Wim Hof

More Loving Potential, Cold Showers, and the Healing Power of Mind


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4 Thoughts



1. How to Improve Your Loving Potential

High vagal tone, then, can be taken as high loving potential. … Compared to people with lower vagal tone, those with higher vagal tone experience more love in their daily lives, more moments of positivity resonance.”

- Barbara Fredrickson, Love 2.0

High vagal tone = high loving potential. That’s pretty awesome.

And fortunately, we can immediately increase our vagal tone with just a few minutes of slow breathing. We can also improve our baseline vagal tone with just 10-20 minutes of slow breathing every day.

So breathe less, love more.

2. Do Cold Showers Improve Breathing Efficiency? (my guess is yes)

“It’s very simple. A cold shower a day keeps the doctor away.”

- Wim Hof, The Wim Hof Method

Wim also tells us that when we practice cold exposure, we exercise our “sixty-two thousand miles of veins, arteries, and capillaries,” ultimately improving blood flow.

This matters because we need adequate blood flow to get oxygen and nutrients to the cells. Thus, better blood flow = better breathing.

So, in addition to keeping the doctor away, we might guess that a cold shower a day keeps us breathing in an efficient way…

Learn more cold benefits in the Book 411 and Science 411s available as part of the Wim Hof Wisdom Bundle.

3. One Reason (of many) We Began Habitually Mouth Breathing

There are lots of reasons why mouth breathing is so prevalent, but this is one I hadn’t heard that makes a lot of sense:

“Of course it's often tough to avoid mouth breathing, especially since we started living much of our lives indoors. … Enclosed spaces are areas where allergens (substances that cause allergies) tend to concentrate. … In turn these allergy-friendly environments increased the odds that children would early on develop upper respiratory problems.”

- Sandra Kahn & Paul Erhlich, Jaws

4. A Small Thought on Adding Meaning

Your birthday, January 1st, or any holiday are all just ordinary days.

What makes them so fun is that we add meaning to them.

And what’s amazing is that we can use this power of meaning anytime we want.

We can make an ordinary breath practice extraordinary by adding meaning to it.

We can make anything extraordinary by adding meaning to it.


Being with Diabetes: Meditation as Medicine

Just a quick reminder from last week. The Diabetes Sangha’s Being with Diabetes course starts January 15th.

I hope you’ll check it out if you have diabetes or live/work with people that do 🙏

Here’s the 20% discount code they graciously offered 411 readers/listeners:

Discount Code: BREATHE-20

Click Here to Learn More


1 Quote

Gradually, study after mind body study, carried out with the most careful scientific protocols, produced incontrovertible evidence that the mind can indeed influence—and heal—the body.”
— Herbert Benson, MD

1 Answer

Category: Airway Anatomy

Answer: The roof of the mouth can equally be called the floor of this.

(Cue the Jeopardy! music.)

Question: What is the nasal cavity?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”


P.S. New Year’s resolution off to a good start


* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


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Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 

30 Seconds, Wim Hof Wisdom, and 23 One-Sentence Breathing Ideas


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4 Thoughts



1. Warm Up Your Mind & Spirit with the Wim Hof Wisdom Bundle

“There’s nothing mystical or abstract about it. It’s physical. Your breath is your life-force, right here, right now. It could not be any simpler. Just breathe and reclaim your soul.”

- Wim Hof, The Wim Hof Method

If you enjoy Wim’s philosophy (like me) or practicing his method, check out the wisdom bundle I just added to the Learning Center.

You get all the science and inspiring quotes condensed into 62 minutes of podcast audio and 22 PDF pages.

Here’s to a happier, healthier, and stronger new year 🙏 ❄️ 🧊

2. 23 One-Sentence Breathing Ideas for 2023

A few of my favorites this year:

#1. You don’t have to meditate; breathing meditates you.

#12. Our breath moves spirit around like our hearts move blood around.

#13. Breath is to body what Brandy is to wine.

#22. Breathe hearter, not smarter.

Read them all here.

3. A 30-Second Thought Experiment That is Bound to Improve Your Life

(it genuinely changed mine in 2022)

(1) Bring to mind someone you would die for—no hesitation, no questions asked.

(2) Now ask yourself: Would you live for this person? Would you start that one thing you know you should be doing? (Yes, that one.) Would you give up that one thing you know you shouldn’t be doing? (Only you know which one.)

It’s easy to say you’d die for someone. What’s harder is really living for them instead.

***

P.S. This was inspired by a beautiful book titled The Gift by Dr. Edith Eger, a Holocaust survivor with an incredibly tragic yet deeply humbling and inspiring story.

4. A Tiny Thought on Problems

A breathing practice won’t stop problems—health or otherwise—from occurring in 2023 (or any other year).

These are part of being human.

A breathing practice will, however, give you the mental, physical, and spiritual strength you need to deal with and bounce back from those challenges as they occur.


(EXTRA) Being with Diabetes: Meditation as Medicine

Diabetes Sangha, a non-profit meditation community for type-1 diabetics, is launching their first course, which brings “meditation to diabetes & diabetes to meditation.”

I’ve spoken to their community twice, and they’re just genuinely great people. Kind and compassionate, yet honest and open. It’s almost like they meditate a lot or something…

But dad jokes aside, they’re offering 411 readers 20% off (this isn’t an affiliate link, just a kind gesture on their behalf).

I hope you’ll check it out if you have diabetes or live/work with people that do 🙏

Discount Code: BREATHE-20

Click Here to Learn More


1 Quote

Each new breath creates a unity of life as all people share the nourishment that the earth’s atmosphere freely offers.”
— Barbara Fredrickson, Ph.D.

1 Answer

Category: Saving Breaths

Answer: If you spent 20 minutes a day breathing at 6 breaths per minute every single day in 2023, you’d save approximately this many breaths (assuming 15 breaths/min is average).

(Cue the Jeopardy! music.)

Question: What is ~65,700? (or about 3 days worth of breaths)


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”


P.S. The cutest blueberries you’ll ever see


* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 

3 Breaths Changed David Goggins’ Life (+ a free gift)


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4 Thoughts



1. Three Breaths that Changed David Goggins’ Life

In his new book, Never Finished, David Goggins says that the first freezing wave that hit him in Hell Week almost sent him home:

“I was a half-step from voluntarily pulling the plug on a dream that had the power to change the course of my entire life.”

Enter the power of the breath:

“In order to think clearly, I needed oxygen. I took a deep breath and then another. … I took another breath as the next big wave swelled … I was done showing weakness. I was finished with fear.”

He goes on to say:

“When I was teetering on the brink, I was able to physically calm myself down with a few deep breaths, and that helped me see through the adrenaline rush. My heart rate was still elevated, and panic continued to creep in, but I’d regained enough of my composure to make a conscious, One-Second Decision to stay in the fight.

That’s a powerful reminder that, whatever challenging life event we’re going through, our breath is always there—not to make it go away, but to help us align with our highest self and make that one-second decision to stay in the fight.

2. 2021 Study: Slow Breathing Reduces Blood Pressure

Effects of diaphragmatic deep breathing exercises on prehypertensive or hypertensive adults: A literature review (2021)

The most practical take-home from this review was that practicing slow breathing for at least 10 min daily for 4 weeks led to noticeable improvements in blood pressure.

If you want even more useful findings, I just released a Science 411 for this paper on Friday in the Breath is Life Learning Center.

3. Why Breathing is a Powerful Approach to Healing

“In this way, breathing techniques provide a portal to the autonomic communication network through which we can…send specific messages to the brain using the language of the body.”

- Richard Brown, MD, and Patricia Gerbarb, MD, The Healing Power of the Breath

And remember: “Of all the automatic functions of the body, only one can be easily controlled voluntarily—breathing.”

This means we can voluntarily send messages of healing to the brain using the language of the body. Let’s make sure we do more of that 🙏

4. When Air Becomes Breath

Adding a spiritual significance to the air—realizing it contains life itself—can only add value to your breath practice.


1 Quote

Thus spirit = breath = life, the aliveness and power of your life, and to speak of your spirit (or soul) is to speak of the power of life that is in you.”
— Frederick Buechner
 

1 Answer

Category: Wim Hof Breathing

Answer: Counterintuitively, Wim Hof breathing is thought to reduce inflammation through release of this hormone and neurotransmitter.

(Cue the Jeopardy! music.)

Question: What is adrenaline?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”


P.S. This is exactly what happens when you go to heaven



HOmm HOmm HOmm 🎅

Try Out the Breath is Life Learning Center for Free

SquareSpace doesn’t allow me to have “free trials,” which many of you have asked for before signing up. So, I found a workaround by manually making a free mini member’s area.

You get 2 free Book 411s, 2 free Science 411s, and 10 free editions of The Breathing 1%. No catch. No additional sign-up. Plus, you can download the PDFs and audio of the 411s, so they’re yours forever.

Just click below to start living healthier & happier through the breath.

***

P.S. I picked the most popular Book and Science 411s, so you’re guaranteed to love them—especially The Healing Power of the Breath.

