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The Breathing Breakthrough: Doctor Dylan's 6-Step System to Reclaim Your Nights

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Are you constantly exhausted during the day no matter how much you sleep at night? If so, you may be one of the millions of people unknowingly suffering from sleep apnea. While it may seem like just bothersome snoring, this common disorder actually causes people to stop breathing repeatedly throughout the night, preventing them from getting quality sleep.
 
 In this enlightening episode, sleep expert Dr. Dylan Petkis reveals shocking truths about the causes of sleep apnea, debunking the myth that it only affects overweight people. Going beyond just anatomy, he explains the role that breathing pattern disorders play and how inflammation can also be a key driver.
 
 Dr. Petkis shares his integrative 6-step protocol to treat sleep apnea through resetting your natural breathing patterns. Listen in to understand what sleep apnea really is, determine if you are at risk even if not overweight, and gain actionable advice to start improving your sleep quality immediately.
 
 Here's what you'll discover:
 
 - Clear signs that you may have sleep apnea, even if not visibly overweight
 - The truth about what causes sleep apnea (it's not just obesity!)
 - Natural solutions and exercises to begin improving your breathing issues tonight
 - How you can treat sleep apnea without surgery or cumbersome CPAP machines


 
 As Dr. Petkis reminds us, "With the breath work...you kind of have the tools you already need to get started and start really making improvements."
 
 Your body has an incredible capacity to heal itself - it just needs a little support. Tune in now to equip yourself with the knowledge and techniques to finally get a restful night's sleep.

Guest Links:
 https://petkusmd.com/home

https://optimalcircadianhealth.com/

https://www.facebook.com/OptimalCircadianHealth/

https://www.instagram.com/petkusmd

https://www.linkedin.com/in/dylan-petkus-86645978/

https://www.tiktok.com/@optimal.circadian.health


Chapter Markers

00:00:26 The Power of Natural Solutions for Sleep Apnea

00:03:32 Introducing Dr. Dylan Petkus

00:23:45 Importance of Asking Understandable Questions

00:24:41 Skepticism in Information Acceptance

00:25:35 Challenges in Interpreting Research

00:26:38 Public Distrust in Presented Information

00:29:42 The Skepticism Around Polls and Research

00:35:33 Understanding Sleep Apnea

00:37:31 Clinical Definition of Sleep Apnea

00:40:15 Understanding Breathing Patterns

00:46:01 Prevalence of Sleep Apnea vs. Airway Narrowing

00:46:54 Misconceptions about Sleep Apnea Causes

00:49:54 Understanding Cellular Energy Production

00:54:15 Prevalence of Sleep Apnea in Men

01:00:25 Assessing Risk of Sleep Apnea

01:02:32 Probability of CPAP Therapy for Sleep Apnea

01:04:54 Factors for Improving Sleep

01:08:42 Rectangle Breathing Technique for Better Sleep

01:14:55 Measuring CO2 Tolerance with Controlled Pause

01:17:21 Understanding Disordered Breathing and Sleep Apnea

01:20:03 Natural Solutions for Sleep Apnea

01:29:41 The Impact of Breath Work on Health

01:30:11 Podcast Wrap-Up

Transcript
WEBVTT

00:00:00.299 --> 00:00:03.299
By the end of this episode of the Fallible Man Podcast with Dr.

00:00:03.310 --> 00:00:22.129
Dylan Peckis, you'll have learned what sleep apnea really is, the truth about what causes sleep apnea because it's not what you think, you'll know how to improve your own breathing issues, and you'll have a natural solution to sleep apnea that helps most people without ever having to go farther than that.

00:00:22.759 --> 00:00:23.960
Check out this thought from Dr.

00:00:23.960 --> 00:00:25.489
Dylan and let's get into it.

00:00:27.019 --> 00:00:35.054
Because with the breathwork, like you kind of have the tools you already need To get started and start really like making improvements.

00:00:35.505 --> 00:00:40.405
So, um, just focus on like carving out that time for yourself, whether it's doing it.

00:00:40.975 --> 00:00:56.454
Um, and like, like I always tell my patients, like, don't get into the, the, the whirlwind of like looking for this machine or that surgery, or this mouth guard, like your body has the capacity.

00:00:58.034 --> 00:00:58.914
To do things right.

00:00:58.914 --> 00:01:00.814
You just need to give it a little nudge.

00:01:05.575 --> 00:01:06.995
Here's the million dollar question.

00:01:07.474 --> 00:01:15.245
How do men like us reach our full potential growing to the men we dream of being while taking care of our responsibilities, working.

00:01:15.599 --> 00:01:19.039
Being good husbands, fathers, and still take care of ourselves.

00:01:20.019 --> 00:01:23.090
Well, that's the big question in this podcast.

00:01:23.430 --> 00:01:25.170
We'll help you answer those questions and more.

00:01:25.409 --> 00:01:28.150
My name is Brent and welcome to the fallible man podcast.

00:01:33.329 --> 00:01:34.688
Welcome to the album man podcast.

00:01:34.728 --> 00:01:40.039
You're home for all things, man, husband, father, big shout out to fallible nation and a warm welcome to our first time listeners.

00:01:40.039 --> 00:01:42.438
Hey, we know there's a lot competing for your attention.

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So it means a lot to us that you're checking us out.

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Thank you for that.

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Be sure and connect with us after the show at the foul man on most social medias, let me know what you thought of the show.

00:01:51.750 --> 00:01:58.379
I'd love to hear about your experience and if you really enjoy it, be sure and leave us an, uh, review on Apple podcasts.

00:01:58.789 --> 00:02:00.159
We'll see if I don't totally freeze up.

00:02:00.480 --> 00:02:01.448
My name is Brent today.

00:02:01.448 --> 00:02:02.978
My special guest is Dr.

00:02:02.978 --> 00:02:03.899
Dylan Petkis.

00:02:05.129 --> 00:02:05.400
Dr.

00:02:05.400 --> 00:02:08.459
Dylan, welcome to the fallible man podcast.

00:02:08.460 --> 00:02:08.960
Hello.

00:02:08.969 --> 00:02:09.740
Thanks for having me.

00:02:11.024 --> 00:02:14.584
Now, we like to start things a little bit light, so how's your trivia?

00:02:15.905 --> 00:02:17.264
Uh, I guess we'll find out.

00:02:21.354 --> 00:02:22.805
Here is the question of the show.

00:02:23.435 --> 00:02:29.993
Live and Let Die was a theme for a James Bond film of the same name, but which British band recorded it?

00:02:30.284 --> 00:02:30.924
Is it A.

00:02:30.954 --> 00:02:32.344
The Clash B.

00:02:32.344 --> 00:02:32.993
The Who C.

00:02:32.995 --> 00:02:35.014
The Beatles or D.

00:02:35.014 --> 00:02:39.509
The Wings Oh, is it the Beatles or the wings?

00:02:39.530 --> 00:02:41.030
It's it's the Beatles.

00:02:43.289 --> 00:02:43.799
Yes.

00:02:43.810 --> 00:02:44.490
Final answer.

00:02:44.990 --> 00:02:45.669
Final answer.

00:02:45.759 --> 00:02:46.319
All right.

00:02:46.849 --> 00:02:48.610
Now guys, you know, the rules play along.

00:02:49.090 --> 00:02:49.800
Do not cheat.

00:02:49.819 --> 00:02:50.699
Do not fast forward.

00:02:50.710 --> 00:02:51.368
Don't look it up.

00:02:51.370 --> 00:02:54.579
And for God's sake, if you're driving, please don't write it down.

00:02:54.620 --> 00:02:55.990
Just remember and come back to it.

00:02:56.000 --> 00:02:56.929
It's not that important.

00:02:57.860 --> 00:02:59.459
We'll get back to that later in the show.

00:02:59.530 --> 00:03:03.870
Yeah, I know.

00:03:03.870 --> 00:03:04.620
I make you wait.

00:03:04.789 --> 00:03:05.250
Sorry.

00:03:05.270 --> 00:03:08.900
I'm going to change the wings, the wings, the wings, the wings back over.

00:03:11.680 --> 00:03:16.849
At least, you know, the wings is a British band and guns and roses did a cover of it later.

00:03:17.240 --> 00:03:19.868
If I can redemption points, pad myself there.

00:03:21.110 --> 00:03:21.628
I like it.

00:03:21.639 --> 00:03:22.058
I like it.

00:03:22.060 --> 00:03:26.110
You know, no, Dr.

00:03:26.110 --> 00:03:28.319
Dylan, I don't do big introductions.

00:03:28.319 --> 00:03:31.340
So in your own words today, who is Dr.

00:03:31.340 --> 00:03:31.680
Dylan?

00:03:31.680 --> 00:03:32.550
Dr.

00:03:32.550 --> 00:03:35.409
Dylan is someone who.

00:03:35.814 --> 00:03:37.735
Doesn't always like to say my name in third person.

00:03:37.865 --> 00:03:59.995
Uh, but more importantly, uh, someone who is out here helping people, uh, with sleep apnea, yes, we, you know, we help people with many other different issues, but one of the biggest ones, uh, is sleep apnea because, um, it, it just kind of robs you of your, your human dignity and humanity being able to like function on a day to day basis.

00:04:00.465 --> 00:04:12.433
And so, uh, That's what I give a lot of my time, my effort, uh, in my heart into, because it's something I've gone through, um, and doing that online.

00:04:12.433 --> 00:04:16.504
So there's a lot of fun online things, which are always fun as we all know.

00:04:17.024 --> 00:04:21.915
Um, so that's kind of the, the, the professional side.

00:04:22.355 --> 00:04:25.555
Um, on another note, I'm in a log cabin.

00:04:25.555 --> 00:04:27.154
This is a real, real wood.

00:04:27.220 --> 00:04:29.259
I think it's actually cedar.

00:04:29.310 --> 00:04:29.860
I'm not sure.

00:04:29.860 --> 00:04:46.788
I don't think there's smellovision so you can't confirm that Uh, and I live in the tallahassee area kind of in the middle of nowhere Uh, so we had to you know, call the government for some internet for this show specifically um Actually, internet's actually kind of bad out here.

00:04:46.788 --> 00:04:48.189
So that's another story.

00:04:48.569 --> 00:04:55.129
Um, you know, live out here with my wife, got two dogs, uh, three cats.

00:04:55.160 --> 00:04:59.889
And then there's like a bunch of, uh, chickens and goats.

00:04:59.889 --> 00:05:03.379
And I think lamb, I'm not sure.

00:05:03.410 --> 00:05:04.490
It's, it's our neighbors.

00:05:04.519 --> 00:05:09.129
We, we let them kind of hang out, um, on our, well, I guess grays.

00:05:09.139 --> 00:05:12.529
They don't hang out in loiter like much farm animals.

00:05:12.529 --> 00:05:16.110
Um, but yeah, that's the kind of, it's just kind of easy.

00:05:16.519 --> 00:05:17.978
Living out here, nice and quiet.

00:05:18.490 --> 00:05:22.160
Um, and that's, I guess who I am there.

00:05:24.439 --> 00:05:26.418
I'm not sure there's a wrong answer to who I am.

00:05:26.428 --> 00:05:29.399
So I enjoy the thought, right?

00:05:29.819 --> 00:05:33.428
So you say you've got the farmyard connected with the friends, right?

00:05:34.439 --> 00:05:35.170
That's all good.

00:05:36.240 --> 00:05:44.509
Chickens can be a little, we have chickens in, we're not technically supposed to have chickens in city limits, but we have a lot of people.

00:05:45.105 --> 00:05:52.564
In our region who do, and we have a lot of roosters who don't agree on what time morning is.

00:05:53.615 --> 00:05:55.865
It's a, it's a, it's a big disagreement.

00:05:56.115 --> 00:05:57.665
Some roosters are on daylight savings time.

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Some aren't.

00:05:58.074 --> 00:05:59.394
So, oh yeah, yeah.

00:05:59.394 --> 00:06:04.055
It's, it's pretty, I'll be out walking in the early mornings with my daughter.

00:06:04.634 --> 00:06:07.254
And I mean, it's four 30 in the morning.

00:06:07.254 --> 00:06:09.125
It's pitch black outside.

00:06:09.125 --> 00:06:17.470
It's still kind of got that night lingering and there's the rooster randomly crowing and it's like, Are you, are you confused?

00:06:19.560 --> 00:06:22.288
If the sun doesn't come up for like three more hours, what are you doing?

00:06:23.649 --> 00:06:26.250
So Tallahassee is a good spot.

00:06:26.579 --> 00:06:27.610
I keep meeting people.

00:06:27.680 --> 00:06:31.769
I'm just going to have to like make a, a round of all the people I've met in Florida.

00:06:31.798 --> 00:06:38.269
I have several podcaster friends in Florida and I just didn't go back to visit Florida again.

00:06:38.319 --> 00:06:39.048
It's been a long time.

00:06:40.329 --> 00:06:42.269
Well, you're not missing much in Tallahassee.

00:06:42.379 --> 00:06:42.980
I'll tell you that.

00:06:45.209 --> 00:06:47.449
I got to admit, I was a panhandle Florida.

00:06:47.449 --> 00:06:49.269
I, I was, I live in Fort Walton beach.

00:06:49.269 --> 00:06:49.839
I loved it.

00:06:49.930 --> 00:06:50.709
Oh, nice.

00:06:50.750 --> 00:06:51.129
Nice.

00:06:51.129 --> 00:06:51.184
Yeah.

00:06:52.024 --> 00:06:54.175
White sand beaches, crystal blue waters.

00:06:54.774 --> 00:07:02.653
It's hard not to like, right now, what house would the sorting pat hat put you in?

00:07:03.625 --> 00:07:16.894
You got Hogwarts, Ravenclaw, Ravenclaw, Ravenclaw.

00:07:17.103 --> 00:07:17.985
I'm not quite Gryffindor.

00:07:17.985 --> 00:07:20.103
I'm definitely not Hufflepuff, definitely not Slytherin.

00:07:20.184 --> 00:07:26.814
So therefore the things that divide and unite us, right?

00:07:28.324 --> 00:07:29.165
Yeah, it's, it's funny.

00:07:29.165 --> 00:07:29.444
My.

00:07:30.014 --> 00:07:31.805
My wife's super into Harry Potter.

00:07:31.925 --> 00:07:34.654
Um, she she reads the books in Spanish.

00:07:35.245 --> 00:07:36.754
Um, just because why not?

00:07:37.115 --> 00:07:58.795
Um, And i've only I think i've i've read the first three I've only watched the first movie, but I know everything that happens in every single, because I, you ever know anyone who actually looks up spoilers of things just so you don't have to go and spend the time knowing it?

00:07:59.225 --> 00:07:59.464
Yeah.

00:07:59.464 --> 00:07:59.714
Yeah.

00:07:59.714 --> 00:08:01.074
You get the cliff notes version.

00:08:01.394 --> 00:08:02.185
That's what I do.

00:08:02.185 --> 00:08:07.245
I'm like, Oh, I can, I can spend a week reading all these things or I can go to Wikipedia.

00:08:07.625 --> 00:08:11.194
So, um, yeah, so I don't know.

00:08:11.194 --> 00:08:13.605
Or the Sorcerer's Stone in five minutes or less.

00:08:13.834 --> 00:08:14.165
Yeah.

00:08:14.235 --> 00:08:17.105
Like you just want to skip out on the whole, you know, fantasy experience.

00:08:17.105 --> 00:08:19.274
Just like who put this down here?

00:08:19.555 --> 00:08:20.254
That's what I need to know.

00:08:20.704 --> 00:08:24.084
I'm pretty sure there's like a whole YouTube channel that just does that.

