of dermatologic issues,
             
            
                link |
                
                 so anything related to skin,
             
            
                link |
                
                 I will include a link to a excellent set of reviews.
             
            
                link |
                
                 The first one is light emitting diodes in dermatology,
             
            
                link |
                
                 a systematic review of randomized controlled trials.
             
            
                link |
                
                 That one includes review of a very large number of studies
             
            
                link |
                
                 came out just a few years ago in 2018
             
            
                link |
                
                 and I think is very clearly and cleanly laid out
             
            
                link |
                
                 for anyone to access.
             
            
                link |
                
                 You can see the degree of effects of red light,
             
            
                link |
                
                 for instance, on treatment of acne or scarring, et cetera.
             
            
                link |
                
                 And I'll also provide a link to another review,
             
            
                link |
                
                 which is low level light therapy in skin,
             
            
                link |
                
                 stimulating healing and restoring.
             
            
                link |
                
                 So for those of you that are interested,
             
            
                link |
                
                 again, in dermatologic issues
             
            
                link |
                
                 and the kind of restoring youthfulness
             
            
                link |
                
                 and the kind of general themes of anti-aging and longevity
             
            
                link |
                
                 and how red light therapies can be used for that,
             
            
                link |
                
                 I will encourage you to take a look at those reviews.
             
            
                link |
                
                 What you're going to find is that rarely, if ever,
             
            
                link |
                
                 is there a study looking at whole body red light illumination
             
            
                link |
                
                 for sake of treating and improving skin.
             
            
                link |
                
                 And I mention this because I get a lot of questions
             
            
                link |
                
                 about infrared sauna
             
            
                link |
                
                 and global illumination with red lights.
             
            
                link |
                
                 We'll talk more about cases where global illumination
             
            
                link |
                
                 of your whole body or your whole face
             
            
                link |
                
                 with red lights might be useful,
             
            
                link |
                
                 but in terms of infrared sauna,
             
            
                link |
                
                 I've mentioned on this podcast before,
             
            
                link |
                
                 and I will certainly go deeper on this
             
            
                link |
                
                 in an upcoming episode,
             
            
                link |
                
                 all about the use of heat and temperature
             
            
                link |
                
                 for augmenting our biology.
             
            
            
                link |
                
                 infrared saunas don't get hot enough temperature wise
             
            
                link |
                
                 in order to trigger some of the important effects
             
            
                link |
                
                 on growth hormone and heat shock proteins
             
            
                link |
                
                 and some of the other things
             
            
                link |
                
                 that sauna has been shown to be excellent for.
             
            
                link |
                
                 That's a general statement.
             
            
                link |
                
                 I realize there are some infrared saunas
             
            
                link |
                
                 that do get hot enough.
             
            
                link |
                
                 There are very few data on the use of whole body illumination
             
            
                link |
                
                 with infrared saunas.
             
            
                link |
                
                 They really point to any specific
             
            
                link |
                
                 mechanistically supported effects.
             
            
                link |
                
                 Almost all the positive effects that you're going to see
             
            
                link |
                
                 of red light and low level light therapies,
             
            
                link |
                
                 certainly the ones discussed in the reviews
             
            
                link |
                
                 that I just mentioned,
             
            
                link |
                
                 are going to be the consequence
             
            
                link |
                
                 of very directed illumination
             
            
                link |
                
                 of particular patches of skin that are seeking repair
             
            
                link |
                
                 or that people are seeking the repair of.
             
            
                link |
                
                 So again, I don't want to disparage infrared saunas,
             
            
                link |
                
                 but in general, they don't get hot enough
             
            
                link |
                
                 to trigger most of the positive effects
             
            
                link |
                
                 that sauna have been demonstrated to have.
             
            
                link |
                
                 And it's unclear at all as to whether or not
             
            
                link |
                
                 they can enhance skin quality, youthfulness,
             
            
                link |
                
                 restore top layers of skin that are damaged,
             
            
                link |
                
                 repair acne, et cetera.
             
            
                link |
                
                 So more on heat saunas and infrared saunas
             
            
                link |
                
                 in their comparison in an upcoming episode.
             
            
                link |
                
                 So let's talk about a clear set of examples
             
            
                link |
                
                 where red light and near infrared light
             
            
                link |
                
                 have been shown to have positive effects on our health.
             
            
                link |
                
                 And these are the data that I referred to
             
            
                link |
                
                 at the beginning of the episode
             
            
                link |
                
                 from Dr. Glenn Jeffrey at University College London,
             
            
                link |
                
                 who again is a longstanding member
             
            
                link |
                
                 of the neuroscience community
             
            
                link |
                
                 working on visual neuroscience
             
            
                link |
                
                 and who over the last decade or so
             
            
                link |
                
                 has really emphasized the exploration of red light
             
            
                link |
                
                 and near infrared light
             
            
                link |
                
                 for restoration of neuronal function as we age.
             
            
                link |
                
                 This is absolutely critical.
             
            
                link |
                
                 We know that we don't accumulate many new brain cells
             
            
            
                link |
                
                 And in some areas of our nervous system,
             
            
                link |
                
                 such as our neural retina,
             
            
                link |
                
                 which is the part of our eye that's responsible
             
            
                link |
                
                 for translating light information to electrical signals
             
            
                link |
                
                 so that we can see,
             
            
                link |
                
                 we don't get any new cells
             
            
                link |
                
                 after the time in which we were born.
             
            
                link |
                
                 So the ability to keep our neurons healthy
             
            
                link |
                
                 is extremely important for our visual system,
             
            
                link |
                
                 extremely important for our hippocampus,
             
            
                link |
                
                 an area of the brain involved in memory.
             
            
                link |
                
                 And I should just mention
             
            
                link |
                
                 that even if people don't get Alzheimer's,
             
            
                link |
                
                 there's always going to be some degree
             
            
                link |
                
                 of age-related dementia.
             
            
                link |
                
                 Sadly, nobody is as cognitively sharp
             
            
                link |
                
                 in the years before they die
             
            
                link |
                
                 as they are 20 years before that.
             
            
                link |
                
                 It's just never the case.
             
            
                link |
                
                 We're all getting worse at thinking, feeling,
             
            
                link |
                
                 perceiving, et cetera.
             
            
                link |
                
                 The question is how quickly we are getting worse.
             
            
                link |
                
                 So any mechanism by which we can preserve
             
            
                link |
                
                 or reverse neuronal function
             
            
                link |
                
                 turns out to be immensely beneficial.
             
