Podcast Episode: How To Exercise Your Vagus Nerve To Lower Stress and Inflammation With Dr. Navaz Habib

The vagus nerve is often called the body's "information superhighway," connecting the brain to various organs, including the heart, lungs, and digestive system. This nerve plays a crucial role in regulating the parasympathetic nervous system, which is responsible for the "rest and digest" functions of the body.

When the vagus nerve functions optimally, it may help support lower stress levels, reduce inflammation, and promote overall well-being. However, many people today experience an overactive sympathetic nervous system (the "fight or flight" response), which can contribute to chronic stress and inflammation.

Dr. Navaz Habib, author of "Activate Your Vagus Nerve" and a functional medicine practitioner, has dedicated his work to helping people understand the importance of the vagus nerve and how to exercise it for better health. In a recent podcast interview, Dr. Habib shared valuable insights and practical exercises to support the vagus nerve and manage stress and inflammation.

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The Autonomic Nervous System: Understanding the Balance

Dr. Habib explains that the autonomic nervous system is divided into two parts: the sympathetic and parasympathetic systems.

The sympathetic nervous system is responsible for the "fight or flight" response, which prepares the body for stressful situations by increasing heart rate, dilating pupils, and reducing non-essential functions like digestion.

On the other hand, the parasympathetic nervous system is known as the "rest and digest" system, promoting relaxation, digestion, and recovery.

"The sympathetic side is like the accelerator in the car, pushing the gas, pushing the accelerator is going to make the car go," says Dr. Habib. "If the car is going and not controlled, it could cause a lot of damage. It could hurt a lot of people. A lot of bad things could happen. We need to have brakes to ensure that that car doesn't veer off and go crazy. The brakes are that parasympathetic nervous system and the control of the inflammation that occurs during that sympathetic activation."

The Vagus Nerve: The Key to Regulating the Parasympathetic Response

The vagus nerve, which extends from the brainstem through the neck and into the abdomen, is crucial in regulating the parasympathetic nervous system. Dr. Habib explains, "About 80% of the information on the vagus nerve is actually sending signals from all of those organs, from the gut, from the heart, from the lungs, from the spleen, up to the brain." This two-way communication between the brain and organs is often referred to as the "gut-brain axis." It's essential for maintaining balance and homeostasis in the body.

When the vagus nerve functions optimally, it may help the body shift into a parasympathetic state, promoting rest, digestion, and recovery. However, chronic stress and inflammation can affect the vagus nerve's function, potentially leading to an imbalance in the autonomic nervous system and various health issues.

Exercises to Support the Vagus Nerve

Dr. Habib recommends several practical exercises to support the vagus nerve and promote a parasympathetic state:

1. Aggressive Gargling

"I'll have them keep a glass by their sink where they brush their teeth, and every morning and every night when they brush their teeth, which hopefully they're all doing every day already, they can simply add on a couple of minutes of aggressive gargling where we can then stimulate the laryngeal branches of the vagus nerve, laryngeal and pharyngeal," explains Dr. Habib.

Aggressively gargling for 10 to 30 seconds may stimulate the laryngeal and pharyngeal branches of the vagus nerve, which can have a positive effect on the digestive system and potentially help manage issues like gastroparesis, irritable bowel syndrome (IBS), and inflammatory bowel disease (IBD).

2. Diaphragmatic Breathing

"Too many of us breathe really, really poorly, and generally, incorrectly," says Dr. Habib. He recommends a simple exercise to check if you're breathing correctly: Place one hand on your chest and the other on your belly, and take a deep breath. If the hand on your belly rises more than the hand on your chest, you're breathing diaphragmatically, which is ideal.

Diaphragmatic breathing, or belly breathing, engages the diaphragm muscle, which separates the chest cavity from the abdomen. As the diaphragm contracts and moves downward, it creates a vacuum that allows the lungs to fill with air. This type of breathing promotes relaxation and massages the abdominal organs, aiding digestion.

Dr. Habib recommends practicing diaphragmatic breathing for 2-3 minutes, 3-4 times daily, to help activate the parasympathetic nervous system and support lower stress levels.

3. Cold Exposure

Cold exposure, such as taking a cold shower or engaging in cryotherapy, may have a positive effect on the vagus nerve and overall well-being. "The positive effects of cryotherapy are undisputed," says Dr. Habib. "The effects on dopamine, the effects on serotonin, the effects on energy, the effects on your parasympathetic nervous system, and HRV afterwards are profound."

When exposed to cold temperatures, the body experiences a "visceral reaction," prompting deep breathing and engagement of the parasympathetic nervous system. Dr. Habib suggests starting with the last 30 seconds of your shower in the coldest setting and gradually increasing the duration as you become more accustomed to the practice.

