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Perform with Dr. Andy Galpin

Enhance Your Physical & Mental Resilience (HRV, Respiratory Rate, RHR)

Wed, 16 Apr 2025

Description

In this episode, I explain how to increase your control over your nervous system — not just to manage stress, but to recalibrate your autonomic nervous system for long-term physiological resilience and adaptability. This episode goes beyond basic stress management techniques to explore how to fine-tune your nervous system, become more stress tolerant, and use your personal data to know exactly when and how to intervene. Using the three I’s framework — Investigate, Interpret and Intervene — I explain how to assess key physiological markers such as heart rate variability (HRV), respiratory rate and CO₂ tolerance. I also discuss a range of tools and strategies, ranging from free to clinical-grade, that can shift your nervous system acutely (like cold exposure or visual resets) and chronically (such as structured breathwork or exercise). This episode is for anyone looking to actively train their brain and body to improve resilience, adaptability and peak performance. Read the episode show notes at performpodcast.com. Thank you to our sponsors AG1: https://drinkag1.com/perform David: https://davidprotein.com/perform LMNT: https://drinklmnt.com/perform Momentous: https://www.livemomentous.com/perform Eight Sleep: https://www.eightsleep.com/perform Timestamps 00:00:00 Controlling Your Nervous System 00:04:59 Nervous System Branches, Recalibrate Autonomic Nervous System 00:09:46 Sponsors: AG1 & David Protein 00:12:30 Read & Regulate, Highway Analogy, Resilience 00:18:35 Investigate: Performance-Based Tests, Psychology & Physiological Markers 00:24:07 Heart Rate Variability (HRV), Genes & Lifestyle, Age, Health & Resilience 00:36:22 Sponsors: LMNT & Momentous 00:39:23 Tool: Measuring HRV 00:41:46 Respiratory Rate, CO2 Tolerance Test 00:45:37 Metabolism & Respiration, Chronic Hyperventilation, Overbreathing 00:53:46 Tool: Measuring Respiratory Rate 00:54:48 Interpret: HRV Scores, Device Variability, Standard Deviation 01:00:48 HRV Stability, Sleep Schedule, Alcohol, Exercise & Meal Frequency 01:04:34 Sponsor: Eight Sleep 01:05:56 HRV Data & When to Intervene, Acute vs Chronic, Training 01:09:16 Interpret: Respiratory Rate, Overbreathing & Breathing Problems 01:15:53 Intervention: Acute Changes, 4x4 Matrix 01:17:50 Acute & Chronic Categories; Cold Water Immersion 01:21:50 Acute Actions, Visual Resets, Valsalva Maneuver, Vagal Nerve Stimulators 01:28:09 Chronic Actions, Desensitization, Timing for Results 01:32:57 Exercise, High-Intensity Interval Training (HIIT) 01:34:57 Breathwork, Tool: Reduce Stress & Anxiety with Breathwork 01:42:47 Internal Biofeedback, Meditation, Cold Exposure, Gear 1 Walking 01:48:55 External Biofeedback, Weight Belt 01:52:26 Resonant Breathing, HRV Biofeedback; Haptic Biofeedback 02:00:28 Supplements, Omega-3s, Watermelon Juice, Ashwagandha, Vitamin D & B12 02:03:33 Recap & Key Takeaways 02:07:28 Zero-Cost Support, YouTube, Spotify & Apple Subscribe & Reviews, Sponsors, YouTube Feedback, Social Media, Perform Newsletter Disclaimer & Disclosures

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Chapter 1: Who is Dr. Andy Galpin and what is the focus of this episode?

0.563 - 22.572 Dr. Andy Galpin

the science and practice of enhancing human performance for sport, play, and life. Welcome to Perform. I'm Dr. Andy Galpin. I'm a professor and scientist and the executive director of the Human Performance Center at Parker University. And today we're going to be talking about how to control your nervous system. My favorite example of this actually comes from a TV show.

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22.913 - 38.845 Dr. Andy Galpin

Many of you probably remember the show, The Office, at least the American version. And I'll never forget one of the classic scenes, one of the characters, Dwight Schrute, was telling and bragging actually about how he had superior genes and he was able to, at his own will, raise his blood cholesterol levels.