 

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 

One Minute Stress Relief, Taste the Soup, and Positive Feelings


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4 Thoughts



1. Wim Hof’s 1-Minute Stress Relief (no hyperventilation needed)

What I do for stress is one minute of humming and breathing. This always works for me. It taps into your parasympathetic nervous system—where the peace is inside—and calms down your hectic sympathetic nervous system.

- Wim Hof, The Wim Hof Method

It’s not all big breathing for Wim. He says to deal with stress, we can simply set a timer for one minute, breathe in deeply, and hum in any way we’d like during the exhalation. Repeat until the timer goes off. Easy and highly effective 👏

2. Moving from Self-Explanation to Self-Expression

In learning, self-explanation is a powerful tool. Explaining a topic in your own words makes you think deeply and discover what you really understand about it.

In breathing, self-expression is paramount. It’s less about words, and more about expressing concepts through you, in your unique way, to feel beyond the words.

So here’s to less explanation, and more expression, this week 🙏

3. Taste the Soup: Breathing as a Can-Opener for the Life Force

So how do you access the Life Force? You need tools. Imagine a can of soup. If you want to know what the soup tastes like, reading the side of the can won't help; you need to actually taste it. Unless you have the hand strength of a superhero, this is impossible without a can opener.

- Barry Michels and Phil Stutz, Coming Alive

Breathing exercises are like can openers for the life force all around us.

It’s fun to read the ingredients, but tasting the soup is even better 😊 🍲

4. The Most Valuable Resource to Our Species (plus a gratitude breathing meditation)

Oxygen, in fact, is the most valuable resource to our species. … Consider the last time you thought to yourself while taking a breath, ‘This is great! I have an abundance of the most valuable resource known to our species, and I don't even have to work that hard to get it.’”*

- Drs Jason Selk and Ellen Reed, Relentless Solution Focus

Try using that phrase next time you start a breathing practice, or anytime you need a break from all the negative mental chatter: “I have an abundance of the most valuable resource known to our species, and I don’t even have to work that hard to get it.” <— 👏👏👏


1 Quote

The breath is also our life force. No organ in the body can function without the supply of oxygen we get from the cycle of breathing in and breathing out.
— Bhante Henepola Gunarantana
 

1 Answer

Category: Positive Feelings

Answer: Positive feelings (such as awe & gratitude) occur more frequently and easily when this is higher, providing a physiological reason why slow breathing helps us have more positive emotions.

(Cue the Jeopardy! music.)

Question: What is respiratory sinus arrhythmia?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. I have a headache

Breathing for Diabetes Online Course ($99):

If you love learning about breathing, want to live a healthier life, or just want to support my work, I think you’ll really enjoy this class (diabetes or not).

 
 

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Wim Hof & the Ocean, Presencing, and a Long, Good Life


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4 Thoughts



1. A Borrowed Rule from Nutrition that Applies to Breathing

What you remove is far more valuable than what you add.

When you remove habitual mouth breathing, it’s like removing ultra-processed foods. You’ll feel amazing, and everyone will agree it was a good call.

From there, it becomes like a diet. All breathing methods work in some capacity, and each has its own unique benefits (and group of zealots 😊).

But the key is to find—in a safe and enjoyable way—which one works best for you at this moment in your life.

2. Breathing for Presencing

Otto Scharmer…suggests that identifying and letting go of our restricting inner voices can help us become more open and present, and thus more creative and collaborative. Scharmer uses the term ‘presencing’—combining ‘present’ with ‘sensing’—to describe the process of coming into the moment and activating full, uninhibited awareness.

Laurie J Cameron, The Mindful Day

Presencing. I love that word. And what better way to be ‘present’ and ‘sensing’ than with mindful breathing? It’s literally the definition of presencing.

So here’s to tuning into our breath to activate full, uninhibited awareness a little more this week 🙏

***

P.S. The ultimate benefit of presencing: You live longer.

3. The Best Prescription for a Long, Good Life (applied to breathing)

The best-odds prescription for a long, good life is a baseline of mainly PNS arousal with mild SNS activation for vitality, combined with occasional SNS spikes for major opportunities or threats.

- Rick Hanson, Ph.D., Buddha’s Brain

Although Dr. Hanson is talking about life in general, I think we could apply this wisdom to designing a breathing routine:

  • Baseline of Mainly PNS Arousal: Most of our time is spent on slow breathing exercises and nasal breathing 24/7

  • Mild SNS Activation: Some of our time is spent on fast-breathing and/or breath-hold practices

  • Occasional SNS spikes: A smaller percent of our time is spent on methods like Wim Hof or similar

That seems like a reasonable framework, but remember: it ultimately comes down to what’s suitable for you in this moment of your life—see Thought #1 : )

Note: SNS/PNS = sympathetic/parasympathetic nervous system

4. The Ultimate Value of a Breathing Practice is This

From my standpoint, the ultimate value of art is in nourishing the soul. Everything else is residual.

- John Toki

I think we could equally say:

The ultimate value of a breathing practice is in nourishing the soul. Everything else is residual.

So make sure you nourish yours a little more this week 🙏


1 Quote

The breath is as big as the ocean. … It is the sea itself. It’s where we came from, who we are. It is bigger than us because it is us.
— Wim Hof
 

1 Answer

Category: Word Etymology

Answer: The word for this organ literally means “light” (in terms of weight).

(Cue the Jeopardy! music.)

Question: What is the lung?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. Happens every time

Breathing for Diabetes Online Course ($99):

If you love learning about breathing, want to live a healthier life, or just want to support my work, I think you’ll really enjoy this class (diabetes or not).

 
 

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Top 5 Daily Breaths, a Guide to Wim Hof, and Coherence Fuels Purpose

 

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4 Thoughts



1. Wim Hof & Diabetes: A Complete Guide to the Benefits and 5 Real Dangers

This is a complex topic I get a lot of questions about. I made a 40-min class on it, but attempted to put the most critical information into this free post:

You can read it here.

It’s pretty long, but I hope it’s thorough and genuinely helpful, especially if you have diabetes or are a WHM coach. 🙏

2. Word Etymology and Why We Can All Do Asanas, Yogi or Not

The word asana is made up of two parts: as ‘to sit’ and ana, ‘breath.’ To do an asana is to literally sit with your breath, or to sit in a special way and breathe.

- Eddie Stern, One Simple Thing

This is awesome word etymology (thanks, Eddie). And, it’s an excellent reminder that sometimes abstract words are straightforward to implement.

So, I say we all channel our inner yogi and do some more asanas, today 🧘‍♂️

3. Why Coherence Fuels Purpose: Finding Internal & External Safety for Growth

The need for coherence is the form of meaning that is most strongly tied to the need for safety. Does my immediate environment make sense? Is there any predictability and comprehensibility in my life? Coherence is necessary to even get a chance to pursue one’s larger purpose or pursue various ways that one can matter in this world.

- Scott Barry Kaufman, Ph.D., Transcend

Researchers tell us to “pursue one’s larger purpose,” we need external coherence with our environment, which allows us to feel safe.

Conversely, we know that slow breathing (~5-6 breaths/min) provides internal coherence—a predictability in our nervous system that makes us feel safe.

And in my opinion, this second type is even more potent because it’s always available, and our inner state determines how we relate to our external world.

So let’s breathe slowly, find some internal coherence (and maybe even external, too), and use this feeling of safety to pursue our bigger purpose.

***

Related Quote:The unseen design of things is more harmonious than the seen.” - Heraclitus

4. Two Small Thoughts on Breath and Presence

  • Physically, wherever you find your breath, you find yourself.

  • Spiritually, whenever you find your breath, you find your self.

Extra Thought: Top 5 Breathing Exercises to Practice Daily (and the Best Times to Do Them)

I wrote another guest blog for ResBiotic. I hope this one is super practical and can help you or someone you know get started with breathing. Enjoy!

Top 5 Breathing Exercises to Practice Daily (And the Best Times to Do Them)




1 QUOTE

This illustrates the most empowering point of all. The key to our own experience lies within our bodies all the time.
— The Tibetan Yoga of Breath

1 ANSWER

Category: The Lungs

Answer: The alveoli have a mixture of lipids and proteins called this, which prevent them from collapsing during low lung volume.

(Cue the Jeopardy! music.)

Question: What is surfactant?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. thanks for buying this gum

Available Now:

THE BREATHING FOR DIABETES SELF-PACED WORKSHOP

If you like geeking out on breathing, or just want to live an overall healthier life, I’m confident you’ll love the workshop (diabetes or not).

By the end of the workshop, you’ll have:

  • The ideal breathing rate for you.

  • A daily practice plan designed around human behavior science rather than discipline and “motivation.”

  • A tool to reduce stress and calm your nervous system anytime, any place.

Plus, you get:

  • A 40-min Wim Hof and Diabetes Mini Masterclass.

    • If you’re interested in the WHM, I think you’ll find a lot of information in here you’ve probably never seen before—like why you should only practice it in the morning and why you don’t have to hold your breath to get the same results.

  • A PDF of 100 inspiring breathing quotes.

  • A Breath Matching worksheet to grow your practice.

  • A simple 10-day plan for implementing what you learn.