00:08:24.095 --> 00:08:25.814
If not, there's someone's missing out.

00:08:27.154 --> 00:08:29.074
Well, that's my, that could be the second career.

00:08:31.334 --> 00:08:32.634
Now, now you have a mission.

00:08:33.575 --> 00:08:35.754
Orange juice, pulp, some pulp, no pulp.

00:08:36.075 --> 00:08:39.845
Um, I didn't know there was a third option for some pulp.

00:08:39.874 --> 00:08:42.445
Uh, the no pulp, pulp's just gross.

00:08:42.524 --> 00:08:48.950
I mean, um, I remember the first time I think I was like, It must have been six or eight, somewhere in there.

00:08:49.830 --> 00:08:54.720
And I think I had that on a family vacation with the pulp that ruined my day.

00:08:55.220 --> 00:08:59.629
, that's been a, that's been a formative childhood memory is pulp orange juice.

00:09:01.409 --> 00:09:01.919
All right.

00:09:02.220 --> 00:09:07.929
That I, I'm, I'm sorry it was traumatic. I just didn't expect it.

00:09:07.934 --> 00:09:09.549
It was just like, what who put this in?

00:09:10.269 --> 00:09:11.379
Well, thinking about it, right?

00:09:11.379 --> 00:09:20.855
I'm, I was like, you know, if you've never had pulp in orange juice and you got a big mouthful, all of a sudden you would really be a little, I, I could see how that could be upsetting, like really.

00:09:24.220 --> 00:09:27.259
It's all in your teeth and you're like, what is this?

00:09:27.279 --> 00:09:28.279
And you're eating with a spoon.

00:09:28.279 --> 00:09:31.839
And then, and like, no one else was reacting around me.

00:09:31.839 --> 00:09:33.480
I was like, did you all get the same thing?

00:09:33.490 --> 00:09:38.070
Am I just like, I remember that more vividly than I should.

00:09:38.139 --> 00:09:49.438
So, well, other than the pulp story, if I was to sit down with you guys at the dinner table, what is one story your family would try and tell to embarrass you?

00:09:50.095 --> 00:09:51.995
Oh, one story to embarrass me.

00:09:52.225 --> 00:09:56.654
That's a, that's a pretty, I mean, that's a hard one because of how many there would be.

00:09:57.245 --> 00:10:00.573
Um, Hmm.

00:10:01.054 --> 00:10:01.884
Go to though.

00:10:02.424 --> 00:10:16.875
The, I think a good one would be, um, oh, so I, um, when I was in grad school, um, I think for the first three years, I never, I just didn't take a vacation.

00:10:16.875 --> 00:10:21.495
And then one time my advisor was like, Hey, I was kind of looking over the, staffing thing.

00:10:21.573 --> 00:10:24.684
Uh, you, you, you haven't taken any time off in three years.

00:10:24.684 --> 00:10:27.225
So, uh, you have a mandatory three weeks off starting today.

00:10:27.744 --> 00:10:28.514
I was like, Oh, okay.

00:10:28.904 --> 00:10:31.443
Um, and I didn't know what I wanted to do.

00:10:32.575 --> 00:10:43.414
And on the walk back from the office, I would, uh, walk by this, uh, store and it was, um, geez, what's like, what's the chain?

00:10:43.424 --> 00:10:44.943
It's like REI, something like that.

00:10:45.474 --> 00:10:45.813
Yeah.

00:10:45.833 --> 00:10:49.674
It was It was like that, but not that I think it was like Appalachian outdoor.

00:10:49.674 --> 00:10:57.264
So if anyone's, you know, Appalachian outdoors, state college, really great store recommend, um, use coupon code PEC as now there's no coupon code.

00:10:57.294 --> 00:11:03.413
But anyway, um, the, uh, I walked by it and I was like, you know what?

00:11:03.413 --> 00:11:04.184
Maybe I should go camping.

00:11:04.205 --> 00:11:07.163
I have never gone camping before in my entire life ever.

00:11:07.245 --> 00:11:08.455
And I'm like, mid twenties.

00:11:08.455 --> 00:11:09.735
I'm like, yeah, let's go camping.

00:11:10.144 --> 00:11:11.414
So I just walk in there.

00:11:12.355 --> 00:11:14.524
Um, I'm like, Hey, I'm going camping.

00:11:15.899 --> 00:11:21.470
And I remember like the sales rep was like, and I'm like, yeah, I don't, I don't have anything.

00:11:24.220 --> 00:11:28.820
So like, I think I ended up buying like a tent and like a, like a little gas stove.

00:11:29.009 --> 00:11:30.119
And I'm like, all right, I'm good.

00:11:30.340 --> 00:11:32.000
Don't need nothing else.

00:11:32.210 --> 00:11:33.009
We're good to go.

00:11:33.700 --> 00:11:36.438
And I just, uh, put that in the car.

00:11:36.438 --> 00:11:37.429
This is all like 10 AM.

00:11:37.429 --> 00:11:39.480
So put that in the car and start driving out.

00:11:40.235 --> 00:11:47.534
Um, I think I brought like, I think I just took stuff out of the freezer, put it into a cooler, really high level of thought put into this trip.

00:11:48.004 --> 00:11:50.894
Um, uh, didn't bring water by the way.

00:11:51.184 --> 00:11:56.879
Uh, and just get in the car and I'm driving and I'm like, Where am I going to go?

00:11:56.879 --> 00:11:59.938
I, I don't know where I'm going to go.

00:12:00.289 --> 00:12:03.850
And I, I, uh, used my iPhone.

00:12:03.909 --> 00:12:16.149
I just type in state parks near me and I just go to this, the first place, uh, that I, that I just find, I, I forget where it was in Pennsylvania.

00:12:16.589 --> 00:12:20.019
Um, but I get there and I'm like, okay, this is cool.

00:12:20.019 --> 00:12:20.620
We're camping.

00:12:20.710 --> 00:12:21.570
I just pull my car in.

00:12:22.049 --> 00:12:26.200
And this is a series of like, just like stupid decisions.

00:12:26.200 --> 00:12:27.899
I'm like, okay, it's like 4 p.

00:12:27.899 --> 00:12:28.230
m.

00:12:28.450 --> 00:12:32.458
I'm here, settled in, or I think I settled in and like, let me go on a hike.

00:12:32.969 --> 00:12:34.049
No map, no nothing.

00:12:34.499 --> 00:12:44.539
Uh, and the idea of setting up your campsite before sunset, not, not, I mean, if you thought, if you thought I would have thought of that before then, you're deadly wrong.

00:12:44.918 --> 00:12:52.369
So like, I'm out on this trail, it's getting dark and I'm like, I don't know where I am, this, that, uh, get back.

00:12:52.938 --> 00:12:54.289
Eventually it's like dark.

00:12:54.669 --> 00:12:57.779
Um, then at this point, I don't know why I just didn't sleep in my car.

00:12:57.779 --> 00:12:59.529
I was like, no, I gotta have a full camping experience.

00:12:59.539 --> 00:13:07.750
So the first time ever I'm taking this tent out of the bag, um, do all that, get it together, fast forward tomorrow morning.

00:13:08.389 --> 00:13:11.269
Uh, I'm like, okay, I think I got this camping thing.

00:13:11.279 --> 00:13:17.809
And then it dawns on me at, at, you know, you know, sunrise, like, Oh wait, what am I going to eat?

00:13:18.980 --> 00:13:22.970
So I just have frozen.

00:13:23.080 --> 00:13:24.558
No, this time it's thawed meat.

00:13:25.109 --> 00:13:28.639
Okay, and I just had this like, I did bring a pan.

00:13:28.909 --> 00:13:29.429
Okay.

00:13:29.470 --> 00:13:30.328
I did bring a pan.

00:13:30.789 --> 00:13:34.600
Uh, and I just realized like, wait, I didn't bring any ice.

00:13:34.649 --> 00:13:38.889
There was like three pounds of like, I just, I think it was just ground beef or like chipped beef, something like that.

00:13:39.408 --> 00:13:42.568
Uh, so I cooked it all at the same time.

00:13:42.568 --> 00:13:43.570
So I thought that was a good idea.

00:13:44.068 --> 00:13:47.389
Um, and then that was the food for the next like five days.

00:13:47.620 --> 00:13:48.099
Okay.

00:13:48.460 --> 00:13:53.950
And if this is the point where people are thinking any sort of health or medical knowledge from this guy, I should just stop.

00:13:53.990 --> 00:13:55.990
Not like this, this is the time to make that decision.

00:13:55.990 --> 00:14:01.458
Um, and then, uh, then the next three days we're just eating.

00:14:02.009 --> 00:14:05.909
It was like hiking, eating beef that had a lot of salt on it.

00:14:05.909 --> 00:14:09.710
Cause I figured I was like, I think they use salt to preserve meat back in the day.

00:14:10.590 --> 00:14:15.250
Um, and again, at this time, mind you, I have no water, none zero.

00:14:15.318 --> 00:14:17.000
And I'm just like walking through.

00:14:17.000 --> 00:14:18.879
I'm like, man, like, why do I feel so tired all the time?

00:14:18.879 --> 00:14:21.860
I'm like, Oh wait, I haven't like drank any water in like a day.

00:14:22.328 --> 00:14:32.219
Um, and so when I ended up going to a new campsite, I was like, I'm not sure how, how dehydrated you've ever been in your entire life.

00:14:33.174 --> 00:14:42.063
But this was like, I don't know, like three hours sauna level of like, and then I eventually find this, uh, rest stop.

00:14:42.583 --> 00:14:47.965
And I don't know if you've ever been at a vending machine, like really, really thirsty.

00:14:48.004 --> 00:14:49.034
That thing cannot move.

00:14:50.024 --> 00:14:50.825
Fast enough.

00:14:52.014 --> 00:14:55.313
And I think I got like four aquafina is like drink them immediately.

00:14:55.804 --> 00:15:01.443
Uh, and then that was, I mean that I, I could just keep going on.

00:15:01.443 --> 00:15:11.674
There was like either, uh, then, cause there's only one thing that happens when you eat a bunch of salty beef for three days in a row, it's, it, it rhymes with my area, um, and hiking.

00:15:11.674 --> 00:15:12.844
So it was just a great time.

00:15:12.844 --> 00:15:13.684
And then there's a.

00:15:14.009 --> 00:15:15.240
Trying to make a campfire.

00:15:15.309 --> 00:15:17.929
Some guys like grandpa came over and like made it for me.

00:15:17.929 --> 00:15:20.509
I'm like mid 20s and I didn't have so much.

00:15:21.120 --> 00:15:21.690
So it was great.

00:15:21.700 --> 00:15:22.210
It was great.

00:15:22.570 --> 00:15:26.109
Um, and then I came back to humanity and they're like, how was your trip?

00:15:26.198 --> 00:15:30.169
And then they were like, now, now this is why we don't let you out of the lab.

00:15:30.179 --> 00:15:32.078
We know it's not very safe for you.

00:15:32.139 --> 00:15:40.289
This is not, well, we, I, I won't judge you hard in camping because it's not everybody's.

00:15:41.554 --> 00:15:41.985
bag.

00:15:42.184 --> 00:15:51.835
I, uh, my brother in law or sorry, my brother, we were on vacation and I had never taken my daughter's camping.

00:15:52.825 --> 00:15:56.294
And cause I'm just, I don't actually enjoy camping much.

00:15:56.823 --> 00:15:57.684
I know how to do it.

00:15:57.724 --> 00:15:58.934
I just don't want to.

00:15:59.884 --> 00:16:04.014
I want a hotel, you know, but, uh, not raccoons.

00:16:05.845 --> 00:16:21.663
So I was like, well, if I'm going to take him camping for the first time, my brother's a huge camper, like he he's that dude who like puts on a backpack and takes his two dogs and hikes into the mountains for five days and eventually comes back.

00:16:22.203 --> 00:16:24.083
It's like, did you take a tent?

00:16:24.083 --> 00:16:25.884
No, I've got a tarp.

00:16:25.975 --> 00:16:29.745
So we're a string like he's like, he's hardcore.

00:16:30.994 --> 00:16:34.164
And so we took him camping and my daughters had a blast.

00:16:36.240 --> 00:16:39.139
And so I came back from camping and I had to buy like fishing gear.

00:16:39.529 --> 00:16:46.409
And I hate fishing because my daughter fell in love with fishing and I had to buy camping gear cause they fell in love with camping.

00:16:46.409 --> 00:16:49.749
It's like, you suck.

00:16:51.658 --> 00:16:53.440
So I can't fault the camping thing.

00:16:53.448 --> 00:16:56.109
Cause if you don't know camping, like it's.

00:16:57.750 --> 00:16:59.120
There are much worse stories.

00:16:59.129 --> 00:17:09.269
Like I went to high school in Wyoming, dude, we'd get people from outside of the state come camp there in the Rocky mountains to have an experience and they'd leave in body bags.

00:17:09.278 --> 00:17:12.108
So you survived, you did good.

00:17:12.848 --> 00:17:14.179
That's what I, that's what I said.

00:17:14.190 --> 00:17:18.779
They're like, you know, but it's a higher standards, right?

00:17:18.788 --> 00:17:21.400
It was a growing, it's a character building experience.

00:17:21.818 --> 00:17:25.150
It was, it was like, what's the dumbest series of decisions can I make?

00:17:25.160 --> 00:17:28.160
Like literally I, I booked the, cause you have to.

00:17:28.744 --> 00:17:29.513
Book a campsite.

00:17:29.523 --> 00:17:30.684
That's that's what confused me.

00:17:30.684 --> 00:17:31.994
I was like, what is this like an outdoor hotel?

00:17:32.628 --> 00:17:37.089
Um, and I, like I booked it like an hour before showing up.

00:17:38.789 --> 00:17:40.119
Or like, did you print out your ticket?

00:17:40.128 --> 00:17:40.839
I'm like, what do you think this is?

00:17:42.779 --> 00:17:44.890
I did it on my phone while I was driving.

00:17:44.970 --> 00:17:45.559
I'm below here.

00:17:47.878 --> 00:17:52.430
Yeah, no, that, that part always, like I, I had to get like a parks pass here in Washington.

00:17:52.430 --> 00:18:03.400
You have to have like a parks pass or you have to pay extra fees and there's like, State parks have one pass and do I have all the right bureaucratic paperwork to go camping?

00:18:03.400 --> 00:18:05.588
Hmm.

00:18:07.249 --> 00:18:07.789
Fair enough.

00:18:07.878 --> 00:18:11.338
So if you could have any superpower, what would it be and why?

00:18:12.538 --> 00:18:14.568
Uh, any superpower?

00:18:14.769 --> 00:18:22.430
Um, I think the one that came to mind was, I guess, pausing and rewinding time.

00:18:23.789 --> 00:18:28.894
That would be Maybe I played too many video games growing up where we, you can just restart Prince.

00:18:28.924 --> 00:18:30.845
Um, but that would be it.

00:18:30.845 --> 00:18:38.474
Just like, oh, that didn't go well and then just kind of redo it or do I want that or immortality.

00:18:38.505 --> 00:18:40.484
Is immortality superhero power?

00:18:40.515 --> 00:18:41.174
Is that a thing?

00:18:41.505 --> 00:18:45.434
Just, I dunno if it's a superpower, but I mean, I think it could qualify.

00:18:47.115 --> 00:18:47.535
Right?

00:18:47.714 --> 00:18:49.125
We'll have to run it by the council.

00:18:49.275 --> 00:18:49.994
Um.

00:18:50.829 --> 00:18:52.660
Would I want to redo time or look for now?

00:18:52.660 --> 00:18:54.609
I feel living forever would eventually get really boring.

