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Using Deliberate Cold Exposure for Health and Performance | Huberman Lab Podcast #66

Andrew HubermanAndrew Huberman
Science & Technology4 min read136 min video
Apr 4, 2022|1,962,560 views|34,952|2,081
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TL;DR

Deliberate cold exposure significantly boosts dopamine and norepinephrine, enhancing mood and focus, but avoid it close to bedtime to protect sleep.

Key Insights

1

Deliberate cold exposure can increase dopamine levels by up to 250% and norepinephrine by 530% (Sramek study, 2000).

2

11 minutes of total weekly cold exposure at a minimum is suggested for metabolic benefits, potentially converting white fat to thermogenic beige/brown fat.

3

For physical performance enhancement, especially in strength and hypertrophy training, avoid cold water immersion for several hours post-workout.

4

Glabrous skin surfaces (palms, soles of feet, upper face) are most efficient for rapid core body temperature reduction.

5

Cooling the glabrous skin can significantly increase workout volume and reduce delayed onset muscle soreness.

6

Deliberate cold exposure primes the body for 'eustress' – beneficial stress that lacks cortisol elevation.

The surprising thermostat in your brain

Your body's internal thermostat, located in the medial preoptic area of the hypothalamus, reacts to cold stimuli. Applying a cold towel to the head or torso, while seemingly intuitive for cooling down, can actually signal the thermostat to increase core body temperature. This is because the thermostat senses the external cold and initiates heating mechanisms. To effectively cool down, focus on 'glabrous skin' surfaces – the palms of the hands, soles of the feet, and the upper half of the face. These areas have unique vascular structures (arterio-venous anastomoses) that allow for efficient heat dissipation, directly impacting core body temperature. Conversely, warming the body involves a different set of mechanisms, and deliberate cold exposure primarily aims to leverage the body's stress response for beneficial outcomes, not primarily for rapid cooling unless specific protocols focused on glabrous skin are used.

Mental resilience and the 'walls' of stress

Deliberate cold exposure reliably triggers the release of catecholamines like norepinephrine and epinephrine, which are the neurochemical signatures of stress. By intentionally exposing oneself to cold, individuals can train their brains to maintain mental clarity and calm amidst physiological stress. This process cultivates resilience or 'grit.' Rather than simply enduring a set time or temperature, a more effective approach for building resilience is the 'counting walls' method. Each 'wall' represents the urge to escape the cold. By consciously overcoming these urges, even for short durations, and setting a target number of 'walls' to traverse, individuals can progressively enhance their ability to manage stress. This method offers flexibility and allows for continued progress over time, unlike simply increasing duration or decreasing temperature indefinitely. This physiological training directly translates to better coping mechanisms for real-life stressors.

Boosting mood and metabolism through cold

Beyond resilience, deliberate cold exposure significantly impacts mood and metabolism. Studies show dramatic increases in dopamine (up to 250%) and norepinephrine (up to 530%), which contribute to elevated mood, energy, and focus, even long after the cold exposure ends. This neurochemical shift is often described as a potent, non-addictive 'high.' Furthermore, cold exposure can convert white fat cells (energy storage) into beige or brown fat cells (thermogenic). This conversion, triggered by norepinephrine binding to fat cells and activating specific proteins like UCP1, effectively turns the body into a more efficient furnace, increasing core metabolism. The recommended minimum of 11 minutes of total weekly cold exposure is a key target for these metabolic benefits. It's also noted that this stress is 'eustress' – beneficial stress that does not elevate cortisol levels, distinguishing it from harmful 'distress'.

Optimizing physical recovery and performance

For athletes, the timing of cold exposure is crucial. While beneficial for recovery after high-intensity endurance or power training, cold water immersion should ideally be avoided for 4 hours post-strength or hypertrophy training if the primary goal is muscle growth or strength gains. This is because cold immersion might blunt the adaptive response needed for muscle building. However, for endurance athletes, or those focused on performance rather than hypertrophy, cold exposure immediately post-exercise can reduce muscle soreness, decrease markers of muscle damage like creatine kinase, and improve perceived recovery. Shorter durations and colder temperatures appear more effective for these recovery benefits.

The efficiency of glabrous skin cooling

Specific body surfaces, known as glabrous skin (palms, soles of feet, upper face), are exceptionally efficient for facilitating heat loss from the body. Research shows that cooling these areas can rapidly reduce core body temperature and has remarkable effects on physical performance. In studies, subjects using palm cooling during endurance exercise could sustain activity significantly longer and perform more work compared to those using traditional cooling methods or no cooling at all. This protocol is also effective in increasing workout volume in strength training and reducing delayed onset muscle soreness. The key is to use cool, but not vasoconstricting, temperatures to allow blood flow for effective heat exchange.