And if you don't like it, it’s 100% refundable, so you have nothing to lose.

 
 

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Wim Hof & Diabetes: A Complete Guide to the Benefits and 5 Real Dangers

The Wim Hof Breathing Method (WHM) is used by millions of people worldwide.  And if you search around, you’ll find some hefty claims, along with some inspiring success stories.  It seems to help with just about everything.

But what about diabetes? 

As a type-1 diabetic, a researcher, and an intermittent WHM practitioner (see my full story here), I recently decided to dig into the science and feasibility of the WHM for diabetes.  I found some fascinating things about inflammation and quality of life that make it appealing. 

But, at the same time, some real dangers might be overlooked by non-diabetics who practice and teach Wim’s method.  And there might be better approach for people with diabetes. 

However, I’m getting ahead of myself.  Let’s start off with the basics.

 

 What is the Wim Hof Breathing Method?

 The WHM generally consists of controlled hyperventilation and breath holds.  Most people use the following steps:

  •  30 big breaths (nose or mouth) at a comfortable pace.

  • After the last breath, hold with your lungs empty (after exhaling).

  • Hold as long as it is comfortable for you.

  • When you hit your limit, inhale fully and hold for another 10-15 seconds.

  • Repeat

 That is considered “one round.”  Wim generally suggests 3-4 rounds every day, first thing in the morning (this turns out to be critical).

In addition to the breathing, the full WHM consists of cold exposure and meditation.  But for our purposes, we’ll focus on the breathing because that’s what gets a lot of attention (and the most common starting point before getting into the cold).

 

 

Validated by Science: Direct Control of the Autonomic and Immune Systems

 The WHM is one of just a few breathing methods with scientific studies published directly on it. 

The most famous is the 2014 PNAS study.  PNAS is a top-notch journal, so this one put Wim on the map scientifically.

In the study, participants learned the WHM from Wim himself over a few days.  Then, they were brought into a lab and injected with an endotoxin.  Lots of people have been injected with this toxin, so scientists have a pretty good idea of what happens afterward: fever, chills, nausea, headache, and so on.

Thirty minutes before injection, the participants started doing the WHM breathing.  Then, they were injected and continued doing the breathing (they modified it slightly after 1 h) for another 2.5 h.  That’s a total of 3 hours of WHM breathing (!).  But the results were incredible.




All the WHM-trained participants reduced basically every symptom associated with the endotoxin injection. 

Moreover, they significantly increased anti-inflammatory cytokines while suppressing pro-inflammatory ones. 

This was the first time (basically ever) that a person could take direct control of their autonomic and immune systems.  I call this study the “4-minute mile” of breathing.

The PNAS Wim Hof study is the “4-minute mile” of breathing, showing that the impossible was possible.



What about Chronic Inflammation?

Those results are pretty intriguing since a huge problem with diabetes is immune and autonomic dysfunction.  But most of us diabetics probably don’t want to hyperventilate for 3 hours a day to reduce our inflammation.

Fortunately, another study decided to investigate the more long-term effects of the WHM on inflammation in people with spondyloarthritis.

Participants practiced the WHM for 8 weeks. (Note that this was the full WHM, which includes cold.  However, recent research still in pre-prints has shown that the breathing alone is really helpful for inflammation.)  It looks like they spent about 45- 60 min a day doing these exercises (still a lot, but much better than hyperventilating for 3 hours).

After the 8 weeks, measurements showed that they reduced overall levels of several inflammatory markers.  Moreover, the participants’ quality of life scores all went up.

Sounds great so far, right?

Well, yes.  But we next need to learn how it works, which will shed more light on how it might impact diabetes specifically.

 

 

How Does the WHM Work?  Stress, Stress, and More Stress

As mentioned, the WHM consists of hyperventilating and holding your breath.  Both of these are stressors.  In fact, they are really, really stressful.  The PNAS study we mentioned earlier found that when the participants did the breathing, their adrenaline rose higher than people bungee jumping for the first time.  That’s a lot of stress.

Counterintuitively, it turns out that intense short-term stress is actually good for you.  I won’t go into the details here (and honestly, I don’t understand it enough to speak intelligently on it), but separate fields of science called “psychoneuroendocrinology” and “neuroimmunology” have shown that short-term stress boosts our immune system and lowers inflammation.

It appears that the WHM might trigger this effect perfectly.

Short-term stress boosts our immune system and lowers inflammation.

 

 

Intermittent Hypoxia

Moreover, during the breath-hold portion, people drop their blood oxygen saturation significantly (sometimes to half of where they started).  This is yet another short-term stressor that can also be therapeutic. 

It turns out that intermittent bouts of low oxygen, followed quickly by normal oxygen levels, can improve insulin sensitivity, lower blood sugar, boost immune function, and increase blood flow to the brain.

Together, we see that the WHM combines two intense stressors over a short period: hyperventilation and breath holds.  These trigger some positive adaptations that at least partially explain the benefits of the WHM (although there’s a lot of brain stuff happening, too—see the WHM & Diabetes Masterclass below for more).

All of this brings us back to diabetes and this question: Isn't stress bad for people with diabetes?

 

 

The 5 Dangers of WHM and Diabetes

Here’s where things get interesting for diabetics.

 

1. Blood Sugar

Because the WHM is an intense stressor, it will almost certainly raise your blood sugar in the short term (of course, everyone is different, but this has been my experience).

Thus, if your blood sugar is already high, practicing the WHM might not be a good idea.

(Paradoxically, there is also a chance it could improve insulin sensitivity over time due to the intermittent hypoxia.  This has never been proven with Wim’s method, just my logical deduction.)

 

2. Anxiety and Panic Disorder

Here’s another thing to consider.  The WHM involves hyperventilation, which is a common symptom associated with anxiety and panic attacks.

People with diabetes have a much higher prevalence of anxiety and panic disorder.  Thus, we run a much higher risk of experiencing adverse effects from this aspect of the WHM. 

Putting our body through that intense stress and the associated blood sugar increase might leave us feeling worse than when we started.

 

3. Autonomic Dysfunction

Additionally, people with diabetes generally have worse autonomic nervous system functioning than their non-diabetic counterparts.  This shows up consistently as lower heart rate variability (HRV) levels and lower baroreflex sensitivity, even in seemingly healthy diabetics.

Thus, putting our nervous system into fight-or-flight overload might exacerbate underlying nervous system issues rather than alleviate them.

 

4. Cardiovascular Complications and Hypoxia

People with diabetes suffer from higher rates of cardiovascular disease than non-diabetics (and it’s the #1 cause of death in people with diabetes).  Thus, dropping our blood oxygen saturation to the extremely low levels experienced during the WHM might put too much stress on our hearts.  (Again, my speculation, but there isn’t any research on WHM and diabetes to know for sure.)

 

5. Poor Everyday Breathing

Lastly, because WHM encourages hyperventilation, there is a chance this would carry over into your everyday breathing. Of course, this is not what Wim suggests, it’s just a side-effect many people experience—myself included—if you’re not taught proper breathing in addition to the WHM.

If you’re constantly taking bigger breaths, especially through the mouth, it will put you in a chronic state of low-grade stress, intensifying the above-mentioned dangers.  This could cause more cardiovascular stress, more nervous system dysregulation, more anxiety, and worse blood sugar control.

 

 

So, What Should We Do as Diabetics?

 Let’s recap.

The potential benefits:

  1. Improved quality of life

  2. Lower inflammation

  3. Better immune function

  4. Better insulin sensitivity (my speculation)

  5. More energy (we didn’t talk about this, but it’s something most practitioners say)

 

The potential dangers:

  1. Short-term increase in blood sugar

  2. Increase in symptoms of anxiety and panic

  3. Dysfunctional nervous system

  4. Added stress on your heart

  5. Poorer everyday breathing 

With this information, I hope you can decide whether the WHM is suitable for you (or for your clients if you work with people with diabetes).  And if you are going to practice the WHM, I suggest finding a certified coach to start out safely. There are tons of them listed here.

If You Want More Information

If you want more information, I put together a 40-min Wim Hof and Diabetes Mini Masterclass ($99 value) as a free bonus to my Breathing for Diabetes Online Workshop. This class goes into more detail than is possible here.

And, by getting the workshop, you’ll learn where I suggest you start before diving into the WHM: slow breathing.

If you’re interested, you can learn more below.


The Breathing for Diabetes Online Workshop

Created for diabetics, by a diabetic.

From Wim Hof to slow breathing, this workshop covers everything you need to know to use breathing to reduce your stress, improve your sleep, better manage the inevitable ups & downs, and live an overall healthier life with diabetes.


Better Under Stress, Wim Hof’s Joy, and a Protocol based on 29 Studies

 

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4 Thoughts



1. Micro Breathing Moments—Cliché but True

Try stopping, sitting down, and becoming aware of your breathing once in a while throughout the day. It can be for five minutes or even 5 seconds…Then, when you're ready to move, moving in the direction your heart tells you to go mindfully and with resolution.

- Jon Kabat-Zinn, Wherever You Go There You Are

It’s that simple. Five seconds, 5 minutes, or anywhere in between. It’s always available if you need a quick reset and recovery.

