back to indexAMA #7: Cold Exposure, Maximizing REM Sleep & My Next Scientific Studies
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0:0 Introduction
1:45 Is It Possible to Get a Cold or Sick From Deliberate Cold Exposure?
20:2 Huberman Lab Premium
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where we discuss science and science-based tools 00:00:05.900 |
I'm Andrew Huberman, and I'm a professor of neurobiology 00:00:12.260 |
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Without further ado, let's get to answering your questions. 00:02:01.740 |
And I will also touch on some of the immune enhancing effects 00:02:07.060 |
But just to make sure that we answer the specific question 00:02:19.460 |
for more than say five or six minutes at one stretch, 00:02:24.700 |
probably not directly from the deliberate cold exposure. 00:02:29.000 |
I mentioned that because most people are doing 00:02:30.780 |
anywhere from about a minute to three minutes, 00:02:34.420 |
and maybe for those of you that are really pushing it, 00:02:38.980 |
And most often after doing that deliberate cold exposure, 00:02:44.800 |
or they're taking a hot shower and then getting clothed 00:02:47.740 |
and heading off into their day or off to sleep, 00:02:51.540 |
you happen to do your deliberate cold exposure. 00:02:56.580 |
after a relatively brief, meaning one minute to, 00:03:07.020 |
If you are somebody who is not accustomed to it, 00:03:09.220 |
don't jump right up to that long exposure to cold water, 00:03:22.140 |
I can't see how the deliberate cold exposure itself 00:03:25.060 |
would enhance your susceptibility to getting sick. 00:03:29.740 |
That said, we know from an enormous number of studies 00:03:35.540 |
and other forms of viral and bacterial transmission, 00:03:39.060 |
that the environment that you happen to be in 00:03:44.980 |
and other types of viruses and to bacterial infections 00:03:50.140 |
There have been controlled studies in which people 00:03:56.260 |
in which they can very tightly control the humidity, 00:04:04.240 |
And if you look at the total mass of those data, 00:04:11.140 |
First off, cold, dry air does seem to increase 00:04:15.580 |
our susceptibility to viral and bacterial infections 00:04:19.020 |
because whether or not you're a mouth breather 00:04:22.260 |
and by the way, I suggest everyone be a nose breather 00:04:30.020 |
But if you're a nose breather or a mouth breather or both, 00:04:33.020 |
viruses and bacteria enter through your nose and mouth, 00:04:41.020 |
the main sites of entry and your main barriers 00:04:45.180 |
In fact, one of the ways you are constantly fighting off 00:04:51.920 |
is by way of those viruses and bacteria getting trapped 00:04:55.620 |
in the mucus lining of your nose or your mouth, 00:05:01.320 |
So if you spend time in cold, dry environments, 00:05:05.100 |
there is a tendency for that mucosal lining to be thinner. 00:05:19.620 |
in Cambridge, Massachusetts in winter at the tea station, 00:05:23.140 |
you know, if you're, I'm just imagining myself 00:05:28.580 |
or having gone for a run and your mouth isn't covered, 00:05:32.200 |
or even if you're deliberately nasal breathing, 00:05:36.260 |
and making them more susceptible to infections. 00:05:45.980 |
But to relate this back to the question we had before, 00:06:06.020 |
against bacterial and viral infections, okay? 00:06:09.860 |
So if you get into a cold shower or a cold plunge 00:06:40.500 |
that can induce a cold or other type of infection, 00:06:48.680 |
We're talking about colds and other forms of being sick, 00:06:57.900 |
whether or not for people who already have a little sniffle, 00:07:06.660 |
It's a little tricky to give a one-size-fits-all answer, 00:07:16.540 |
you're tired, you're not feeling good because of a cold 00:07:20.900 |
or because of a flu or because of a bacterial infection, 00:07:24.220 |
okay, now I'm not saying just feeling not good, 00:07:30.040 |
or other form of virus or bacterial infection, 00:07:32.460 |
then I would say stay out of deliberate cold exposure. 00:07:37.300 |
Given the data I'll talk about in a few minutes, 00:07:39.240 |
showing that regular deliberate cold exposure, 00:07:42.260 |
if done correctly, can in fact increase immune system markers 00:07:46.580 |
and perhaps even to make you much more robust 00:07:52.440 |
We'll talk about what all that looks like in a moment 00:07:54.700 |
