#155 - Sleep & Nature's Call

Matt explores nocturia, the clinical condition of waking at night to urinate, challenging the assumption that the bladder is solely at fault. Using a measuring jug to illustrate bladder capacity, Matt explains that the bladder is usually just a messenger. He details how age-related drops in nocturnal vasopressin, cardiovascular issues, sleep apnea, and primary insomnia drive awakenings that disproportionately disrupt restorative deep sleep during the first half of the night.

He goes on to evaluate dietary factors and remedies, dispelling the myth of drinking eight glasses of water daily while noting blunted thirst in older adults. He highlights how excess dietary sodium, evening alcohol, and late hydration increase nocturnal urine volume. Finally, Matt outlines evidence-based takeaways, recommending shifting fluids to earlier in the day, reducing salt intake, maintaining a two-day frequency-volume diary, and addressing underlying sleep disorders.

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.

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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