2. Perform Better Under Stress: Another Reason to Practice Slow Breathing

HRV is also strongly associated with our ability to perform at our best during times of increased stress or challenge. In fact, HRV is one of the best metrics of psychophysiological health and ability to perform we currently have.

- Inna Khazan, Ph.D.

Biofeedback and Mindfulness in Everyday Life

Research tells us that higher HRV is associated with better performance during stressful and challenging times <—sounds good to me 💪

And fortunately, training our HRV is as simple as doing some slow breathing for about 10-20 minutes a day (see next thought).

So let’s grab an app, set the pace to 4-6 breaths/min, and get started enhancing our “ability to perform at our best during times of increased stress,” today.

3. A Slow Breathing Protocol based on 29 Studies

Based on 29 studies, this systematic review gave the following guidelines for slow breathing and HRV biofeedback. You can apply these straightforward guidelines for slow breathing without biofeedback.

  • Best results: 4-12 supervised sessions plus daily home practice for ~20 min/day.

  • Minimum effective dose: One supervised practice followed by home practice for 10 min/day for 4 weeks.

  • During supervised practice, trainees should learn to breathe slowly without it causing stress.

  • Supervised practice should also include instructions to help people avoid overbreathing to compensate for the slower rate.

  • Use abdominal breathing with nasal inhales and pursed-lips exhales.

  • The breathing ratio should have a slightly longer exhale (I like the 40/60 approach: 40% inhaling, 60% exhaling).

Use them for yourself, your clients, or your loved ones 🙏

4. Two Paradoxical (but equally true) Breathing Statements

  1. Greater lung capacity is associated with a longer life.

  2. Taking big breaths is detrimental to your health.

Reminds me of this gem: “Almost every wise saying has an opposite one, no less wise, to balance it.” - George Santayana



1 QUOTE

“Life is absurd. But you can fill it with ideas. With enthusiasm. You can fill your life with joy.”

- Reinhold Messner


Speaking of Joy…

I wrote another guest blog for Resbiotic titled The Joy of Breathwork and 3 Super Easy Ways to Be Consistent. Enjoy the 3-minute read!


1 ANSWER

Category: Wim Hof’s Joy

Answer: Scientists hypothesize that Wim’s method activates regions of the brain that release these, partially explaining why it promotes a sense of euphoria and well-being.

(Cue the Jeopardy! music.)

Question: What are endogenous opiates/cannabinoids?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. the secret to a long marriage

 
 

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


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Breathing for Diabetes Class, Mystics, and How to Reach the Ideal State

 
 

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4 Thoughts


1. Calm & Energized: How to Achieve the Ideal Physiological State

[Breathing] allows you to function at peak energy, yet without the physical and psychological costs of anxiety and adrenaline overload. In other words, being calm and energized is not only possible through the breath, but it is also the ideal state.”*

- Emma Seppälä, Ph.D., The Happiness Track

I’m a double espresso kind of person. I got through graduate school drinking 5-hour energies 🤦🏼‍♂️ But that’s not a sustainable way of living.

Enter the power of breathing practices. They optimally fuel your cells with energy (oxygen) and activate the calming parasympathetic nervous system.

Calm yet energized: “the ideal state.

2. How to Enter Mystical Traditions w/o 20 Years

Do you want to enter into the most mystical of traditions and gather their fruits?  Forget studying difficult languages and going into a cave for twenty years.  Just breathe on the sofa in the morning before breakfast.

- Wim Hof, The Wim Hof Method

This made me laugh, but it’s also pretty accurate—not just for Wim’s method. It applies to slow breathing. To alternate nostril breathing. To all the techniques.

Breathing is a shortcut into mystical traditions. All you have to do is “breathe on the sofa in the morning before breakfast.” : )

3. A Renowned Scientist on Slow Breathing and HRV Biofeedback: Why isn’t Everyone Doing It?

It’s a nondrug treatment with very powerful effects. It’s easy to learn. Why isn’t everyone doing it?

- Paul Lehrer, Ph.D.

From Cure: A Journey into the Science of Mind over Body

I often feel crazy talking about all the benefits of slow breathing. But, here’s a pioneer in slow breathing and HRVB research expressing the same sentiment.

It’s cheap, easy to learn, and has “very powerful effects.

Indeed, why isn’t everyone doing it?

4. Thich Nhat Hanh on Finding the Best Practice for You

Only by using your intelligence and putting the teachings into practice can they bring you happiness. Please base your practice on your own life and your own experiences, your successes and your failures.”*

- Thich Nhat Hanh, The Heart of the Buddha’s Teaching

Although this passage is about applying the Buddha’s teachings, I think it’s perfect advice for breathing, too.

Of course, we have to learn from others. But no one recipe fits everyone. So it’s ultimately up to us to base our practice on our own lives and experiences. 🙏

Extra: Breathing for Diabetes Workshop

I’m hosting my first-ever Breathing for Diabetes Workshop. I’m super excited, as it distilled 4 years of research and application into about 2 hours of fun : )

It’s happening virtually on March 5, 2022 at 10:00 a.m. eastern, and it’s $99.

  • If you can’t make this time, no worries, you get full access to the recording plus audio downloads of everything after the workshop.

  • As a bonus, you also get immediate access to a pre-recorded 40-minute Wim Hof and Diabetes Mini Masterclass when you sign up now.

You can learn about everything you’ll get below. I hope to see you there!

 
 

 
 

1 QUOTE

“Bearing all this in mind, welcome present circumstances and accept the things whose time has arrived. Be happy when you find that doctrines you have learned and analyzed are being tested by real events.”

- Epictetus

 
 

 
 

1 ANSWER

Category: Breathing Muscles

Answer: Humans are the only mammals to keep this parallel to the ground, even during walking and running.

(Cue the Jeopardy! music.)

Question: What is the diaphragm?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. LinkedIn contact requests be like

 
 
 

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


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Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Breath is Mind: 25 Thoughtful Quotes on the Breath-Mind Connection

 

1. “When you practice mindfulness of breathing, then the breathing is mind.” - Thich Nhat Hanh

 

2.  “I am as confident as I am of anything that, in myself, the stream of thinking…is only a careless name for what, when scrutinized, reveals itself to consist chiefly of the stream of my breathing.” - William James

3. “As we discover, when we pay attention to its natural rhythm, the breath becomes calm. Simultaneously, the mind quiets down. It all happens naturally. … Any force is counterproductive.” - Bhante Henepola Gunarantana

 

4. “When the mind is agitated, change the pattern of the breath.” - Patanjali

 

5. “Breath is the king of mind.” - B.K.S. Iyengar

 

6. “When the Breath wanders, the mind is unsteady, but when the Breath is still, so is the mind still.” - Hatha Yoga Pradipika

 

7. “However, when the air is calm, so is the water. It is just so with the mind. The more often we breathe, the more agitated the energy of body and mind becomes. By breathing less frequently, we begin to achieve elemental harmony.” - The Tibetan Yoga of Breath

 

8. “By controlling your breathing, you can use a voluntary mechanical behavior to make a profound change on your state of mind.” - Emma Seppälä

 

9. “So get out of your mind and into your breath because the breath is the life-force.  Not your mind, the breath.  Follow your breath, and it will lead you anywhere in your brain—and thus the mind—that you want to go.” - Wim Hof

10. “Thanks to the regulation of breathing patterns, patterns in our thinking are not just affected, but revealed, together with their entanglement with respiration.” - Marco Bernini 

11. "Messages from the respiratory system have rapid, powerful effects on major brain centers involved in thought, emotion, and behavior." - Dr. Patricia Gerbarg and Dr. Richard Brown

12. “In other words, by changing the breath pattern one can induce a chosen state of mind.” - Swami Niranjanananda Saraswati (found in Restoring Prana)

 

13. “The breath is free from greed, hatred, delusion, and fear. When the mind joins with the breath, the mind temporarily becomes free from greed, hatred, delusion, and fear.” - Bhante Henepola Gunarantana

 

14. "The breath is the intersection of the body and mind." - Thich Nhat Hanh

 

15. “Interestingly, the Greek word psyche, which we often use to indicate our mind or the emotional state of our mind, actually means soul or spirit, or most tellingly, the breath of life.” - Eddie Stern

 

16. “These practices demonstrate that the mind and the heart follow the lungs, not the other way around.” - Michael J Stephen

 

17. “The intrinsic link between prana and citta accounts for why the yogis insisted on breathing practices as the primary means to pacify the mind.  Through the breath, the ANS is directly impacted.  Breathing can effectively modulate the reactive loop, and restore us to a more coherent frame of mind.” - Robin Rothenberg

 

18. “I will breathe in, releasing the mind. … I will breathe out, releasing the mind.” - Mindfulness of Breathing Sutta (Majjhima Nikaya 118)

 

19. “Just as your mind influences the breath, you can influence the state of your mind through the breath as well.” - Sri Sri Ravi Shankar

 

20. “When we focus on the breath, our breathing naturally becomes calm. When the breath becomes calm, the mind and body also become calm.” - Bhante Henepola Gunarantana

 