            
                link |
                
                 The Jeffrey Lab has published two studies in recent years
             
            
                link |
                
                 on humans that looked directly, no pun intended,
             
            
                link |
                
                 at how red light and near infrared light
             
            
                link |
                
                 can improve visual function.
             
            
                link |
                
                 I'm going to describe the parameters of those studies
             
            
                link |
                
                 and then I'm going to describe what they found exactly.
             
            
                link |
                
                 The mechanistic motivation for these studies,
             
            
                link |
                
                 again, traces back to this effect of light on mitochondria.
             
            
                link |
                
                 So to go a little bit deeper into that mechanism
             
            
                link |
                
                 just briefly so that you can frame
             
            
                link |
                
                 any potential protocol that you would develop.
             
            
                link |
                
                 When light arrives on cells, including neurons,
             
            
                link |
                
                 that light can penetrate into the cells
             
            
                link |
                
                 if it's of the appropriate wavelength,
             
            
                link |
                
                 red light can do that, it can get into cells,
             
            
                link |
                
                 it can access the mitochondria,
             
            
                link |
                
                 it can increase ATP.
             
            
                link |
                
                 In general, anytime ATP is doing its thing
             
            
                link |
                
                 to increase energy in cells,
             
            
                link |
                
                 it's involving this thing called cytochrome C,
             
            
                link |
                
                 which is an oxidase.
             
            
                link |
                
                 Anytime you hear ACE, A-S-E in biology,
             
            
                link |
                
                 it's going to be an enzyme.
             
            
                link |
                
                 It's involved in some process of degrading a molecule
             
            
                link |
                
                 and creating another molecule typically.
             
            
                link |
                
                 So ATP in cytochrome C is going to give you ATP.
             
            
                link |
                
                 Now that's a great thing,
             
            
                link |
                
                 but it creates a by-product.
             
            
                link |
                
                 It breaks things down such that you get these ROSs,
             
            
                link |
                
                 these reactive oxygen species.
             
            
                link |
                
                 And those reactive oxygen species,
             
            
                link |
                
                 for those of you that want to know,
             
            
                link |
                
                 are involved in things like redox signaling
             
            
                link |
                
                 and reactive oxygen species actually change
             
            
                link |
                
                 which genes are made in a cell.
             
            
                link |
                
                 So the goal of any treatment to keep neurons
             
            
                link |
                
                 or other cells youthful and functioning well,
             
            
                link |
                
                 and to prevent or reverse aging
             
            
                link |
                
                 is going to be to increase ATP
             
            
                link |
                
                 and to reduce reactive oxygen species.
             
            
                link |
                
                 And in doing so, to disrupt some of the normal pathways
             
            
                link |
                
                 associated with aging.
             
            
                link |
                
                 The Jeffrey Lab approached these studies
             
            
                link |
                
                 with that understanding of how mitochondria
             
            
                link |
                
                 and reactive oxygen species and ATP work.
             
            
                link |
                
                 And what they did was exquisitely simple
             
            
                link |
                
                 to the point of being elegant.
             
            
                link |
                
                 And what they found was really, really exciting.
             
            
                link |
                
                 What they did is they had people, subjects
             
            
                link |
                
                 that were either younger, so in their 20s,
             
            
                link |
                
                 or 40 years old or older,
             
            
                link |
                
                 view red light of about 670 nanometers.
             
            
                link |
                
                 670 nanometers would appear red to you and me.
             
            
                link |
                
                 They had them do that, excuse me,
             
            
                link |
                
                 at a distance that was safe for their eyes.
             
            
                link |
                
                 So at about a foot away.
             
            
                link |
                
                 Now, a foot away from a very intense red light
             
            
                link |
                
                 could actually be damaging to the eye.
             
            
                link |
                
                 So they had them do this at about a foot away
             
            
                link |
                
                 from a red light that was of low enough intensity
             
            
                link |
                
                 that did not damage the eyes.
             
            
                link |
                
                 And they had them do that anywhere
             
            
                link |
                
                 from two to three minutes per day.
             
            
                link |
                
                 And in one study, they had them do that
             
            
                link |
                
                 for a long period of time of about 12 weeks.
             
            
                link |
                
                 And in the other study, they had them do that
             
            
                link |
                
                 just for a couple of weeks.
             
            
                link |
                
                 What's remarkable is that when you collapse the results
             
            
                link |
                
                 across these two studies,
             
            
                link |
                
                 what they found is that when looking at these subjects
             
            
                link |
                
                 ranging from 28 years old to about 72 years old,
             
            
                link |
                
                 the major findings were that in individuals 40 years old
             
            
                link |
                
                 or older, so in the 40 to 72 year old bracket,
             
            
                link |
                
                 but not in the subjects younger than 40 years old,
             
            
                link |
                
                 they saw an improvement in visual function.
             
            
                link |
                
                 That improvement in visual function
             
            
                link |
                
                 was an improvement in visual acuity,
             
            
                link |
                
                 meaning the ability to resolve fine detail
             
            
                link |
                
                 and using a particular measure of visual function,
             
            
                link |
                
                 which is called the Tritan exam, T-R-I-T-A-N, Tritan exam,
             
            
                link |
                
                 which specifically addresses the function
             
            
                link |
                
                 of the so-called short wavelength cones,
             
            
                link |
                
                 the ones that respond to green and blue light,
             
            
                link |
                
                 they saw a 22% improvement in visual acuity,
             
            
                link |
                
                 which in the landscape of visual testing
             
            
                link |
                
                 is an extremely exciting result, okay?
             
            
                link |
                
                 So I think in most studies of improvements of vision,
             
            
                link |
                
                 you'd be very excited to see an improvement of 5% or 10%.
             
            
                link |
                
                 So a 22% improvement in visual acuity,
             
            
                link |
                
                 even though it's in this very specific form
             
            
                link |
                
                 of visual testing, this Tritan exam or this Tritan score,
             
            
                link |
                
                 well, that turns out to be very significant
             
            
                link |
                
                 and translates to the real world in an important way.
             
            
                link |
                
                 In particular, as we age,
             
            
                link |
                
                 we tend to lose certain neurons within our retina,
             
            
                link |
                
                 but we don't tend to lose cones.
             
            
                link |
                
                 We tend to lose rods.
             
            
                link |
                
                 We tend to lose other cells within the retina,
             
            
                link |
                
                 including the cells that connect the eye to the brain,
             
            
                link |
                
                 the so-called ganglion cells.
             
            
                link |
                
                 Cones, for whatever reason,
             
            
                link |
                
                 are pretty resilient to age-related loss.
             