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39.659 - 59.109 Dr. Andy Galpin

And of course, the bewildered friends of his asked him, why would you even want to do that? And his response in classic Dwight fashion was so that he could lower his cholesterol. That had made me laugh and I've never stopped laughing at that. And it highlights one example, albeit admittedly, not sure why you would want to do that or if that's real or not.

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59.669 - 82.204 Dr. Andy Galpin

But it highlights the point of how can we actually have control over aspects of our physiology that most people think we can't. Maybe we have some control, but it's subconscious or otherwise. And that's what I'm referring to when I say control your nervous system. There is actually a bunch of science behind this. Probably the most famous initial scientifically documented experiment came in 1970.

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82.404 - 106.439 Dr. Andy Galpin

There was a famous gentleman, I think his name is Swami Rama. I hope I pronounced that appropriately. But Swami was able to do a host of feats that still baffle most of us. What eventually happened was he sat in a room with a handful of scientists, and they placed what are called ECGs to measure electrical conductivity of his heart, as well as EEGs to measure directly into his brain.

Chapter 2: What scientific evidence shows we can control our autonomic nervous system?

107.04 - 113.744 Dr. Andy Galpin

And he performed, again, this whole host of insane physiological feats without moving. Now that part's critical, right?

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113.764 - 132.457 Dr. Andy Galpin

So when he did things like take his resting heart rate from 70 beats per minute to reportedly 300 beats per minute, and he held that for several seconds and then brought it back down, he did that not by running sprints up a hill or anything, but by just simply sitting there and having the conscious ability to control that aspect of his physiology.

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132.937 - 152.355 Dr. Andy Galpin

Another really impressive thing Swami was able to do was actually shock the scientific team. They thought he was in cardiac arrest. because his ECG stopped working. And what happened was he was able to bring his heart rate below 20 beats per minute at the same time, give himself what's called AFib. And so the machine itself thought his heart had been stopped for like 20 seconds.

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153.015 - 171.311 Dr. Andy Galpin

I guess he signaled that, you know, I'm fine, I'm okay here. And then eventually brought it back up. Arguably more impressive was some of the stuff he was able to do with his physical temperature. So they had him on the same hand change the temperature by I think like six degrees Celsius in his same hand, again, only inches away.

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171.651 - 191.265 Dr. Andy Galpin

And so clearly demonstrating some, not only control of his whole body temperature, but extreme precision of where that temperature was going and where it was not. But nonetheless, that was documented and published. And again, to this day is probably one of the more famous cases of such incredible control of one's what's supposed to be autonomic physiology.

191.765 - 211.837 Dr. Andy Galpin

A decade later, and I'm gonna highlight this one as well, I think it was 1982 actually, a similar thing was done in a more extensive group. And so what actually happened here was a paper was published in Nature. Now, that's one of the most blue-ribbon, highest-esteem journals in all of science and physiology.

212.358 - 238.345 Dr. Andy Galpin

And so, preeminent journal, it was published, and they looked at a bunch of Tibetan monks that lived in the Himalayas, studying and utilizing a practice that's called TUMMO, T-U-M-M-O. And they were able to do a bunch of similar things that Rami was able to do. I won't draw them out, but temperature controls, raising their body temperatures by like eight degrees consciously without moving.

239.005 - 259.253 Dr. Andy Galpin

In fact, one of the things that they did was they put wet sheets on top of them and put them in very cold, if not sub-zero conditions. And these individuals were able to not only stay neutral with temperature, stay neutral with their heart rate, but they were also able to physically dry the sheets within like 30 to 60 minutes. And so you can go on and on.

259.273 - 281.168 Dr. Andy Galpin

You could probably find many other case studies like this. And again, thousands of anecdotes and other stories throughout history. But I think one thing that I'm trying to highlight here that is inarguable There is clearly the ability to run control over your physiology if you really take the time and attention. Is it tummo? Is it visualization?

Chapter 3: What are the branches of the nervous system important for control and resilience?

432.412 - 449.244 Dr. Andy Galpin

If we were to zoom all the way out, focusing on that autonomic nervous system, the ultimate goal is to not have too much time and attention spent on this thing. If it is firing and functioning appropriately, it's running in the background. It is the software that's running your computer. You don't need to be worrying about it.

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449.364 - 466.143 Dr. Andy Galpin

It's making your life easier and better, but you shouldn't spend a lot of conscious control over it. That said, sometimes it gets a little bit out of whack and you want to have the ability to toggle it and recalibrate it so that you can bring it up or back down based on a particular thing you're trying to do.