21. “If our breathing is light and calm—a natural result of conscious breathing—our mind and body will slowly become light, calm, and clear, and our feelings also.” - Thich Nhat Hanh

 

22. “The Tibetan language describes this relationship between the wind and the mind as the wind-mind (Tib. rlung sems). This compound word describes the wind energy and the conceptual mind as always, intertwined and moving together—a singular motion.” - The Tibetan Yoga of Breath

 

23. “‘[A]ccording to the Navajo conception, then, Winds exist all around and within the individual, entering and departing through respiratory organs and whirls on the body’s surface. That which is within and that which surrounds one is all the same and it is holy.’ Finally, and most profoundly, this invisible medium in which we are bodily immersed, is what provides us with the capacity for conscious thought.” – David Abram, with inset quote from James McNeley

 

24. “When the incoming breath is offered into the outgoing breath, the outgoing breath is offered into the incoming breath, or when both are offered into the retention, the mind is purified of self-interest.” - Baba Hari Dass (found in Restoring Prana)

25. “The ‘I think’ which Kant said must be able to accompany all my objects, is the ‘I breathe’ which actually does accompany them. Breath is the essence out of which philosophers have constructed the entity known to them as consciousness” - William James

Wim Hof vs. Wim Hof, the Three P's, and Breathing like Journalists

 
 

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4 Thoughts


1. The 3 P’s of Breathing

  1. Physiology: The impact breathing has on your body.

  2. Psychology: The impact breathing has on your mind and emotions.

  3. Philosophy: The impact breathing has on how you live your life.

***

P.S. You can’t have any one P without the others : )

2. A Revolutionary Finding: The Two-Way Street of Breathing and Emotions

Lo and behold, the participants started to feel the emotions that corresponded to the breathing patterns. In other words, when they took deep, slow breaths, the participants felt calm. And when they took rapid, shallow breaths, they felt anxious or angry. The finding that we can change how we feel by using our breath is revolutionary.” * (my emphasis)

- Emma Seppälä, Ph.D., The Happiness Track

We know that how we feel affects our breathing. However, research tells us it’s a two-way street: We can change our breathing to change how we feel.

Quite revolutionary, indeed.

***

P.S. This falls into the the 1st and 2nd “Ps” above. And if you apply it regularly, then the 3rd one as well : )

3. Wim Hof vs. Wim Hof: Which of His Components is Most Important?

A 2020 study that’s still in preprints (so it hasn’t undergone peer review yet) shed light on the individual components of the Wim Hof Method (WHM).

Here’s what they did:

  • One group practiced the breathing only.

  • One group practiced cold exposure only.

  • One group practiced cold and breathing.

  • One group was trained by Wim Hof.

  • One group was trained by a researcher.

Then, all the groups were injected with endotoxin, like the first WHM study.

Here are a few of the key findings:

  • Breathing by itself reduced inflammation significantly, but did not reduce flu-like symptoms.

  • Cold by itself reduced flu-like symptoms, but did not reduce inflammation. (This doesn’t mean cold exposure doesn’t reduce inflammation in general. It just means it didn’t lessen the acute ramp-up of inflammation brought on by the endotoxin.)

  • The combination of cold and breathing reduced inflammation even more. (So, cold exposure wasn’t helpful on its own for inflammation, but added a boost when combined with the breathing.)

  • The results were the same whether Wim trained them or not (this was most surprising to me).

As a breathing nerd, this paper was super satisfying to read.

But remember it’s still in preprints, so it could turn out there was a major flaw or bad data or something. But, still fun to geek out on nonetheless : )

4. Breathing Like Journalists: Slow Breathing for Everyday Life

I call this approach, in which you fit deep work wherever you can into your schedule, the journalist philosophy. This name is a nod to the fact that journalists…are trained to shift into a writing mode on a moment’s notice

- Cal Newport, Deep Work

Let’s adopt this journalist philosophy to our slow deep breathing practice, fitting it into our schedules wherever we can. This will allow us to flip the switch on our physiological and emotional state anytime, anywhere (see thoughts 1 & 2).

Here’s to becoming breathing journalists, today : )

Bonus Thought: Join a Breathing Experiment

My good breathing friend AJ Fisher is looking for participants for a breathing and exercise experiment. Essentially, you get her 8-week Breathography Course for free in exchange for some pulse oximeter measurements (that’s it!).

If you’re interested, you can learn more and sign up here:

Learn More about the Experiment

And, you can learn more about AJ and the amazing things she does here:

AJ’s Corectology Website

 
 

 
 

1 QUOTE

“There is a force within that gives you life. Seek that.”

- Rumi

 
 

 
 

1 ANSWER

Category: Designed for Breathing

Answer: Paradoxically, the narrower passages of the nose reduce this during sleep.

(Cue the Jeopardy! music.)

Question: What is upper airway resistance?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. Me for the next 3 months:

P.P.S. ☝️My wife will attest that this is actually quite accurate for me…

 
 
 

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


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Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Wim Hof vs. Slow Breathing, Part 2: The Famous Endotoxin Challenge

 
 

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4 Thoughts


1. Slow Breathing = Deep Meditation?

When researchers at Harvard, Yale, and the Massachusetts Institute of Technology scanned the brains of experienced meditators, they discovered increased thickness in regions of the brain's cortex, or grey matter, related to focus and attention…But what's intriguing about this study is that breathing rate was used to determine how deep in meditation the subjects were able to get. The slower the breathing rate, the deeper in meditation participants became. And, the more pronounced their increase in grey matter.” *

- Leah Lagos, Heart Breath Mind

That deserves a 🤯

If slower breathing rates are a byproduct (and measure) of deeper meditation, I wonder if we can reverse engineer it…

2. The Deep Breath Hypothesis

The Deep Work Hypothesis: The ability to perform deep work is becoming increasingly rare at exactly the same time it is becoming increasingly valuable in our economy. As a consequence, the few who cultivate this skill, and then make it the core of their working life, will thrive.

- Cal Newport, Deep Work

And similarly, this couldn’t be any truer:

The Deep Breath Hypothesis: The ability to perform deep breathing is becoming increasingly rare at precisely the same time it is becoming increasingly valuable to our physiology. Consequently, the few who cultivate this skill, and then make it the core of their waking life, will thrive.

3. Wim Hof vs. Slow Breathing, Part 2: The Famous Endotoxin Challenge

I’ve called Wim Hof’s endotoxin study the “4-minute mile” of breathing.

So, you can only imagine my excitement when I found a study basically doing the exact same thing, but with slow breathing (it was perhaps the most excited I’ve ever been reading a paper, lol).

I produced an in-depth comparison of the studies here.

But, here are some of the take-home messages:

  • The WHM reduced fever and all other flu-like symptoms.

  • Slow breathing reduced headaches and eye sensitivity to light, but did not reduce fever or other flu-like symptoms (e.g., nausea and chills).

  • Slow breathing improved autonomic functioning as measured by HRV, suggesting participants had greater resiliency. HRV was not measured during the WHM experiment.

  • The WHM significantly reduced inflammatory cytokines. Slow breathing did not.

  • The WHM significantly increased anti-inflammatory cytokines (by up to 194%). Slow breathing did not.

There are many (many) caveats and differences between the studies, so if you’re interested, see the full write-up for more details and additional thoughts.

But based on these results, the WHM was decidedly more effective than slow breathing at reducing acute inflammation and fighting off flu-like symptoms.

4. How to Change Our Species (hint: breathe)

And I would argue that we humans are most human when we’re improving ourselves. We, unlike any other animal, can consciously change ourselves, to improve ourselves in ways we choose. This distinguishes us from every other species alive today and, as far as we know, from every other species that has ever lived.” *

- Anders Ericsson and Robert Pool, Peak

We are the only species that can consciously change ourselves to improve in ways we choose. We’re also the only ones that can consciously change our breathing in ways we choose.

Maybe that’s a coincidence. But then again, maybe it’s not…

 
 

 
 

1 QUOTE

“Happiness lies in your own heart. You only need to practice mindful breathing for a few seconds, and you'll be happy right away.” *

- Thich Nhat Hanh

 
 

 
 

1 ANSWER

Category: Breathing Rates

Answer: These aquatic mammals breathe around 1.5 - 2.5 breaths per minute at rest.

(Cue the Jeopardy! music.)

Question: What are bottlenose dolphins?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. haha anyways what’s up

 
 
 

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Wim Hof vs. Slow Breathing, and How to Start Something Meaningful

 
 

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4 Thoughts


1. How to Start Something Meaningful (hint: exhale)

If you watch anyone on the verge of starting something that matters, you'll see them settle into the moment by taking a deep breath in and exhaling….It's the body rolling up its metaphorical sleeves and saying, ‘Okay.  It’s time. Let’s do this thing.’”*

- Michael Bungay Stanier, How to Begin

Starting something meaningful this year? Or just sending an important email or text? Roll up those metaphorical sleeves by taking a deep and relaxed breath in, and a relaxed and slightly longer breath out. “Let’s do this thing.

2. Build Your Best Breathwork Practice

You don’t have to build the habits everyone tells you to build. Choose the habit that best suits you, not the one that is most popular.