            
                link |
                
                 However, because rods and cones both
             
            
                link |
                
                 are not just among the most metabolically active cells
             
            
                link |
                
                 in your entire body,
             
            
                link |
                
                 but the most metabolically active cells in your entire body.
             
            
                link |
                
                 That's right, your rods and cones are the cells that demand
             
            
                link |
                
                 and that use the most energy of all the cells in your body.
             
            
                link |
                
                 Not your skin cells, not your spleen cells,
             
            
                link |
                
                 not your stomach cells.
             
            
                link |
                
                 Even if you talk a lot,
             
            
                link |
                
                 not the cells that are responsible for moving your mouth,
             
            
                link |
                
                 it is the rods and cones of your neural retina
             
            
                link |
                
                 that are responsible for using the most amount
             
            
                link |
                
                 of ATP and energy in your entire body.
             
            
                link |
                
                 And because of that,
             
            
                link |
                
                 those cells tend to accumulate
             
            
                link |
                
                 a lot of reactive oxygen species as we age.
             
            
                link |
                
                 Red light of the sort used in these studies
             
            
                link |
                
                 was able to reduce the amount of reactive oxygen species
             
            
                link |
                
                 in the rods and cones,
             
            
                link |
                
                 and to rescue the function of this particular cone type,
             
            
                link |
                
                 the short wavelength and medium wavelength cones,
             
            
                link |
                
                 which if you think about the study
             
            
                link |
                
                 is a little bit surprising
             
            
                link |
                
                 because it was red light and near infrared light,
             
            
                link |
                
                 not short wavelength light that was used
             
            
                link |
                
                 in order to create this improvement in cellular function.
             
            
                link |
                
                 But if you step back a little bit further,
             
            
                link |
                
                 it makes perfect sense
             
            
                link |
                
                 because there's nothing specific about the red light
             
            
                link |
                
                 in the sense that it's not that it gets delivered
             
            
                link |
                
                 only to red cones.
             
            
                link |
                
                 That red light and near infrared light
             
            
                link |
                
                 is being absorbed by all the photoreceptors within the eye,
             
            
                link |
                
                 the rods and the blue cones and the green cones
             
            
                link |
                
                 and the red cones.
             
            
                link |
                
                 It's just that the red cones absorb that light best.
             
            
                link |
                
                 So the important takeaway here
             
            
                link |
                
                 is that viewing red light and near infrared light
             
            
                link |
                
                 at a distance at which it is safe
             
            
                link |
                
                 for just a couple of minutes each day
             
            
                link |
                
                 allowed a reversal of the aging process of these neurons,
             
            
                link |
                
                 which some people have heard me say before
             
            
                link |
                
                 and I'll just say it again,
             
            
                link |
                
                 the retina, including your photoreceptors
             
            
                link |
                
                 are not just connected to your brain,
             
            
                link |
                
                 they're not just near your brain,
             
            
                link |
                
                 they are actual central nervous system tissue.
             
            
                link |
                
                 They are the only two pieces of your brain,
             
            
                link |
                
                 meaning your neural retinas
             
            
                link |
                
                 are the only two pieces of your brain
             
            
                link |
                
                 that reside outside your skull
             
            
                link |
                
                 or at least outside the cranial vault.
             
            
                link |
                
                 So here we're seeing a reversal of the aging process
             
            
                link |
                
                 in neurons by shining red light on those neurons.
             
            
                link |
                
                 Now, of course, the Jeffrey lab
             
            
                link |
                
                 is primarily interested in vision
             
            
                link |
                
                 and humans are most dependent on vision
             
            
                link |
                
                 as a sense to navigate the world and survive.
             
            
                link |
                
                 So this is really wonderful.
             
            
                link |
                
                 Here we're looking at a therapy
             
            
                link |
                
                 that can reverse age-related vision loss,
             
            
                link |
                
                 at least in some individuals.
             
            
                link |
                
                 But as you can imagine,
             
            
                link |
                
                 the study was also done on these cells
             
            
                link |
                
                 because they reside outside the skull
             
            
                link |
                
                 and you can shine light directly on them, right?
             
            
                link |
                
                 I'm sure that there are many people out there
             
            
                link |
                
                 who are interested in how they can improve the function,
             
            
                link |
                
                 say, of the neurons in their brain responsible for memory.
             
            
                link |
                
                 And in a few minutes,
             
            
                link |
                
                 I'll describe the non-invasive applications of light
             
            
                link |
                
                 to try and restore the function of those cells as well.
             
            
                link |
                
                 So a little bit more about the studies from the Jeffrey lab.
             
            
                link |
                
                 One of the things that they observed
             
            
                link |
                
                 was a reduction in so-called drusen, D-R-U-S-E-N.
             
            
                link |
                
                 Drusen are little fatty deposits,
             
            
                link |
                
                 little cholesterol deposits
             
            
                link |
                
                 that accumulate in the eye as we age.
             
            
                link |
                
                 We've all heard about cholesterol
             
            
                link |
                
                 within our veins and arteries
             
            
                link |
                
                 and how that can clog our veins and arteries
             
            
                link |
                
                 and how, of course,
             
            
                link |
                
                 clogging of veins and arteries is not a good thing.
             
            
                link |
                
                 Well, our neural retina being so metabolically active
             
            
                link |
                
                 requires a lot of blood flow.
             
            
                link |
                
                 It's heavily vascularized.
             
            
                link |
                
                 And drusen are a special form of cholesterol
             
            
                link |
                
                 that accumulate in the eye.
             
            
            
                link |
                
                 these red light and near infrared light therapies
             
            
                link |
                
                 explored by the Jeffrey lab
             
            
                link |
                
                 were able to actually reduce or reverse
             
            
                link |
                
                 some of the accumulation of drusen.
             
            
                link |
                
                 And so in addition to reducing reactive oxygen species,
             
            
                link |
                
                 the idea in mind now is that red light
             
            
                link |
                
                 may actually reduce cholesterol deposits
             
            
                link |
                
                 and reactive oxygen species
             
            
                link |
                
                 in order to improve neuronal function.
             
            
                link |
                
                 So what should you and I do with these results?
             
            
                link |
                
                 Or should we do anything with these results?
             
            
                link |
                
                 Well, first of all, I want to emphasize
             
            
                link |
                
                 that even though these studies are very exciting,
             
            
                link |
                
                 they are fairly recent.
             
            
                link |
                
                 And so more data as always are needed.
             
            
                link |
                
                 There's some additional features of these studies
             
            
                link |
                
                 that I think are also important to consider.
             
