Matt delves into the world of REM Sleep Behavior Disorder (RBD), a condition at the frontiers of sleep science. Normally, the brain dreams while atonia paralyzes the body in a neural magic act that is managed by brainstem nuclei activating inhibitory "brakes" in the spinal cord. When this circuit fails, the motor system remains active, enacting nightmares in real-time.

RBD is hazardous - 10% of patients sustain injuries requiring medical intervention or hospitalization. It is a prodromal synucleinopathy where misfolded proteins erode the brain's architecture and 50% of patients develop Parkinson’s or Lewy body dementia within a decade. Matt concludes by noting that new skin biopsy biomarkers like Syn-One now offer hope for early detection.

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 today’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!

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:

Matt: Instagram @drmattwalker, X @sleepdiplomat,

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

Matt and Dr. Eti Ben Simon begin their latest AMA by exploring somniloquy as fragmented noise within Stage 2 NREM sleep. They distinguish these vocalizations from REM Sleep Behavior Disorder, where the brain’s paralysis mechanism fails. The pair also examines how Long Covid triggers chronic sleep fragmentation in half of all patients. This disruption is tethered to systemic inflammation and elevated C-reactive protein.

The hosts find sparse evidence for CBD and CBN, noting a pattern of pharmacological tolerance, and observe that users require massive dose escalations to maintain a fading baseline of benefit. They go on to address the bedroom environment, emphasizing air quality and carbon dioxide risks, and, finally, reinforce consistency as the most potent tool for anchoring the human circadian rhythm.

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, 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.

Another partner, David, is a revolutionary new protein bar that 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!

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.

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/@sleepdiplomat

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 etoosh@gmail.com

Matt explores a revolutionary shift in sleep science, identifying the gut microbiome as a secondary control center for rest. He elucidates the bidirectional gut-brain axis, where the Vagus nerve connects trillions of microorganisms to the brainstem, and details how bacterial metabolites, specifically the short-chain fatty acid butyrate, trigger critical BDNF-TrkB signaling to orchestrate deep NREM sleep. Using Parkinson’s disease as a model, he demonstrates how gut dysbiosis undermines sleep architecture and ramps up neuroinflammation, proving our intestinal health is inextricably linked to nightly stability.

Matt discusses how dietary choices and circadian regularity influence this microbial ecosystem, highlighting prebiotic fibers like beta-glucan, which provide the essential fuel for bacteria to produce sleep-promoting compounds. He also reviews probiotics' ability to modulate neurochemistry - reducing cortisol and increasing GABA - to facilitate a seamless transition into sleep. Ultimately, Matt argues that sleep is a collaborative effort between neurons and microbes, suggesting that precision interventions tailored to our microbial signatures are the future of optimal health.

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