00:18:54.609 --> 00:18:56.900
So I'll go, I will double down on the pause, rewind.

00:18:57.819 --> 00:18:59.039
Well, it definitely worked for Dr.

00:18:59.039 --> 00:18:59.839
Strange with the time.

00:18:59.839 --> 00:19:14.048
So I don't think kind of saved his hide and the whole, so it saved me more than once in the Prince of Persia video games right now, whoops.

00:19:14.048 --> 00:19:19.328
That didn't work back biggest pet peeve.

00:19:20.154 --> 00:19:21.094
Biggest pet peeve.

00:19:21.794 --> 00:19:24.244
Oh man, biggest pet peeve.

00:19:24.804 --> 00:19:28.355
Um, man, I, I like really don't see that many people cause I live in the middle of nowhere.

00:19:28.355 --> 00:19:39.115
So like I got to remember what would be pet peeve of something that annoys me every single day.

00:19:40.444 --> 00:19:42.934
Try to think who I interact with, people online.

00:19:54.744 --> 00:19:55.013
Biggest pet peeve.

00:20:01.034 --> 00:20:04.124
It can't just be people chewing with their mouth open cause that's just like an easy one.

00:20:04.953 --> 00:20:10.325
But I, I have a friend who can't eat if somebody's doing that at the table.

00:20:11.763 --> 00:20:13.795
She literally gets sick and just has to walk away.

00:20:13.795 --> 00:20:13.854
It's weird.

00:20:14.604 --> 00:20:22.423
So it could be really My biggest pet peeve do I do I spend too much time by myself to even remember what this is?

00:20:23.044 --> 00:20:26.494
Well, I mean, I guess online will be a big pet peeve there.

00:20:26.834 --> 00:20:33.554
I think Well, is it really my fault that I get sucked into other people's opinions on social media?

00:20:33.594 --> 00:21:06.740
Maybe it is but nonetheless I think people leaving comments on social media acting as if Like there is not another person who like posted that Like like people saying thing online that they would never say in real life I think that's my biggest pet peeve like i'll post something about like I don't know sleep or whatever and someone's like, oh, like you're like a huge like bleep bleep I'm like you act like I just insulted like your grandmother.

00:21:06.749 --> 00:21:25.019
I just said something about like melatonin chill out or like Like or or oh, oh actually this might be my biggest pet peeve This might be the biggest, but people who are, um, armchair academics.

00:21:25.220 --> 00:21:39.226
So what I mean by this is like, uh, sometimes people like, I'll say like, Oh yeah, like melatonin, you look at a meta analysis and like, you know, it really doesn't show effectiveness past six months, dah, dah, dah, dah, dah.

00:21:39.226 --> 00:21:43.009
And they'll be like, well, like what's the validity of that research?

00:21:43.029 --> 00:21:47.184
And I was, and they're like, You might catch it sometimes on social media comments.

00:21:47.184 --> 00:21:59.914
My wife's pretty on it about me not being super snarky about research, but like I still sometimes I'm like, Oh yeah, what kind of criteria, like what sort of like size effect or sort of like power, you know, analysis have you done or would you need to, to know that?

00:22:01.714 --> 00:22:09.384
Oh, I was just, I was like, like the moment someone's like, uh, I think, I think it's from the movie Spider Man actually.

00:22:09.755 --> 00:22:12.269
Like, you know, the, Who is the original Green Goblin?

00:22:12.269 --> 00:22:21.859
You know how I'm talking about the, uh, there's that, there's a mean where he's like, I'm something of a scientist myself that if any of those I'm talking about, like that's how people come across.

00:22:21.859 --> 00:22:26.819
You're like, do you have any, uh, double blind placebo studies on this?

00:22:27.259 --> 00:22:31.009
And I'm like, you do realize what that means, right?

00:22:31.009 --> 00:22:34.388
Like say, if we're talking about like breath work or something like this, right?

00:22:35.720 --> 00:22:40.118
Uh, how do you double blind the study?

00:22:40.128 --> 00:22:46.210
Can you, can you please tell me, how would someone not know what breathing exercise there to, could you, could you inform me of this?

00:22:46.229 --> 00:22:47.190
That would, that would be great.

00:22:48.628 --> 00:22:52.049
And then that's usually when the comment that they don't comment back after that.

00:22:52.059 --> 00:23:00.529
So that, that, that, that is an arm, armchair academics who I get wanting to, you know, see verified, validated stuff.

00:23:00.549 --> 00:23:01.420
But it's like also.

00:23:04.059 --> 00:23:04.949
Don't ask questions.

00:23:04.960 --> 00:23:33.769
You don't know what to do with the answers because if, I mean, maybe a little bit of a research snob, a bit of a research snob myself, uh, from just being an academia, uh, you know, cause you know, I, I have my master's, but originally I was gonna get my PhD, but then decided like, okay, medical school would be better, uh, and even, even doctors, um, in terms of interpreting research, I'm not even gonna say not bad.

00:23:33.769 --> 00:23:34.469
They're, they're.

00:23:35.039 --> 00:23:35.650
They're bad.

00:23:36.019 --> 00:23:42.009
Like it's, it's just, it's like, you, you look at how this was done.

00:23:43.670 --> 00:23:44.900
Uh, so that's my biggest pet peeve.

00:23:46.000 --> 00:23:47.209
I appreciate that.

00:23:47.269 --> 00:23:50.648
You know, I, I, so my daughters are nine and 12, right.

00:23:50.648 --> 00:23:54.039
And as a, as a dad, I'm trying to teach them things as they're growing up.

00:23:55.049 --> 00:23:59.559
And just last night we were watching something and my daughter made a statement.

00:24:00.503 --> 00:24:00.734
I don't know.

00:24:00.894 --> 00:24:01.794
I don't remember what it was.

00:24:01.794 --> 00:24:04.085
I was like, you know, that doesn't fit.

00:24:04.085 --> 00:24:04.424
Right?

00:24:05.625 --> 00:24:08.794
The, the word, do you even know what that term means?

00:24:09.344 --> 00:24:11.673
She was like, I'm 12.

00:24:11.673 --> 00:24:13.273
I said, then why did you use it?

00:24:15.244 --> 00:24:18.753
If you don't know what it means, don't use it.

00:24:20.244 --> 00:24:20.554
Right?

00:24:20.564 --> 00:24:22.433
Everybody's heard of double blind study.

00:24:22.923 --> 00:24:24.775
Most people have no idea what it means.

00:24:24.855 --> 00:24:37.423
But, but we've heard the term, all of us who used to think that the lack of available information in the world when I was younger was the reason people were stupid.

00:24:39.763 --> 00:24:41.244
We've been proved wrong by the internet.

00:24:41.335 --> 00:24:44.934
We've yeah, we've, that's why we're building on artificial intelligence as a hope.

00:24:44.934 --> 00:24:54.315
Cause I think it can be out, you know, biologic stupidity, but yeah, like, uh, like I think the number one, one that always gets me is like, what was it?

00:24:54.403 --> 00:24:54.664
What?

00:24:54.775 --> 00:24:56.204
Oh, it was too small to sample size.

00:24:56.244 --> 00:25:00.213
That's, which is like literally like eighth grade analysis of like, why is a study of had a shortcoming.

00:25:00.625 --> 00:25:19.284
But like the, like, sorry, I think I've just taken too many stat classes to even like, because, because the really brutal, the really brutal analogy I always make, like, well, like, if you ran a, uh, uh, you know, clinical trial of like, does it hurt to get shot by a gun?

00:25:19.865 --> 00:25:21.433
Like, what does the sample size need to be?

00:25:21.839 --> 00:25:29.849
For that, like as like a, as an analogy of power analysis, cause people always be like, well, there wasn't enough.

00:25:29.849 --> 00:25:33.808
Like everyone says about every single study ever, there's like, you can't have 8 billion people in a study.

00:25:35.709 --> 00:25:36.068
Sure.

00:25:36.069 --> 00:25:36.638
You can't.

00:25:36.730 --> 00:25:37.269
No, I'm sorry.

00:25:38.788 --> 00:25:39.898
My mouth right there.

00:25:41.269 --> 00:25:44.559
Give the show, I'll give the show taken off before it ever airs.

00:25:45.069 --> 00:25:45.500
I keep going.

00:25:46.309 --> 00:25:53.859
I think the last several years, you know what I will say the last several years have made us more skeptical about.

00:25:54.144 --> 00:25:55.884
Accepting certain things.

00:25:57.755 --> 00:26:06.894
So it's good that we're starting to ask questions, but we need to be asking more questions that we understand.

00:26:08.535 --> 00:26:13.814
So it's something to have the answers as opposed to trying to sound clever when we do it.

00:26:14.384 --> 00:26:14.684
Yeah.

00:26:14.684 --> 00:26:16.299
The, uh, Yeah.

00:26:16.309 --> 00:26:21.779
Cause the, uh, what's the one magazine, is it Buzzfeed?

00:26:21.799 --> 00:26:40.630
Like, I'm not sure if it is Buzzfeed, but it's always that sort of structured headline where it's like, uh, ping pong balls are good for, you know, testosterone experts say, like, you know what, like that headline where it's just like, so we just randomly put an expert say or research, and it's like, wait, what?

00:26:41.039 --> 00:26:44.549
Um, and then like, just the yes.

00:26:44.559 --> 00:26:51.410
Cause like, I mean, especially with how, like, I think, Probably right now, um, this is conjecture.

00:26:51.410 --> 00:27:12.460
I'm not sure if they would actually, uh, if there was any surveys to substantiate this, but probably right now in the, in the sort of the aftermath of COVID and all of that, uh, I would say probably public distrust in like presented information is at an all time low, wait, wait, wait.

00:27:12.509 --> 00:27:16.519
Public trust time, low public distrust would be an all time high, I think.

00:27:16.929 --> 00:27:18.680
Um, and.

00:27:19.489 --> 00:27:24.499
Yeah, people do need to be able to ask questions, but people don't know what, what questions to ask.

00:27:24.509 --> 00:27:35.429
Like, I, like, I've taken, so my, my advisor in grad school, like, she made me take a statistics, a statistics course every single semester in grad school.

00:27:36.369 --> 00:28:00.130
So by my third year, I was in my sixth one, and it's me, and like, in like, you know, biology, physiology world by myself, and everyone else is either a statistics PhD, Or in like some weird engineering field and we're looking at these like 3d plots and i'm just sitting i'm like, how did I get here?

00:28:01.210 --> 00:28:22.359
nonetheless Uh people in terms of like interpreting research Um, I mean one people don't really have access to to the articles and reading an abstract is never really enough but too like, uh having gone to a lot of Research expositions where people are like, I don't know, they gather in a conference room.

00:28:22.390 --> 00:28:23.559
They're like, here's my research.

00:28:23.670 --> 00:28:24.109
Here we go.

00:28:24.509 --> 00:28:33.019
Uh, it's kind of scary because like you will find independent research groups and like, they'll have banners that say like, we'll get the results you need.

00:28:33.579 --> 00:28:36.470
I'm like, wait, wait, wait, what do y'all mean by that?

00:28:37.808 --> 00:28:47.940
Uh, cause, uh, there's, yeah, there's, there's an interesting article, uh, By this guy, I think his last name is like, Ionis, something like that.

00:28:48.730 --> 00:28:52.599
Not the guy from the Milwaukee Bucks that plays basketball, but another, this guy is Greek.

00:28:52.980 --> 00:28:57.739
Um, but it's called like, I think it's called like statistics.

00:28:58.819 --> 00:29:01.299
I think it's called like statistics and damn lies, something like that.

00:29:01.609 --> 00:29:14.148
And it kind of breaks down in terms of just like how faulty a lot of the, Research methodology is so it does really, uh, somebody to have a very discerning eye of like, okay, what does this mean?

00:29:14.148 --> 00:29:15.229
Be able to triangulate it all?

00:29:15.278 --> 00:29:27.859
Because, like, just basing everything on, like, 1 sort of study, um, you know, it's going to have its own risk of being able to have it all together and then apply it and see it for yourself because you're an equals ones always give me the most important.

00:29:27.888 --> 00:29:28.239
Not like.

00:29:28.954 --> 00:29:32.234
What happened to these 10, 000 people in the Dominican Republic?

00:29:32.615 --> 00:29:37.434
Uh, but really for yourself there, but I guess that is my pet peeve.

00:29:37.434 --> 00:29:38.875
If I'm able to talk about this much.

00:29:42.615 --> 00:29:45.275
I, I'm, I, I feel the same way about polls.

00:29:46.154 --> 00:29:47.694
Statistics always bought.

00:29:47.734 --> 00:29:50.835
I love stats, but at the same time, right.

00:29:50.845 --> 00:30:05.144
In any field, I'm always a skeptic just because it's like, uh, I know how you can skew things with like polls and research if you want to, if you're unethical about it, right.

00:30:05.944 --> 00:30:12.234
Uh, I know exactly how they get some of the polls they get and publish as far as like public opinion.

00:30:12.244 --> 00:30:16.315
I think it's really not hard to stack those.

00:30:16.315 --> 00:30:16.683
Right.

00:30:16.765 --> 00:30:17.234
Right.

00:30:18.214 --> 00:30:32.825
You can go to one region of the country, one particular area and ask a sampling from one specific like state or city and know pretty much how the answer is going to go, depending on what you're pulling.

00:30:32.835 --> 00:30:40.605
So it's, uh, yeah, it's the last couple of years definitely made us all a little more skeptical of information.

00:30:41.204 --> 00:30:42.684
I think we're in a stage where.

00:30:43.109 --> 00:30:55.500
We're now really distrustful and skeptical, but we don't really have the education or the facts to process it and know what to do with that distrust.

00:30:56.799 --> 00:31:01.480
I, that's, that's gotta be where some of those double blinds.

00:31:01.640 --> 00:31:01.950
Yeah.

00:31:02.960 --> 00:31:03.609
Double blind.

00:31:03.660 --> 00:31:04.089
Okay.

00:31:05.730 --> 00:31:06.069
Right.

00:31:07.434 --> 00:31:16.164
I have an idea of what all that means, but I also know that that couldn't possibly work in every contextual study you do, right?

00:31:16.174 --> 00:31:22.845
The birth work example is great on that because like, yeah, I'm not sure that's working.

00:31:22.845 --> 00:31:24.904
So yeah.

00:31:25.305 --> 00:31:28.115
No, I, I, I get it guys.

00:31:28.115 --> 00:31:29.775
We've been getting to know Dr.

00:31:29.775 --> 00:31:36.345
Dillon just a little bit, who he is, what he's about, what he's like, and don't take the camping trip is his medical basis.

00:31:36.345 --> 00:31:40.075
He did survive college after that and go on to get his medical degree.

00:31:42.444 --> 00:31:44.464
We all lived through those young years.

00:31:44.904 --> 00:31:48.125
In the next part of the show, we're going to dive into understanding sleep apnea.

00:31:48.154 --> 00:31:49.795
This is something that is prevalent.

00:31:50.164 --> 00:31:56.914
Uh, in the United States and all over the world that affects men and affects women, it affects people you think are healthy.

00:31:57.454 --> 00:32:00.275
So we're gonna roll our sponsor and we right back with more from Dr.

00:32:00.275 --> 00:32:00.865
Dylan Petkus.

00:32:03.224 --> 00:32:08.565
Are you tired of tossing and turning at night, searching for that elusive, perfect pillow or just better bedding in general?

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00:33:30.150 --> 00:33:32.269
Welcome back in the first part of the show, where you get to know Dr.

00:33:32.269 --> 00:33:35.039
Dylan a little bit, just who he is, what he's about getting to fill for him.

