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In this comprehensive episode, Dr. Andrew Huberman explores the lymphatic system, a crucial yet often overlooked network that maintains our health, appearance, and brain function. The lymphatic system works alongside the circulatory system to drain excess fluid and cellular waste from tissues throughout the body, including the brain. (11:11) Unlike the cardiovascular system, the lymphatic system has no central pump and relies on body movement and specific breathing techniques to function properly. Dr. Huberman explains how poor lymphatic drainage leads to inflammation, brain fog, and cosmetic changes like puffy eyes after poor sleep. (61:57) The episode covers both the peripheral lymphatic system and the recently discovered glymphatic system of the brain, which clears waste products during sleep. (71:48)
Dr. Andrew Huberman is a professor of neurobiology and ophthalmology at Stanford School of Medicine and host of the Huberman Lab Podcast. He conducts groundbreaking research on brain function, neuroplasticity, and the visual system, with a particular focus on how the nervous system can be optimized for health and performance. Dr. Huberman is renowned for translating complex neuroscience research into practical, science-based tools for everyday life, making cutting-edge scientific knowledge accessible to the general public through his podcast and educational content.
Unlike the cardiovascular system with its powerful heart pump, the lymphatic system relies entirely on body movement to circulate lymph fluid against gravity. (21:05) Dr. Huberman explains that the lymphatic vessels are one-way tubes that depend on muscular contractions from walking, standing, and general movement to push lymphatic fluid back toward the heart. Even simple activities like walking 7,000+ steps daily, taking stairs, or basic household activities like vacuuming significantly support lymphatic drainage. (23:37) Without adequate movement, lymph fluid accumulates in tissues, leading to inflammation, heaviness in limbs, and increased infection risk. This explains why prolonged sitting during travel or desk work makes us feel sluggish and why movement immediately helps us feel more energetic.
One of the most powerful and immediate ways to encourage lymphatic flow is through diaphragmatic breathing, where the belly extends during inhalation. (27:41) This technique works because the diaphragm's movement creates pressure differentials that help move lymph from the cisterna chyli (a major lymphatic reservoir in the abdomen) back into the venous blood supply. Dr. Huberman recommends doing just 2-3 rounds of diaphragmatic breathing when waking up, in the afternoon, or anytime you remember, especially when stuck behind a desk or on a plane. (31:04) This simple practice can make a noticeable cosmetic difference by reducing swelling in lower body tissues and creating space for lymph from the legs to move upward.
Research on the glymphatic system (the brain's lymphatic network) shows that sleeping position significantly affects how well waste products are cleared from the brain during sleep. (73:20) Studies comparing different sleep positions found that side sleeping is most effective for lymphatic drainage, as it optimizes the flow of cerebrospinal fluid through the perivascular spaces that expand by 60% during sleep. (73:59) Dr. Huberman personally began emphasizing side sleeping after learning this research and suggests techniques like using a "fanny pack" positioned behind you to prevent rolling onto your back. Combined with slightly elevating the head and feet, this positioning can reduce brain fog, improve cognitive function, and minimize facial puffiness upon waking.
Regular cardiovascular exercise provides benefits beyond strengthening the heart muscle - it actually stimulates the growth of new lymphatic vessels through a process called lymphoneogenesis. (85:55) This process is particularly important for heart health, as the heart's cells are metabolically active and constantly produce waste that must be cleared. As we age, heart function declines partly due to inflammation from accumulated waste products, but cardiovascular exercise promotes both the growth of new lymphatic vessels and remodeling of existing ones to improve waste clearance. (87:37) This lymphatic improvement may be one of the primary mechanisms by which regular cardio exercise supports longevity, brain function, and overall health, making it essential even for those who primarily focus on resistance training.
Proper hydration is crucial for lymphatic flow and can help clear fluid retention that many people experience. (83:28) Dr. Huberman recommends drinking 16-32 ounces of water upon waking, then 8-16 ounces every hour or two throughout the day. (84:22) This consistent hydration maintains proper blood volume and supports the lymphatic system's ability to drain excess fluid from tissues. Counterintuitively, many people who experience water retention actually need more water, not less, because inadequate hydration impairs the body's ability to process and eliminate excess fluids. This protocol, combined with adequate electrolyte balance, ensures optimal lymphatic function and can reduce the heavy feeling in limbs that often results from lymphatic congestion.