            
            
                link |
                
                 the exposure to red light needed to happen early in the day,
             
            
                link |
                
                 at least within the first three hours of waking.
             
            
                link |
                
                 How would one do that?
             
            
            
                link |
                
                 there are a number of different red light panels
             
            
                link |
                
                 and different red light sources
             
            
                link |
                
                 that certainly fall within the range of red light
             
            
                link |
                
                 and near infrared light that one could use.
             
            
                link |
                
                 I don't have any affiliation to any companies or products
             
            
                link |
                
                 that promote or make those red light therapies.
             
            
                link |
                
                 I do own a red light panel.
             
            
                link |
                
                 So I confess I have started using this protocol.
             
            
                link |
                
                 I am older than 40 years old.
             
            
                link |
                
                 I also have been experimenting with these red light panels
             
            
                link |
                
                 as a way of addressing other changes in biological tissues
             
            
                link |
                
                 for which I'm doing blood work, et cetera.
             
            
                link |
                
                 And I'm going to talk about that in a future episode.
             
            
                link |
                
                 But that of course is what I call anacodata.
             
            
                link |
                
                 It only relates to my experience.
             
            
            
                link |
                
                 and certainly on all episodes of the Human Lab Podcast,
             
            
                link |
                
                 we emphasize peer reviewed studies almost exclusively
             
            
                link |
                
                 talking about anacodata only when highlighting it
             
            
            
                link |
                
                 So if you're somebody who wants to explore red light therapy
             
            
                link |
                
                 here's what you need to do.
             
            
                link |
                
                 You need to make sure that that red light source,
             
            
                link |
                
                 whatever source you happen to use,
             
            
                link |
                
                 whether or not you purchase it or make one.
             
            
                link |
                
                 And in fact, these red light sources
             
            
                link |
                
                 are very, very easy to make.
             
            
                link |
                
                 You could essentially take a bright flashlight
             
            
                link |
                
                 and cover it with a film or a filter
             
            
                link |
                
                 that would only allow particular long wavelengths
             
            
            
                link |
                
                 This would be very easy to look up online
             
            
                link |
                
                 and figure out how to do this.
             
            
                link |
                
                 You could probably do this for just a few dollars
             
            
                link |
                
                 or you could purchase a red light unit
             
            
                link |
                
                 if that was within your budget
             
            
                link |
                
                 and something that you're interested in.
             
            
                link |
                
                 You want to make sure that it's not so bright
             
            
                link |
                
                 that you're damaging your eye.
             
            
                link |
                
                 A good rule of thumb
             
            
                link |
                
                 is that something isn't painful to look at.
             
            
                link |
                
                 And in fact, I should just emphasize
             
            
                link |
                
                 that anytime you look at any light source,
             
            
                link |
                
                 sunlight or otherwise,
             
            
                link |
                
                 that it's painful and makes you want to squint
             
            
                link |
                
                 or close your eyes.
             
            
                link |
                
                 That means it's too bright to look at
             
            
                link |
                
                 without closing your eyes.
             
            
                link |
                
                 Okay, that's sort of a duh,
             
            
                link |
                
                 but I would loathe to think that anyone
             
            
                link |
                
                 would harm themselves with bright light in any way.
             
            
                link |
                
                 I don't just say that to protect us.
             
            
                link |
                
                 I say that to protect you, of course,
             
            
                link |
                
                 because you are responsible for your health.
             
            
                link |
                
                 And again, retinal neurons do not regenerate.
             
            
                link |
                
                 Once they are gone and dead, they do not come back.
             
            
                link |
                
                 There's no technology to replace them
             
            
                link |
                
                 at this current state in time.
             
            
                link |
                
                 So please don't damage your retinas.
             
            
                link |
                
                 So is a red light source safe to look at
             
            
                link |
                
                 if it is not painful to look at?
             
            
                link |
                
                 Chances are it is.
             
            
                link |
                
                 And yet I would still encourage you
             
            
                link |
                
                 to talk to your optometrist or ophthalmologist
             
            
                link |
                
                 before getting into any extensive protocols.
             
            
                link |
                
                 But if you were still determined to pursue
             
            
                link |
                
                 the sorts of protocols that are in the Jeffrey studies,
             
            
                link |
                
                 certainly we'll provide a link to those studies.
             
            
                link |
                
                 Again, it involves looking at these red light panels,
             
            
                link |
                
                 blinking aloud for two minutes to three minutes,
             
            
                link |
                
                 every morning for a period of two weeks or more.
             
            
                link |
                
                 And if you're older than 40,
             
            
                link |
                
                 that could very well have an effect.
             
            
                link |
                
                 If you're younger than 40, excuse me,
             
            
                link |
                
                 that's unlikely to have an effect.
             
            
                link |
                
                 At least that was what was observed
             
            
                link |
                
                 in these particular studies.
             
            
                link |
                
                 The lights were not flashing.
             
            
                link |
                
                 It was continuous illumination.
             
            
                link |
                
                 Again, you're allowed to blink.
             
            
                link |
                
                 It does not have to even be direct illumination.
             
            
                link |
                
                 It can be somewhat indirect illumination,
             
            
                link |
                
                 much as we described for the use of UVB light before.
             
            
                link |
                
                 The wavelength of light is important.
             
            
                link |
                
                 It is red light and near-infrared light
             
            
                link |
                
                 that is going to be effective in this scenario.
             
            
                link |
                
                 The authors of this study emphasized
             
            
                link |
                
                 that it was red light of 670 nanometers in wavelength
             
            
                link |
                
                 and near-infrared light of 790 nanometers in wavelength
             
            
                link |
                
                 that were effective,
             
            
                link |
                
                 and that those wavelengths could be complimentary.
             
            
                link |
                
                 That's probably why, or maybe it's just coincidental,
             
            
                link |
                
                 but it's a fortunate coincidence
             
            
                link |
                
                 that a lot of the commercially available red light panels
             
            
                link |
                
                 that you'll find out there
             
            
                link |
                
                 combine both red light and near-infrared light.
             
            
                link |
                
                 However, I want to emphasize that most of the panels
             
            
                link |
                
                 that are commercially available
             
            
                link |
                
                 are going to be too bright to safely look at very close up.
             
            
                link |
                
                 And in fact, that's why most of those red light panels
             
            
                link |
                
                 are designed for illumination of the skin
             
            
                link |
                
                 and oftentimes arrive in their packaging
             
            
                link |
                
                 with eye protectors that are actually designed
             
            
                link |
                
                 to shield out all the red light.
             
