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07 September 2023

The Breathing Expert: Breathing Through Your Mouth Can Cause ADHD, Diabetes & Child Sickness! (Must Listen): James Nestor

4Frameworks
9Insights

Frameworks in this episode

Insights & moments

The myth-busts, hot takes, explainers, and tools worth keeping.

Myth Buster· 1

Myth Buster46:00

The Careful Version of the Episode's Breathing-and-ADHD Claim

Nestor urges parents to notice habitual mouth breathing, snoring, or audible resistance during a child's sleep and seek assessment because disturbed sleep may affect daytime behaviour. The host cites a study of more than 11,000 children associating sleep-disordered breathing with a higher likelihood of behavioural and emotional problems, including ADHD-like symptoms. Nestor relays some researchers' claim that ADHD is entirely sleep-disordered breathing, but he himself calls that an exaggeration and later rejects blanket guarantees.

  • The episode presents snoring and audible sleep breathing as reasons to investigate
  • Bartlett describes an observational association, not proof that breathing causes ADHD
  • The outcome cited is ADHD-like symptoms rather than a universal explanation of diagnosed ADHD
  • Nestor explicitly says the strongest 100% claim is not his view
  • He says adults and children should not expect one breathing prescription to guarantee a cure

that is not my view

James Nestor · 47:00

I don't think that there's a blanket prescription or a blanket guarantee

James Nestor · 50:30
#sleep-disordered-breathing#adhd#children#snoring

Hot Take· 2

Hot Take39:30

Nestor's Claim Linking Soft Industrial Food to Smaller Airways

Nestor says skeletal records show a historical association between industrialised diets, reduced chewing, narrower facial development, crooked teeth, and smaller airways. He argues that chewing demand during childhood helps facial and airway development, while carefully separating that claim from blame toward parents who bottle-feed. These are Nestor's interpretations of research and expert interviews; the episode does not present the underlying studies in enough detail to establish causation.

  • Nestor locates the proposed change around the spread of industrialised food
  • He argues that soft food creates less chewing load during development
  • He treats crooked teeth as a possible sign that the mouth lacks space
  • He says children can still develop well through other healthy chewing habits
  • The causal strength of these claims cannot be checked from the transcript alone

industrialized food elicits very little chewing

James Nestor · 41:00

just because you were bottle fed or whatever early on does not mean you're doomed

James Nestor · 45:30
#chewing#facial-development#airways#industrial-food
Hot Take1:33:00

Nestor Argues Asthma Care Should Also Examine Breathing Habits

Nestor disputes the idea that every person diagnosed with asthma is destined to have unchanged symptoms for life. Drawing on people who contacted him and unspecified clinical trials, he says breathing retraining may reduce symptoms for some people, while acknowledging genetic predisposition and supporting surgery when appropriate. His language about reversing asthma is a personal belief and anecdotal report, not a treatment guarantee; he explicitly declines to overrule a child's doctor or surgeon.

  • Nestor wants clinicians and families to examine daytime and nighttime breathing patterns
  • He argues that removing tonsils or adenoids may not address every underlying contributor
  • He acknowledges that surgery can transform breathing for some people
  • He says symptom reduction varies and does not offer a universal outcome
  • The episode does not support stopping prescribed asthma medication or declining indicated care

at minimum you can reduce the symptoms

James Nestor · 1:34:00

I'm not going to argue with your doctor and your surgeon

James Nestor · 1:36:00
#asthma#breathing-retraining#medical-care#airways

Explainer· 3

Explainer31:00

Why Nestor Treats the Nose as the Primary Breathing Organ

Nestor argues that the mouth is a useful backup airway while the nose is designed for routine breathing. He says nasal breathing filters, warms, and retains moisture from inhaled air and increases exposure to nitric oxide produced in nasal tissues. His further suggestions about protection from infections and the scale of nitric-oxide increases are presented as claims from the interview, not independently established here.

  • The mouth is framed as a backup when nasal breathing is unavailable
  • Nestor says the nose filters, warms, and recovers moisture from air
  • He describes nitric oxide as relevant to circulation and airway defence
  • He claims humming can release more nasal nitric oxide
  • He explicitly says large studies of nasal breathing, humming, and common colds have not been done

this is the organ we are designed to breathe through

James Nestor · 32:00

there have never been like a huge study done

James Nestor · 35:00
#nasal-breathing#nitric-oxide#humming#airways
Explainer52:30

Why Nestor Tracks Lung Function as People Age

Nestor says studies including the Framingham work linked healthier lung function with longer life, and he treats respiratory capacity as an important marker to watch with age. He recommends cardiovascular exercise, yoga, stretching, and sound breathing mechanics as ways to maintain function. His stronger wording that lung size is the greatest indicator of lifespan is an attributed interpretation; the transcript does not establish that it outranks all other predictors or that deliberately enlarging lungs extends life.

