How Breathing Shapes Sleep, Stress, Performance, & Longevity | Patrick McKeown
Auto-extracted preview. These recommendations were transcribed and classified from the episode audio. Timestamps link to the source; classifications are not yet editorially verified.
Recommendations from this episode
In transcript order-
Endorsement
Patrick McKeown's book on breathing techniques for performance, health and stress.
“his bestselling books including the Oxygen Advantage
Certaintyexplicitstrong endorsement -
Endorsement
Kelly and Juliet Starrett's book containing vital signs including breathing and the BOLT test.
“we have a huge chunk of built to move
Certaintyexplicitrecommendation -
Sponsor read
App by Kelly Starrett for daily mobility work with short routines.
“Mobility Coach app
DosageA few minutes dailyCertaintyexplicitrecommendation -
In a protocol
A small breath-hold exercise to decongest the nose so people can transition to nasal breathing.
“I practiced the nose unblocking exercise. It worked straight away
Certaintyexplicitpersonal use -
Measure breath-hold time after a normal exhale until first urge to breathe; aim for above 25 seconds as a marker of functional breathing.
“if your bolt score is above 25 seconds
DosageNormal breath in/out through nose, hold nose, time until first involuntary diaphragm contraction; breathing should be normal on resumeCertaintyexplicitstrong endorsement -
In a protocol
Incorporate breath holds while walking, jogging, or training to build CO2 tolerance, induce hypoxia/hypercapnia, and improve performance.
“Look at doing breath holds during your practice
DosageProgressive: hold for 10 paces, normal breathing 30-60s; build up to 20, 30, 40, 50, 60, 70, 80 pacesCaveatsAvoid hyperventilation before holds; don't push blood oxygen below 60%Certaintyexplicitstrong endorsement -
Breathe slower but fuller breaths using the diaphragm to improve alveolar ventilation rather than fast shallow breaths.
“breathing slower but fuller breaths
CaveatsDon't over-breathe even when slow — watch tidal volumeCertaintyexplicitrecommendation -
Sponsor read
Element electrolyte drink mix in iced tea lemonade flavor with real black tea, polyphenols, L-theanine and caffeine for hydration and a performance bump.
“this iced tea lemonade. Hydration. It is so good
CaveatsMaybe not for 4-5pm due to caffeineCertaintypersonal onlystrong endorsement -
In a protocol
Breathe in and out through the nose during wakefulness, light to moderate exercise, and sleep to improve CO2 tolerance, diaphragm recruitment, and airway function.
“start breathing in and out through the nose
DosageAll day during rest and light/moderate exercise; close mouth during sleepCaveatsDuring very high intensity exercise mouth breathing may be necessary; don't force itCertaintyexplicitstrong endorsement -
Sponsor read
NSF-certified-for-sport protein powder used in morning smoothies; strawberry flavor; provides 40g protein per two scoops.
“40 grams, the best
DosageTwo scoops = 40g protein; one scoop dailyCertaintypersonal onlystrong endorsement -
In a protocol
During a panic attack, cup hands over nose and mouth to rebreathe CO2, then soften to slow nasal breathing (in 2-3, out 2-3) to restore CO2 and reduce air hunger.
“simply cup your hands... breathe in
DosageFew big breaths to relieve initial air hunger, then soften to in-2-3/out-2-3 nasal breathingCaveatsBrown paper bag method isn't always safeCertaintyexplicitrecommendation -
Avoid orthodontic treatment that involves tooth extractions — it doesn't address underlying small-jaw problem and can worsen airway.
“It's not great to get teeth removed
Certaintyexplicitmild caution -
In a protocol
Maintain proper tongue posture with three-quarters of the tongue elevated against the palate (not pushing on teeth) to open airway and support facial development.
“tongue resting in the roof of the mouth
DosageSay 'thin' to position tip; elevate three-quarters of tongue flat against palateCertaintyexplicitstrong endorsement -
In a protocol Alternative
Elasticated tape that surrounds the lips (without covering the mouth) to encourage lip closure and nasal breathing during sleep or wakefulness.