in terms of protocols and some of the science, 00:08:00.060 |
if you're sick, stay out of deliberate cold exposure. 00:08:03.140 |
There, I would instead recommend warmer hot baths, 00:08:09.300 |
but I also would caution that if you are getting 00:08:14.380 |
saunas that are so hot that it's stressful for you, 00:08:17.180 |
and again, a lot of people use deliberate heat exposure 00:08:28.540 |
That's hard, stressful in order to generate an adaptation. 00:08:34.760 |
In fact, I don't recommend doing deliberate cold exposure, 00:08:41.900 |
Now, if you're feeling just a little bit not well, 00:08:45.260 |
a little bit of sniffle, a little bit of malaise, 00:08:50.180 |
where we could say, all right, you know what? 00:09:03.700 |
or take a hot shower afterwards, hot bath or a hot sauna, 00:09:07.100 |
but not too hot that it's stressful, of course. 00:09:11.080 |
that's been measured quite a lot in laboratory studies 00:09:16.980 |
So I'll provide a few links to some of these studies, 00:09:20.140 |
although nowadays there are many, many of them, 00:09:23.380 |
but it's very clear that deliberate cold exposure 00:09:31.520 |
of different immune molecules and immune cells. 00:09:43.300 |
Keep in mind that this study is a little bit extreme, 00:09:50.340 |
Oftentimes in order to "see an effect" in a study, 00:09:53.740 |
scientists will use conditions that are pretty extreme 00:10:02.160 |
with human studies of deliberate cold exposure. 00:10:09.260 |
It was exposing people to 14 degrees Celsius water. 00:10:13.000 |
So that's 57.2 degrees Fahrenheit, which isn't that cold. 00:10:17.120 |
It's kind of like cool, I would say very cool water, 00:10:24.920 |
But they had people exposed to that for an hour, 00:10:29.640 |
Most people, as I mentioned, are using colder temperatures 00:10:37.280 |
maybe upper 40s for anywhere from one to 10 minutes, 00:10:46.180 |
please at, you know, 35 degrees or 40 degrees 00:10:50.820 |
If you aren't familiar with deliberate cold exposure, 00:10:52.780 |
you have to ease into these sorts of things over time. 00:10:57.640 |
we have a zero cost newsletter at hubermanlab.com, 00:11:00.580 |
go to the menu, go newsletter, and you can find that. 00:11:02.860 |
We've done several episodes on deliberate cold exposure. 00:11:08.620 |
Immune System of Cold Exposing Cold Adapted Humans, 00:11:11.000 |
as I mentioned, had people in 14 degrees Celsius water 00:11:15.140 |
And basically what they found is that one exposure to cold 00:11:24.220 |
if people did deliberate cold exposure repeatedly 00:11:29.100 |
and by repeatedly, I mean three times per week, 00:11:33.980 |
And again, trends are not statistically significant, 00:11:37.200 |
but trends towards increases in plasma concentrations 00:11:43.200 |
or total numbers of T lymphocytes and T helper cells 00:11:46.180 |
and T suppressor cells and activated T and B lymphocytes. 00:11:49.720 |
These are all immune cells and immune molecules 00:11:56.660 |
If you'd like to learn more about the immune system, 00:12:03.900 |
of what's called the innate and the adaptive immune system. 00:12:06.740 |
This study, which we will link to in the show note captions, 00:12:08.900 |
is but one study of several other studies showing 00:12:25.660 |
of increased numbers of immune cells and immune markers. 00:12:30.500 |
is how those trends translate to actual resistance 00:12:34.820 |
to specific concentrations of say cold virus or flu virus 00:12:45.500 |
Now, we can all be scientists about this and say, 00:12:56.260 |
the molecules epinephrine and norepinephrine, 00:13:03.340 |
as well as things like deliberate hyperventilation. 00:13:07.060 |
The release of norepinephrine and epinephrine 00:13:14.220 |
It can be pro-immune, at least in the short term, 00:13:32.800 |
You hear epinephrine or adrenaline, same thing. 00:13:35.300 |
Deliberate cold exposure or deliberate hyperventilation 00:13:46.500 |
It can trigger the activation of immune cells 00:13:50.100 |
and immune molecules that can make you more resistant 00:13:59.080 |
and especially if they are elevated late in the day, 00:14:04.340 |
that can cause reductions in the number and efficiency 00:14:10.740 |
So getting cold in this context of whether or not 00:14:13.260 |
you can get sick from it should really be considered more 00:14:15.560 |
as what happens when you spike your adrenaline 00:14:19.580 |
And there's one other study that we can look to, 00:14:23.900 |