  • Nestor cites an association between healthier lung function and longevity
  • He says lung function tends to decline with age
  • He recommends cardiovascular exercise and movement that opens the chest
  • He distinguishes exercising with sound mechanics from simply forcing more air
  • The episode does not prove that increasing lung size itself causes longer life

the healthier and larger your lungs are the longer you will live

James Nestor · 52:30

you can Stave off this deterioration this shrinking of your lungs

James Nestor · 54:00
#lung-function#longevity#exercise#aging
Explainer1:44:30

Why Vigorous Breathwork Can Feel Intense—and Why Foundations Come First

Nestor distinguishes everyday healthy breathing from short, vigorous practices such as holotropic, Kundalini, or some pranayama sessions. He says fast breathing intentionally creates physiological stress, lowers carbon dioxide, and can reduce blood flow to the brain, producing light-headedness, tingling, or cramped hands rather than delivering extra oxygen to the brain. He recommends first learning nasal, slow, mechanically sound breathing and notes that research into the psychological effects of intense sessions remains limited.

  • Mouth breathing may be used briefly in a deliberate exercise even though Nestor favours nasal breathing as the default
  • The intense state is described as a stress response followed by slower breathing or a hold
  • Nestor rejects the claim that overbreathing sends more oxygen to the brain
  • Light-headedness and hand cramping are presented as physiological effects, not proof of spiritual transformation
  • He advises establishing basic breathing skills before attempting vigorous sessions

figure out your breath Foundation before you go on to these

James Nestor · 1:44:30

the more you breathe the more oxygen is getting to your brain—The opposite is happening

James Nestor · 1:46:30
#breathwork#overbreathing#carbon-dioxide#stress

Story· 2

Story15:00

What Happened in Nestor's 10-Day Mouth-Breathing Experiment

James Nestor describes a Stanford-supervised comparison in which he and breathing therapist Anders Olsson spent 10 days with their noses obstructed, followed by 10 days of predominantly nasal breathing while trying to keep food, exercise, and activity consistent. He reports that the mouth-breathing phase produced snoring, sleep apnea, dry mouth, poor sleep, and severe fatigue in both participants. The experiment involved only two self-selected people, so it illustrates their experience rather than establishing population-wide effects.

  • Nestor says the study was limited to two participants
  • The participants attempted to hold diet, steps, and exercise constant across phases
  • He reports moving from no snoring to snoring and sleep apnea within days
  • He describes feeling exhausted despite spending nine or ten hours in bed
  • The account should not be treated as a large clinical trial

it was just two people

James Nestor · 16:00

we went from zero snoring to full-on snoring and sleep apnea within a couple of days

James Nestor · 18:30
#mouth-breathing#nasal-breathing#sleep#experiment
Story1:38:00

The Mouth-Tape Sleep Result Was an Anecdote, Not a Universal Fix

Bartlett reports that his partner's wearable showed a flatter overnight heart rate, fewer wake events, and higher sleep efficiency when she used a lip strip intended to encourage nasal breathing. Nestor says this resembles reports he receives from others and prefers a product with an opening over fully sealing a child's mouth. The discussion is anecdotal, does not establish causation, and does not assess whether taping is suitable for someone with nasal obstruction or another medical condition.

  • The wearable comparison concerns Bartlett's partner rather than a controlled study
  • The strip is described as a reminder to keep the lips together, with an opening for speech or mouth breathing
  • Nestor says some people can adopt nasal breathing without a device
  • A deviated septum or audible obstruction may require assessment rather than forced mouth closure
  • No universal safety protocol for mouth taping is provided in the episode

her wake events down her sleep efficiency up

Steven Bartlett · 1:38:30

you don't want to tape a kid's mouth

James Nestor · 1:40:30
#mouth-tape#sleep#nasal-breathing#wearables

Tool· 1

Tool1:16:30

Using Indoor CO2 as a Clue That a Room Needs Fresh Air

Nestor uses a carbon-dioxide monitor during the interview to demonstrate how exhaled air can accumulate in a sealed studio, with the reading reportedly rising from about 700 to 1,100 ppm. He cites small studies associating higher indoor CO2 or poorly ventilated conditions with worse cognitive performance and irritation, then recommends opening a window or bringing in outdoor air. Several precise health and performance figures are his and Bartlett's readings of studies and should not be treated as universal thresholds from this transcript alone.

  • An indoor CO2 meter can act as a practical proxy for accumulated exhaled air and ventilation
  • The studio reading reportedly increased while several people remained in a sealed room
  • Recirculating air is not the same as introducing outdoor air
  • Nestor connects high readings with fatigue and cognitive effects reported in studies
  • Opening a window is presented as a simple ventilation response where feasible

that is a good way of determining how much of that air has been recycled

James Nestor · 1:17:00

you just need to open it a little bit

James Nestor · 1:24:00
#co2#ventilation#indoor-air#cognition