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Sleep and recovery

Sleep — the foundation of metabolic health

Sleep is not 'wasted time' — it is an active hormonal, immune and metabolic recovery process. Chronic sleep restriction (< 6 h) raises insulin resistance, cortisol, appetite and inflammation as much as a poor diet.

  • 1 week of < 6 h sleep = ~40% worse insulin sensitivity
  • Deep sleep and REM — the glymphatic system clears the brain
  • Cortisol, melatonin, growth hormone — in sync with the sun

Why sleep underpins every system

During sleep the body doesn't 'switch off' — the opposite happens: the glymphatic system flushes metabolic waste from the brain (including beta-amyloid), deep-sleep stages restore tissues via growth hormone, and REM consolidates memory and emotional regulation.

Sleep quality matters as much as duration. 8 h of fragmented sleep with low deep-sleep share is worse than 7 h of continuous deep sleep.

Early signs of poor sleep

  • Waking without an alarm is hard; morning 'fog' lasts > 30 min
  • Waking at 3–4 am (early cortisol rise)
  • Falling asleep takes > 30 min or is 'too fast' (< 5 min = sleep debt)
  • Night sweats, restless legs (RLS)
  • Snoring, breathing pauses (possible sleep apnea)
  • Afternoon carb cravings, evening snacking
  • Reduced stress tolerance, irritability, poor focus

Sleep and insulin sensitivity

In the classic Van Cauter & Spiegel study (Lancet, 1999) healthy men were restricted to 4 h of sleep for 6 nights — glucose tolerance dropped by 40%, into pre-diabetic range. The effect resolved after normal sleep resumed.

Every hour of lost sleep raises next-day average insulin and appetite (leptin ↓, ghrelin ↑) — one reason sleep-deprived people spontaneously eat 300–500 kcal more.

Cortisol cycle and circadian rhythm

  • Cortisol should peak in the morning (30 min after waking — CAR)
  • In the evening (after 20:00) cortisol should fall — otherwise insomnia
  • Evening blue light (screens) suppresses melatonin by 50–90%
  • Morning natural light (10 min in the first hour) resets the cycle

Deep sleep, REM and hormonal recovery

Deep sleep (N3, delta waves) dominates the first half of the night — this is when growth hormone spikes, tissue repair happens and the glymphatic system clears the brain. REM dominates the second half — memory consolidation and emotional processing.

Alcohol and late meals reduce deep-sleep share. Hard training right before bed (< 2 h) can raise cortisol and delay sleep onset.

Four pillars of better sleep

Before sleeping pills — try these four pillars consistently for 2–4 weeks. In most cases sleep improves substantially.

Light

10–20 min of natural morning light in the first hour. In the evening: screens on f.lux/night-shift, after 21:00 dim lights (< 100 lux), bedroom fully dark.

Temperature and rhythm

Bedroom 17–19 °C. Consistent wake and bedtime ± 30 min (including weekends). Dinner at least 2–3 h before bed.

Caffeine and alcohol

Caffeine half-life is 5–6 h — last cup before 14:00. Alcohol shortens REM and deep sleep — limit and prefer early evenings.

Stress and movement

Daily 30 min of movement (not right before bed). Evening down-regulation — breathwork, journaling, reading on paper. Meditation or NSDR 10 min.

Supplements for sleep (only when needed)

Before supplements — dial in light, caffeine, alcohol, training timing and stress. With the fundamentals in place, supplements work far better.

  • Magnesium (bisglycinate or threonate, 200–400 mg evening) — relaxing, improves deep sleep
  • L-theanine (200 mg) — reduces pre-sleep anxiety
  • Glycine (3 g) — lowers body temperature, speeds sleep onset
  • Apigenin (chamomile extract, 50 mg) — GABAergic effect
  • Melatonin (0.3–1 mg) — SHORT-TERM (e.g. jet lag), not long-term
  • Ashwagandha (300–600 mg) — lowers cortisol if stress is the driver
  • Avoid: 'strong' 5–10 mg melatonin products — likely suppress endogenous production

Eating window and sleep

Late eating (< 2 h before bed) raises overnight glucose and insulin, reduces deep sleep and the GH pulse. Time-restricted eating (last meal 19:00–20:00) improves sleep quality for most people within weeks.

Very strict fasting (< 500 kcal/day) can worsen sleep in the first weeks — give the body 2–3 weeks to adapt.

Labs that add sleep context

  • Salivary cortisol day profile (4 samples) — cortisol curve
  • Fasting glucose and insulin, HOMA-IR — metabolic context
  • Ferritin, TIBC — iron deficiency drives RLS and fragmented sleep
  • TSH, free T3 — thyroid affects night temperature and sleep
  • Vitamin D, magnesium (RBC), zinc — common deficiencies
  • If snoring + breathing pauses — consider a sleep-apnea study (home polygraphy)

Go deeper: sleep and circadian webinars

Recorded material on sleep science, the cortisol rhythm and practical interventions.

See webinars Pay later or in instalments — via Montonio at checkout

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Need clinical help?

Chronic sleep loss affects the whole body

If sleep has been poor for more than 3 months, it's worth reviewing the metabolic and hormonal context. In a consultation we look at the relevant labs and build a plan.

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