- James Clear, Atomic Habits

Similarly:

You don’t have to use a breathing technique everyone tells you to use. Choose a method that best suits you, not the one that is most popular.

***

P.S. The next thought shows you why—two different methods, similar results.

3. Wim Hof “vs.” Slow Breathing, Part I: Indirect Comparison for Chronic Inflammation

A 2019 study looked at the full Wim Hof Method (breathing, cold, and meditation) in people with axial spondyloarthritis. They found that it reduced chronic inflammation, concluding:

…our results are indicative that voluntary modulation of the immune response may not only be possible in acute inflammatory response due to microbial stimulation but also in chronic inflammation related to immune-mediated inflammatory diseases.

A 2021 systematic review examined HRVB (aka slow breathing) in people with various chronic illnesses. They found evidence that there is an inverse relationship between inflammation and vagal nerve activity:

“…an increase in efferent vagal activity could suppress pro-inflammatory factors suggesting possible anti-inflammatory effects of HRVB.

The point? Two wildly different approaches, two somewhat similar outcomes. It brings to mind the Chinese proverb, “There are many paths to the top of the mountain, but the view is always the same.” Choose which path is right for you.

***

P.S. I put quotations around “vs” because there’s no competition in breathing 😊Also, the word “indirect” in the title is critical. I’m being simplistic here and comparing apples to oranges, but I think the overall message is still helpful.

4. Operationalize Your Breathing Practice

To make operational. To make ready for ‘live’ or ‘kinetic’ action.

- Steven Pressfield

That’s Pressfield’s definition of “operationalize,” and it’s exactly what we need to do with our breathing. Make it ready for live action—for real life.

Of course, let’s use our practice as an escape into calmness, but let’s also remember to operationalize it so it’s useful in our everyday lives.

***

P.S. Everyday examples of how I operationalize breathing in my life:

  • Slow breathing while walking the dog.

  • Various slow and fast methods when I’m out surfing.

  • Slow, long exhales when my daughter throws a tantrum.

  • I’m not always successful with these, especially the last one : )

 
 

 
 

1 QUOTE

“Along the way of life, someone must have sense enough and morality enough to cut off the chain of hate. This can only be done by projecting the ethic of love to the center of our lives.”

- Dr. Martin Luther King, Jr.

 
 

 
 

1 ANSWER

Category: Nose and Smell

Answer: Cells responsible for scent regenerate this frequently.

(Cue the Jeopardy! music.)

Question: What is 30-60 days?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. when your only friend is busy

 
 
 

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

An Unexpected Truth, 22 One-Sentence Ideas, and the Best Part of Breathing

 
 

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4 Thoughts


1. 22 One-Sentence Breathing Ideas for 2022

1. Demonstrations of breathing are small compared with the great thing that is hidden behind them. 

2. Breathing doesn’t heal you; it gives your body the environment it needs to heal itself.

Keep going…

Let’s continue the tradition this year. Here are 22 one-sentence breathing ideas to kick off 2022. Enjoy!

***

Related: 21 One-Sentence Breathing Ideas for 2021

2. A Unexpected Truth: Use Your Heart to be More Objective

I feel like I process information more objectively. If there's a bad call, or a player does something unexpected on the court, I can inhibit my reaction and quickly determine what needs to happen next with less effort.

- Client of Leah Lagos, excerpt from Heart Breath Mind

This was the result of heart rate variability (HRV) training via slow breathing. As counterintuitive as it might sound, current science tells us that the more we train our hearts, the more objective we become.

It’s actually our pesky (albeit valuable, lol) brains that trick us into excess emotional reactivity, anxiety, stress, rumination, and on & on.

So to be more rational, use your heart, not your head : )

***

Related: This 2-Minute Breathing Exercise Can Help You Make Better Decisions, According to a New Study

3. Why You Should Practice Abdominal Nose Breathing

However, when we breathe through the nostrils and into the abdomen, not only do we breathe less frequently, but our exhalations are prolonged. What this means is that abdominal nose breathing not only makes more oxygen available to our bodies in a more efficient manner, but it also stimulates the sympathetic nervous system less frequently.

- The Tibetan Yoga of Breath

That is all : )

4. The Best Part about Breathing

The best part about breathing is that we can satisfy our craving to read and learn while also applying that wisdom in our lives. There’s no abstraction. It’s as easy as “sit down and breathe like this for a few minutes and see how you feel.

Sure, I write to try to make it fun and philosophical. But when it comes down to it, you just sit there and breathe. No one can take it away from you, and you don’t need any special training. You just do it.

 
 

 
 

1 QUOTE

"There's nothing mystical or abstract about it. It's physical. Your breath is your life-force, right here, right now. It could not be any simpler. Just breathe and reclaim your soul."

- Wim Hof

 
 

 
 

1 ANSWER

Category: The Airways and Ancient Yoga

Answer: The trachea, a key component of breathing, is also referred to as this.

(Cue the Jeopardy! music.)

Question: What is the windpipe?

P.S. Yantra Yoga techniques were called “Wind Energy Training,” which sounds kind of woo-woo. But let’s not forget modern science refers to our main breathing tube as the “windpipe” : )


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. a workplace revolutionary tbh

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Effortless Inhales, Deepak on Smiling, and Maybe Loud Breathing is OK?

 
 

Listen Instead of Reading


 
 
 

4 Thoughts


1. The Breath Should Enter Very Subtly

‘Very subtly’ means that when the nose draws in the outside air, it should draw it very subtly so that the ear should not hear it.  Being subtle and fine is the gate to life. … The inhalation should, therefore, be done in a subtle and fine way.

- The Primordial Breath, Volume I

This is always my #1 tip for breathing: make it quiet and subtle. Remember, “Being subtle and fine is the gate to life…

***

Related: How Breathing Boosts Creativity, Why We Sigh, and Where Rumi’s Soul Lives (see #4 and the 1 quote)

2. Effort Leads to Effortless

It takes a lot of effort for our fitness to appear natural and effortless. But just because it appears effortless does not mean that no effort was made.

- Haemin Sunim, The Things You Can See Only When You Slow Down

The same is true for breathing. To breathe in a “subtle and fine way” takes deliberate practice and effort. I’m still working on it. I hope you are too : )

3. Maybe Loud Breathing is OK in Modern Yoga Classes?

I’m clearly a big fan of quiet breathing : ) Traditional yoga practices are too.

However, if you go to a modern group yoga class, you’ll hear a lot of loud breathing. Physiologically, I’ve always thought it was wrong…

But maybe there’s more to that loud breathing than just physiology?

In The Joy of Movement, Kelly McGonigal tells us that loud breathing during yoga is a critical component of social bonding and group flow:

Studies show that yoga, like dancing, can create social bonds. … The breath becomes the beat that drives the flow of poses, and the sound of the group inhaling and exhaling in unison provides a satisfying sensory feedback.

Of course, you’re not going to hear me breathing loudly in class now (I’m an introvert, anyways 😂). But let’s not overlook the social and emotional bonding that it might bring. Perhaps they are most critical in today’s world.

***

P.S. Maybe we even naturally began loud breathing during group yoga classes out of a deep yearning for more social connection? Just a thought…

4. Smiling and Breathing, Part II

“Stop. Take three deep breaths and smile everywhere in your body, observing what’s happening in your body. Proceed now with kindness and understanding.”

- Deepak Chopra

To complement last week’s thought on smiling, I was searching for info on the Buddha’s half-smile, when I stumbled across this quote.

At first, it might seem cliché. But, like most great teachers, Deepak simply distilled the science of smiling and breathing into a practical exercise.

Remember what we learned last week:

The act of smiling makes you happier.

Slow deep breathing makes you happier.

So set your breathing timer, put a slight smile on your face (Buddha-style), and “proceed with kindness and understanding.

 
 

 
 

1 QUOTE

“Can it really be so simple? Just breathing deeply? Is that it? The answer, friends, is yes.”

- Wim Hof

 
 

 
 

1 ANSWER

Category: Breathing 101

Answer: This is the volume of air remaining in the lungs after a maximum forceful exhale.

(Cue the Jeopardy! music.)

Question: What is residual volume?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. which I’m about to elaborate on

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Fast Breathing, Positive Emotions, and the 3 Stages of Wim Hof

 
 

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4 Thoughts


1. Feedforward vs. Feedback: How to Breathe Yourself into Being Happier

Therefore, it is widely accepted that emotions arise within the brain, which provides feedforward signaling … [But] The emotional and neurological changes that arise during pranayama and meditation illustrate the effects that feedback from the body can have on emotions, the ANS, and neurological activity.

- How Does the Body Affect the Mind? Role of Cardiorespiratory Coherence in the Spectrum of Emotions

I love this distinction, “feedforward” vs. “feedback.” Feedforward is when an emotion arises in the brain and “feeds” its signal to the rest of the body. Feedback is when your physiological state influences your feelings.

This paper hypothesizes that the feedbacks from slow breathing, namely the ones on the nervous system and brain, can elicit positive emotions.

That is, you might be able to breathe yourself into being happier.