00:33:35.309 --> 00:33:38.640
In this part of the show, we're going to dive into understanding sleep apnea.

00:33:39.009 --> 00:33:41.799
Guess this is something that impacts a lot of people.

00:33:41.809 --> 00:33:48.234
Chances are, even if this doesn't impact you personally, You probably have people in your circle.

00:33:48.664 --> 00:33:51.934
That are affected and impacted by sleep apnea.

00:33:52.474 --> 00:34:05.545
Uh, I've actually been really looking forward to this conversation because I'm pretty sure I have sleep apnea and positive my wife does, but this is something that impacted me because my dad has sleep apnea really, really bad.

00:34:06.315 --> 00:34:07.724
And he kept fighting us on it.

00:34:08.045 --> 00:34:21.394
And pretending that it wasn't a real issue for him up until he was so sleepy and not with it so foggy that he turned onto an off ramp to get on the highway with my mom in the car.

00:34:24.155 --> 00:34:27.594
No one got hurt, but it was enough to scare him.

00:34:28.585 --> 00:34:38.235
That he pulled over the side of the road and just let her drive and made a doctor's appointment and finally went to, at this point, he was falling asleep.

00:34:38.275 --> 00:34:48.264
Like he would fall asleep talking and, and wake up 10 minutes later and pick back up where he was and all the rest of us just laugh because we're just, the conversation is going on.

00:34:48.655 --> 00:34:52.824
This happened all the time, but he was like, no, there's nothing wrong with me.

00:34:52.824 --> 00:34:53.835
I don't have any problems.

00:34:54.244 --> 00:34:56.735
So this is a subject that's near and dear to my heart.

00:34:56.784 --> 00:34:58.304
I think this impacts a lot of men.

00:34:59.144 --> 00:35:01.494
And it doesn't always show up in the forum.

00:35:01.494 --> 00:35:09.335
You know, I know a lot of bodybuilders and strong men have CPAPs because they have sleep apnea because of the size of their neck.

00:35:10.315 --> 00:35:14.304
So there, there are a lot of things that a lot of us don't understand about it.

00:35:14.385 --> 00:35:15.065
And Dr.

00:35:15.065 --> 00:35:17.494
Dylan's going to clear some of this up for us today and help us.

00:35:18.179 --> 00:35:25.650
Get a handle on this thing that can really hurt you in the background, which I'll achieve and realizing is going on.

00:35:26.820 --> 00:35:27.130
So Dr.

00:35:27.170 --> 00:35:31.260
Dylan, let's, let's just make this really clear right off the bat.

00:35:31.280 --> 00:35:33.309
What is sleep apnea clinically?

00:35:34.070 --> 00:35:43.280
So sleep apnea is when you stop breathing more than five times per hour while sleeping at night.

00:35:43.610 --> 00:35:44.179
Okay.

00:35:44.460 --> 00:35:46.780
So that's obviously bad.

00:35:46.780 --> 00:35:52.594
Cause if you just stop, like, if you just stop breathing in the middle of the day, You would think that was kind of weird, right?

00:35:54.085 --> 00:35:57.014
If you did that 10 times per hour, okay.

00:35:57.184 --> 00:35:58.485
Did that 20 times per hour.

00:35:58.744 --> 00:35:59.235
Okay.

00:35:59.594 --> 00:36:09.574
But like some men, well, I mean, really anyone, men or women, uh, but it affects 70%, like of a hundred people who have sleep apnea, 70 are men, 30 are women.

00:36:10.425 --> 00:36:20.425
Um, but when you start to do that, like 30, 40, 50 times a night, you know, imagine if someone came into your bedroom and woke you up like every other minute.

00:36:21.315 --> 00:36:31.565
You know, it's like essentially like having a puppy or a newborn baby, um, in terms of just like the sleep deprivation.

00:36:31.565 --> 00:36:37.215
The thing is, it doesn't always, uh, wake you up consciously, right?

00:36:37.235 --> 00:36:41.005
It could take you to like, you know, you can still be like unconscious, but like not in a deep restful state.

00:36:41.844 --> 00:36:42.105
State.

00:36:42.425 --> 00:36:42.875
Okay.

00:36:42.875 --> 00:36:47.054
So then your sleep quality just completely falls apart.

00:36:47.054 --> 00:36:52.375
And then you're, you know, doing things like that, where like a lot of times I'm talking with people, I'm like, Hey, how's driving?

00:36:52.885 --> 00:36:54.755
How are those zoom meetings?

00:36:54.835 --> 00:36:55.364
Okay.

00:36:56.485 --> 00:37:06.824
People are just like, how'd you know, I'm nodding off during that or, uh, dinner they're, they're falling asleep, uh, because they're just, just not sleeping at night whatsoever.

00:37:06.835 --> 00:37:11.655
They're kind of knocked out, but you know, if you're waking up, you know, let's say you're.

00:37:12.764 --> 00:37:25.195
Down for eight hours, wake up 30 times every hour, 240 times a night, you know, I think we can all recognize when you wake up like maybe five times a night, how bad night that's going to be.

00:37:25.735 --> 00:37:29.235
But then like make that 240, that's just beyond off there.

00:37:29.905 --> 00:37:30.135
Yeah.

00:37:30.235 --> 00:37:32.554
So, okay.

00:37:32.594 --> 00:37:34.545
So that's, that's the clinical.

00:37:35.054 --> 00:37:36.054
Definition of it.

00:37:36.695 --> 00:37:41.804
And so a lot of us just are thinking, okay, right, right.

00:37:41.974 --> 00:37:43.094
And we associate it with snoring.

00:37:43.105 --> 00:37:45.204
Is it always about snoring or.

00:37:46.315 --> 00:38:04.715
It, if we were to make a Venn diagram, cause we love drawing circles, uh, there would be a lot of overlap, uh, between the two because, um, sleep apnea, one of the, I don't want, it's a necessary, but not sufficient part of sleep apnea.

00:38:04.715 --> 00:38:04.985
Okay.

00:38:04.985 --> 00:38:05.724
Let me kind of break this down.

00:38:05.724 --> 00:38:06.864
We talked about camping earlier.

00:38:06.864 --> 00:38:07.965
I've learned a lot since then.

00:38:08.324 --> 00:38:09.744
So like to have a campfire.

00:38:10.704 --> 00:38:13.114
You need wood, right?

00:38:13.815 --> 00:38:16.394
But is wood sufficient to have a campfire?

00:38:16.414 --> 00:38:20.414
No, you need like oxygen, you need a fuel source, right?

00:38:20.775 --> 00:38:22.565
Uh, like, I don't know, whatever you spray on it.

00:38:22.565 --> 00:38:24.224
Okay, I haven't learned that much about making a campfire.

00:38:24.224 --> 00:38:35.675
But, uh, with sleep apnea, yes, an anatomical narrowing of your airways is a necessary part of the development of this disease.

00:38:36.525 --> 00:38:41.275
But you need one other factor to then make that a problem.

00:38:41.585 --> 00:38:41.914
Okay.

00:38:41.914 --> 00:38:45.905
And that other factor is a faulty breathing pattern where you're over breathing.

00:38:46.480 --> 00:38:47.010
Okay.

00:38:47.349 --> 00:38:55.150
So when you combine these two together, over breathing plus a narrow airway, your airway gets more and more narrow.

00:38:55.610 --> 00:38:56.170
Okay.

00:38:56.500 --> 00:39:00.239
And snoring is essentially like a whistle.

00:39:00.579 --> 00:39:01.119
Okay.

00:39:01.639 --> 00:39:10.389
So like you try to whistle with like pursed lips and like that, obviously if you just like keep your mouth open, just like blow air, like you're not going to really make any sound.

00:39:10.389 --> 00:39:35.054
But if you were to purse your lips together and then blow, then you would make a sound because the opening is a lot, uh, Uh smaller and that's going to cause like this turbulence of air which is Sound essentially so that's why snoring and sleep apnea are very close together Uh there so if you have if you have snoring and you're tired It's very likely you have sleep apnea.

00:39:37.304 --> 00:39:37.744
Okay.

00:39:38.195 --> 00:39:38.695
Fair enough.

00:39:39.295 --> 00:39:40.385
I just, right.

00:39:40.945 --> 00:39:42.565
Most of us are referencing things.

00:39:42.565 --> 00:39:50.695
We know like television and movies, unfortunately, that's the point of reference for a lot of these things that we were talking about off camera.

00:39:50.724 --> 00:39:54.394
Uh, And some on with your pet peeve, right?

00:39:54.454 --> 00:39:56.644
That's for a lot of us, that's our reference point, right?

00:39:56.644 --> 00:40:03.094
We're not medical professionals, and so we know what we see on YouTube or on television.

00:40:03.815 --> 00:40:09.364
And guys, let's be honest, most of that is a bunch of trash and isn't anywhere near accurate.

00:40:10.474 --> 00:40:14.215
So what is you said is, is a breathing pattern issue.

00:40:15.155 --> 00:40:15.244
Mm-Hmm.

00:40:16.864 --> 00:40:25.175
. So when you, uh, look at the research, my favorite thing I, we talked about with pet peeve, uh, , you'll see.

00:40:25.960 --> 00:40:29.590
That well, actually, let's kind of anchor this on what people kind of notice.

00:40:30.000 --> 00:40:33.079
Uh, so if you're like sleeping with your partner, right.

00:40:33.179 --> 00:40:42.119
Or if like, I mean, even with like your pet, you'll notice this as mammals kind of group them all together, uh, fall asleep.

00:40:43.255 --> 00:40:47.034
You'll start to hear their breathing a little bit more in that initial period, right?

00:40:48.324 --> 00:40:49.784
And then it'll kind of trail off.

00:40:49.795 --> 00:40:56.355
So there's this little transition in, like, tidal volume, which is how much air you breathe in and out, okay?

00:40:57.224 --> 00:41:04.585
So, when you breathe at night, like, normal healthy breathing would actually be less breathing, okay?

00:41:05.494 --> 00:41:10.608
The reason why that is, is because your body's metabolism should match your breathing.

00:41:11.050 --> 00:41:11.510
breathing.

00:41:11.880 --> 00:41:12.190
Okay.

00:41:12.190 --> 00:41:13.369
They should match together.

00:41:13.869 --> 00:41:14.349
All right.

00:41:14.889 --> 00:41:17.280
So you already know this with your car, right?

00:41:17.280 --> 00:41:22.619
If you put the, put on the gas pedal, you're going to have more air coming in and out of the engine.

00:41:22.949 --> 00:41:27.510
Or if you go sprint really, really fast, what do you do after you sprint?

00:41:28.894 --> 00:41:29.355
You breathe.

00:41:30.195 --> 00:41:30.985
Well, yeah, you could die.

00:41:31.164 --> 00:41:32.215
That's also a possibility.

00:41:32.215 --> 00:41:38.474
You know, there's not a chance of zero, but, um, you know, you're going to breathe more because your metabolism just rev, revved up.

00:41:38.804 --> 00:41:39.244
Okay.

00:41:39.534 --> 00:41:44.025
So when you sleep, your metabolism compared to daytime does go down.

00:41:44.235 --> 00:41:49.215
Obviously it doesn't go to zero, but like breathing should go down along with it.

00:41:50.114 --> 00:41:52.655
But when there is sleep apnea.

00:41:53.864 --> 00:41:57.335
Then breathing remains elevator even goes higher.

00:41:57.425 --> 00:41:57.835
Okay.

00:41:57.835 --> 00:42:01.695
So a normal healthy person will have a tidal volume, right?

00:42:01.775 --> 00:42:04.565
The amount of air they breathe in and out about like 500.

00:42:04.994 --> 00:42:12.744
milliliters, which is, well, I didn't bring my, my props today, but let's just say it's like this much, uh, you know, half a liter Coke bottle.

00:42:13.034 --> 00:42:16.195
Uh, but in sleep apnea, it can be 1500 milliliters.

00:42:17.724 --> 00:42:19.324
So three times as much.

00:42:19.804 --> 00:42:20.335
Okay.

00:42:21.144 --> 00:42:28.514
So when you have more air going in and out, then that'll cause a lot of problems.

00:42:28.574 --> 00:42:29.025
Okay.

00:42:29.295 --> 00:42:31.775
One, that's going to cause more inflammation with your airways.

00:42:32.125 --> 00:42:37.969
So it's going to bring them closer together and closer together and you get snoring or they just Snap shut.

00:42:38.190 --> 00:42:38.670
Okay.

00:42:39.099 --> 00:42:40.329
Uh, and that's kind of the second thing.

00:42:40.329 --> 00:42:44.889
So the first big problem, inflammation just from too much air going through.

00:42:44.920 --> 00:42:49.610
If you're someone who uses a CPAP, you already know how much constant air can really irritate your airways.

00:42:50.159 --> 00:42:57.949
Uh, thing number two that happens is this will then cause your airways to snap shut.

00:42:58.110 --> 00:42:58.599
Okay.

00:42:59.224 --> 00:43:06.135
Cause I know like I just told everyone like five minutes ago, sleep apnea is when you stop breathing and now I'm telling you the problems you over breathe.

00:43:06.144 --> 00:43:19.034
So if you've, if you've like noticed this inconsistency and, and you know what we've been talking about five points to you, but it, how it goes is the breathing pattern goes up and up and up and then airways will snap shut.

00:43:19.545 --> 00:43:23.344
And then it would pretty much go in this pattern, kind of like up and down throughout the night.

00:43:23.534 --> 00:43:23.804
Okay.

00:43:23.804 --> 00:43:24.985
It's like a compensation pattern.

00:43:25.014 --> 00:43:26.344
Oh, we overcompensated, et cetera.

00:43:27.054 --> 00:43:39.465
And the reason this happens is because when you have a lot of air movement happening, all right, um, well, let's go with like the simplest way to explain this.

00:43:39.735 --> 00:43:44.284
You know, like a, like a, like a Bobo tea straw, like one of those big ones, you know what I'm talking about?

00:43:45.375 --> 00:43:45.824
No.

00:43:45.965 --> 00:43:46.405
Okay.

00:43:46.855 --> 00:43:53.375
Um, the, well, we'll do Bobo tea and then we'll talk about showers.

00:43:53.375 --> 00:43:54.324
Don't talk about window curtains.

00:43:54.784 --> 00:43:57.195
So the, I've come right here with my analogies.

00:43:57.445 --> 00:44:01.405
So essentially if you have like a, okay, wait, no, this is a better one.

00:44:01.824 --> 00:44:10.335
Uh, Using a paper straw to drink a milkshake always goes horribly wrong, okay?

00:44:10.574 --> 00:44:14.545
Because there's too much pressure and then this causes the straw to collapse, okay?

00:44:14.945 --> 00:44:17.324
That's what happens in your airways when you over breathe.

00:44:17.375 --> 00:44:24.905
That big gust of air causes a lot of pressure, causes the straw, which is your throat, your airway, to collapse at a certain point.

00:44:24.914 --> 00:44:25.545
You can't breathe.

00:44:26.014 --> 00:44:26.505
Okay.

00:44:26.764 --> 00:44:30.945
That's fundamentally the mechanism by which your airway snaps shut.

00:44:31.085 --> 00:44:33.735
And this is why like a CPAP, right?

00:44:33.954 --> 00:44:36.364
It uses brute force just to keep that airway open.

00:44:36.905 --> 00:44:37.405
Okay.

00:44:38.255 --> 00:44:40.565
So that's one way to solve the problem.

00:44:40.675 --> 00:44:42.945
Just seem like brute force put air through there.