4. Humming, Singing, and Chanting

Humming, singing, and chanting may effectively stimulate the laryngeal branches of the vagus nerve, promoting relaxation and improved vagal tone. "Chanting, singing, humming, phenomenal," says Dr. Habib. "I love doing this. Even humming is a great one for our kids."

These practices involve controlled exhalation, which slows the breath rate and activates the parasympathetic nervous system. Additionally, research has shown that humming can increase blood flow to the prefrontal cortex, potentially enhancing cognitive function.

5. Vagus Nerve Stimulation Devices

While breathing exercises and cold exposure are accessible and cost-effective ways to stimulate the vagus nerve, Dr. Habib also discusses using vagus nerve stimulation devices. One such device, called gammaCore, is a non-invasive electrical stimulator that can be placed on the neck near the carotid artery, where the vagus nerve is located.

"This electrical device, you've simply put right in front of the SCM muscle where you find your pulse, you put it there, and for two minutes, it'll stimulate, and you can turn on the, or you can elevate the intensity of the stimulation," explains Dr. Habib.

While these devices require a prescription and are typically used for conditions like migraines, cluster headaches, depression, and autoimmune disorders, Dr. Habib notes promising research on their effectiveness in reducing inflammation and improving vagal tone.

Monitoring Vagal Tone: The Importance of Heart Rate Variability (HRV)

To assess the effectiveness of these exercises and track vagal tone, Dr. Habib recommends monitoring heart rate variability (HRV) to assess these exercises' effectiveness and track vagal tone. HRV is a measure of the variation in time between heartbeats, and it's a reliable indicator of the balance between the sympathetic and parasympathetic nervous systems.

"What heart rate variability is, it's a measurement of the number of milliseconds between beats of the heart summed up and averaged over a period of time," explains Dr. Habib. "It's heart rate on steroids, is the best way to put it, and looking at the stats behind your heart rate to the nth degree."

A higher HRV score typically indicates better vagal tone and a more resilient parasympathetic response, while a lower score may signify an overactive sympathetic nervous system and increased stress levels. Many wearable devices and smartphone apps now offer HRV monitoring, making it easier for individuals to track their vagal tone and adjust their lifestyle and exercise routines.

Addressing Sleep Quality and Breathing Patterns

Dr. Habib also emphasizes the importance of addressing sleep quality and breathing patterns, as they can significantly impact vagal tone and overall health. "We breathe throughout our entire sleep time, and we're not conscious during that time," he says. "If there's a way to improve your breath during sleep, it's huge."

Many individuals struggle with conditions like sleep apnea and snoring, which can disrupt proper breathing patterns during sleep and contribute to an overactive sympathetic response. Dr. Habib recommends mouth taping, which encourages nasal breathing during sleep, to support optimal vagal tone and restorative sleep.

Debunking Myths and Misinformation

Misinformation and unsubstantiated claims can be rampant, especially regarding the vagus nerve. Dr. Habib addresses this concern head-on, emphasizing the importance of relying on credible research and avoiding dubious claims.

"There's been a few things that I've come across. Most of my research is spent on actual research articles that are coming out of legitimate institutions," says Dr. Habib. "You'll often hear like this supplement or that, this like, I don't know, nutraceutical that comes across, who knows. We don't have research to really show that there is a specific effect of a supplement or a nutraceutical on the vagus nerve."

While some may claim that certain supplements or nutraceuticals can directly impact vagus nerve function, Dr. Habib cautions against making such claims without solid scientific evidence. He emphasizes the importance of skepticism and relying on well-designed studies from reputable institutions.

"I'd love to say that yes, taking choline is going to support your vagus nerve function, but it hasn't been studied," he explains. "We can't say for sure at this point, and I'd rather save my money than go out and risk something else with that."

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Conclusion

Dr. Navaz Habib's insights and recommendations on exercising the vagus nerve to help manage stress and inflammation provide a comprehensive and evidence-based approach to addressing a critical aspect of overall well-being. 

Through practical exercises like aggressive gargling, diaphragmatic breathing, cold exposure, humming, and, in some cases, vagus nerve stimulation devices, individuals can support their vagal tone and promote a balanced parasympathetic response. Additionally, monitoring heart rate variability and addressing sleep quality and breathing patterns can further enhance the effectiveness of these practices.

However, it's crucial to approach vagus nerve stimulation and related practices with a discerning eye, relying on credible scientific research and seeking guidance from qualified healthcare professionals.

Ultimately, Dr. Habib's work serves as a valuable resource for those seeking to harness the potential benefits of the vagus nerve, manage stress, and inflammation, and cultivate a greater sense of balance and resilience in their lives.