I know I feel most joyful and optimistic after my morning breathing practice. It feels like magic, but I guess it’s just physiological feedback at its finest : )

***

Related Quote:It's rarely a mysterious technique that drives us to the top, but rather a profound mastery of what may well be a basic skill set.” - Josh Waitzkin, The Art of Learning

2. Breathe Fast, but don’t Hyperventilate

You can breathe fast while staying present and in control. But when you chronically hyperventilate, it’s unmindful and unchecked.

When you’re breathing fast with control, it can be therapeutic. But chronic, unrestricted hyperventilation is illness in disguise.

So breathe fast, but don’t hyperventilate.

***

P.S. Of course, physiologically, fast breathing is hyperventilation, but the key distinction here is control. And I gotta be a little provocative now and then 😂.

P.P.S. This thought was inspired by James Clear’s recent idea on moving fast vs. rushing. It’s an excellent analogy for breathing.

3. The Three Stages of Wim Hof, in Chronological Order

  1. You love his charisma, and you think he’s a genius.

  2. You realize he’s crazy and that his method makes no sense.

  3. You love his charisma, and you think he’s a genius.

***

Related: 20 One-Sentence (& light-hearted) Thoughts on the Wim Hof Method

4. Breathing Haiku

Haiku is about delivering powerful imagery in the fewest of words (usually between 11 and 17 syllables). Similarly, limiting breaths as you've mentioned leads to a more powerful, healthy life. It seems indeed, that the oft used adage in design "less is more" rings true here as well.

- Benjamin C., 411 Reader

Absolutely beautiful.

I could go on and on about how perfect this analogy is. But instead, how about we fully express our poetic selves through a little breathing haiku, today.

 
 

 
 

1 QUOTE

“Or, more accurately, breathing should be returned to what was natural before we got stressed out by years of running around a hectic world and internalizing bad habits.”

- Josh Waitzkin, describing his Tai Chi instructor’s thoughts on breathing, The Art of Learning

 
 

 
 

1 ANSWER

Category: Vagus Nerve and Feedback

Answer: Approximately this percent of vagal nerve fibers are afferent, meaning they send information from the body back to the brain (aka feedback or bottom-up messaging).

(Cue the Jeopardy! music.)

Question: What is 80%?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. 99% of socializing as an adult

 
 
 

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Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

How I Trained for Altitude (it's not what you might think)

View of Mount Audubon from Mitchell Lake

View of Mount Audubon from Mitchell Lake

Everyone has a plan 'till they get punched in the mouth.

- Mike Tyson

I live in Florida, basically below sea level : ) So when my best friend invited me to hike up to 13,200 ft, I put a ton of pressure on myself to do it. I thought, “I’m The Breathing Diabetic. I better be able to handle some altitude.”

But I didn’t train how you might think. Of course, I initially started with more breath holds. But I realized that the issue at altitude is lower air pressure. To breathe, our lungs expand, the pressure decreases in our lungs, and air flows in from the atmosphere due to the pressure difference. However, at altitude, the lower air pressure will make that process harder.

If each breath is harder, your diaphragm and other breathing muscles will fatigue quicker, and you’ll feel out of breath. Maybe I’m wrong, but that seemed like the biggest issue when I considered everything I’ve learned.

So I decided to focus on lung capacity. With greater lung capacity, the lungs can expand more, pressure can decrease more, and breathing can be easier at altitude. Is this proven? I don’t know. But it made sense to me.

So I did a lot of Wim Hof breathing, a lot of work with the Oxygen Advantage Sports Mask, and a lot of extended exhalations. I also used ocean breathing during my morning breathing practice for added resistance.

Did it work? I’m not sure since I don’t have a control to compare against. But I made it. It was extremely challenging, and all of my plans went out the window once we hit about 11,000 ft. The winds were insane, my hands were freezing, and the continuous uphill was way more brutal than I expected.

To cope, I did some periodic breathwalking, and every few minutes, I took 10 massive Wim Hof style breaths. Going up, I was probably around 40% nasal, 60% mouth breathing (I went into it not caring which hole I used, as long as I made it). Going down was about 90% nasal and 10% mouth.

When I got to the summit, my oxygen saturation was steadily 81-85%. Crazily, my blood sugar was 404 mg/dL (!), which wasn’t helping the situation. But I made it. Mission accomplished.

If you have any thoughts about altitude or my training approach, please send me an email at nick@thebreathingdiabetic.com with the subject “High Altitude.” It was my first time, so I have no clue if what I’m saying makes sense : )


More Pictures

SpO2 was hovering around 81-85% right when we reached the summit. This was with normal nasal breathing.

SpO2 was hovering around 81-85% right when we reached the summit. This was with normal nasal breathing.

IMG_0692.png
IMG_0672.png
“Strategically” giving my diaphragm a rest before we started one of the last pushes.  I wasn’t tired, just meditating 😂😂😂

“Strategically” giving my diaphragm a rest before we started one of the last pushes. I wasn’t tired, just meditating 😂😂😂

Me (left) and James (right) at the peak hiding from the insane winds.  Gusts felt like they were over 60 mph.

Me (left) and James (right) at the peak hiding from the insane winds. Gusts felt like they were over 60 mph.

James taking in the view.

James taking in the view.

How Bruce Lee Sees Methods, Full Lotus, and the Beauty of Red Blood Cells

 
 

Listen Instead of Reading


 

This week, you'll learn how to become a mixed breathing artist, learn a decade-old idea still relevant today, and take a look into Wim Hof’s mirror.

Enjoy!

 
 

 
 

4 Thoughts


1. On Bruce Lee, “Methods,” and Becoming Mixed Breathing Artists

The individual is of first importance, not the system. Remember that man created method and not that method created man, and do not strain yourself in twisting into someone’s preconceived pattern, which unquestionably would be appropriate for him, but not necessarily for you.

- Bruce Lee, Striking Thoughts

I think we can safely say Bruce Lee would be against using any one breathing “method.” He didn’t even believe there were different forms of fighting.

In fact, many consider Lee to be the original Mixed Martial Artist. Let’s follow his lead and become the first Mixed Breathing Artists.

That means we become both methodical and flexible. We focus on science and self-expression. We don’t strain ourselves to fit into a specific method; instead, we use what’s appropriate for a given situation.

Here’s to using the mixed breathing arts to conquer life’s challenges, today.

***

Related Quote:Any technique, however worthy and desirable, becomes a disease when the mind is obsessed with it.” - Bruce Lee

Another:The more complicated and restricted the method, the lesser the opportunity for the expression of one’s original sense of freedom.” - Bruce Lee

2. What Full Lotus Can Teach Us About Breathing

Years after I had mastered the full Lotus, another teacher walked by while I was sitting, tapped on my shoulder, and gestured toward my full Lotus: ‘That is the whole problem for you.’

- Larry Rosenberg, Breath by Breath

This is one of my new favorite stories. Larry Rosenberg had a teacher who thought sitting in full Lotus was essential. So, he practiced diligently and deliberately for 10 years. Finally, he could sit comfortably in it.

Then, a few years later, a different teacher saw him sitting in Lotus and told him, “That is the whole problem for you.” What one teacher said was essential, another said was his problem. His Lotus was perfect; that wasn’t the issue. It was his obvious attachment to it.

The lesson for us is that we cannot attach ourselves to any one approach to breathing (just like Bruce Lee didn’t attach himself to any single martial art).

Of course, we need to be grounded in science-based principles. But remember to be open. The method you’ve perfected might be the one that’s holding you back the most.

3. From NPR: “Just Breathe: Body Has A Built-In Stress Reliever”

The breath isn't something Western medicine should blow off. It's a powerful tool for influencing individual health and well-being. And the best part is all the ingredients are free and literally right under your nose.

- NPR, Just Breathe: Body Has a Built-In Stress Reliever

NPR published this article over a decade ago, but it’s still relevant today. Check it out to learn how we can use slow and fast breathing to stimulate the nervous system, and how slow breathing might change gene expression.

Enjoy the quick read!

4. The Beauty of Red Blood Cells

These experiments revealed a novel activity of the RBC [red blood cell]: the RBC regulates its own principal function—that is, O2 delivery.

- Extrapulmonary Effects of Inhaled Nitric Oxide

There are about 1 billion oxygen molecules on each of the trillions of red blood cells in your body. That’s a lot of oxygen. As the red blood cells circulate, they deliver this oxygen where it is needed most.

And as it turns out, the red blood cells themselves help regulate this process. Specifically, when they sense areas of low oxygen, they release a bioactive form of nitric oxide. This expands the vessels, which allows more blood flow and, ultimately, more oxygen delivery. It’s quite complex, and quite beautiful.

***

Related: Nitric oxide carried by the red blood cells is essential for blood flow regulation and whole-body oxygenation

 
 

 
 

1 Quote

“In this way, the breath is like a mirror that shows you the state you are in.”

- Wim Hof

 
 

 
 

1 Answer

Category: Oxygen in Your Body

Answer: In terms of atoms, oxygen makes up this percent of total body mass.

(Cue the Jeopardy! music.)

Question: What is 65%?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. we should do this more often!