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466.804 - 487.228 Dr. Andy Galpin

And so all we're talking about really in today's episode is what happens when it gets again out of whack or is not as finely tuned to a particular thing that you'd like, and what can you do about it? That is ultimately today's version of controlling your nervous system. Now to be really clear, because we could go in a lot of different areas here, I'm also gonna qualify this talk even further.

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487.688 - 509.887 Dr. Andy Galpin

We're not gonna be talking about stress management. emotions, or even really mental health. In fact, I would encourage you to go listen to a recent episode of the Huberman Lab podcast, one of the ones that's in the essentials catalog, where they break down a bunch of different tools and tactics on overall stress management and neurological control. I'm not going to cover any of those things today.

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509.907 - 516.312 Dr. Andy Galpin

We're going an entirely separate route. I'm also not only talking about downregulation. I know personally for many years,

517.293 - 542.588 Dr. Andy Galpin

i had this connotation whenever i thought about parasympathetic or recovery or relaxing i just always or breath work for that matter i just always thought it's all about down down down down down and it's not in fact i'm not only going to focus exclusively on breath work today either we're going to go well past those things what i really want to get at is again fine-tune control the ability to go down but also go back up

543.248 - 560.006 Dr. Andy Galpin

and making sure that system is functioning how you'd like it to function. So what we will talk about are of course the three I's. If you're new to the show, what that means is how to investigate it, how to measure your nervous system, what that even means, what you should look for. The second I is interpret.

560.147 - 579.255 Dr. Andy Galpin

So how do you make sense of, how do you judge or evaluate that information that you got from that previous test? And then the third one, which is intervene. What do you do about it? What are protocols? What are tools and technologies? What are things you can do at home? What are things that can be done at a higher level? that will make those positive impacts no matter which direction you're going.

579.735 - 593.586 Dr. Andy Galpin

So that overall is our game plan today. Talk about how we can control our nervous system in all those forms and fashion. Today's episode is sponsored by AG1. AG1 is a vitamin mineral drink with probiotics, prebiotics, and adaptogens.

Chapter 4: What is the Three I’s framework for nervous system control?

966.69 - 982.139 Dr. Andy Galpin

We want you to all to be able to live a life that is your best, meaning you can handle things that challenge and change your body from a psychological perspective or a physiological perspective. And those things don't have dramatic consequences for you in the short or long term.

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982.379 - 995.648 Dr. Andy Galpin

So I feel comfortable in saying that most of us are better off with a more resilient rather than sensitive nervous system. What does that technically and practically look like? I will give you some tangible examples a little bit later.

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996.529 - 1018.506 Dr. Andy Galpin

But one thing you want to think about here is if you are somebody who feels like you are on constant sympathetic drive, you work out really hard at high intensity, you have a high stress personal life, a high stress place that you live, personal experiences, jobs, so on and so forth, then you might need to just focus on downregulation. That's fine.

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1018.947 - 1033.116 Dr. Andy Galpin

We have hundreds of randomized control trials on people only doing down regulation work and it creating tons of positive experiences in their life. We've done this a bunch in my coaching programs. I've done this with my clients and athletes. No question that works there.

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1034.619 - 1050.893 Dr. Andy Galpin

But that's a little bit different and not always the best scenario when somebody is having issues on both sides, upregulation and downregulation. Because what can happen is if you're only ever paying attention to that downregulation size, that highway starts to get smaller. All right.

1050.913 - 1064.814 Dr. Andy Galpin

So what you probably want to do, and if you actually look at the research in this space more carefully, a lot of the interventions are strategically implement both up-regulation and down-regulation.

1065.794 - 1086.541 Dr. Andy Galpin

Even if somebody is highly stressed, has a lot of anxiety or has other markers of overall dysfunction or problems in the nervous system, you're gonna see careful integration of both up-regulation and down-regulation. And that's because it works like a hormetic stressor. I've talked about this for many, many, many years. It's one of my favorite things to talk about.

1087.521 - 1106.625 Dr. Andy Galpin

But effectively what you're doing is you want yourself to downregulate. Well, just telling yourself to calm down doesn't always work very well. Sometimes the easiest way to calm down is to actually give yourself a supercharge up so that your body naturally swings back down as an equal and opposite reaction and the other way. So that is the framework with what we're going to talk about.