00:44:43.175 --> 00:44:56.204
But then the other thing is to go from over breathing back into a normal natural breathing pattern, because then you don't have as much air, as much pressure, and that prevents the airways from collapsing in on each other.

00:44:56.824 --> 00:45:12.780
Okay, uh, we can skip the shower analogy and Bernoulli's equation and all that, but uh, that's the, the basic mechanism is that you have too much pressure from too much breathing drive, and then that will bring an airway that has some sort of narrowing in it.

00:45:13.369 --> 00:45:13.860
Okay.

00:45:14.099 --> 00:45:16.030
And it'll just bring it closer together.

00:45:16.309 --> 00:45:18.289
And then it'll just go through that pattern throughout the night.

00:45:18.539 --> 00:45:25.570
So that's why, whether it's again, like having some sort of narrowing and this could range from a lot, it could be your adenoids.

00:45:25.570 --> 00:45:27.590
It could be a nasal turbinates.

00:45:27.929 --> 00:45:34.650
It could be, you know, yes, if you do have a little bit more, uh, neck mass that will set things up to be.

00:45:35.289 --> 00:45:41.389
You know, there's a necessary ingredient, but then you need to have this overbreathing component as well.

00:45:41.389 --> 00:45:57.500
Because when you, when you look at, uh, like there's been studies done, uh, like dentists, ENTs, where they're just like looking in people's airways, uh, the general population has like 60, 80 percent of people have some narrowing of their airway.

00:45:58.320 --> 00:45:58.750
Okay.

00:45:59.360 --> 00:46:00.769
Which is a lot, right?

00:46:01.250 --> 00:46:01.559
Yeah.

00:46:01.590 --> 00:46:06.119
But, but only 10 percent are confirmed with sleep apnea.

00:46:06.119 --> 00:46:08.849
Yes, we could say there's an estimate at 30%.

00:46:08.849 --> 00:46:10.510
I'm never sure where these estimates come from.

00:46:10.510 --> 00:46:12.199
They just say, well, we think it's three times this.

00:46:13.190 --> 00:46:18.639
Okay, maybe it could be, I don't know, but only because there are a lot of people who are like, you know, denial over it.

00:46:18.820 --> 00:46:25.110
Um, I mean, I was too, um, but 10 percent over here with sleep apnea.

00:46:25.130 --> 00:46:50.320
So like, I don't have a degree in mathematics, but what I can tell you is that 10 percent and 60 to 80 percent are very different in terms of, you know, cause if, if, if it was just airway narrowing, just, you know, one to one, like this should be way higher, but it's not because The airway narrowing is necessary, but then the overbreathing needs to happen on top of it as well.

00:46:54.059 --> 00:46:57.159
Uh, yeah, I'm, I'm processing as you're going.

00:46:57.599 --> 00:47:03.449
Cause I was just always told it was a, you know, basically a thickness thing, right?

00:47:03.449 --> 00:47:21.019
A density of your neck, whether that was like unhealthy weight or whether that was like, you know, you have a football, like a Lyman grade football neck, you know, uh, Just too much size too much weight on that area collapsing your airway.

00:47:21.030 --> 00:47:23.050
This is what I was always told.

00:47:23.579 --> 00:47:24.760
Mm hmm.

00:47:24.769 --> 00:47:32.789
Oh, that's why I I bored you with a lot of statistics about how surgery is like not like this like instant cure all to this, right?

00:47:33.349 --> 00:47:47.085
Because if you're like removing like like if you're doing the nasal turbinate reduction Which is again like five to ten percent like zero to ten percent improvement in symptoms Or you know, you're kind of clearing out the uvula and adenoids all that You Maybe like 40 percent improvement.

00:47:47.085 --> 00:47:49.414
Well, 40 percent of people have a 50 percent or less improvement.

00:47:49.945 --> 00:47:56.255
And then like actually advancing the jaw as well, having like a, around 20 percent improvement.

00:47:57.364 --> 00:47:59.864
If it was anatomy, if it was only anatomy, okay.

00:47:59.864 --> 00:48:07.914
I don't, I don't want to like say anatomy is not important, but if it was the only factor, then those should be way more effective.

00:48:07.934 --> 00:48:10.614
And it's not because surgeons are like, Oh, I cut out the wrong part.

00:48:10.644 --> 00:48:12.025
Like, no, they're very smart people knowing what they're doing.

00:48:13.125 --> 00:48:14.244
Oh, I took off your ear.

00:48:14.244 --> 00:48:15.045
I thought you said ear.

00:48:15.105 --> 00:48:15.855
Oh, it's nose.

00:48:15.885 --> 00:48:16.885
I'm okay.

00:48:18.280 --> 00:48:22.619
Because obviously an ENT, they just go into the OR like, am I doing the ear, nose or throat today?

00:48:22.619 --> 00:48:22.880
I don't know.

00:48:22.940 --> 00:48:24.980
And sometimes I mess it up, but no, I'm joking.

00:48:25.460 --> 00:48:33.409
But, uh, if it was anatomy, just like strictly, if it was strictly anatomy, um, then those things would be a lot more effective.

00:48:34.420 --> 00:48:55.244
But there's a lot of people who don't have the benefit from that because you can clear out the anatomy, but if you're still over breathing, At night, this thing's still going to happen here, and I kind of look silly just clapping here by myself, but the clap along with me, but like, that's still going to happen.

00:48:55.244 --> 00:48:56.965
It's just going to be, it might be slightly less likely.

00:48:57.465 --> 00:49:12.353
But the thing is, like, by the time, by the time someone even has surgery, because, like, you know, it is really used as a last resort, uh, which, which I think is, is an appropriate practice measure, but by the time someone's there, like, metabolically.

00:49:12.815 --> 00:49:20.065
It's just Breathing wise, that's so bad that like, yes, you can correct it out of me, but then the bigger problem is still left with the breathing.

00:49:23.304 --> 00:49:31.344
And in our pre show conversations, you said that there's something going on at an even deeper level.

00:49:31.344 --> 00:49:39.735
You talked about cellular level and like, I, I'm totally lost because.

00:49:40.175 --> 00:49:44.164
I can, this is down that low.

00:49:44.295 --> 00:49:45.594
This is yeah.

00:49:45.644 --> 00:49:47.405
So let's go on the magic school bus here.

00:49:47.684 --> 00:49:50.025
So do people even know what that is anymore?

00:49:50.074 --> 00:49:52.164
I, you know what, my kids are magic school bus fans.

00:49:52.184 --> 00:49:53.655
I like to watch it with them actually.

00:49:53.684 --> 00:49:54.994
So excellent.

00:49:55.394 --> 00:50:09.644
Uh, so, uh, at the end of the day, our body, like one of the bodies, like main job is to bring in the necessary substrates into ourselves to produce cellular energy.

00:50:09.664 --> 00:50:11.244
So all the functions can happen.

00:50:11.780 --> 00:50:12.309
Okay.

00:50:13.119 --> 00:50:23.909
So as part of that, just like any good old campfire, which is now the running analogy, one of the things you need, actually, this, this somehow worked altogether.

00:50:24.280 --> 00:50:27.750
Um, you can have again, fire, right?

00:50:28.639 --> 00:50:30.699
You can also have something to help like burn it.

00:50:30.699 --> 00:50:30.929
Right?

00:50:30.929 --> 00:50:36.150
But then one of the most important ingredients is oxygen, right?

00:50:37.125 --> 00:50:41.605
And when you get a fire going, what then comes out of it?

00:50:41.664 --> 00:50:50.385
Okay, there is a flame, there might be marshmallows, who knows, but the thing that comes out is carbon dioxide.

00:50:50.394 --> 00:50:52.784
Okay, yes, many other things, you know, carbon monoxide, blah, blah, blah.

00:50:53.085 --> 00:50:55.869
But Carbon dioxide for the sake of this argument.

00:50:55.880 --> 00:50:56.579
We're going to focus on that.

00:50:56.750 --> 00:51:02.469
Okay, so essentially our bodies are this big combustion engine.

00:51:02.750 --> 00:51:09.619
Okay, oxygen and food comes in and then we get energy and carbon dioxide.

00:51:09.750 --> 00:51:11.429
Okay, cellular respiration.

00:51:11.590 --> 00:51:17.300
Okay, so if we get on a magic school bus and go all the way down to where this happens, it's inside your mitochondria.

00:51:17.300 --> 00:51:18.849
This is like the powerhouse of the cell.

00:51:18.849 --> 00:51:19.139
Yes.

00:51:19.309 --> 00:51:21.420
You know, great memories being formed around that.

00:51:21.780 --> 00:51:24.820
Uh, but essentially, it's just oxygen glucose.

00:51:24.885 --> 00:51:32.224
And then on the other side of this, you're going to get ATP, cellular energy, great stuff.

00:51:32.554 --> 00:51:35.094
And then also carbon dioxide.

00:51:35.445 --> 00:51:36.045
Okay.

00:51:36.735 --> 00:51:47.684
So the reason this connects with breathing, the primary driver of breathing is carbon dioxide, which comes from your metabolic fire.

00:51:48.295 --> 00:51:48.864
Okay.

00:51:49.605 --> 00:51:51.934
So if you start to have deficits.

00:51:52.690 --> 00:51:58.789
In your mitochondria over here, then you're going to produce carbon.

00:51:58.869 --> 00:52:02.110
Like you're not going to produce, well, sometimes it'll be too much, not enough.

00:52:02.110 --> 00:52:04.280
There'll be issues with carbon dioxide.

00:52:05.210 --> 00:52:10.380
And then you've now thrown off your body's signal to breathe properly.

00:52:10.570 --> 00:52:12.440
And then you will over breathe.

00:52:12.989 --> 00:52:17.110
And then when you over breathe and you have this anatomy issue, okay.

00:52:17.250 --> 00:52:18.860
Or some people don't even have an anatomy issue.

00:52:19.079 --> 00:52:20.000
And they still have sleep apnea.

00:52:20.489 --> 00:52:22.980
Then we're back to where we were.

00:52:22.980 --> 00:52:26.670
But it is, it's from this.

00:52:27.889 --> 00:52:34.179
Misproduction, if you will, of CO2, carbon dioxide, at a cellular level.

00:52:35.309 --> 00:52:37.820
That's the, the crux of it.

00:52:41.929 --> 00:52:44.030
I love this explanation, by the way.

00:52:45.164 --> 00:52:46.885
Like I, I could see it in my head.

00:52:47.135 --> 00:52:47.684
I really do.

00:52:47.684 --> 00:52:49.815
I watched the magic school bus with my kids.

00:52:51.284 --> 00:52:52.355
So I'm watching Ms.

00:52:52.364 --> 00:52:55.594
Frizzle walk me through this on the school bus.

00:52:55.684 --> 00:52:59.434
Like my brain is I'm a big kid.

00:52:59.445 --> 00:53:01.625
I, I, my, my daughter's in my life.

00:53:01.625 --> 00:53:03.715
I absolutely love that.

00:53:03.715 --> 00:53:06.244
They love shows where they've learned things.

00:53:06.324 --> 00:53:08.054
I wish they still there.

00:53:08.054 --> 00:53:09.875
There's a second generation of magic school bus.

00:53:09.875 --> 00:53:10.594
Did you know that?

00:53:10.934 --> 00:53:13.264
No, I, yeah, there is Ms.

00:53:13.275 --> 00:53:13.864
Frizzles.

00:53:14.164 --> 00:53:15.394
Sister comes to teach.

00:53:15.405 --> 00:53:15.755
Cause Ms.

00:53:15.755 --> 00:53:17.275
Frizzle is working on her PhD.

00:53:17.954 --> 00:53:20.324
Uh, Dr.

00:53:20.594 --> 00:53:20.724
Frizzle.

00:53:21.144 --> 00:53:21.485
Yeah.

00:53:21.485 --> 00:53:26.155
So, so her, uh, her sister comes to take over for the new generation of kids.

00:53:26.985 --> 00:53:40.454
Um, but yeah, no, I, I love, I love that explanation because like I can actually put that together and I'm a little thick, so that means my audience who's generally much smarter than me can, can follow this conversation.

00:53:40.454 --> 00:53:40.844
Okay.

00:53:41.574 --> 00:53:42.394
I always.

00:53:43.449 --> 00:53:51.210
appreciate when an academic can bring it down to something that most of us can understand.

00:53:52.369 --> 00:53:58.539
Uh, I think that's a gift that not all doctors and academics have.

00:53:59.039 --> 00:54:00.519
They need to watch more magic school bus.

00:54:00.550 --> 00:54:01.889
That's, that's pretty much it.

00:54:02.570 --> 00:54:05.599
That's basically the, the memo should be required.

00:54:06.059 --> 00:54:09.170
That's the thumbnail for the episode for the YouTube version.

00:54:09.210 --> 00:54:10.210
People just don't know it yet.

00:54:10.735 --> 00:54:13.244
Sponsored by Prizzle PhD.

00:54:15.554 --> 00:54:17.824
Who is affected by sleep apnea?

00:54:17.855 --> 00:54:23.554
You said that they say 10%, but allude to a lot more than that.

00:54:23.594 --> 00:54:24.184
Yeah.

00:54:24.295 --> 00:54:25.954
Who's really impacted by this?

00:54:25.994 --> 00:54:27.784
Cause you said it's making us tired.

00:54:27.784 --> 00:54:28.894
It's bringing us down.

00:54:29.945 --> 00:54:31.304
It's interrupting our function.

00:54:31.864 --> 00:54:35.954
So the biggest demographic is men over 45.

00:54:36.914 --> 00:54:47.074
But by near and far, um, and that's, I mean, that, I mean, that's probably about 60 to 70%.

00:54:47.945 --> 00:54:51.005
Of the entire demographic of everyone.

00:54:51.005 --> 00:54:56.315
So like there's a few men who have sleep apnea, like less than 45.

00:54:57.125 --> 00:55:04.784
It's not as much, um, you know, and maybe, well, and then I, I mean, I got the diagnosis when I was on mid twenties.

00:55:04.784 --> 00:55:07.644
I was like, what the heck is this about?

00:55:07.655 --> 00:55:08.965
I'm going to go camping.

00:55:09.094 --> 00:55:09.594
Screw this.

00:55:10.034 --> 00:55:40.965
Um, but it's really, you know, men, late forties, fifties, uh, like, honestly, Men over 65, I mean like you could have a dinner party with men who are over 65, bring in 10 of them, and uh, you could probably close your eyes and point to four of them, blindfold it, and you'd probably be correct that they all have sleep apnea.

00:55:41.085 --> 00:55:44.335
You know, uh, it's just that like massively prevalent.

00:55:44.764 --> 00:55:54.974
Um, because a lot of it becomes like, I don't know who tells people who are 65 plus this, but like, it's not normal to just like take naps all day.

00:55:55.715 --> 00:55:58.184
Like, and they're like, well, you know, I just figured this was getting old.

00:55:58.184 --> 00:55:58.505
I'm like.

00:55:59.369 --> 00:56:02.530
This is, you say so.

00:56:03.139 --> 00:56:07.369
Um, but they're, they're really rapidly affected, um, by that.

00:56:08.449 --> 00:56:12.159
Um, that would be the main population that people affected.

00:56:13.619 --> 00:56:25.400
No, I, I asked the question cause I shared earlier, you know, my dad turned down off ramp thinking it was the on ramp because he wasn't clear.

00:56:25.400 --> 00:56:38.579
And so guys, whether you have it or think you're starting to struggle with this, Because obviously, right, uh, Dr.

00:56:38.579 --> 00:56:40.949
Dylan, you got to hit 20 something.

00:56:43.920 --> 00:56:45.179
How many people are affected?

00:56:45.510 --> 00:56:48.820
Well, your, your family's affected.