“I brought up my own tape called Myotape
DosageApply around mouth during sleep or distracted wakefulnessCaveatsSafer than tape that covers mouth — doesn't worsen sleep apnea since mouth puff still possibleCertaintyexplicitstrong endorsement -
Avoid taping the mouth fully shut, especially in people with obstructive sleep apnea — it can worsen sleep apnea in 50% of cases.
“50% of people with obstructive sleep apnea, their sleep was worsening from mouth tape
CaveatsUse lip-surrounding tape (like Myotape) insteadCertaintyexplicitmild caution -
In a protocol
Don't watch the news, true crime shows, or scroll phone before bed — stimulation and blue light prevent the brain from signaling safety needed for sleep onset.
“Don't watch the news... before you go to sleep
Certaintyexplicitrecommendation -
In a protocol
Take a soft breath in through nose and relaxed, slow, gentle exhale to stimulate vagus nerve, slow heart rate, and signal safety to the brain.
“a relaxed and a slow and a gentle breath out
DosageSoft nasal inhale, slow gentle exhale; for sleep, add light air hunger (30% less air)Certaintyexplicitrecommendation -
In a protocol
To fall asleep faster, soften breathing to ~30% less air with comfortable air hunger, mouth closed, breathing nasally.
“taking about 30% less air into your body
DosageSoft nasal in, gentle out, ~30% less volume; mouth closedCertaintyexplicitrecommendation -
In a protocol
Use a guided audio (incorporating hypnosis/NLP) when waking at 3am or struggling to fall asleep — hand the rumination problem over to the recording.
“throw on my headphones... play the guided audio
DosagePhone on flight mode, headphones, play guided audioCertaintypersonal onlypersonal use -
In a protocol
10 minutes of low-intensity nasal breathing followed by progressive breath holds during exercise (10, 20, 30+ paces) to prepare athletes physiologically and mentally for competition.
“10 minutes of nose breathing during kind of low, easy intensity
Dosage10 min nasal breathing low intensity, then progressive breath holds 10-80 paces with 30-60s normal breathing betweenCertaintyexplicitstrong endorsement -
Endorses 20-minute reset rest after poor sleep before competition practice · Patrick McKeown ▶ 1:18:20In a protocol
After poor sleep before an important event, do normal morning routine, eat breakfast, then lie down for a 20-minute reset to recover mental state.
“20 minutes of rest and reset
Dosage20 minutes lying down after breakfastCertaintyexplicitrecommendation -
In a protocol Alternative
Consult a functional or airway dentist for children with overcrowded teeth, narrow jaws, or airway issues — they use appliances to expand jaws rather than extract teeth.
“a functional dentist is so important
Certaintyexplicitstrong endorsement -
Guest recommendation In a protocol
Free app with children's section containing breathing exercises taught by McKeown's daughter for parents to use with kids.
“there's an app called Buteyko Clinic
CaveatsNot as good as an instructor but a good starting pointCertaintyexplicitrecommendation -
In a protocol
Tape child's mouth (with Myotape or paper tape) during distracted activities like TV or screens to retrain lip-seal behavior.
“I need you to have your mouth taped during that time
DosageApply during TV/screen/distracted timeCaveatsOnly after confirming child can breathe through noseCertaintyexplicitrecommendation -
Guest recommendation
Patrick McKeown's clinical/lay book on breathing with 700+ clinical paper references covering sleep and many conditions.
“the sleep book... about 700 clinical papers supporting it
Certaintyexplicitrecommendation -
Guest recommendation
Bill Perkins' book on life and finances; McKeown read it in two days at the airport and recommends it.
“I bought a book at the airport. Die with zero
Certaintyexplicitrecommendation -
Guest recommendation
Eckhart Tolle's book — McKeown's all-time favorite, which he has read repeatedly for bringing stillness to the mind.
“Zakharth's book, the Power of Now, I think it's absolutely amazing
Certaintyexplicitstrong endorsement