Take everything you ever thought you
knew about melatonin and evaporate it
out of your mind right now. Okay, that
was a bit extreme, but seriously, a lot
of people get the information about
melatonin incorrect. And there's several
reasons for that. Namely, one, melatonin
is very, very weird. It does not behave
like any other medication. Number two,
it's a supplement in the United States,
which means it doesn't go through an FDA
approval process. And whenever something
does go through an FDA approval process,
the dose and the side effects, and all
sorts of other information is well
defined. We sort of accept that as fact.
But without that, people are just kind
of speculating and comparing different
studies that have different volunteers,
and it becomes a little bit of a mess.
And the third, most importantly, is it
just really doesn't matter. On average,
melatonin can help you fall asleep
around 15 minutes earlier, which in my
opinion is worth it. But it's not
exactly life-saving medicine. I mean, it
can be very helpful, and I find it very
helpful myself. But it it really just
isn't that important. So, nobody cares
enough to actually like hone in and find
some of the answers to these questions,
because it's just really not that
important. That being said, a lot of
people, in fact, probably most people
use melatonin incorrectly. So, stick
around while I tell you actual factual
information about melatonin. And where
we don't have answers, I will give my
professional opinion to help you use
melatonin safely and effectively. I'm
Grant Harding. I'm a licensed pharmacist
in four states. And it just so happens I
also struggle with my sleep a lot.
Chiefly because for most of my adult
life I've worked a night shift, but even
before that, you know, taking that out
of the equation, I still struggled. I
have taken a lot of medication like
trazodone for sleep, taken Ambien, taken
Lunesta, I've taken Sonata,
promethazine, Ativan. I think that's
probably it. Long story short,
everything I mentioned there, they're
okay every once in a while, but a lot of
the ones I just mentioned are
habit-forming and a lot of them give you
a lot of next-day grogginess. So,
whenever we talk about sleep medicine,
the benefits of falling asleep quickly
and easily are awesome, but not if
they're outweighed by the risks of not
having refreshing sleep or being
habit-forming. And trust me, you do not
want to have a habit with a sleeping
medication. That is not fun at all.
Okay, so back to the subject at hand.
Melatonin, what is it exactly? Well,
your body actually produces melatonin,
mostly from the pineal gland in your
brain, and your body does this in
response to darkness. I love to think
about, humans before all of this
technology and particularly light, you
know, screen time was uh introduced to
humans and our culture. Back when there
was no such thing. Think of like, you
know, human in the state of nature.
The sun went down, it got dark, and you
went to bed. Biologically speaking,
that's how that should work, but of
course it's very difficult, like I
mentioned, with all the screens that we
have nowadays. So, when it does get dark
outside, your body releases melatonin
and it tells your body it's time to go
to bed. It doesn't really make you
drowsy. It doesn't actually even make
you that tired, really. It's a signal in
your internal clock called your
circadian rhythm that tells you, "Now we
need to sleep." So, with that in mind,
you should think of melatonin as a "Hey,
it's time to go to bed" medicine, not
necessarily "I'm going to get zonked out
of my nuggets" medicine. I would say a
lot of people who have taken melatonin
and say it doesn't work were probably
using this inappropriately. They're
expecting, you know, these very drowsy
feelings and and that they wouldn't be
able to even stay awake. It doesn't work
that way. But, it does work in several
very common situations and it is
recommended by the American Academy of
Sleep Medicine to use melatonin in these
situations, particularly when we talk
about supplements. A lot of the evidence
is anecdotal, and a good litmus test to
ask yourself is, does this appear in any
official guideline? And yes, melatonin
does. Melatonin works best whenever your
circadian rhythm is out of whack. And
when this happens, this is called a
circadian rhythm sleep-wake disorder.
There are extrinsic disorders like jet
lag and shift work disorder. Extrinsic
means something outside of your body,
like something in your environment
that's pushing you into a weird sleep
cycle. And of course, if you take a
flight somewhere, you know, several time
zones away, or you're working night
shift and forcing yourself to go to bed
at a time that your body naturally
doesn't want to, you can imagine how
that can get mixed up and melatonin will
help kind of get you back on track. But
there are also intrinsic disorders.
There's a couple of them that people
often forget about, and probably the
most important one is something called
delayed sleep-wake phase disorder. This
is something messed up in your body,
regardless of which environment you're
in, that's keeping you from falling
asleep at an appropriate time. And in
delayed sleep-wake phase disorder, it'd
be, you know, back a couple hours. And I
also see a lot of people forget that
this exists. They automatically assign
melatonin to shift work and jet lag, and
they forget that your internal clock can
just get messed up on its own. And the
way to get it back on track, or at least
one of the ways, would be to use
melatonin. I saw one paper define the
circadian rhythm sleep-wake disorders as
an inappropriate timing of the major
sleep episode relative to the light-dark
cycle. And in delayed sleep-wake phase
disorder, you know, it's pushed back,
and it it can actually be forward, too.