00:56:49.510 --> 00:56:50.900
Your, your friends are affected.

00:56:52.059 --> 00:56:56.159
You're, you're not showing up your best, right?

00:56:56.230 --> 00:57:01.150
That's one of our big things here on the show is we're focused on showing up our best.

00:57:02.369 --> 00:57:04.429
You can't do that when you're not sleeping guys.

00:57:05.000 --> 00:57:06.829
Uh, we've talked about sleep here on the show.

00:57:07.175 --> 00:57:14.264
Ghost bed is one of our sponsors because I believe that sleep is just that important as a personal trainer.

00:57:14.344 --> 00:57:17.945
I know how it impacts recovery and general health.

00:57:17.945 --> 00:57:22.065
Anyways, this is important stuff.

00:57:23.434 --> 00:57:26.914
Now we've been trying to understand a little bit about it.

00:57:26.914 --> 00:57:32.655
Cause most of us, like I said, we have this bad idea of it based on television and movies and crap like that.

00:57:33.775 --> 00:57:34.195
So Dr.

00:57:34.195 --> 00:57:35.545
Dylan's been clearing this up for us.

00:57:35.565 --> 00:57:38.074
And the next part of the show, we're going to dive into.

00:57:38.744 --> 00:57:40.965
A natural solution.

00:57:40.974 --> 00:57:41.235
Dr.

00:57:41.235 --> 00:57:49.434
Dylan has developed a six step program solution that helps take care of this without the rotor rooter stuff.

00:57:49.434 --> 00:57:51.985
You guys, I didn't have a station on air.

00:57:51.985 --> 00:58:02.864
I probably should have, uh, without all that, without all the invasive, without CPAPs, he's come up with a different solution that's helped him and is helping his clients.

00:58:03.900 --> 00:58:10.110
And we're going to get into that right after we take in this role from our sponsor, we'll be right back with more from Dr.

00:58:10.110 --> 00:58:11.139
Dylan Perkins Peckis.

00:58:11.679 --> 00:58:13.530
Struggling to catch quality Z's at night.

00:58:14.139 --> 00:58:15.510
It's time to change that narrative.

00:58:15.929 --> 00:58:17.269
Sleep isn't just a luxury.

00:58:17.780 --> 00:58:27.739
It's the crucial component for your overall wellbeing, for managing your weight to boosting muscle growth, reducing stress, and even enhancing your daily performance, sleep plays a vital role.

00:58:28.804 --> 00:58:30.505
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00:58:30.554 --> 00:58:32.175
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00:58:32.614 --> 00:58:34.355
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00:58:41.605 --> 00:58:46.735
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00:58:58.239 --> 00:59:01.059
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00:59:01.469 --> 00:59:05.269
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00:59:06.000 --> 00:59:08.170
Now, let's dive back into the show guys.

00:59:08.170 --> 00:59:09.369
Welcome back in the last part of the show.

00:59:09.369 --> 00:59:16.510
We were just trying to understand what sleep apnea is, not the myth, not the TV crap, but what it actually is and how it affects us with Dr.

00:59:16.510 --> 00:59:19.519
Dylan in this part of the show, we're going to get into Dr.

00:59:19.519 --> 00:59:25.369
Dylan's six step system, but we're going to start off with qualifying us for this.

00:59:25.630 --> 00:59:25.989
Right?

00:59:26.659 --> 00:59:27.579
I know this is.

00:59:28.409 --> 00:59:30.440
I have my insurance fight me on this.

00:59:30.500 --> 00:59:42.219
I went to do a, I was, I was actually asked to do a sleep study and we did an at home sleep study and the doctor said, well, we actually need to do a real one.

00:59:42.500 --> 00:59:47.315
Uh, I want you to come in and insurance was like, We already paid for one.

00:59:47.315 --> 00:59:54.815
So we'll, we'll cover the CPAP if you are an APAP, we'll cover you in an APAP.

00:59:55.244 --> 01:00:00.764
If you pay this, you're down your whatever you got to pay with insurance companies.

01:00:01.635 --> 01:00:04.505
And so essentially they're like, yeah, we'll, we'll pay for it.

01:00:04.545 --> 01:00:07.324
As long as you fulfill your deductible on everything.

01:00:07.324 --> 01:00:09.833
So I was going to have to like shell out 5, 000.

01:00:10.184 --> 01:00:15.045
To get started and then they take care of follow up crap for the APAP.

01:00:15.125 --> 01:00:18.545
And, uh, they were just trying to get out of pain, another thing.

01:00:18.545 --> 01:00:22.445
So I, I need to know, I think I struggle with sleep apnea.

01:00:22.454 --> 01:00:24.804
So doc, tell us what's going on.

01:00:25.465 --> 01:00:30.155
Yeah, so we're gonna do a little, uh, assessment here and no way is this medical advice.

01:00:30.155 --> 01:00:31.554
This is all available.

01:00:31.554 --> 01:00:35.465
If you want to do it for yourself, it's called the stop bang questionnaire.

01:00:35.925 --> 01:00:38.414
Uh, and it's just an acronym.

01:00:38.474 --> 01:00:40.315
Okay, so stop thinking otherwise.

01:00:40.775 --> 01:00:43.835
Um, so I'm gonna go real quick.

01:00:43.835 --> 01:00:44.054
Yes.

01:00:44.054 --> 01:00:44.864
No questions here.

01:00:44.864 --> 01:00:57.954
So, like, if you You can, I mean, well, obviously if you're driving, don't hold your fingers up and count, but if your hands are free and you're stationary, uh, and not behind two tons of steel, then this would be good to kind of go through here.

01:00:58.184 --> 01:01:00.735
So, uh, question number one, do you snore loudly?

01:01:00.864 --> 01:01:01.605
Yes or no.

01:01:01.894 --> 01:01:02.375
Okay.

01:01:02.565 --> 01:01:05.114
And it can count if someone says you snore loudly.

01:01:05.469 --> 01:01:05.929
Okay.

01:01:06.530 --> 01:01:10.070
Uh, number two, do you often feel tired during the daytime?

01:01:10.469 --> 01:01:11.519
Yes or no.

01:01:12.150 --> 01:01:12.489
All right.

01:01:12.949 --> 01:01:17.650
Number three, has anyone, anyone observed you stop breathing during sleep?

01:01:18.519 --> 01:01:18.760
Okay.

01:01:19.369 --> 01:01:21.650
Number four, do you have high blood pressure?

01:01:21.769 --> 01:01:22.349
Okay.

01:01:22.800 --> 01:01:26.380
In case you're wondering what that may mean, I would say yes, you do.

01:01:26.409 --> 01:01:30.760
If you're at the top number is, uh, more than one 30 consistently.

01:01:31.710 --> 01:01:32.159
All right.

01:01:32.750 --> 01:01:37.929
Um, BMI is your body mass index greater than 35.

01:01:39.050 --> 01:01:39.630
Okay.

01:01:40.170 --> 01:01:47.039
Uh, the quickest way, if you don't know metric is, do you feel you're, uh, more than 20 pounds overweight?

01:01:47.860 --> 01:01:50.050
Uh, are you more than 50 years old?

01:01:50.664 --> 01:01:51.014
All right.

01:01:51.735 --> 01:01:55.304
Is your neck circumference greater than 40 centimeters?

01:01:55.324 --> 01:02:04.565
And again, if you don't walk around with a measuring tape all day, uh, a good way to test that is, can you get your hands all the way around your neck?

01:02:04.565 --> 01:02:04.804
Yes.

01:02:04.804 --> 01:02:05.804
It's a very crude measurement.

01:02:05.835 --> 01:02:07.485
I understand people will have different hands.

01:02:07.844 --> 01:02:13.034
Uh, but generally if you can't get your hands around your neck, uh, that means your neck is pretty big.

01:02:13.704 --> 01:02:16.105
Uh, and the last one, are you a male?

01:02:16.255 --> 01:02:16.625
Okay.

01:02:17.155 --> 01:02:17.434
So.

01:02:17.864 --> 01:02:25.875
If you got more than two, then you're at higher risk of sleep apnea.

01:02:26.114 --> 01:02:26.545
Okay.

01:02:27.215 --> 01:02:30.284
So you can keep your score for yourself.

01:02:32.585 --> 01:02:35.074
we're, I'm a pretty honest part, part of this show.

01:02:35.074 --> 01:02:42.135
So I'm going to say, right, I guess six of those, at least, I think maybe five.

01:02:42.905 --> 01:02:43.885
So start.

01:02:44.360 --> 01:03:09.679
Then it's a very likely what absolutely Batman, because, because from here, uh, what would like, I mean, literally, if anyone ever wants to, like, just play doctor by themselves, uh, theoretically, of course, but just mentally and, and, and not practically, uh, really had to backstep my way out of that one, but, uh, you can look up like treatment algorithm for blank, uh, so treatment algorithm for sleep apnea, this would be like one of the first things, okay.

01:03:09.679 --> 01:03:11.329
Or, you know, a clinical assessment.

01:03:11.329 --> 01:03:11.389
Yeah.

01:03:11.925 --> 01:03:19.005
Uh, and then from there, it's basically like pap, the boxes will say pap therapy, which will be CPAP, BiPAP, APAP, et cetera.

01:03:19.525 --> 01:03:22.204
Um, that's always the first thing pretty much.

01:03:22.425 --> 01:03:22.715
Okay.

01:03:22.735 --> 01:03:23.204
Well, okay.

01:03:23.244 --> 01:03:24.125
There is a little box.

01:03:24.125 --> 01:03:26.715
Like you had asked the patient, do you want to do this?

01:03:26.815 --> 01:03:27.215
Okay.

01:03:27.554 --> 01:03:30.994
Uh, then if no, then, okay, cool.

01:03:31.224 --> 01:03:32.135
Uh, well, it's not cool.

01:03:32.135 --> 01:03:34.255
Cause then you're just going to, you know, suffer with this.

01:03:34.494 --> 01:03:37.465
Uh, but then if yes, it's always off to some pap therapy.

01:03:37.815 --> 01:03:42.144
Well, sorry, before the pap therapy will be a sleep study.

01:03:42.795 --> 01:03:55.755
Okay, you can go off to a lab, you can get something done at home, which is becoming more and more prevalent, which, which I, and, uh, I like the availability of that, uh, and then based off that, it would be some sort of pap therapy.

01:03:56.034 --> 01:03:56.525
Okay.

01:03:56.835 --> 01:04:09.599
Now, here's the fun thing, uh, if you are three or more on this, there is a 80 percent chance your sleep study is going to indicate that Sleep apnea and then go to pap therapy.

01:04:09.880 --> 01:04:16.550
Okay, and in the 20 percent of time your sleep study is negative Guess what?

01:04:16.590 --> 01:04:42.335
The next step is to do repeat sleep study And then from there 50 percent of people now fall back in to pap therapy So essentially 90 percent of people who are three or more will end up on a CPAP based on this thing now, obviously I'm not saying stop You know, skip steps in the process, but I'm just giving you some probabilities and stuff here.

01:04:42.724 --> 01:04:48.514
Um, so yeah, so based on that, it is a pretty good way to start there.

01:04:49.065 --> 01:04:53.175
Um, so we should talk about some good first steps to fix it.

01:04:53.195 --> 01:05:00.795
I think would be appropriate for all of you who are, are not medical beds, 40 centimeters, if it is 15 inches.

01:05:02.364 --> 01:05:05.894
Give or give or take a quarter inch, just 40 centimeters, 15 inches.

01:05:06.844 --> 01:05:07.135
Yeah.

01:05:07.184 --> 01:05:13.945
So not, not all guys think about sticking their hands around their neck, but most of us have had to get fitted for a collar shirt at some point.

01:05:16.364 --> 01:05:16.655
Yeah.

01:05:18.494 --> 01:05:26.545
So the, um, yeah, so if that's the case, then, uh, let's talk about the, yeah, there's, there's six factors.

01:05:26.545 --> 01:05:30.005
I've been able to kind of tuck it into two factors because then it seems a lot less.

01:05:31.199 --> 01:05:32.809
So it's six factors.

01:05:32.820 --> 01:05:34.650
It's, it, you know, it's kind of like a Buddhist thing.

01:05:34.650 --> 01:05:37.159
There's two things, but in one of those things, there's four other things.

01:05:37.159 --> 01:05:38.840
And then it just kind of goes on and on.

01:05:39.349 --> 01:05:41.760
But, uh, so the two big things.

01:05:42.650 --> 01:05:47.949
Are going to be because it's all falls under the umbrella of restore your natural breathing.

01:05:48.019 --> 01:05:50.820
Okay, like that's kind of like bottom line how we want to do this.

01:05:51.579 --> 01:05:53.070
There's going to be two big factors for that.

01:05:53.329 --> 01:05:58.329
Number one is going to be resetting your breathing.

01:05:58.530 --> 01:06:03.340
Okay, like the actual like retraining your body because after a certain point.

01:06:03.340 --> 01:06:13.559
Okay, well, I mean, like really with anything like because if you're, you know, doing personal training, like if someone has like some muscular imbalance, et cetera, they're going to create this pattern that they get stuck in for a long time.

01:06:13.969 --> 01:06:14.369
Right.

01:06:14.679 --> 01:06:15.389
Same thing with breathing.

01:06:15.429 --> 01:06:17.849
You need to like consciously retrain your breathing pattern.

01:06:18.019 --> 01:06:18.329
Okay.

01:06:18.329 --> 01:06:23.130
Because the breathing pattern you have during the day is the breathing pattern you have during the night.

01:06:23.440 --> 01:06:23.969
Okay.

01:06:26.849 --> 01:06:31.230
Then the second big thing is to reduce inflammation.

01:06:31.659 --> 01:06:32.190
Okay.

01:06:32.699 --> 01:06:40.750
Because if you ever had the cold, the flu, any sort of upper respiratory issue, it's hard to breathe during that.

01:06:40.789 --> 01:06:41.340
Okay.

01:06:41.789 --> 01:06:43.369
Uh, and a big part of that.

01:06:43.909 --> 01:06:47.920
is from the inflammation that one is going to make those airways more narrow.

01:06:48.389 --> 01:06:48.889
Okay.

01:06:49.469 --> 01:06:51.010
But also metabolically.

01:06:51.260 --> 01:06:51.690
Okay.

01:06:51.690 --> 01:07:00.150
Cause if you've ever, um, you know, been sick enough that you go to the hospital, one of the things they do is like, what's your respiratory rate.

01:07:00.769 --> 01:07:01.150
Right.

01:07:01.710 --> 01:07:06.539
They, they sit, watch you breathe, figure out how many times per minute you breathe when that's higher.

01:07:06.570 --> 01:07:15.719
That's telling us, okay, that, Oh, this person is having, you know, well, we could put them in criteria for sepsis.

01:07:15.739 --> 01:07:16.050
Right?

01:07:16.389 --> 01:07:24.590
Uh, but like, there's some level of inflammation here to keep it super simple level of inflammation that's driving higher breathing over breathing.

01:07:24.909 --> 01:07:25.469
Here we go again.

01:07:25.760 --> 01:07:26.050
Right?

01:07:26.090 --> 01:07:27.829
Because those metabolic engines, right?

01:07:28.335 --> 01:07:32.945
They're spewing out more co2 and that's that's driving breathing at a metabolic level.

01:07:32.965 --> 01:07:40.039
So these two Uh, pieces here, but again, just like a Lotus, when you open it up now inside this one thing, there's gonna be more things.

01:07:40.940 --> 01:07:43.829
So, but the easiest one, let's start with the reset breathing here.

01:07:44.389 --> 01:07:47.420
So with resetting breathing, it's pretty simple.