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Breathing Gives Us What Babies Want, 0.1 Hz, and The Miracle of the Nose

 
 

Listen to this post:


 

Hey,

Here’s your weekly dose of breathing and diabetes fun. Plus, a letter I wrote 10 years ago…

I hope you enjoy reading!

 
 

 
 

4 Thoughts


1. Breathing Gives Us What Babies Want

In the Paradox of Choice, Barry Schwartz discusses a fascinating study:

  • Group 1: Infants were able to control some dancing toys by turning their heads in their cribs. It made them really happy to see the toys.

  • Group 2: Got “a free ride.” They saw the same toys, but theirs just randomly appeared when the Group 1 babies made them turn on.

The Group 2 babies still found this very entertaining, at least at first. But they eventually lost interest, whereas Group 1 didn’t:

The different reactions of the two groups caused researchers to conclude that it is not dancing toy animals that are an endless source of delight for infants, but rather having control. Infants kept smiling and cooing at the display because they seem to know that they made it happen.

I think this study demonstrates why breathing (especially Wim Hof) is so impactful. It taps into a desire that’s in us since birth—the desire for control.

Breathing gives it to us, immediately. We can instantly change our state, and we know we made it happen, not some external force. We become Group 1.

It’s like what Barry Schwartz says when interpreting those babies’ reactions:

I did this, isn’t it great? And I can do it again whenever I want.


2. The Upside of Diabetes

When I was eleven years old, I was diagnosed with Type 1 diabetes. This taught me a lot of responsibility at a young age…I have to incorporate a lot of “thinking ahead” and problem solving into my daily routine…Furthermore, it has taught me to always be positive and to be grateful for every opportunity I have…Although I do not enjoy having diabetes, it has definitely had a positive impact on my life.

I wrote that 10 years ago when I was applying for graduate school.

Fast forward to today, and it’s often depressing researching about breathing and diabetes. As excited as I get about breathing, I’m also continuously reminded of all the ways diabetes is ruining my health. Thanks, science.

But in reality, I’ve always felt that diabetes is the best thing to ever happen to me. And I still 100% agree with everything I said 10 years ago.

I’m not saying diabetes doesn’t suck. But, I try not to forget that it could be a lot worse and that it has had many positive impacts on my life.

So here’s to keeping a positive outlook, while simultaneously being realistic, knowing that we need to take extra good care of our bodies and health.

P.S. This was inspired by my recent re-reading of The Upside of Stress.

P.P.S. You can read the letter by clicking here.


3. How Slow, Deep Breathing Taps into A Natural Rhythm in Our Bodies

Noble’s research demonstrates how tiny mechanisms throughout our cardiovascular system oscillate at that same frequency of 0.1 Hertz. ‘It’s almost like an inherent rhythm,’ he says. ‘Your breath may be unlocking this rhythm that you already have going on in the background.’

- How Slow, Deep Breathing Taps Into A Natural Rhythm In Our Bodies

I read this article first thing in the morning with a cup of coffee. It was so good, I think I starting buzzing at 0.1 Hz : ) It’s just so awesome seeing “breathing” continue to seep into popular resources like Discover Magazine.

Read it, practice it, share it, and enjoy it. As they say in the article, “All you need is a pair of lungs, and some discipline.

P.S. Another reason this was so much fun to read was because a 411 reader sent it to me. It’s my favorite thing in the world when you all send me such good stuff. Thanks, as always, “Midnight Larry!”

4. How To Get The Benefits of Breathing Without the Mastery

Happily, the benefits of training in meditation arrive long before mastery does.

- Sam Harris

The same is true for slow breathing. And it’s simple to get the benefits of breathing without mastery: Just get started.

I still suck at breathing. I’m continuously working on it. But I’ve seen incredible benefits because I practice every single day.

So don’t worry about perfection or mastery. Just get started. The best way to do that? Just four minutes a day—two in the morning, two before bed.

P.S. This was inspired by a +1 from my favorite teacher, Brian Johnson.

Related Quote: "How do you best move toward mastery? To put it simply, you practice diligently, but you practice primarily for the sake of the practice itself." - Robert Greene, Mastery


 
 

 
 

1 Quote

The nose is the silent warrior: the gatekeeper of our bodies, pharmacist to our minds, and weather vane to our emotions.

- James Nestor, Breath

 
 

 
 

1 Answer

Answer: In a blue whale, this organ weighs over 1,500 lbs.

(Cue the Jeopardy! music.)

Question: What is its heart?

I wonder what it’s resonant frequency is… : )


In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. bet u just loooove school

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Breathing Through Negative Feedback Loops, and the WHM in 2.5 Minutes

 
 

Listen to this post:


 

Welcome back to another issue of The Breathing 411.

Here are 4 thoughts, 1 quote, and 1 answer for the week. Enjoy!

 
 

 
 

4 Thoughts

1. The Epiphenomena of Breathing

However, a lightbulb also produces heat. Heat is not the function of the lightbulb, nor is it the reason we originally fashioned it […] It is an unintended by-product of the operation, not the true function. Heat is an epiphenomenon in this case.

- Matthew Walker, Why We Sleep

Depending on you and your perspective, breathing can have many epiphenomena. For example, you might do a breathing practice to relax. But, as a by-product, it will also improve autonomic and cardiovascular function.

Perhaps your breathing practice is for better sleep. In this case, you’ll still experience the epiphenomena of better insulin sensitivity and better focus.

In fact, optimal breathing has so many “epi-benefits,” it’s hard to keep track. Luckily, you don’t have to. You simply pick one or two reasons that make sense for you, and let the rest happen on its own, like heat from a lightbulb.

Related Quote:Replace the habit of taking short shallow breaths into the top of the lungs with the practice of taking a full deep breath. Nearly all of the benefits begin with this one simple change.” - Al Lee, Don Campbell, Perfect Breathing

2. The Negative Feedback of Stress in Diabetes, and What We Can Do About It

  • Diabetes is a chronic stressor. [1]

  • Chronic stress worsens blood sugar control. [2]

  • It also reduces HRV, increasing susceptibility to more stress. [3]

  • This then can increase anxiety. [4]

  • Leading to more stress and worse blood sugar control. [2]

  • Which then leads to the subjective feeling of more stress. [1]

It’s a merciless cycle.

Encouragingly, however: “Emerging evidence strongly suggests…that interventions that help individuals prevent or cope with stress can have an important positive effect on quality of life and glycemic control.

You probably know where this is going : )

Slow breathing immediately helps:

  • It reduces chronic stress by increasing vagal tone. [5]

  • It improves both short- and long-term HRV. [6]

  • It reduces anxiety. [7]

  • It improves blood sugar control. [8]

The negative feedback loop of stress and diabetes won’t just go away. But slow breathing gives you an effective intervention you can use to help offset its harmful effects and prevent it from getting out of control forever.

Related Quote: “Slow breathing could be a simple beneficial intervention in diabetes.” - Nature Scientific Reports

3. How The Wim Hof Method Works, In 2.5 Minutes

So what happens when you breathe this way is you stress your body out. […] You control your stress to a specific amount of time so that, for the rest of the day, you can chill out. So that is probably why Wim Hof’s method works so well.

- James Nestor

Tomorrow is Wim Hof’s birthday. In that spirit, here’s a quick 2.5 minute clip of James Nestor explaining how the WHM works.

Enjoy!

Related: 20 One-Sentence Thoughts on the Wim Hof Method

Related Quote:I’m not afraid of death, I’m afraid not to have lived fully.” - Wim Hof

4. We Are All Living Nasal Breathers

All living things on our planet undergo a unescapable and predictable daily change in their environment: Day becomes night. […] To cope with this predictable daily change in light and dark, almost every living organism has developed an internal timing system, or circadian clock.

- Satchin Panda, PhD, The Circadian Code

In The Circadian Code, we learn that, try as we might, we cannot override our circadian rhythm. Evolution programmed it into us. Trying to fight it with more coffee (talking to myself here) will only hurt us in the long run. We’re much better off aligning with it to achieve our best health outcomes.

This reminded me of a seemingly unrelated, yet similar concept: we’re all nasal breathers.  We can optimize our diets, exercise, and so on, but if we don’t breathe how evolution designed us to—through our nose—we’ll never reach our full health potential.

Related: Chronic sinus inflammation appears to alter brain activity

Related Quote:Around 1500 BCE, the Ebers Papyrus, one of the oldest medical texts ever discovered, offered a description of how nostrils were supposed to feed air to the heart and lungs, not the mouth.” - James Nestor, Breath

 
 

 
 

1 Quote

The power of the breath has been used not just to heal, but to attain extraordinary feats that appear to defy laws of physiology. […] With mastery of his breath and his meditative practices, Hof is redefining what is considered physiologically possible for a human.

- Michael J Stephen, MD, Breath Taking

 
 

 
 

1 Answer

Answer: Although known as the Ice Man, Wim Hof has also completed a full marathon without water in this desert.

(Cue the Jeopardy! music.)

Question: What is the Namib Desert?

P.S. Here’s short clip of him walking. He’s mainly nose-breathing, probably to conserve water : )


In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. Do drugs and stay out of school

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.