You know, people can fall asleep really,
really early, called advanced sleep-wake
phase disorder, I believe is what it's
called. But if you're watching this
video, I don't think you have that
issue. Now, if it hasn't been made
obvious at this point, taking melatonin
randomly, you know, one or two nights
out of the month, that is not going to
help you. If you just have trouble
falling asleep, especially for something
like anxiety or uh uh you know, you
maybe you just have something the next
day that you're very excited about or
very concerned about, melatonin is not
going to help. This is for like a
prolonged issue, which most people
probably are experiencing. So, melatonin
is natural, it's recommended by the
guidelines, and there are several
situations where it can be beneficial.
The next part I want to talk about is
the actual dose itself. I have 5 mg
eddies here. I take one of these pretty
much every night. If not, I'm taking a
different supplement that I'll talk
about here in a moment. And me and my
company chose this dose, and we believe
this is the dose that helps the most
amount of people in most situations.
But, do note the dose of melatonin is
merely a suggestion or an opinion. And
when you look at the guidelines, that's
pretty much what they say. Optimal
dosing of melatonin for circadian
effects remains unclear, and studies
suggest that timing is more important
than dose. In addition to phase-shifting
effects, melatonin may also have direct
soporific effects, particularly at high
doses. Soporific is my new favorite
word. I'm going to use it constantly
now. People outside the medical
community have a lot of really strong
feelings and opinions about the
melatonin dose. They'll typically just
kind of Google around until they find
something that they like and then accept
that as the correct melatonin dose. But,
the only wrong answer to the question,
"What is the correct dose of melatonin?"
is actually just giving an answer. You
can have a suggestion or an opinion, as
long as it's within the realm of reason,
it's good to go. But, there is no
correct dose. And as the guidelines
talked about here, timing of melatonin
administration is likely more important
than the actual dose itself. Remember,
we're trying to get your circadian
rhythm back on track, so the time you
take it does really matter. A lot of
people are very unsatisfied with this.
This goes against the logic of like
every other medicine it seems. You know,
most medicines have a dose-dependent
response and melatonin is just very,
very weird. It doesn't behave like most
other medicines. And there's also this
other theory that your body secretes
about 0.2 mg or around 0.3 mg or
something like that of melatonin at
night. So, you should dose melatonin
exogenously in a pill or liquid or
whatever at that same dose 0.2 0.3 mg.
That's not wrong either. I mean, that's
perfectly fine. But I wouldn't get
married to that ideology because lots of
guidelines and studies and they all
recommend all different doses. So, to
keep things simple, we just say 5 mg.
Now, the timing of administration about
30 to 60 minutes before bed, like I
said, is probably more important than
the actual dose itself. And you have to
do this consistently. It'll take about a
week uh seven nights before you actually
start to see this effect. Again, where
people you know, mix this up and they
start using it incorrectly is they think
they can just take it every once in a
while. Doesn't work that way. You have
to be consistent. We're essentially
trying to trick your body into thinking
it's night time out. Well, probably it's
night time, but you know what I mean.
We're trying to trick your body into
thinking it just got dark and now we
need to go to bed. The next thing I see
people talk about is taking a melatonin
supplement reduces your body's own
natural melatonin production. That is a
myth. Again, melatonin is just very
weird. You cannot use logic when
discussing melatonin. Very, very odd.
The side effects of melatonin are very
mild. You see like headache and next day
grogginess. It's typically nothing
serious. Melatonin is available in the
United States without a prescription at
any dose. I've seen things as low as
like 0.1 mg all the way up to 120 mg.
Most experts, by the way, say between,
you know, 0.1, 0.2 mg and 10 mg, maybe
12. You know, there's really no reason
to go over 10 or 12. In fact, we don't
think there's any reason to go over
five. And other countries, like I
believe the UK has a limit of 5 mg,
someone correct me if I'm wrong. And in
a lot of countries, you just can't buy
it at all. To me, I don't really think
it's that deep. I mean, you do you, but
I mean, people can just buy 5 mg of
melatonin, and I think there's nothing
wrong with that. There was a recent
study that kind of got a lot of uh
attention lately that kind of linked
melatonin use to heart disease
development. Most experts agree that
this is probably correlation, not
causation, meaning people who can't
sleep for one reason or another are at
an increased risk for developing heart
disease, and thus are more likely to
also try melatonin. Not really, you
know, the other way around. And I saw
this one paper that I think was a little
bit too bold in their claims here, but
this is what they wrote. "No trial has
ever documented any serious adverse
effect from use of melatonin, and two
observational long-term use studies in
children and adolescents have not
documented any safety concerns." And
just like anything else, if you want to
Google around and find melatonin is this
dangerous supplement, you can. You can
find, you know, articles that say that.