01:07:47.710 --> 01:07:49.500
We go from over breathing.

01:07:50.239 --> 01:07:51.860
That's the kind of like where most people will be.

01:07:52.440 --> 01:07:57.269
And you want to have periods of time in which you're under breathing.

01:07:57.550 --> 01:07:57.719
Okay.

01:07:57.719 --> 01:08:00.230
Now I feel like I'm like a reading rainbow person under breathing.

01:08:00.690 --> 01:08:04.429
And then your body will start to recreate in the middle.

01:08:05.289 --> 01:08:05.780
Okay.

01:08:06.460 --> 01:08:07.909
That's kind of the basic gist of it.

01:08:07.969 --> 01:08:08.650
So how do you do that?

01:08:09.130 --> 01:08:16.369
So one of the best ways is called rectangle breathing to help slow down your breathing so you can kind of find yourself in the middle ground.

01:08:16.590 --> 01:08:17.140
Okay.

01:08:17.430 --> 01:08:20.319
And all this is, and I'll, I'll go through it.

01:08:20.590 --> 01:08:22.560
So it's inhale for a five count.

01:08:22.979 --> 01:08:23.510
Okay.

01:08:24.409 --> 01:08:30.470
So I'll just explain it because it's nothing's harder than trying to explain breathing exercises while talking.

01:08:30.470 --> 01:08:34.680
So inhale for a five count, then you pause for a 10 count.

01:08:35.484 --> 01:08:55.545
Okay, and then you exhale for a five count, pause for a ten count, then inhale for a ten count, pause, sorry, inhale for a five count, pause for ten, exhale five, pause for ten, inhale five.

01:08:55.555 --> 01:09:00.734
Okay, so another way to think about it, the inhales and the exhales are always a five count.

01:09:02.045 --> 01:09:03.744
In between, you pause for a ten count.

01:09:04.444 --> 01:09:08.635
Okay, so I guess let's, let's do one round together.

01:09:08.954 --> 01:09:24.755
So inhale 1, 2, 3, 4, 5, pause 1, 2, 3, 4, 5, 6, 7, 8, 9, 10.

01:09:25.364 --> 01:09:44.060
Exhale for 5, 1, 2, 3, 4, 5, pause for 10, 1, 2, 3, 4, 5, 6, 7, 8, Nueve, Diaz.

01:09:44.260 --> 01:09:47.140
Alright, um, so that's one cycle there.

01:09:47.180 --> 01:09:50.800
Now, uh, some people may find that difficult, okay?

01:09:52.439 --> 01:10:01.880
If that's you, then just reduce the pause time down to a level that feels mildly comfortable.

01:10:02.090 --> 01:10:03.670
Okay, not easy, but mildly comfortable.

01:10:03.689 --> 01:10:06.210
So maybe to 8, maybe to 5, something like that.

01:10:06.800 --> 01:10:17.100
And essentially, the best way you want to do this when starting out, because It's always good to do something and gain momentum with it and see results and continue from there.

01:10:17.590 --> 01:10:24.779
Um, do that right before you go to bed, like as, like literally as you're laying there because you're going to lay there anyway.

01:10:24.930 --> 01:10:25.340
Okay.

01:10:25.979 --> 01:10:32.789
And then just do this breathing pattern either for, you can do it for five or 10 minutes or like literally because it's very relaxing.

01:10:33.260 --> 01:10:35.159
It will help you drift off to sleep.

01:10:35.449 --> 01:10:39.729
And then that really helps set your breathing pattern for, for the night.

01:10:40.170 --> 01:10:42.060
It won't go the whole night the first time.

01:10:42.409 --> 01:10:48.680
But like, think of it like maybe it'll permeate the first two hours and then three hours and it'll keep kind of going through like that.

01:10:49.210 --> 01:10:55.630
So that's one of the most important things that I'm always like, you know, kind of as a first step there.

01:10:55.909 --> 01:11:03.779
Okay, because as you go through that many times, I mean, I hate to like, be like, everyone's gonna feel better with that tonight.

01:11:04.100 --> 01:11:05.390
Uh, but a lot of people do.

01:11:05.609 --> 01:11:07.119
They're like, Oh, wow, this actually worked.

01:11:07.119 --> 01:11:07.500
Okay.

01:11:08.000 --> 01:11:08.409
All right.

01:11:08.699 --> 01:11:12.029
Uh, as in like, whether waking up fewer times.

01:11:12.359 --> 01:11:15.340
Uh, falling asleep faster, waking up feeling more refreshed.

01:11:15.649 --> 01:11:17.439
Um, that's where that goes.

01:11:17.630 --> 01:11:18.109
Okay.

01:11:18.539 --> 01:11:23.079
Now the main goal with breathing is not just do rectangle breathing and be like, all right, fixed it.

01:11:23.520 --> 01:11:26.130
Uh, there, there's an actual metric.

01:11:26.664 --> 01:11:33.364
Uh, by which you want to judge something known as your CO2 tolerance.

01:11:33.484 --> 01:11:37.534
Okay, so back to my rainbow hands over here.

01:11:37.534 --> 01:11:38.574
I wish like A.

01:11:38.574 --> 01:11:39.305
I was so cool.

01:11:39.305 --> 01:11:42.114
We can have like effects, but we said over breathing was over here.

01:11:42.135 --> 01:11:44.885
We train to under breathe, so we end up in the middle.

01:11:45.125 --> 01:11:49.739
Okay, so when we under breathe, What's going to go up in our body?

01:11:49.920 --> 01:11:51.670
Carbon dioxide is going to go up in our body.

01:11:51.819 --> 01:11:55.300
Okay, not to dangerous levels You're not going to cause global warming internally.

01:11:55.310 --> 01:12:03.359
You're going to be fine, but it's going to go up, which is a good thing This is known as co2 tolerance building your carbon dioxide Tolerance.

01:12:03.590 --> 01:12:13.250
Okay, if anyone's into deep sea diving, that's you know what you can think of so So you have your carbon dioxide tolerance you want this to go up.

01:12:14.850 --> 01:12:16.989
There should be a way to measure this And there is.

01:12:17.189 --> 01:12:17.609
Okay.

01:12:17.619 --> 01:12:19.180
And we're going to do that here again.

01:12:19.180 --> 01:12:21.529
If you're driving, probably don't hold your breath while driving.

01:12:22.039 --> 01:12:26.310
Um, if you're deep sea diving while listening to this, this would be great to do.

01:12:26.600 --> 01:12:30.119
So, uh, we're going to call, we're going to measure something called a controlled pause.

01:12:30.680 --> 01:12:30.970
All right.

01:12:31.229 --> 01:12:45.579
This just means what is the amount of time you cannot breathe in between a normal inhale and a normal exhale and then do a normal inhale again.

01:12:45.970 --> 01:12:46.460
Okay.

01:12:46.939 --> 01:12:48.140
That last part's really important.

01:12:49.029 --> 01:12:49.300
Okay.

01:12:49.310 --> 01:12:52.720
Do a normal inhale again because this is not breathe out.

01:12:53.609 --> 01:12:57.159
It's not breathe in, breathe out and then hold my breath.

01:12:57.180 --> 01:13:05.350
It's like breathe in, breathe out, pause, and I'll really shorten it up.

01:13:06.404 --> 01:13:12.604
And then normal inhale again with a normal exhale, like you eat, you don't have this catch up period afterwards.

01:13:13.284 --> 01:13:13.795
Okay.

01:13:14.725 --> 01:13:21.944
So the, so that time where you can pause your breathing and be controlled, or you can even think of it like a relaxed pause.

01:13:21.954 --> 01:13:31.814
Sometimes I'll call it that for people because that, you know, I think people better resonate with the feeling of being relaxed as opposed to, I feel in control of every like, I feel relaxed.

01:13:33.024 --> 01:13:35.715
Um, and when, you know, to.

01:13:35.715 --> 01:13:35.863
Okay.

01:13:36.314 --> 01:13:37.095
Inhale again.

01:13:37.465 --> 01:13:39.015
Is it the first sign of air hunger?

01:13:39.015 --> 01:13:39.975
So we'll go all the way through it again.

01:13:39.975 --> 01:13:51.975
So normal inhale through your nose, preferably normal exhale through your nose and then pause and then just keep not breathing.

01:13:51.994 --> 01:13:52.454
Don't breathe.

01:13:53.614 --> 01:14:04.340
And eventually you will start to feel the first sign Of air hunger, and I'll keep talking until I start to feel a sign of your hunger.

01:14:04.340 --> 01:14:13.859
Okay, I felt that inhale normally again, and then that's the relaxed pause there.

01:14:14.100 --> 01:14:14.619
Okay.

01:14:15.739 --> 01:14:19.079
So do you want to formally measure yours?

01:14:19.140 --> 01:14:21.060
Would that be let's do it.

01:14:21.229 --> 01:14:22.550
Mine won't last very long.

01:14:22.989 --> 01:14:23.909
Okay, it's fine.

01:14:23.920 --> 01:14:27.310
I haven't given away what the good and bad numbers are yet.

01:14:27.310 --> 01:14:28.199
So you'll do great.

01:14:28.199 --> 01:14:31.090
All right, so we'll do a normal.

01:14:31.755 --> 01:14:32.494
Inhale.

01:14:32.574 --> 01:14:35.095
Well, we'll do so point up for an inhale.

01:14:35.375 --> 01:14:35.694
Okay.

01:14:36.494 --> 01:14:36.965
All right.

01:14:37.425 --> 01:14:39.164
And then do a normal exhale.

01:14:39.994 --> 01:14:42.564
And then at the end of your exhale, just like have a flat hand like this.

01:14:42.854 --> 01:14:44.015
So we know like you're okay.

01:14:44.015 --> 01:14:46.295
So I'll, I'm going to look at the recording here.

01:14:46.295 --> 01:14:48.324
So you're going, there's a timer up there.

01:14:49.685 --> 01:14:51.314
And then at the first sign of air hunger.

01:14:53.175 --> 01:14:53.664
Okay.

01:14:54.015 --> 01:14:55.604
So you're at nine seconds.

01:14:55.675 --> 01:14:56.164
Okay.

01:14:56.234 --> 01:14:57.145
A little bit better.

01:14:57.375 --> 01:14:59.854
When I first did this, my first was seven.

01:15:00.914 --> 01:15:01.614
Seconds.

01:15:02.194 --> 01:15:02.515
Okay.

01:15:02.515 --> 01:15:03.734
I was like, am I dying?

01:15:04.364 --> 01:15:15.505
Um, and basically one of the first goals we have when we're working with people is 30 to get that to 30.

01:15:16.005 --> 01:15:19.274
Um, I'll just say below 15 is pretty bad.

01:15:21.625 --> 01:15:27.375
Um, and the goal of the breathing exercises, rectangle breathing, and there's other ones.

01:15:27.770 --> 01:15:35.939
Is to get that, that number, like that's your metric to know, how is my CO2 tolerance to know how is my breathing doing?

01:15:37.000 --> 01:15:49.529
So, uh, over, over like the course of days, cause like if you're, if you're really, uh, well, I want to separate out two factors, so doing a rectangle breathing that can help a lot.

01:15:49.954 --> 01:15:50.524
By itself.

01:15:50.524 --> 01:16:00.614
Just like it's, it's a switch for people to kind of go over this tipping point, um, in training, your breathing, you can increase that control pause by like two to five seconds per week.

01:16:02.555 --> 01:16:03.104
Okay.

01:16:03.524 --> 01:16:11.444
Um, you know, different people run into obstacles, like, you know, this feels tight, um, people can overdo it and then it kind of set them to the back.

01:16:11.904 --> 01:16:15.439
Um, But when you get that number higher and higher, that's a good sign.

01:16:15.439 --> 01:16:16.590
You're resetting your breathing.

01:16:18.260 --> 01:16:20.550
So that's kind of the, one of the main big things.

01:16:24.359 --> 01:16:26.210
So that's the 30 seconds.

01:16:26.210 --> 01:16:28.260
Sounds like a lot based on, Oh, it's crazy.

01:16:28.260 --> 01:16:35.020
During the breathing exercises, guys, I'm gonna, I'm not gonna lie.

01:16:35.020 --> 01:16:38.739
I was like, wait, you want me to get another 20 some odd seconds.

01:16:38.909 --> 01:16:39.500
Hmm.

01:16:40.600 --> 01:16:46.409
Uh, after nine seconds, my body was going, breathe, breathe, Demi, breathe.

01:16:47.479 --> 01:16:50.779
Uh, yeah, well it's because the reason this is.

01:16:51.454 --> 01:16:58.085
Because what I said earlier was that your breathing pattern during the day follows you into the night for the most part.

01:16:58.284 --> 01:17:08.234
Okay, so sleep apnea falls under the umbrella of disordered breathing.

01:17:10.255 --> 01:17:11.984
Yes at night, but also during the daytime.

01:17:13.784 --> 01:17:24.215
So that's why like the more you can like, you know, be into this kind of uncomfortable space around like a little bit of air hunger, that will help your breathing sort of overall here.

01:17:24.255 --> 01:17:25.425
It's really disordered breathing.

01:17:25.895 --> 01:17:29.545
Issue as opposed to just like sleep apnea if you will.

01:17:29.845 --> 01:17:36.930
Um, then yeah, I mean it really is like because like Like the first time I did it, it was like seven.

01:17:38.000 --> 01:17:38.859
I was like, man, I suck.

01:17:39.529 --> 01:17:41.949
Um, and then, yeah, it takes time.

01:17:42.380 --> 01:17:43.529
It's not the most comfortable thing.

01:17:44.029 --> 01:17:47.529
Um, at times you do feel like, why am I doing this?

01:17:47.529 --> 01:17:52.409
This feels like, so like, so hard, but honestly, it's pretty easy to integrate.

01:17:52.409 --> 01:17:57.835
Cause like, I said the best time to do it is like right before you made it, but I, I like people start with that.

01:17:57.895 --> 01:18:00.395
It's, it's not really extra time, right?

01:18:00.395 --> 01:18:02.675
It's like, okay, I was gonna lay here anyway.

01:18:02.675 --> 01:18:03.064
Okay.

01:18:03.354 --> 01:18:07.074
Um, but that's how I like people to kind of pattern it or layer into their life.

01:18:07.074 --> 01:18:08.125
Like you're washing dishes.

01:18:08.654 --> 01:18:09.085
Cool.

01:18:09.314 --> 01:18:14.185
You know, add in like a little bit of that breathing or, uh, while you're checking emails.

01:18:14.185 --> 01:18:17.925
You don't need to count the whole time, but over time you kind of get a feeling.

01:18:17.925 --> 01:18:17.994
Okay.

01:18:18.439 --> 01:18:21.760
of being close to that little level of air hunger.

01:18:22.060 --> 01:18:28.300
And as you breathe around that there, uh, that's what helps improve your CO2 tolerance.

01:18:29.460 --> 01:18:32.960
And then you'll have better CO2 tolerance at night.

01:18:33.899 --> 01:18:35.399
And then here's the cool thing.

01:18:35.399 --> 01:18:37.189
You'll have less apneas, right?

01:18:37.699 --> 01:18:55.524
But also because now you're training your, you're like, when you stop breathing at night, it's the equivalent of Like if you didn't ever do squats before, and you're like, yeah, throw three 15 on the bar, three plates.

01:18:55.715 --> 01:18:56.685
Let's let's do it.

01:18:58.244 --> 01:19:00.645
And that's, that's, that was your first set.

01:19:01.324 --> 01:19:01.805
Okay.

01:19:02.015 --> 01:19:07.675
But doing this, like the breathing train during the day, you know, you're getting good reps in right?