Smart timing for sleep and alertness

The timing of deliberate cold exposure significantly impacts its effects, particularly concerning sleep. As cold exposure can increase core body temperature and alertness due to catecholamine release, performing it early in the day is generally beneficial for wakefulness. However, engaging in cold exposure late in the evening or at night can disrupt sleep by elevating core body temperature. While some individuals might find they can still sleep after late-night cold exposure, especially if exhausted, the general recommendation is to avoid it within a few hours of bedtime to allow the natural drop in core body temperature necessary for deep sleep. This aligns with the body's natural circadian rhythm of temperature fluctuation.

Deliberate Cold Exposure Protocols: Dos and Don'ts

Practical takeaways from this episode

Do This

Consult a board-certified physician before starting any new protocol.
Progress gradually with cold exposure, finding the minimum effective stimulus.
Cool specific glabrous skin surfaces (palms, soles of feet, upper face) to efficiently reduce core body temperature.
Use cold water immersion for most effective heat transfer and benefits.
Engage in cold exposure deliberately to leverage mindset effects.
Aim for an 'uncomfortably cold, but safe to stay in' temperature.
Move your limbs in cold water to break the thermal layer and increase stimulus.
Accumulate at least 11 minutes of total cold exposure per week, divided into 2-4 sessions.
Vary parameters like duration, temperature, and frequency to continually build resilience.
Practice cognitive tasks (e.g., math problems) during cold exposure to train mental clarity under stress.
End with cold exposure and reheat naturally if the primary goal is to increase metabolism (Søberg Principle).
Aim to shiver during or immediately after cold exposure for maximum metabolic gains (succinate release).
Consume 300mg caffeine 60-120 minutes before cold exposure to enhance dopamine receptor efficacy, if compatible with health.
Perform cold exposure early in the day to align with natural temperature rhythms and enhance alertness.
Use cold water immersion or showers after high-intensity exercise (except strength/hypertrophy) to reduce soreness and improve recovery.

Avoid This

Do not initiate new protocols without medical consultation, especially with potent stimuli like temperature changes.
Do not apply cold towels or splashing water to the majority of your head or torso if the goal is to cool down, as this can increase core body temperature.
Do not view gradual progression as a 'weak' version of a protocol; it's safer and effective.
Do not rely solely on cryo chambers due to high cost and limited studies.
Do not confuse placebo effects with mindset effects; deliberate action with belief is key.
Do not stay stone still in cold water if you want the most potent stimulus; move your body to break the thermal layer.
Do not transition immediately from cold exposure to a hot shower or sauna if maximizing metabolism is the goal (violates Søberg Principle).
If hypertrophy and strength gains are the primary goal, avoid cold water immersion/ice baths for at least 4 hours post-training.
Do not use cooling objects on glabrous skin surfaces that are so cold they cause vasoconstriction (vessels collapsing).
Do not do deliberate cold exposure late at night if you are concerned about disrupting sleep, as it increases core body temperature.

Physiological Responses to Cold Water Immersion (Sramek et al. 2000)

Data extracted from this episode

Water Temperature (°C/°F)DurationMetabolic Rate IncreaseNorepinephrine IncreaseDopamine IncreaseCortisol Increase
32°C / 89°F1 hourNo significant shiftNo significant increaseNo significant increaseNo significant increase
20°C / 68°F1 hour93%Not specifiedNot specifiedNo significant increase
14°C / 57.2°F1 hour350%530%250%No significant increase

Impact of Palmer Cooling on Strength & Endurance Training (Heller Lab)

Data extracted from this episode

Training TypeCooling ProtocolPerformance Improvement
Endurance Exercise (Treadmill/Bike)Palmer cooling during exerciseIncreased work volume (longer duration/distance with less perceived effort)
Strength Training (Dips)2 minutes palmer cooling between setsEnormous increases in total number of dips across workout (not first set max)
Pull-up Training (6 weeks, experienced subjects)Palm cooling between sets144% improvement in total volume
Bench Press Training (10 weeks)Palmer cooling during rest intervals22% increase in one-repetition maximum (1RM) strength

Common Questions

Deliberate cold exposure can improve mental health by enhancing mood and focus, boost physical health by reducing inflammation and increasing metabolism, and enhance performance for endurance and strength exercise. It also builds mental resilience.

Topics

Mentioned in this video

Concepts
PGC1

A co-factor, PGC1, involved in the downstream effects of norepinephrine binding to white fat cells, leading to increased mitochondria and metabolism.

Creatine kinase

An enzyme whose levels in serum relate to muscle damage; reductions in circulating creatine kinases were observed after cold water immersion in some studies, indicating reduced muscle damage.

Arterio-venous anastomoses

Portals of blood flow that go directly from arteries to veins, primarily found under glabrous skin surfaces, allowing the body to dump heat more readily and cool down quickly.