            
                link |
                
                 So take the potential dangers of excessive illumination
             
            
                link |
                
                 of the eyes with any wavelength of light seriously,
             
            
                link |
                
                 but if you're going to explore 670 and 790 nanometer light
             
            
                link |
                
                 for sake of enhancing neuronal function,
             
            
                link |
                
                 set it at a distance that's comfortable to look at
             
            
                link |
                
                 and that doesn't force you to squint
             
            
                link |
                
                 or doesn't make you feel uncomfortable physically
             
            
                link |
                
                 as if you need to turn away
             
            
                link |
                
                 during the period of that two to three minute illumination
             
            
            
                link |
                
                 In terms of turning away from light,
             
            
                link |
                
                 I'll just briefly mention that that is not an accident
             
            
                link |
                
                 or a coincidence that you have that response
             
            
                link |
                
                 to very bright light.
             
            
                link |
                
                 There is a so-called photic avoidance pathway
             
            
                link |
                
                 that involves cells within your retina,
             
            
                link |
                
                 these ganglion cells that communicate
             
            
                link |
                
                 with yet another brain station,
             
            
                link |
                
                 a certain area of your thalamus
             
            
                link |
                
                 that communicate to areas of your brain
             
            
                link |
                
                 that are associated with pain.
             
            
                link |
                
                 So literally that can trigger headache
             
            
                link |
                
                 and that can trigger the squint reflex.
             
            
                link |
                
                 Biology is just beautiful in this way.
             
            
                link |
                
                 Too much light is bad for us in that it can damage our eyes
             
            
                link |
                
                 and other aspects of our body.
             
            
                link |
                
                 So if we look at a light that's too bright,
             
            
                link |
                
                 our eyes send a signal to the brain
             
            
                link |
                
                 that gives us a sort of a headache
             
            
                link |
                
                 and a desire to squint and turn away.
             
            
                link |
                
                 So that can be a useful guide
             
            
                link |
                
                 in terms of gauging how bright a light should be
             
            
                link |
                
                 or at least how far away you should be from a bright source
             
            
                link |
                
                 in order to safely engage with that light source.
             
            
                link |
                
                 So the studies I just described, once again,
             
            
                link |
                
                 involve the use of red light early in the day
             
            
                link |
                
                 within three hours of waking
             
            
                link |
                
                 and are for the sake of improving neuronal function.
             
            
                link |
                
                 Red light has also been shown to be beneficial
             
            
                link |
                
                 late in the day and even in the middle of the night.
             
            
                link |
                
                 And when I say middle of the night,
             
            
                link |
                
                 I'm referring to studies that explore the use of red light
             
            
                link |
                
                 for shift workers.
             
            
                link |
                
                 I know that most people are not working
             
            
                link |
                
                 in the middle of the night, at least I hope they're not,
             
            
                link |
                
                 but some of you may do that from time to time.
             
            
                link |
                
                 All-nighters for studying, I confess,
             
            
                link |
                
                 I still pull all-nighters every once in a while
             
            
                link |
                
                 to prepare things like podcasts and other deadlines,
             
            
                link |
                
                 really try not to, happens less and less as I get older
             
            
                link |
                
                 because I think I get more disciplined
             
            
                link |
                
                 and or less good at pulling all-nighters.
             
            
                link |
                
                 But I realized that many people are doing shift work
             
            
                link |
                
                 or they have to work certainly past 10 PM
             
            
                link |
                
                 or maybe they're taking care of young children
             
            
                link |
                
                 in the middle of the night and they have to be up.
             
            
                link |
                
                 In that case, red light can actually be very beneficial.
             
            
                link |
                
                 And nowadays there are a lot of sources
             
            
                link |
                
                 of red light available just as red light bulbs.
             
            
                link |
                
                 You don't need a panel.
             
            
                link |
                
                 So what I'm basically saying is that it can be beneficial
             
            
                link |
                
                 to use red lights at night.
             
            
                link |
                
                 The study I'd like to emphasize in this context
             
            
                link |
                
                 is entitled Red Light,
             
            
                link |
                
                 a novel non-pharmacological intervention
             
            
                link |
                
                 to promote alertness in shift workers.
             
            
                link |
                
                 So beautiful study.
             
            
                link |
                
                 They explored the use of different wavelengths of light.
             
            
                link |
                
                 So blue light of 460 nanometers or red light
             
            
                link |
                
                 or dim white light of different brightnesses, et cetera,
             
            
                link |
                
                 and looked at things like melatonin.
             
            
                link |
                
                 How much does light of a given color
             
            
                link |
                
                 and intensity suppress melatonin?
             
            
                link |
                
                 They looked at cortisol, a stress hormone.
             
            
                link |
                
                 They looked at wakefulness.
             
            
                link |
                
                 How much or to what degree could a given color of light
             
            
                link |
                
                 increase wakefulness at different hours of the day?
             
            
                link |
                
                 The takeaway from this study is very clear.
             
            
                link |
                
                 If you need to be awake late at night
             
            
                link |
                
                 for sake of shift work or studying
             
            
                link |
                
                 or taking care of children, et cetera,
             
            
                link |
                
                 red light is going to be your best choice
             
            
                link |
                
                 because if the red light is sufficiently dim,
             
            
                link |
                
                 it's not going to inhibit melatonin production
             
            
                link |
                
                 and it's not going to increase cortisol at night.
             
            
                link |
                
                 Cortisol should be high early in the day
             
            
                link |
                
                 or at least should be elevated
             
            
                link |
                
                 relative to other times of day if you are healthy.
             
            
                link |
                
                 A late shifted increase in cortisol,
             
            
                link |
                
                 however, 9 p.m. cortisol, 10 p.m. cortisol
             
            
                link |
                
                 is well known to be associated with depression
             
            
                link |
                
                 and other aspects of mental health,
             
            
                link |
                
                 or I should say mental illness.
             
            
                link |
                
                 So if you do need to be awake at night or even all night,
             
            
                link |
                
                 red light is going to be the preferred light source.
             
            
                link |
                
                 And in terms of how bright to make it,
             
            
                link |
                
                 well, as dim as you can while still being able
             
            
                link |
                
                 to perform the activities that you need to perform,
             
            
                link |
                
                 that's going to be your best guide.
             
            
                link |
                
                 I'll provide a link to this study as well.
             
            
                link |
                
                 Again, it's a really important study
             
            
                link |
                
                 because it emphasized that there are forms of light,
             
            
                link |
                
                 red light, provided it's dim,
             
            
                link |
                
                 that can allow you to stimulate the alertness
             
            
                link |
                
                 that light landing on the eyes can provide.
             