01:19:07.675 --> 01:19:11.154
Like 185 to 25 percent like you're building your way up.

01:19:11.444 --> 01:19:13.243
So that at night when you do, yeah.

01:19:14.154 --> 01:19:16.045
Sort of snapshot your body's better.

01:19:16.085 --> 01:19:20.114
It's more resilient to that big drop in oxygen and everything else there.

01:19:20.414 --> 01:19:24.975
So it helps prevent it and also makes your body more resilient to those insults at night.

01:19:27.375 --> 01:19:28.265
It's a nice little tool.

01:19:29.175 --> 01:19:29.715
I like it.

01:19:31.215 --> 01:19:32.055
I like it guys.

01:19:33.015 --> 01:19:35.265
You can take this and apply it today.

01:19:35.774 --> 01:19:36.045
Okay.

01:19:36.055 --> 01:19:47.935
He just, he just gave you solid gold that you can literally, if, if you identified in that bang session as at risk or higher, this is something you can take away and start doing now.

01:19:48.944 --> 01:19:52.314
And this is the start of Dr.

01:19:52.314 --> 01:19:55.635
Dillon's protocol for taking care of this naturally.

01:19:56.225 --> 01:20:00.095
So the good news is you don't necessarily have to have surgery.

01:20:00.125 --> 01:20:02.854
You don't necessarily have to live on a CPAP for the rest of your life.

01:20:03.645 --> 01:20:05.914
There are alternatives.

01:20:07.805 --> 01:20:13.614
That you can just get your life back with being tired or without oxygen all the time.

01:20:13.625 --> 01:20:18.835
Your brain slows down Everything gets difficult.

01:20:18.914 --> 01:20:20.704
Everything is harder when you're tired.

01:20:21.824 --> 01:20:49.324
Any parent will tell you everything is more difficult when you're tired Because a lot of us lose a lot of sleep with our kids over the years So I'm sure all the dads out there are filling this right now Uh, sleep deprivation will get you, but honestly, most of us have dealt with sleep deprivation, whether it was from work or when we were in school or whatever, something in our lives, most of us have been there, you know, you don't perform as well.

01:20:49.595 --> 01:20:51.234
You know, you don't function as well.

01:20:52.954 --> 01:20:53.284
Dr.

01:20:53.284 --> 01:21:01.425
Dylan is sharing a way to start getting your life back without being stuck on a machine or going to more extremes in your life.

01:21:03.225 --> 01:21:06.494
Uh, I'm, I'm definitely doing like, I'm, I'm taking notes over here.

01:21:06.494 --> 01:21:09.154
I keep looking down on my keyboard and typing while he's talking.

01:21:09.765 --> 01:21:16.015
Cause I keep taking notes, uh, by the time this airs, we'll hope I will hopefully be able to tell you guys.

01:21:16.015 --> 01:21:23.329
I have actually like much better, uh, Resistance to carbon dioxide, because I've got a little time before this.

01:21:23.340 --> 01:21:25.659
So hopefully I'll be able to give you some feedback and be like.

01:21:26.175 --> 01:21:27.965
This changed everything.

01:21:29.234 --> 01:21:31.364
I actually have very little doubt in that.

01:21:31.914 --> 01:21:32.864
Now, Dr.

01:21:32.864 --> 01:21:36.604
Dylan, what's next for you, right?

01:21:36.604 --> 01:21:41.545
You, you said you were starting a kind of an audio show or YouTube show.

01:21:42.135 --> 01:21:45.454
The what the, yeah, we had a lot of things going on.

01:21:45.564 --> 01:21:49.234
Um, so I mean, I have a book.

01:21:49.795 --> 01:22:08.664
That's that's there always updating it because i'm a little bit of a You ever write something and then like a week later you're like this should be different so like this is why I like books because I can just constantly update it and uh, People people like like got it like a month ago and they're like this is this is different like it's better.

01:22:08.734 --> 01:22:12.425
Yeah Um, so have that as a constant work.

01:22:12.965 --> 01:22:20.454
Um, yeah, I got um, You know the youtube channel putting videos on that facebook group Some are, uh, things on that.

01:22:21.364 --> 01:22:47.055
Uh, you know, that's, that's a lot of where I'm at, uh, working with people is the majority of the, of the, of the time there, uh, you know, just choking people out is, is really further health as I'm joking, but, uh, yeah, that's a lot of what we do here and, uh, yeah, just focusing on that and trying to get the, the word out to people.

01:22:47.064 --> 01:22:59.545
Cause like, it's, cause like you said, like, it's, it's, Well, I will use humor to do this because like Everybody, ideally, right now, is breathing, okay?

01:23:00.045 --> 01:23:01.045
Mind blowing concept.

01:23:01.505 --> 01:23:07.005
And like, just being able to make those like little changes, like yeah, maybe a little bit uncomfortable, maybe a little bit awkward at first, but like, just doing that.

01:23:07.005 --> 01:23:12.255
I am really curious by the time that this goes out, or even just like, um, just kind of a timeline actually.

01:23:12.255 --> 01:23:21.774
Like, so in the first like, one to five nights, people usually, they're like, oh, this is uh, this is not some like, weird new age thing.

01:23:21.774 --> 01:23:23.824
I guess, I guess breathing is important here.

01:23:24.864 --> 01:23:25.625
That's phase one.

01:23:25.975 --> 01:23:37.064
There, uh, then like the weeks after that, as you continue to build up, uh, you can like it, you kind of notice it more on like kind of the hard days, right?

01:23:37.324 --> 01:23:38.685
Where it's like, maybe you woke up early.

01:23:38.704 --> 01:23:43.204
Maybe you didn't sleep well or like, but like, you feel more resilient there.

01:23:43.604 --> 01:23:45.564
Um, and then once you're hitting a month mark.

01:23:46.585 --> 01:23:48.555
It does really allow you to have a lot more of that.

01:23:48.555 --> 01:23:54.385
Like those moments were like, I don't remember the last time I had a really bad night.

01:23:54.414 --> 01:23:54.845
I don't know.

01:23:55.654 --> 01:24:01.154
You know, it kind of really helps kind of bring you back into a lot of state of ease, just, just from the breath work.

01:24:01.154 --> 01:24:05.725
Cause like there's, it answers the inflammation part as well with all of that.

01:24:06.104 --> 01:24:14.863
Um, but the, the breath work is a, is a really big part that, I mean, anybody can do, anybody can start out with, cause it does get, it.

01:24:14.864 --> 01:24:21.274
Complicated later, but just like any, any sort of workout thing.

01:24:21.274 --> 01:24:21.475
Right.

01:24:21.475 --> 01:24:25.265
Cause like there's, you know, if you do body weight squats, cool.

01:24:25.305 --> 01:24:26.045
Okay, great.

01:24:26.385 --> 01:24:30.145
Uh, but then if you're doing like a, let's do an overhead snatch grip squat.

01:24:30.164 --> 01:24:30.435
Okay.

01:24:30.435 --> 01:24:31.015
A little bit different.

01:24:31.414 --> 01:24:35.675
Um, so similar here, but no, no snatch grips, fortunately.

01:24:37.154 --> 01:24:39.305
Where's the best place for people to connect with you, doc?

01:24:39.914 --> 01:24:50.135
Uh, I think the best place, um, I don't think like, this is always the question the least prepared for, even though I do know I get asked this, but like, um, probably the Facebook group.

01:24:50.215 --> 01:24:52.085
Cause that's probably where I'm the most active in.

01:24:52.604 --> 01:24:56.585
Um, You know, social media is, is okay.

01:24:56.585 --> 01:25:00.194
But, um, our Facebook group is the sleep apnea solution.

01:25:01.454 --> 01:25:04.375
I think just type in sleep apnea solutions there.

01:25:04.435 --> 01:25:06.444
Um, or you can just search my name.

01:25:06.475 --> 01:25:08.324
Our website will pop up, which is optimal.

01:25:08.685 --> 01:25:10.784
And we got, you know, different websites.

01:25:10.814 --> 01:25:14.295
Um, but I think the main one that comes up as optimal circadian health.

01:25:14.465 --> 01:25:15.744
com there is peckismd.

01:25:15.744 --> 01:25:16.055
com.

01:25:16.454 --> 01:25:21.595
But, uh, I just have a really bad habit of never picking a website name that people can really write down.

01:25:21.604 --> 01:25:22.345
Cause Peckis.

01:25:22.675 --> 01:25:24.274
That's a 50 50 shotgun that one.

01:25:24.274 --> 01:25:24.574
Right.

01:25:24.925 --> 01:25:26.675
Uh, optimal circadian health.

01:25:26.904 --> 01:25:28.444
Most people write in.

01:25:29.255 --> 01:25:29.625
Yes.

01:25:29.654 --> 01:25:30.045
Awesome.

01:25:30.045 --> 01:25:36.664
Most people write curcumin, optimal curcumin health, and then they're just off getting curcumin supplements instead of coming to our website.

01:25:37.114 --> 01:25:42.255
Um, but either those work videos, uh, there's some articles there too.

01:25:42.604 --> 01:25:45.204
Um, it's a good place to find us.

01:25:46.369 --> 01:25:49.319
You guys, of course, as always, we'll have all Dr.

01:25:49.319 --> 01:26:00.430
Dylan's links down in the show notes or the description, whatever platform you're on, whether you're with us on YouTube or listening on this audio show, uh, we will make sure you can find him and follow up on this.

01:26:01.439 --> 01:26:05.779
Now I know you're really concerned about who actually recorded live and let die.

01:26:06.970 --> 01:26:09.430
The James Bond movie of the same name.

01:26:11.284 --> 01:26:15.225
And you changed your answer and went with the wings, which is correct.

01:26:18.635 --> 01:26:20.005
What's even funnier is right.

01:26:20.015 --> 01:26:21.515
I looked this up before the show.

01:26:21.545 --> 01:26:25.765
Cause I, I like to double check when I do these meet and I do the multiple choice questions.

01:26:26.895 --> 01:26:29.664
And cause I found the question wings was not an option.

01:26:29.664 --> 01:26:31.954
They had some other band I had never heard of in there.

01:26:33.364 --> 01:26:37.085
And so the right answer wasn't actually on the question that I sent.

01:26:40.029 --> 01:26:47.699
Who was the initial band or it was like, uh, sabotage something or some, it was some band.

01:26:47.699 --> 01:26:55.060
I never heard of at least the other three I recognize, but it was like, I don't even know what that is, but yeah, I didn't have the right answer on the question.

01:26:55.060 --> 01:26:56.930
I I'm glad I double checked this question.

01:26:57.720 --> 01:26:58.760
I'm glad I got it right.

01:26:58.779 --> 01:27:02.170
That would have been a devastating.

01:27:02.239 --> 01:27:06.055
That would have been, you know, Orange juice pulp level there.

01:27:06.574 --> 01:27:06.904
Right.

01:27:06.914 --> 01:27:09.614
You have to put a bag over your head and be like, I'm bad.

01:27:09.654 --> 01:27:12.335
No, I could never like, I would have to avoid my dad for a couple of months.

01:27:12.335 --> 01:27:17.505
Cause he like, like his thing is like quiz me on classic rock.

01:27:17.505 --> 01:27:20.545
And when you did that, I was like, I better get this right.

01:27:20.824 --> 01:27:25.835
I gotta, I'm trained on this one.

01:27:26.510 --> 01:27:27.199
Fair enough.

01:27:27.850 --> 01:27:30.430
I, yeah, that would be a hard, I'm sorry, I blew it.

01:27:30.699 --> 01:27:31.319
I failed.

01:27:31.430 --> 01:27:34.510
I know you really care about this particular show.

01:27:34.869 --> 01:27:37.399
It's I, I, I tanked it.

01:27:37.399 --> 01:27:44.800
I'm so, I'm so embarrassed that Dylan, you have given us a place to start and a place of hope.

01:27:45.539 --> 01:27:48.989
Uh, I think this impacts a lot more guys than we like to admit as men.

01:27:48.989 --> 01:27:53.239
We tend to be a little slow to admit that we could use some help on some things.

01:27:54.289 --> 01:28:14.920
If our listeners heard nothing else today, what do you want to leave them with that you because with the breath work, like you kind of have the tools you already need to get started and start really like making improvements.

01:28:15.369 --> 01:28:20.270
So, um, just focus on, like, carving out that time for yourself, whether it's doing it.

01:28:20.854 --> 01:28:33.265
Um, and like, like I always tell my patients, like, don't get into the, the, the whirlwind of, like, looking for this machine or that surgery or this mouth guard.

01:28:33.685 --> 01:28:36.324
Like, your body has the capacity.

01:28:37.899 --> 01:28:44.149
To do things right, you just need to give it a little nudge and just stick with it.

01:28:44.279 --> 01:28:44.619
Right.

01:28:44.649 --> 01:28:54.270
And then that that allow you to be in a place where, whether it's mouth guards, pap therapy, et cetera, uh, you don't need to be as reliant on that.

01:28:54.770 --> 01:29:00.699
And then also on the flip side, you know, having much more fulfilling, engaging life during the daytime, you know, that's what's possible for you.

01:29:00.770 --> 01:29:03.300
And you're, you kind of already have everything you need to do that.

01:29:03.300 --> 01:29:03.699
You just need to.

01:29:04.284 --> 01:29:07.215
Yeah, take a little step with it guys.

01:29:07.215 --> 01:29:10.954
If you find out that the breath work really starts to make a big difference.

01:29:11.414 --> 01:29:12.734
You can follow up with Dr.

01:29:12.734 --> 01:29:28.064
Dylan and go into the next stage of this and deal with some of that inflammation and Follow up even farther and you may not even need a machine or anything like that You you can give yourself back a lot of freedom in your life Dr.

01:29:28.064 --> 01:29:30.074
Dylan, thanks for hanging out with us today on the show.

01:29:30.085 --> 01:29:44.015
Thank you for all the information Guys as always be better tomorrow because what you do today and we'll see on the next one This has been the fellow man podcast You're home for everything man, husband, and father.

01:29:44.734 --> 01:29:47.215
Be sure to subscribe so you don't miss a show.

01:29:47.914 --> 01:29:50.064
Head over to www.

01:29:50.125 --> 01:29:50.444
TheFallibleMan.

01:29:51.614 --> 01:29:55.725
com for more content and get your own Fallible Man gear.
Dylan Petkus Profile Photo

Dylan Petkus

Doctor

As a medical doctor and sleep health expert, I am on a mission to help people overcome sleep apnea and transform their health. For over a decade, I have studied the science of sleep and its critical impact on our energy, productivity, and wellbeing.

In my integrative medical practice, I have helped hundreds of patients resolve their sleep apnea through lifestyle medicine. By addressing the root causes, such as insulin resistance, inflammation, and hormonal imbalance, we can restore restful sleep without CPAP or surgery.

My multi-pronged approach incorporates nutrition, movement, stress reduction, and circadian rhythm optimization. I provide patients with personalized sleep health plans to resolve apnea, daylight energy, and nighttime recovery. The results have been life-changing.

Beyond my patient work, I educate professionals and the public on the dangers of sleep disordered breathing. I translate complex sleep science into simple, motivating steps people can take to dramatically improve sleep.

Sleep apnea is a hidden health crisis. It sharply increases the risks of numerous chronic diseases while destroying quality of life. But few doctors screen for it or understand how to treat it holistically.

My aim is to bring sleep apnea out of the shadows. By sharing both my clinical expertise and my patients’ success stories, I empower people to take control of their sleep and health. Restful sleep is the foundation of high performance, disease prevention, and longevity. I want to help as many people achieve it as possible.