1106.905 - 1129.754 Dr. Andy Galpin

Let's get right into how we measure our nervous system. what tools we can use, and then we'll go into evaluation and interpretations from there. With that all in mind, let's dive into our first I, which is investigate. How do you measure this stuff? Well, there's no one answer here. I think it's easiest to describe this in three major categories. First one are what I call performance-based tests.

Chapter 5: How can we measure nervous system function using physiological markers like HRV?

1680.001 - 1703.931 Dr. Andy Galpin

I think that number is going to change over time, but it is inarguable that some point of it is not within your control and some part of it is. Why that matters? When we get to the interpretation stuff later, it's not VO2 max. I can't just look at your HRV and tell you you're good or bad. You have to consider the fact that a large part of it is not within your control. Tough to interpret.

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1703.971 - 1726.156 Dr. Andy Galpin

The numbers themselves aren't as specific as they are for other variables, again, like VO2 max. There's also a age-related decline that happens in your HRV. So it gets lower as you age. That said, a recent paper just came out, I think actually last year, And it argued pretty strongly that the age-related decline in HRV is not inevitable.

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1727.017 - 1743.489 Dr. Andy Galpin

And if you maintain function and fitness through life, that HRV should not drop as much, if any, but certainly not as much as you think. And so those are things that we are learning more about, but that paper just came out, first time I've seen anybody even examine it. So we're going to have to see where those things end up shaking out to be.

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1745.117 - 1762.441 Dr. Andy Galpin

Now, HRV is generally associated with better health, and you can look at this in a variety of different ways, but from a physical, cardiovascular, cardiopulmonary fitness perspective, it's generally pretty tied. It's not perfect. Just because VO2 max goes up doesn't mean HRV will go up, and the opposite as well.

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1762.781 - 1780.768 Dr. Andy Galpin

So they are related, but they're definitely not a one-to-one correlation, and it's, I'd say, a moderate correlation, so much so we basically factor them in independently. I've seen plenty of people with smashingly high and that will tell you almost nothing about their HRV and the opposite, okay?

1781.129 - 1801.743 Dr. Andy Galpin

Now, the research will show, and I have seen this personally in my experience, we've coached a lot of men and a lot of women. Women just tend to be a little bit lower with their VO2 max. Doesn't mean it's worse, but it is just a little bit lower of a score, meaning more sympathetic drive, right? Not worse. Now, that may actually not mean that, but that's a conversation for another day.

1802.103 - 1825.801 Dr. Andy Galpin

But nonetheless, Little bit of calibration on what this thing actually is. We now know HRV influences, and I won't say directly and only causes, something like attention and focus has dozens, if not hundreds of things that regulate it. So we need to make sure that we're hearing this correctly, right? It is just associated with, and it does influence, but it's not the only influence of HRV.

1826.901 - 1851.914 Dr. Andy Galpin

Everything from attention to decision making, emotional control, and then other things like what are called mental endurance. Now this particularly matters because mental endurance under stress is resilience. This is why we're talking about it, right? I want you to be more resilient to stress. In this particular example, can you maintain decision-making? Can you maintain focus?

1851.954 - 1870.53 Dr. Andy Galpin

Can you maintain attention and memory skills in the presence of stress? Not just when you're baseline, not when you're fresh and okay, but what about when you become fatigued? That's what a higher HRV allows you to do. And that's why we're going to press forward and give you tools to improve it, enhance it, or if it's already good, to maintain it.

Chapter 6: What is heart rate variability (HRV) and why does it matter for resilience?

2402.855 - 2422.783 Dr. Andy Galpin

Number one, I use a chest strap, Polar H10. I have no affiliation to Polar. I buy it. It's about $100 or so. This is the gold standard. And I like this the most because it is actually directly measuring EKG or ECG in the heart. Others, the ones that are worn like on your arm or on your wrist, are not directly measuring the heart.

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2422.803 - 2440.869 Dr. Andy Galpin

They're using a different technology or methodology, which doesn't matter. And they're okay in some spaces. Some of them are very good. But for me, if I'm going to make a change, if I'm going to pay attention, if I'm going to coach somebody on it, I'm not going to try to save $30 and buying something that's slightly cheaper. $100 is pretty reasonable for most people to get to.