            
                link |
                
                 So it allows you to stay awake
             
            
                link |
                
                 and to do whatever work that you need to do.
             
            
                link |
                
                 It does not seem to alter melatonin production.
             
            
            
                link |
                
                 It does not seem to alter levels
             
            
                link |
                
                 or timing of cortisol production.
             
            
                link |
                
                 So yet another case where red light used correctly
             
            
                link |
                
                 can be beneficial.
             
            
                link |
                
                 Up until now, we've been talking about the effects
             
            
                link |
                
                 of shining different wavelengths of light
             
            
                link |
                
                 on the skin or on our eyes
             
            
                link |
                
                 and the downstream health consequences
             
            
                link |
                
                 of that illumination.
             
            
                link |
                
                 However, one of the most important goals
             
            
                link |
                
                 of science and medicine is to figure out
             
            
                link |
                
                 how to change the health of our brain.
             
            
                link |
                
                 And of course, our brain is contained within our skull
             
            
                link |
                
                 and therefore we can't just shine light
             
            
                link |
                
                 onto the outside of our head
             
            
                link |
                
                 and expect it to change the activity
             
            
                link |
                
                 of neurons deep within the brain
             
            
                link |
                
                 unless those neurons are linked up
             
            
                link |
                
                 with our eyes or with our skin.
             
            
                link |
                
                 And as it turns out,
             
            
                link |
                
                 even though there are a lot of brain areas
             
            
                link |
                
                 that are connected through neural circuits
             
            
                link |
                
                 and hormone circuits through our eye
             
            
                link |
                
                 and believe it or not, also to our skin,
             
            
                link |
                
                 many brain areas are not.
             
            
                link |
                
                 Brain areas such as the hippocampus,
             
            
                link |
                
                 which is involved in learning and memory,
             
            
                link |
                
                 brain areas such as our neocortex.
             
            
                link |
                
                 Well, some areas of our neocortex,
             
            
                link |
                
                 such as our visual cortex,
             
            
                link |
                
                 are indirectly linked to our eyes.
             
            
                link |
                
                 So if we shine light on our eyes,
             
            
                link |
                
                 we can change the activity of neurons in our neocortex.
             
            
                link |
                
                 But there are other brain areas that are not directly
             
            
                link |
                
                 or even indirectly connected to our visual system,
             
            
                link |
                
                 not at least in any immediate way.
             
            
                link |
                
                 So that raises the question of how do you change
             
            
                link |
                
                 the activity of neurons in the brain?
             
            
                link |
                
                 Well, there's pharmacology.
             
            
                link |
                
                 You can take pills, you can inject drugs
             
            
                link |
                
                 that will change the pharmacology of neurons
             
            
                link |
                
                 and the way they operate in fire.
             
            
                link |
                
                 Of course, antidepressants are one such instance.
             
            
                link |
                
                 Opioid drugs are another.
             
            
                link |
                
                 There's a huge array of psychoactive compounds,
             
            
                link |
                
                 meaning compounds that will change the levels
             
            
                link |
                
                 of chemicals in your brain.
             
            
                link |
                
                 Some of those work, many of them also carry side effects.
             
            
                link |
                
                 It's all rather indirect,
             
            
                link |
                
                 meaning you have lots of different cells
             
            
                link |
                
                 in different areas of your brain
             
            
                link |
                
                 that utilize the same chemicals.
             
            
                link |
                
                 So a drug, for instance, to increase serotonin
             
            
                link |
                
                 for sake of improving depression
             
            
                link |
                
                 will also often have the effect of reducing
             
            
                link |
                
                 certain neurons output of serotonin in the hippocampus
             
            
                link |
                
                 and cause changes in appetite or changes in libido
             
            
                link |
                
                 and so on and so forth.
             
            
                link |
                
                 You could imagine using electrical stimulation,
             
            
                link |
                
                 putting wires into the brain
             
            
                link |
                
                 and stimulating specific brain areas
             
            
                link |
                
                 in order to activate the neurons in those brain areas.
             
            
                link |
                
                 And certainly that works and has been done experimentally
             
            
                link |
                
                 and is done during neurosurgery exams, et cetera,
             
            
                link |
                
                 but involves removing a piece of skull.
             
            
                link |
                
                 So that's not very practical.
             
            
                link |
                
                 In principle, light would be a wonderful way
             
            
                link |
                
                 to modulate the activity of neurons deep within the brain.
             
            
                link |
                
                 But again, the skull is in the way.
             
            
                link |
                
                 Recent studies, however, have figured out ways
             
            
                link |
                
                 that light can be delivered to the eyes
             
            
                link |
                
                 to change global patterns of firing in the brain
             
            
                link |
                
                 in ways that can be beneficial to the brain.
             
            
                link |
                
                 And the work that I'm referring to now
             
            
                link |
                
                 is mainly the work of Liwei Tsai at MIT,
             
            
                link |
                
                 Massachusetts Institute of Technology and her colleagues.
             
            
                link |
                
                 And what they've discovered is that
             
            
                link |
                
                 there's a particular pattern of brain activity
             
            
                link |
                
                 called gamma activity.
             
            
                link |
                
                 Gamma activity is one so-called wavelength
             
            
                link |
                
                 of electrical activity in the brain.
             
            
                link |
                
                 So not wavelengths of light,
             
            
                link |
                
                 but wavelengths of electrical activity in the brain
             
            
                link |
                
                 that can be restorative for certain aspects
             
            
                link |
                
                 of learning and memory
             
            
                link |
                
                 and can actually help create molecular changes in neurons
             
            
                link |
                
                 that lead to clearance of debris
             
            
                link |
                
                 and even reductions in age-related cognitive decline.
             
            
                link |
                
                 So the way to think about brain waves
             
            
                link |
                
                 and brain oscillations is that neurons
             
            
                link |
                
                 are electrically active, that involves chemicals, et cetera.
             
            
                link |
                
                 And they can be active in very slow, big wave forms.
             
            
                link |
                
                 So you can think of delta waves,
             
            
                link |
                
                 meaning so you can imagine a wave of electrical activity
             
            
                link |
                
                 that comes along very infrequently.
             
            
                link |
                
                 So a given neuron fires
             
            
                link |
                
                 and then some period of time later fires
             
            
                link |
                
                 and then some period of time even later fires.
             
            
                link |
                
                 Or you can imagine that that same cell is very active,
             
            
                link |
                
                 fires, fires, fires, fires, fires.
             
