Matt delves into insomnia, defining it as a persistent struggle to sleep despite having the opportunity. He presents "Cognitive Behavioral Therapy for Insomnia" (CBTI) as the scientifically validated gold standard, and details the five pillars: stimulus control to rebuild the bed-sleep association, time-in-bed restriction to boost efficiency, sleep hygiene, cognitive restructuring, and relaxation. These strategies retrain the brain to treat the bed as a sanctuary, deactivating the psychological triggers of wakefulness.

The episode also addresses the physiological impacts of caffeine, alcohol, and nighttime rumination. Walker contrasts traditional "Z-drugs," which may hinder glymphatic housekeeping, with newer "DORAs" that target the orexin system like a dimmer switch. While discussing tools like Trazodone, he emphasizes that CBTI’s aim is to restore the body’s innate sleep signals. These evidence-based interventions offer a lasting payoff by aligning behavior with our deep biological needs.

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

Clean biological living requires precision. Podcast partner Caraway’s non-toxic ceramic cookware eliminates deleterious "forever chemicals" for a seamless, slide-off-the-pan cooking experience. Save $190 on sets plus 10% off at Carawayhome.com/mattwalker. 

Caraway. Non-Toxic kitchenware made modern.

In a supplement industry where trust is critical, Matt uses podcast supporter Puori. Their protein powders are free from hormones, GMOs, and pesticides, with every single batch third-party tested for over 200 contaminants. For protein you can trust, save 20% at puori.com/mattwalker.

As always, if you have thoughts or feedback you’d like to share, please reach out to Matt:

Matt: Instagram @drmattwalker, X @sleepdiplomat, 

YouTube: https://www.youtube.com/channel/UCA3FB1fOtY4Vd8yqLaUvolg

Matt and Dr. Eti Ben Simon return with another AMA episode where they answer such listener questions as how sleep loss amplifies tinnitus and how Seasonal Affective Disorder impacts circadian rhythm. They also reveal that sleep restriction slashes vaccine-induced antibody production by 50%, and highlight deep NREM sleep as the vital soil for immunological memory.

The hosts go on to analyze somniloquy, address long COVID’s inflammatory sleep fragmentation, and critique the fading efficacy of CBD/CBN. They also blueprint an optimal bedroom, and ultimately, emphasize that consistent regularity remains the primary architect of biological restoration.

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

Another sponsor this week, LMNT, offers a science-based electrolyte drink with no sugar or artificial ingredients. Try their Lemonade Salt flavor, available May 20th! Get eight free sample packs with any order at drinklmnt.com/mattwalker.

Another partner, AG1, is one that Matt relies upon for his foundational nutrition. Their new science-backed Next Gen formula features upgraded probiotics, vitamins, and minerals. Start your subscription today to get a FREE bottle of Vitamin D3+K2 and 5 free travel packs with your first order at drinkag1.com/mattwalker.

As always, if you have thoughts or feedback you’d like to share, please reach out to Matt:

Matt: Instagram @drmattwalker, X @sleepdiplomat, 

YouTube: https://www.youtube.com/channel/UCA3FB1fOtY4Vd8yqLaUvolg

Eti: X @etoosh,  LinkedIn https://www.linkedin.com/in/eti-ben-simon-b4578013/, Website https://www.sleepingeti.com/, Instagram https://www.instagram.com/etoosh/, or email at [email protected]

Putting sleep deprivation under the microscope yet again, Matt explores our "genetic workforce" of 20,000 genes operating on a precise 24-hour cycle. He details 2013 research showing that just one week of six-hour nights alters 711 genes - three percent of the human genome. This shift disrupts the circadian clock’s coordination, moving the body away from essential repair toward cellular stress and inflammatory markers.

Matt also examines the tissue-specific damage of sleep loss, explaining how deprivation triggers muscle breakdown while fat tissue hoards calories. From stalled lung genes to a hippocampus "closed for business", he maps the molecular discord of exhaustion. Citing recent data on alternative splicing, Matt confirms sleep is a biological necessity and Mother Nature’s best effort yet at "contra-death."