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2441.39 - 2467.33 Dr. Andy Galpin

And so I want the highest standard there. So for me, I've just personally had the most success with the Polar H10 strap. On top of that, I have recently been shown by a colleague of mine, Dr. Jay Wiles, W-I-L-E-S. Jay is phenomenal in this area. He does a ton of research and clinical experience in this stuff. He recently showed me an app called Optimal HRV. Again, I have no association to them.

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2467.791 - 2487.307 Dr. Andy Galpin

I pay normal full price for it. It's about five bucks a month. It's really, really cheap. It pairs perfectly with that Polar H10 strap. So you can put the strap on, you can pull up the app, and you can see your HIV in real time. So we can see it right now. We can go test something. We can go try something, and we can see the response. It's very intuitive.

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2487.667 - 2505.971 Dr. Andy Galpin

So you're talking $100, $115 or something like that. You could have yourself a nice HIV tool. One more time to be really clear. If we are concerned about HIV, we're going to go with one of those devices. We're going to measure it directly from the chest. We're not going to measure it from the finger or the wrist or anywhere else unless we absolutely have to.

2506.431 - 2529.962 Dr. Andy Galpin

Now, it's been a long time since we talked about this, but earlier I brought up respiratory rate. And I'm going to come back to it now. There's not as much research here, but it is growing. And what's clear about respiratory rate is the information you get from it is different than what you get from heart rate variability. And so ideally, you're going to pay attention to both of these.

2531.303 - 2555.483 Dr. Andy Galpin

Respiratory rate, like HRV... It is a non-specific, but highly sensitive measure of your nervous system. In other words, if your HRV is up or down, or your respiratory rate is up or down, something's happening. It's very sensitive to changes. You will see changes within a day. As I just described, you can change these things within minutes or seconds.

2556.444 - 2574.062 Dr. Andy Galpin

If you see changes over a couple of days, it means something, but they're non-specific. They're not telling you, oh, this was your nutrition, or, oh, this is your mental stress, or, oh, this is hydration or bad sleep. You don't know what's happening. It's simply telling you something about the overall allostatic load, the total stress of the environment.

2574.543 - 2596.702 Dr. Andy Galpin

So then you gotta go work to figure out what's happening there, but they are both highly relevant. Why I like respiratory rate arguably the most here is because I have personally, and now I'm walking away from the research here, I can't show this scientifically yet, But I have found it personally to be more sensitive. It'll show up fast.

Chapter 7: How do respiratory rate and CO2 tolerance tests complement HRV in assessing nervous system state?

5699.887 - 5726.855 Dr. Andy Galpin

Remember earlier, when you exercise more CO2, so you breathe more, So when you start thinking about it, what is structured breath work doing? It's kind of like manipulating a little bit of a lower level amount of exercise. It makes sense. The same physiology happens. The same basic benefits. It's really consistent. The framework we use to think about it is in three basic steps.

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5726.975 - 5745.512 Dr. Andy Galpin

If we're going to implement a specific breathing protocol for somebody, here's how we do it. Again, for these particular purposes. Number one, Before we actually put somebody on a breathing program, we reduce arousal. I said this a while ago now. But this is actually step number one.

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5745.552 - 5771.923 Dr. Andy Galpin

Before you have to go through this meditation or intentional breathwork protocol, we just got to reduce the sensory input. We have seen this a lot. Go for a walk in nature. No podcast. No music. Not as much time. You can't wake up in the morning, immediately go to your heavy metal music, work for 15 hours, come home, answer emails, and then fall asleep. You can because you burn a lot of energy.

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5771.943 - 5791.729 Dr. Andy Galpin

You're going to be tired, but that's going to keep you in a pretty high state of arousal. So I'm telling you right now, if you want to do breath work, you're into it, cool. We've had a lot of people who just don't like it. I'd be totally candid with you. I'm not the biggest fan myself personally. Always feels good, always works, but it's not like on my high list of things I enjoy doing every day.

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5792.629 - 5813.546 Dr. Andy Galpin

And so I would rather just be like, man, I need some recovery. It's easier for me to just reduce physical arousal. Give me some more quiet time. No more sensory input for the day. That'll take care of most of it. If that's not enough, the next step we go to is more time doing nasal only breathing. Close your mouth, breathe through your nose.