            
                link |
                
                 You can imagine if it's firing very often,
             
            
                link |
                
                 it's going to be short wavelength, right?
             
            
                link |
                
                 Shorter gaps between firing,
             
            
                link |
                
                 or if it's firing very seldom,
             
            
                link |
                
                 you're going to think about that
             
            
                link |
                
                 as longer wavelength firing.
             
            
                link |
                
                 Turns out that gamma waves are one pattern of firing
             
            
                link |
                
                 that lead to downstream metabolic functions
             
            
                link |
                
                 and biological functions that end up clearing away debris
             
            
                link |
                
                 that's associated with aging in cells.
             
            
                link |
                
                 And that also lead to molecular changes
             
            
                link |
                
                 that enhance the kind of youthfulness of neurons,
             
            
            
                link |
                
                 How do we induce gamma oscillations within the brain?
             
            
                link |
                
                 Well, what Liwei, Tsai and colleagues
             
            
                link |
                
                 have beautifully shown is that
             
            
                link |
                
                 by delivering certain patterns of light flicker,
             
            
                link |
                
                 so lights going on and off at a particular frequency,
             
            
                link |
                
                 the brain as a whole starts to entrain,
             
            
                link |
                
                 meaning it matches to those particular patterns
             
            
            
                link |
                
                 even though many of the brain areas that do this
             
            
                link |
                
                 are not directly within the visual system or visual pathway.
             
            
                link |
                
                 So the studies that I'm referred to are several,
             
            
                link |
                
                 but the one that I'd like to highlight is entitled
             
            
                link |
                
                 Gamma Entrainment Binds Higher Order Brain Regions
             
            
                link |
                
                 and Offers Neuroprotection.
             
            
                link |
                
                 What they essentially did was to expose subjects
             
            
                link |
                
                 to 40 Hertz, which is a particular frequency
             
            
                link |
                
                 of illumination to the eyes.
             
            
                link |
                
                 So it's light goes on, light goes off,
             
            
                link |
                
                 light goes on, light goes off at a frequency of 40 Hertz.
             
            
                link |
                
                 And when they did that,
             
            
                link |
                
                 and they recorded the activity of neurons within the brain,
             
            
                link |
                
                 not just within the visual areas of the brain,
             
            
                link |
                
                 but within other areas as well,
             
            
                link |
                
                 they observed increased gamma oscillations,
             
            
                link |
                
                 meaning that the electrical activity of the brain at large
             
            
                link |
                
                 started to match to the patterns of light
             
            
                link |
                
                 that were delivered to the eyes.
             
            
                link |
                
                 This is really exciting and very unique
             
            
                link |
                
                 from the different types of phototherapies
             
            
                link |
                
                 that we've been talking about up until now.
             
            
                link |
                
                 All the patterns of phototherapy
             
            
                link |
                
                 that we've been talking about up until now
             
            
                link |
                
                 involved constant illumination with a given wavelength.
             
            
                link |
                
                 Here, it is wavelength generating patterns of illumination,
             
            
                link |
                
                 light on, light off, light on, light off
             
            
                link |
                
                 at a particular frequency.
             
            
                link |
                
                 So what they found, for instance,
             
            
                link |
                
                 using this pattern of stimulation,
             
            
                link |
                
                 and by the way, the stimulation was called GENUS,
             
            
                link |
                
                 Gamma Entrainment Using Sensory Stimulation,
             
            
                link |
                
                 so G-E-N-U-S, Gamma Entrainment Using Sensory Stimulation,
             
            
                link |
                
                 had a number of really interesting effects.
             
            
                link |
                
                 First of all, it reduced so-called amyloid plaques
             
            
                link |
                
                 and phosphorylated tau.
             
            
                link |
                
                 Amyloid plaques and phosphorylated tau
             
            
                link |
                
                 are associated with Alzheimer's
             
            
                link |
                
                 and normal age-related cognitive decline.
             
            
                link |
                
                 So this is incredible, right?
             
            
                link |
                
                 A pattern of flashing light delivered to the eyes
             
            
                link |
                
                 creates a pattern of neuronal firing,
             
            
                link |
                
                 not just in the visual areas of the brain,
             
            
                link |
                
                 but in other areas of the brain as well,
             
            
                link |
                
                 that in turn trigger molecular pathways
             
            
                link |
                
                 that reduce some of the markers
             
            
                link |
                
                 and the cause of age-related cognitive decline
             
            
                link |
                
                 in Alzheimer's, and in parallel to that,
             
            
                link |
                
                 they observed an upregulation
             
            
                link |
                
                 of some of the biological pathways
             
            
                link |
                
                 that lead to enhancement of neuronal function,
             
            
                link |
                
                 maintenance of synapses,
             
            
                link |
                
                 which are the connections between neurons,
             
            
                link |
                
                 and so on and so on.
             
            
                link |
                
                 They have discovered and list out a huge number
             
            
                link |
                
                 of these biological effects,
             
            
                link |
                
                 both the reduction in bad things, so to speak,
             
            
                link |
                
                 and the improvement in good biological pathways.
             
            
                link |
                
                 And I find these studies so exciting because,
             
            
                link |
                
                 first of all, they're noninvasive, right?
             
            
                link |
                
                 There's no drilling through the skull.
             
            
                link |
                
                 They are very tractable and in the experimental sense,
             
            
                link |
                
                 meaning that you could imagine
             
            
                link |
                
                 that if 40 hertz stimulation turns out
             
            
                link |
                
                 to be the very best stimulation protocol
             
            
                link |
                
                 to induce these gamma oscillations, well, great,
             
            
                link |
                
                 but because it's noninvasive,
             
            
                link |
                
                 it's fairly easy to explore 50 hertz stimulation,
             
            
                link |
                
                 100 hertz stimulation, 20 hertz stimulation,
             
            
                link |
                
                 and to do that with different wavelengths of light.
             
            
                link |
                
                 And so that's what's happening now.
             
            
                link |
                
                 The PSI lab and other labs are really starting
             
            
                link |
                
                 to explore the full range of variables
             
            
                link |
                
                 that can impact oscillations within the brain
             
            
                link |
                
                 and their downstream consequences.
             
            
                link |
                
                 So again, this is phototherapy,
             
            
                link |
                
                 but phototherapy of a very different sort
             
            
                link |
                
                 that we've been talking about up until now.
             
            
                link |
                
                 It's phototherapy designed to trigger activation
             
            
                link |
                
                 of biological pathways far away
             
            
                link |
                
                 from the very tissue that's being illuminated.
             