But I'm telling you as a professional,
it is very, very safe. Speaking of
children and adolescents, can you use
melatonin in children?
Probably, but you really need to ask
your pediatrician first. There's a
slight, you know, possible risk in
developmental delays in children.
>> [clears throat]
>> I don't know. You You just really should
have communication with your
pediatrician about that. What are the
long-term effects of melatonin use in
adults?
The same as the short, you know,
headache, next day grogginess. That's
pretty much it. I've taken melatonin
every night pretty much for the past 5
years or so.
It's fine. There doesn't seem to be any
withdrawals issues associated with
melatonin use for most people. Like I
said, I take it every night. And here's
the most confusing part about this
melatonin. Everything I said there is
great. You know, using it appropriately
36 minutes before bed, you know, it's
kind of to get your circadian rhythm
back on track, delayed sleep-wake phase
disorder especially. But manufacturers
in the US cannot put that in the
melatonin directions. Well, they can put
the timing in there. In fact, my company
does as well. But you can't put like
this is for delayed sleep-wake phase
disorder. This is to get your circadian
rhythm back on track. Doing so is
illegal because melatonin is a
supplement in the United States.
Supplements cannot make claims to
prevent, cure, or mitigate disease. And
I guess that was in an attempt to
protect consumers, but in my opinion,
especially in this particular situation,
it's actually causing more harm than
good. They have to put something like
sleep support on here. Some very vague
kind of terminology. And that's left up
for interpretation. So people will see
melatonin, they'll see a word like sleep
support, and then they'll think that
they can take it, you know, a couple of
times a month. Very, very frustrating to
me from a legal standpoint. So then,
what are the best melatonin products? If
you have, you know, a prolonged issue
with falling asleep at appropriate time,
either from jet lag, either from working
night shift, or if, you know, you and
your doctor decide that you do have
delayed sleep-wake phase disorder, it
really doesn't matter. The most
important thing is to take 5 mg of
melatonin or less. Like I said, the dose
really doesn't matter. If you want to
take less, it's perfectly fine. 30 to 60
minutes before bed, consistently
for at least 7 nights. Additionally,
there are other things you can do to
help. Having a cool temperature in your
home, if you're able to do that, maybe,
you know, a couple of degrees, one or
two or something like that, at night
time whenever you go to bed, does help.
And the biggest thing is light. If you
can get in a purely pitch dark room
whenever you sleep, that will be very,
very helpful. And no screens before bed.
No phones, no computers, no nothing.
Even just a little bit of light can mess
up that signal in your body telling you
that it's time to go to bed. This is one
of the melatonins I use, melatonin 5 mg
from Vitamatic. I just bought it cuz it
was dirt cheap. It's 5 mg. I don't even
know how much this was, but it was like
next to nothing. Uh if you want a little
bit of an extra kick, through a process
of reviewing literature, data, hearing
from other folks, and testing things on
myself, my company and I have a product
called Sleep Caps. This is like super
melatonin. It has melatonin 5 mg, and it
also has magnesium glycinate and
L-theanine. Magnesium glycinate kind of
activates GABA receptors a bit, creating
a pretty drowsy feeling. Then the
L-theanine and it kind of blocks
excitatory neuron activation, and that
creates more of a calm feeling. And the
three of these together has helped me a
lot. I use this, I don't know, probably
three times a week. Sometimes I'll use
it for a whole week if I have a lot of
trouble. A lot of supplements contain
these, but they have the wrong doses.
So, we say, you know, 5 mg of melatonin,
like that really doesn't matter that
much. But magnesium glycinate and
L-theanine, based on what I'm seeing and
what I've experienced myself, you want
about 200 mg of each of those. What
companies do is they'll they'll put them
together, but then they'll cut back on
the doses so you only have to take one
pill. Unfortunately, with Sleep Caps you
have to take three pills. That's just
because it's impossible to get all that
stuff into one pill. That is, however,
not the most cost-effective option. If
you don't mind taking four pills instead
of three,
uh we recommend NutraCost. NutraCost is
dirt cheap. I believe they're probably
vertically integrated. Um
I mean, no one can compete with them,
and we don't even try. So, you can match
those same doses with the NutraCost
products for a considerable price
reduction. Ours is $30 right now. I
don't know what NutraCost ends up being,
but it is it is definitely cheaper to
use NutraCost. If you're watching the
YouTube version of this, you can
probably buy this on the merch bar below
the video. If you're watching it
somewhere else, you can just go to
shop.crushcost.com.
So, there you go, folks. You are now
free to go into this world and use
melatonin correctly. They say here's
what they tell you it doesn't work and
they are probably wrong because they
probably used it at the wrong time and
for the wrong thing. But, now you know.
You can do this. Thanks for sticking
around, folks. I make all sorts of
educational videos like this.
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