5813.646 - 5835.05 Dr. Andy Galpin

Whether this means you tape your mouth closed while you're working, or you go for a walk and you're breathing only through your nose, or you're doing some or all or any portion of your exercise with nasal only breathing, I don't really care. It activates the diaphragm more. It tends to on itself slow respiratory rate down because you can't move air like you can.

5835.31 - 5850.277 Dr. Andy Galpin

You will notice hyperventilation through your nose when you won't necessarily notice hyperventilation through your mouth. You'll feel that, you'll hear that. That would be very different than it coming through your mouth. And we also know that nasal breathing is more parasympathetic on itself.

5851.158 - 5871.56 Dr. Andy Galpin

So by doing that, reducing arousal, and then forcing people into some nasal-only breathing time, this basically takes care of all of our problems. If you like or want to still need to do more things past that, at that point, we will instill a specific breathwork protocol and it could look a bunch of different ways. But again, here are some samples.

5872.32 - 5898.576 Dr. Andy Galpin

Intuitively here, just make your breath do what you want to feel like. What's that mean? Let's say you're trying to go up more energy. You're feeling lethargic or lack of motivation and you're down. and you're not breathing very much, and everything, heart rate's low, and energy's low. Think about it. What would your breath look like if you were at a high energy state? And then do that.

Chapter 8: How should we interpret HRV data and what factors influence its variability?

6531.437 - 6551.063 Dr. Andy Galpin

And then we're saying, can you practice regaining control? That's all we're doing. Now, the things I just mentioned, I call biofeedback, but they're not the true scientific definition of that. What we're really getting into this field is stuff more specific to HRV-based biofeedbacks, and so we'll cover those things right now. A couple of examples.

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6551.743 - 6574.801 Dr. Andy Galpin

Many years ago, I had a colleague who was actually a sports psychologist who used biofeedback this way. He would put athletes in front of a computer screen, and he would have an electrode attached to their ear that was measuring things in a pulse oximeter. And they would look at a screen, and it was, say, a picture of a landscape or maybe kids playing at a park. and it was all in black and white.

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6575.542 - 6594.699 Dr. Andy Galpin

And he would not tell them anything, but he would simply say, make that picture turn into color. And they're staring at a screen, they're like, what? And then all of a sudden, the screen would start filling in color. And then it would go away, back to black and white. And it would take people a while, but once they realized, oh wow, when I bring my heart rate down, I get more colors on the screen.

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6595.48 - 6613.797 Dr. Andy Galpin

And so they would bring their heart rate down and the colors would start filling in, then they would get excited, and then the colors would go away. And so they're not paying attention. He's not telling them, bring your heart rate down, stop breathing as much, exhale, extended exhales. He's asking for an external solution and they are figuring out internally how to get there. Awesome, awesome.

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6613.957 - 6636.142 Dr. Andy Galpin

And then there's lots of different tools and technologies for that, but an awesome way of developing biofeedback that way. Really simple examples of stuff we've used for many years are things like a weight belt. They had 20 bucks on Amazon. You put this strap around your stomach and you can actually see increased proprioception in your core muscles. Lots of research on this.

6636.322 - 6655.132 Dr. Andy Galpin

If you take a weight belt and you cinch it down really, really tight and you go to lift your weights, there's been many studies show a reduction in core strength in response to that. You make it so tight, think of it this way, the core muscles turn off. They don't have to do their work because the belt's doing it.

6656.089 - 6674.024 Dr. Andy Galpin

That said, if you put the belt on just kind of a little bit, you can see increases in core strength. Why? Because it gives you a little bit of a tactile feedback. You know that you're not pressing hard with your core. You know you're not activating it in all spots because you can feel the belt pressing back up against it when you're contracting hard.

6674.745 - 6692.856 Dr. Andy Galpin

So because of that, it gives somebody a biofeedback reminder, a tactile feedback, keep your core engaged, keep your core engaged. And so by keeping it engaged more often, you get more of a training effect. Same exact principle can be applied here. You can put people through a specific breath protocol, or you can put a weight belt on them. Put a bigger one.

6692.876 - 6710.549 Dr. Andy Galpin

A lot of the ones we'll use are like fat-burning stomach belts, you know, the ones you put on, you're like plastic on them, and they're there to help people think they're going to have a six-pack. But what it's just doing is giving you that feedback. You don't necessarily have to give them a program. You can just say, hey, wear this for 20 minutes. Wear this for a couple of hours.

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