            
                link |
                
                 And it calls to mind the same sorts of mechanisms
             
            
                link |
                
                 that we were talking about earlier,
             
            
                link |
                
                 where illumination of the skin with UVB light
             
            
                link |
                
                 is setting off an enormous number of different cascades
             
            
                link |
                
                 in different organs and tissues, including the spleen,
             
            
                link |
                
                 the testes, the ovaries, and so on.
             
            
                link |
                
                 So again, light has these powerful effects,
             
            
                link |
                
                 both locally on the cells that light is delivered to,
             
            
                link |
                
                 but also systemically in terms of the cells
             
            
                link |
                
                 that are changing their electrical and chemical outputs
             
            
                link |
                
                 are modifying lots and lots of biological programs.
             
            
                link |
                
                 Is there an actionable tool related to these studies yet?
             
            
                link |
                
                 Well, that sort of depends on how adventurous you are.
             
            
                link |
                
                 Right now, these studies are being explored
             
            
                link |
                
                 in the context of clinical trials
             
            
                link |
                
                 in people with Alzheimer's dementia
             
            
                link |
                
                 and other forms of neuronal degeneration.
             
            
                link |
                
                 Is it dangerous to look at a 40 Hertz flickering light?
             
            
                link |
                
                 Well, in general, the answer is going to be no.
             
            
                link |
                
                 However, if you're prone to epilepsy, for instance,
             
            
                link |
                
                 staring at a flickering light of a given continuous
             
            
                link |
                
                 frequency can induce seizure, right?
             
            
                link |
                
                 That might surprise some of you, but it shouldn't,
             
            
                link |
                
                 because as this study illustrates,
             
            
                link |
                
                 and as anyone who's ever been out at night to a club
             
            
                link |
                
                 or something illustrates,
             
            
                link |
                
                 when you look at a strobe light, for instance,
             
            
                link |
                
                 your whole world of visual perception changes,
             
            
                link |
                
                 but actually the rhythm at which you perceive music,
             
            
                link |
                
                 at which you perceive conversation,
             
            
                link |
                
                 at which you perceive the movement of your body
             
            
                link |
                
                 actually changes according to the patterns of visual flicker
             
            
                link |
                
                 in most cases strobe,
             
            
                link |
                
                 if we're using the sort of club dancing example,
             
            
                link |
                
                 your brain is in training to its outside environment.
             
            
                link |
                
                 So given the power of flickering lights
             
            
                link |
                
                 to entrain brain rhythms, I think at this stage,
             
            
                link |
                
                 it's probably too preliminary to really suggest
             
            
                link |
                
                 a specific protocol, but I would definitely keep an eye out
             
            
                link |
                
                 for these sorts of studies.
             
            
                link |
                
                 They are coming out all the time.
             
            
                link |
                
                 And I think in a very short period,
             
            
                link |
                
                 we're going to see specific protocols
             
            
                link |
                
                 that one could potentially use even at home.
             
            
                link |
                
                 And of course, these are non-invasive protocols
             
            
                link |
                
                 in order to place the brain into a particular state,
             
            
                link |
                
                 not just for sake of offsetting neurodegeneration,
             
            
                link |
                
                 but also for enhancing focus,
             
            
                link |
                
                 for enhancing the transition into sleep
             
            
                link |
                
                 and other brain states as well.
             
            
                link |
                
                 Today, I covered what I would say is a lot of information.
             
            
                link |
                
                 My goal was to give you an understanding
             
            
                link |
                
                 of how light can be used to change the activities of cells
             
            
                link |
                
                 organelles within those cells, entire organs,
             
            
                link |
                
                 and how that can happen locally and systemically.
             
            
                link |
                
                 We talked about the power of light to impact our biology
             
            
                link |
                
                 at the endocrine level, neuronal level, immune level,
             
            
                link |
                
                 mood, et cetera, through both illumination of the eyes
             
            
                link |
                
                 and the skin and other tissues as well.
             
            
                link |
                
                 I realized that even though this was a lot of information,
             
            
                link |
                
                 there are many aspects of phototherapy that I did not cover.
             
            
                link |
                
                 I know there's a lot of interest nowadays, for instance,
             
            
                link |
                
                 in the use of red light and other wavelength light therapies
             
            
                link |
                
                 for ovarian health and testicular health.
             
            
                link |
                
                 In fact, I get a lot of questions such as,
             
            
                link |
                
                 can red light be used to improve testosterone output?
             
            
                link |
                
                 And if so, is that best accomplished by shining red light
             
            
                link |
                
                 on the skin or directly on the gonads, on the testicles?
             
            
                link |
                
                 I'm going to cover those data at a future time.
             
            
                link |
                
                 Right now, the studies that have been done in rodents,
             
            
                link |
                
                 I don't think are easily enough translated to humans.
             
            
                link |
                
                 And the studies that are happening in humans now
             
            
                link |
                
                 are exciting in the sense that they hold a lot of potential,
             
            
                link |
                
                 but the data aren't clear yet.
             
            
                link |
                
                 However, the data using UVB on the skin of men and women
             
            
                link |
                
                 in order to increase hormone, in particular,
             
            
                link |
                
                 testosterone and estrogen output,
             
            
                link |
                
                 those data I think are very exciting and very actionable.
             
            
                link |
                
                 We talked about those earlier.
             
            
                link |
                
                 So if you want more information
             
            
                link |
                
                 on how phototherapy can be used,
             
            
                link |
                
                 certainly we will do another episode on phototherapy
             
            
                link |
                
                 in these other contexts.
             
            
                link |
                
                 If you're learning from and are enjoying this podcast,
             
            
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                 I'm also pleased to announce
             
            
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                 that we have some live events coming up.
             
            
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                 So I will be giving a lecture called the Brain Body Contract
             
            
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                 where I'll talk about science and science-based tools,
             
            
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                 some of which overlap with the content
             
            
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                 of the Huberman Lab podcast.
             
            
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                 Much of which is unique
             
            
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                 and has never been presented publicly before.
             
            
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                 The first one is going to be May 17th, 2022
             
            
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                 in Seattle, Washington.
             
            
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                 The second one is going to be May 18th in Portland, Oregon.
             
            
                link |
                
                 To access tickets, you can go to the link
             
            
                link |
                
                 at HubermanLab.com slash tour.
             
            
                link |
                
                 So thank you once again for joining me today
             
            
                link |
                
                 for this deep dive discussion into phototherapies,
             
            
                link |
                
                 meaning the power of light
             
            
                link |
                
                 to modulate our biology and health.
             
            
                link |
                
                 And as always, thank you for your interest in science.