Succinate

A molecule released from muscles during shivering due to cold exposure, which plays a key role in activating brown fat thermogenesis.

pyruvate kinase

An enzyme critical to muscle contractions that can only function within a narrow temperature range. Its impairment due to local muscle heating can lead to muscular failure.

UCP1

Uncoupling protein 1, a downstream pathway activated in white fat cells by norepinephrine during cold exposure, increasing mitochondrial metabolism and density for fat conversion.

Luteinizing Hormone

A hormone whose increases can be triggered by dopamine, potentially leading to increases in testosterone and estrogen.

Søberg principle

A principle derived from Dr. Susanna Søberg's research, stating that to maximize metabolic increases from cold exposure, one should allow the body to reheat naturally rather than immediately warming up artificially (e.g., hot shower, sauna).

IL-6

An inflammatory cytokine that deliberate cold exposure can help reduce.

IL-10

An anti-inflammatory cytokine that deliberate cold exposure can help increase.

Glabrous skin

Smooth, hairless skin on the palms, soles of feet, and upper face, which contain specialized vascular structures (arterio-venous anastomoses) that allow for efficient heat exchange and rapid body cooling.

Zone 2 cardio

Cardiovascular exercise intensity where one can hold a conversation with slight strain, described as moderate intensity in the context of the Legrand study.

Non-Sleep Deep Rest

Protocols like 20-minute naps, lying quietly with eyes closed, or Yoga Nidra, shown to be beneficial for enhancing neuroplasticity and learning when performed after cognitive work.

Medial Preoptic Area of the Hypothalamus

A region in the brain that acts as the body's thermostat, regulating internal core temperature and responding to surface temperature changes.

Catecholamines

A category of neurochemicals including dopamine, norepinephrine, and epinephrine, which are increased by deliberate cold exposure and enhance attention, mood, and motivation.

P-part gamma

A co-factor mentioned in the context of downstream pathways activated by norepinephrine during cold exposure, contributing to the conversion of white fat cells.

Studies & Research
Human physiological responses to immersion into water of different temperatures

A study published in the European Journal of Applied Physiology in 2000, by Sramek et al., which detailed the significant increases in norepinephrine and dopamine levels in humans after one hour of cold water immersion.

Novel application of chemical cold packs for treatment of exercise induced hyperthermia, a randomized control trial

A study that induced hyperthermia in subjects on a treadmill in a hot room and compared traditional cooling methods with glabrous skin cooling. It found that cooling glabrous skin surfaces allowed for longer sustained exercise and faster recovery.

Caffeine increases striatal dopamine D-2, D-3 receptor availability in the human brain

A human study demonstrating that ingesting 300mg of caffeine can increase the density and/or efficacy of dopamine D2/D3 receptors in the striatum, enhancing dopamine's effects.

Brief aerobic exercise immediately enhances visual attentional control and perceptual speed, testing the mediated role of feelings of energy

This study showed that 15 minutes of moderate aerobic exercise improved visual attentional control and perceptual speed more than mindfulness meditation, with perceived energy as a key mediator.

Sramek et al. 2000

A study that documented human physiological responses to cold water immersion, showing significant increases in norepinephrine (530%) and dopamine (250%) after one hour in 14°C water, without significant cortisol increases.

Altered brown fat thermoregulation, and enhanced cold induced thermogenesis in young, healthy winter swimming men

A human study published at the end of last year by Søberg et al., showing that 11 minutes of cold water immersion per week can increase brown fat thermogenesis and core body metabolism, improving comfort in cold environments.

Impact of cold water immersion compared with passive recovery, following a single about of strenuous exercise on athletic performance in physically active participants, a systematic review with meta-analysis and meta regression

A meta-analysis of 52 studies concluding that cold water immersion is an effective recovery tool after high-intensity exercise, improving muscular power, reducing soreness, and enhancing perceived recovery.

Work volume and strength training responses to resistive exercise improve with periodic heat extraction from the palm

A study demonstrating that periodic palmer cooling between sets significantly increases work volume and strength training output, such as dips, bench press, and pull-ups, reducing plateaus and delayed onset muscle soreness.

Legrand et al. study

A peer-reviewed study involving 101 college students, showing that 15 minutes of moderate intensity jogging prior to cognitive tasks significantly decreased completion time and increased energy, outperforming mindfulness meditation for immediate focus.

Søberg et al. study

A study published at the end of last year (relative to podcast release) on young, healthy winter swimming men, demonstrating that 11 minutes of cold water immersion per week increased brown fat thermogenesis and core body metabolism.

Caffeine Increases Striatal Dopamine D2/D3 Receptor Availability in the Human Brain

A human study showing that ingesting 300mg of caffeine (2-3 cups of coffee) 60-120 minutes before an activity increases the density and/or efficacy of dopamine receptors in the striatum, amplifying dopamine's effects.

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