in "Proceedings of the National Academy of Sciences" 00:14:33.180 |
exhaling through the mouth repeatedly 25 times or so. 00:14:38.980 |
If you do that, you notice you feel quite warm. 00:14:41.220 |
Has to do with some things related to vasodilation, 00:14:46.620 |
We know that pattern of deliberate hyperventilation, 00:14:51.000 |
deploys or releases noradrenaline and adrenaline 00:14:55.440 |
And we know from this study entitled "Voluntary Activation 00:14:59.460 |
"and Attenuation of the Nate Immune Response in Humans" 00:15:04.620 |
that if people are injected with E. coli, right, a bacteria, 00:15:09.620 |
it's actually, they did this through endotoxin injections, 00:15:13.940 |
They'd get, you know, feel like they had the flu, 00:15:16.220 |
they vomit, diarrhea, get a fever, et cetera. 00:15:38.980 |
and norepinephrine from cyclic hyperventilation, 00:15:55.560 |
in a way that allowed people to avoid symptomology, 00:16:02.140 |
And we would imagine the same thing would occur 00:16:06.180 |
done prior to bacterial infection or viral exposure. 00:16:10.620 |
So if you're sensing that I'm saying two things at once, 00:16:16.220 |
and cyclic hyperventilation can both cause deployment 00:16:19.200 |
of molecules such as epinephrine and norepinephrine 00:16:26.420 |
I'm also saying that increasing norepinephrine 00:16:29.020 |
and epinephrine too much can suppress your immune system. 00:16:33.640 |
In this study, the PNAS study that I mentioned a moment ago, 00:16:38.020 |
was actually one of the reasons people avoided symptomology, 00:16:42.780 |
so they just weren't fighting off the endotoxin with fever. 00:16:45.100 |
Remember, fever is an adaptation to fight infection. 00:16:48.300 |
It's designed essentially to heat up the infection 00:17:06.780 |
and thermogenic abilities to heat back up afterwards. 00:17:10.580 |
But I don't suggest anyone ever allow themselves 00:17:13.540 |
to stay really cold after deliberate cold exposure 00:17:17.060 |
for more than 10, 15 minutes or maybe half an hour, right? 00:17:27.800 |
for different people, different locations, et cetera. 00:17:34.720 |
and you really want to do your deliberate cold exposure, 00:17:37.140 |
do it, but then warm up really well afterwards. 00:17:45.740 |
you're feeling malaise, you're feeling rundown, 00:17:48.740 |
despite what you read about deliberate cold exposure 00:17:54.440 |
allowing for the deployment of immune molecules 00:17:57.200 |
or increasing the number of immune cells that you're making, 00:18:00.460 |
avoid anything that's stressful or challenging, 00:18:04.900 |
whether or not it's a cold challenge, a heat challenge, 00:18:07.740 |
or an exercise challenge when you're feeling rundown, 00:18:11.180 |
what you really want to do is slow your circulation down, 00:18:13.940 |
probably find it take little walks or something, 00:18:21.700 |
But in general, the advice that you get to rest 00:18:28.420 |
because you want all of your body's resources to be devoted 00:18:33.980 |
And if you're interested in sickness and sickness behavior 00:18:37.160 |
and the sorts of behaviors that can combat infection, 00:18:39.580 |
check out the episode I did on the immune system. 00:18:43.020 |
because it talks about how when we have a viral 00:18:48.920 |
that kind of encourage us to be more in the fetal position, 00:18:52.160 |
to move less, to be eyes down, to kind of slump down. 00:19:00.660 |
that are really designed to help you heal yourself. 00:19:03.140 |
So I both apologize and what do the kids say? 00:19:08.080 |
Don't apologize for the somewhat nuanced answer here 00:19:14.340 |
"Oh, you know, cold boosts your immune system." 00:19:16.660 |
And yeah, that's true under certain conditions. 00:19:20.960 |
and limit your ability to fight off infections 00:19:27.280 |
is that I am a big believer in using nasal breathing 00:19:30.940 |
whenever you don't have to breathe through your mouth. 00:19:36.900 |
and it requires that you breathe through your mouth, 00:19:40.140 |
But if you're doing say zone two cardio, low level cardio, 00:19:44.180 |
it's very clear based on a growing amount of data 00:19:49.220 |
And there are a number of different reasons for that. 00:19:50.820 |
We've talked about on the podcast and elsewhere, 00:19:55.760 |
a main site of entry for infections is through the mouth. 00:19:58.780 |
So keep that mouth shut unless you need to talk. 00:20:02.920 |
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