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

Podcast partner, David, is a revolutionary new protein bar developed with Dr. Peter Attia. It boasts an unbeatable ratio: 28g of protein and 0g of sugar in just 150 calories. Incredibly satiating with six amazing flavors, it’s perfect for muscle health. Visit davidprotein.com/mattwalker and buy 4 cartons to get a 5th FREE!

Another sponsor this week, LMNT, offers a science-based electrolyte drink with no sugar or artificial ingredients. Try their new limited-time Lemonade Salt flavor, available May 20th! Get eight free sample packs with any order at drinklmnt.com/mattwalker. Stock up on this flavor while it lasts!

In a supplement industry where trust is critical, Matt uses podcast supporter Puori. Their protein powders are free from hormones, GMOs, and pesticides, with every single batch third-party tested for over 200 contaminants. For protein you can trust, save 20% at puori.com/mattwalker.

As always, if you have thoughts or feedback you’d like to share, please reach out to Matt:

Matt: Instagram @drmattwalker, X @sleepdiplomat, 

YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299

Join Matt to leave the day’s rush behind. After a brief breathing exercise to settle the mind and body, you will find yourself on a quiet street in a British village. Matt leads you across a small stone bridge to a cozy bookshop nestled between two old brick buildings. This sanctuary is filled with the faint scent of aged paper and polished wood, providing a peaceful haven where time slows down and the stresses of the day are left behind.

Once you are inside the shop, you can wander through the quiet aisles and run your fingers along the spines of books that have waited years to be opened. You'll eventually settle into a plush armchair by a window, wrapped in a soft woolen blanket while looking out at the gently rippling water of a canal. There's no urgency here and no need to worry about the stories within the pages. Simply allow the tranquility of "The Midnight Bookshop" to envelop you as you release all tension and drift into a deep, restorative sleep.

Craving more energy, better metabolism, and immunity? Discover Pique's Nandaka, a ceremonial cacao superfood blend for calm, sustained energy without the crash. Thanks to this wonderful podcast partner, you can now get 20% off for life at pique.com/mattwalker using code MattWalker.

As always, if you have thoughts or feedback you’d like to share, please reach out to Matt or Eti:

Matt: Instagram @drmattwalker, X @sleepdiplomat, 

YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299

Exploring GLP-1 agonists in a new light, Matt examines a review that positions these metabolic hormones as potential brain defenders. He details their surprising presence in memory centers and their capacity to combat the "biological rust" of oxidative stress and neuroinflammation.

Matt critically evaluates the gap between robust animal models and the unwritten chapter of human trials, while highlighting the vital link between metabolic health and sleep. He argues that biology is not siloed; supporting the body’s metabolic "power grid" through sleep provides the integrated care the brain needs to withstand complex insults.

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

In a supplement industry where trust is critical, Matt uses podcast supporter Puori. Their protein powders are free from hormones, GMOs, and pesticides, with every single batch third-party tested for over 200 contaminants. For protein you can trust, save 20% at puori.com/mattwalker.

Another sponsor is UPLIFT Desk whose V3 Standing Desk helps boost circulation and concentration with a sturdy, customizable design that gets you moving while you work. Visit upliftdesk.com/walker and use code WALKER for 4 free accessories and a 15-year warranty.

As always, if you have thoughts or feedback you’d like to share, please reach out to Matt:

Matt: Instagram @drmattwalker, X @sleepdiplomat, 

YouTube: https://www.youtube.com/channel/UCA3FB1fOtY4Vd8yqLaUvolg

Matt examines the critical link between sleep quality and Alzheimer’s pathology. He details the brain's "night shift" - the glymphatic system - which actively flushes out toxins like amyloid beta during deep sleep. Listeners learn how even a single night of deprivation can spike harmful tau levels by 50%, effectively accelerating brain aging.

The discussion pivots to dual orexin receptor antagonists (DORAs), a drug class that quiets wakefulness rather than forcing sedation. Matt highlights research from Dr. Brendan Lucey and Dr. David Holtzman showing these agents may lower toxic proteins and preserve the hippocampus. Despite this therapeutic promise, he emphasizes that natural sleep remains the ultimate gold standard for neuroprotection.

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

One of this week's sponsors, LMNT, offers a science-based electrolyte drink with no sugar or artificial ingredients. Try their new limited-time Lemonade Salt flavor, available May 20th! Get eight free sample packs with any order at drinklmnt.com/mattwalker. Stock up on this summer flavor while it lasts!

