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They increase alertness, which then lets you direct your focus Those two things feel identical in the moment but they are mechanistically different There are currently no drugs that increase focus itself A WashU study found stimulants like Ritalin improve focus about as well as a proper night of sleep, which raises an uncomfortable question about why we are all reaching for drugs instead of just sleeping His bigger concern about all stimulant use: you are taxing the sympathetic nervous system repeatedly and that has real long term costs 31:40 – Real-Time Cortisol Sensing (the most actionable part of the whole episode) The ideal cortisol pattern for literally every human regardless of age, sex, or life stage: One big spike in the morning A trough in the late afternoon Stays low until the next morning Get this right and you win 90% of the health game Practical tools to bring your evening cortisol down if it is running high: Long exhale breathing
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[DOI] [PMC free article] [PubMed] [Google Scholar] Mahmood D
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