Another sponsor, Shopify, made launching Matt's merchandise incredibly smooth with its integrated sales system. Shopify simplifies everything from online stores to in-person sales. Start your exclusive trial and see for yourself at shopify.com/mattwalker.

Craving more energy, better metabolism, and immunity? Discover Pique's Nandaka, a ceremonial cacao superfood blend for calm, sustained energy without the crash. Thanks to this wonderful podcast partner, you can now get 20% off for life at piquelife.com/mattwalker using code MattWalker.

As always, if you have thoughts or feedback you’d like to share, please reach out to Matt:

Matt: Instagram @drmattwalker, X @sleepdiplomat, 

YouTube: https://www.youtube.com/channel/UCA3FB1fOtY4Vd8yqLaUvolg

In this latest AMA episode, Matt and Dr. Eti Ben Simon explore the complex web connecting sleep to our health and daily lives. They investigate the gut-brain axis, discussing how sleep deprivation alters the microbiome and whether probiotics can restore balance. The conversation also addresses the heavy toll of bereavement, examining the bidirectional link between acute grief and insomnia while offering evidence-based strategies to manage sleep during times of loss.

The discussion shifts to creativity, revealing how REM sleep acts as "informational alchemy" to fuel innovation for artists and scientists alike. Matt and Eti share practical tips for harnessing sleep for breakthroughs, including Edison's famous napping technique. Finally, they cover the dangers of microsleeps - brief, uncontrollable lapses in attention - highlighting the risks of drowsy driving and how emerging technology can help save lives.

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

Podcast partner, AG1, is one that Matt relies upon for his foundational nutrition. Their new science-backed Next Gen formula features upgraded probiotics, vitamins, and minerals. Start your subscription today to get a FREE bottle of Vitamin D3+K2 and 5 free travel packs with your first order at drinkag1.com/mattwalker.

In a supplement industry where trust is critical, Matt uses podcast supporter Puori. Their protein powders are free from hormones, GMOs, and pesticides, with every single batch third-party tested for over 200 contaminants. For protein you can trust, save 20% at puori.com/mattwalker.

Another sponsor is UPLIFT Desk whose V3 Standing Desk helps boost circulation and concentration with a sturdy, customizable design that gets you moving while you work. Visit upliftdesk.com/walker and use code WALKER for 4 free accessories and a 15-year warranty.

As always, if you have thoughts or feedback you’d like to share, please reach out to Matt:

Matt: Instagram @drmattwalker, X @sleepdiplomat, 

YouTube: https://www.youtube.com/channel/UCA3FB1fOtY4Vd8yqLaUvolg

Eti: X @etoosh, Instagram https://www.instagram.com/eti_bensimon/,  or email at [email protected]

Matt confronts the systemic failure of sleep deprivation, examining its impact on our biological machinery. When sleep is short, the body's "fuel gauge" dips, impairing mitochondrial function and glucose tolerance. However, he highlights compelling research on two interventions - creatine supplementation and high-intensity interval training. These act as backup generators, offering a physiological buffer to preserve metabolic and executive functions when rest is unavoidably restricted.

The episode explores how creatine serves as a "quick charge" battery for the brain, regenerating adenosine triphosphate (ATP) to sustain processing speed. Matt also details how high-intensity exercise services the body's engine, mitigating drops in glucose tolerance. Ultimately, he frames these tools as "sandbags against a rising tide" - vital for weathering the storm of sleeplessness, yet unable to replace the holistic, restorative power of sleep itself.

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

One of this week's sponsors, LMNT, offers a science-based electrolyte drink with no sugar or artificial ingredients. Try their new limited-time Lemonade Salt flavor! Get eight free sample packs with any order at drinklmnt.com/mattwalker. Stock up on this summer flavor while it lasts!

As a huge supporter of mission-driven companies, Matt recommends new partner Branch Basics. Their plant- and mineral-based ‘The Concentrate’ is tough on kitchen grease yet gentle enough for baby toys, helping you create a toxin-free home. Get 15% off with code MattWalker at branchbasics.com/mattwalker.

Another sponsor, David, is a revolutionary new protein bar developed with Dr. Peter Attia. It boasts an unbeatable ratio: 28g of protein and 0g of sugar in just 150 calories. Incredibly satiating with six amazing flavors, it’s perfect for muscle health. Visit davidprotein.com/mattwalker and buy 4 cartons to get a 5th FREE!

As always, if you have thoughts or feedback you’d like to share, please reach out:

Matt: Instagram @drmattwalker, X @sleepdiplomat, 

YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299

The 4 Macros of Sleep Free Assessment: qqrt.org 

Matt ventures into the realm of 40 Hz "gamma" rhythms - the conductor of the biological orchestra during high-order cognition - to explore how non-invasive light and sound stimulation can entrain brain activity, nudging neurons into synchrony. Crucially, Matt examines ground-breaking Alzheimer’s research where this rhythm rallies the brain's immune cells to clear toxic plaques, potentially stabilizing memory and preventing atrophy in early-stage patients.

Beyond cognition, Matt uncovers a neurobiological paradox: high-frequency stimulation can actually induce sleepiness by triggering a surge in adenosine. He discusses findings suggesting 40 Hz therapy acts as a "paradoxical lullaby," improving insomnia and regulating mood via the prefrontal cortex. While remaining grounded in scientific skepticism, Matt considers if this non-pharmacological intervention could become a vital addition to our future health toolkit.

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

This episode is supported by podcast partner Pique. Their Radiant Skin Duo pairs Sun Goddess Matcha and B·T Fountain to target stress and deep cellular hydration from the inside out. Get 20% off sitewide for life plus an exclusive free holiday bundle at piquelife.com/mattwalker.

In a supplement industry where trust is critical, Matt uses podcast sponsor Puori. Their protein powders are free from hormones, GMOs, and pesticides, with every single batch third-party tested for over 200 contaminants. For protein you can trust, save 20% at puori.com/mattwalker.

Another sponsor is UPLIFT Desk whose V3 Standing Desk helps boost circulation and concentration with a sturdy, customizable design that gets you moving while you work. Visit upliftdesk.com/mattwalker and use code MATTWALKER for 4 free accessories and a 15-year warranty.

As always, if you have thoughts or feedback you’d like to share, please reach out to Matt:

Matt: Instagram @drmattwalker, X @sleepdiplomat, 

YouTube: https://www.youtube.com/channel/UCA3FB1fOtY4Vd8yqLaUvolg

The counterintuitive use of sleep deprivation as a rapid treatment for major depression finds itself squarely in Matt’s spotlight today. He begins by discussing its origins in the 1970s, where one night of wakefulness induced temporary remission in 40-60% of patients, and goes on to note that this effect is fragile, with an 83% relapse rate after recovery sleep, pointing to a paradox where sleep itself may be depressogenic for some.

Matt reviews the neuroscientific explanations, including the "overarousal hypothesis," which suggests the therapy works by calming hyperactive brain regions like the amygdala. The episode also covers chronotherapy's role in extending these benefits before presenting a modern conundrum: a 2022 meta-analysis that challenges the standalone efficacy of sleep deprivation, pitting decades of clinical observation against rigorous scientific review. This sets the stage for a scientific reckoning, where the dream of a fast-acting cure confronts the sobering reality of modern evidence.

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

As a huge supporter of mission-driven companies, Matt recommends new partner Branch Basics. Their plant- and mineral-based ‘The Concentrate’ is tough on kitchen grease yet gentle enough for baby toys, helping you create a toxin-free home. Get 15% off with code MattWalker at branchbasics.com/mattwalker.

Another sponsor, Shopify, made launching Matt's merchandise incredibly smooth with its integrated sales system. Shopify simplifies everything from online stores to in-person sales. Start your exclusive trial and see for yourself at shopify.com/mattwalker.

A third sponsor this week, LMNT, offers a science-based electrolyte drink with no sugar or artificial ingredients. Try their new limited-time Lemonade Salt flavor, available May 20th! Get eight free sample packs with any order at drinklmnt.com/mattwalker. Stock up on this summer flavor while it lasts!

As always, if you have thoughts or feedback you’d like to share, please reach out to Matt:

Matt: Instagram @drmattwalker, X @sleepdiplomat, 

YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299