In this episode of The Diary Of A CEO with Steven Bartlett, Dr. Nathan Bryan discusses how common oral health practices significantly impact nitric oxide production and overall health. Bryan explains why he recommends eliminating fluoride toothpaste and antiseptic mouthwash from daily routines, citing their negative effects on the oral microbiome and nitric oxide pathways. He also covers the connection between nitric oxide and cardiovascular function, hormone production, and wound healing.
Beyond oral care, Bryan addresses dietary factors that affect nitric oxide production, particularly sugar consumption and the widespread use of proton pump inhibitors. He presents practical methods for boosting nitric oxide naturally, including nasal breathing, humming, exercise, and light exposure. The episode provides a framework for understanding how everyday choices—from toothpaste selection to breathing patterns—influence cardiovascular health and metabolic function through their effects on nitric oxide production and the oral microbiome.

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Nathan Bryan discusses fundamental oral health practices that significantly impact overall health, particularly nitric oxide production and microbiome balance.
Bryan cites recent findings showing fluoride provides no benefit and carries significant risks, including lowering children's IQ by up to seven points and impairing thyroid function. He notes that most users apply 10 to 20 times the recommended dosage, exposing themselves to five to ten milligrams of fluoride that's readily absorbed through the oral mucosa into the bloodstream. Bryan strongly recommends switching to non-fluoridated toothpaste to safeguard neurological and endocrine health.
Bryan advocates for tongue scraping, comparing it to tilling soil before planting seeds: it aerates the microbiome and increases diversity, which benefits oral and overall health. He recommends using a copper tongue scraper and emphasizes avoiding antiseptic mouthwash afterward, as open tongue pores allow mouthwash to penetrate deeply and kill beneficial bacteria.
Bryan warns that antiseptic mouthwash destroys the beneficial oral microbiome responsible for producing nitric oxide, leading to elevated blood pressure and increased cardiovascular risk. He notes that two out of three Americans use mouthwash daily, paralleling the statistic that two out of three Americans experience unsafe blood pressure levels.
Nathan Bryan and Steven Bartlett discuss nitric oxide's foundational role in cardiovascular, hormonal, and healing processes.
Bryan explains that nitric oxide is essential for blood vessel dilation, enabling proper blood flow and preventing high blood pressure. Without NO, blood vessels constrict, leading to hypertension and associated cardiovascular risks.
Sex hormones play a crucial role in nitric oxide production by triggering the relevant enzyme in vessel linings. In men, [restricted term] stimulates NO production; in women, estrogen does the same. Low [restricted term] in men leads to reduced nitric oxide production, resulting in constricted blood vessels and erectile dysfunction.
Nitric oxide is critical for healing and repair by boosting blood flow, enhancing cell turnover, and activating stem cells. High blood sugar in diabetics impairs nitric oxide production, leading to poor wound healing exemplified by non-healing diabetic ulcers.
Bryan asserts that sugar is a toxin, explaining that when consumed, the body converts it into glucose that binds to the nitric oxide-producing enzyme, locking it in a restrictive conformation and halting its ability to generate nitric oxide. He urges the reduction or elimination of sugar and high-glycemic foods to protect nitric oxide production.
Bryan emphasizes that stomach acid is required to break down proteins and is essential for absorbing micronutrients like B vitamins, selenium, chromium, iodine, magnesium, and iron. He notes that 75% of Americans are deficient in magnesium and 95% in iodine, largely due to disrupted stomach acid and poor absorption.
Bryan details the dangers of PPIs such as Omeprazole, which fundamentally prevent the stomach from making the acid needed for protein breakdown and nutrient absorption. He states that the quadrupling of PPI use globally over the past 20 years has contributed to a worldwide epidemic of nutrient malabsorption.
Bryan advocates for a balanced diet consisting of proteins, healthy fats, and minimal carbohydrates to stabilize blood sugar and protect the nitric oxide-producing enzyme. He stresses that portion control and minimizing sugar intake are crucial for maintaining nitric oxide production and overall metabolic health.
Bryan highlights how specific lifestyle practices can stimulate natural nitric oxide production.
Bryan explains that nasal breathing activates the nitric oxide enzyme in sinus cells, producing nitric oxide gas that dilates bronchioles and pulmonary arteries, enhancing oxygen uptake and lowering blood pressure.
Bryan states that humming at certain frequencies can activate the nitric oxide synthase enzyme in the sinuses. However, he emphasizes that effectiveness depends on baseline enzyme function—older patients with compromised function may not produce nitric oxide from humming alone.
Physical activity stimulates nitric oxide production, but Bryan cautions that using mouthwash, antacids, or fluoride can inhibit the nitric oxide pathway, nullifying the cardiovascular benefits that exercise typically provides.
Bryan states that UV and infrared wavelengths stimulate nitric oxide release from specific proteins. He recommends 20–30 minutes of daily sunlight, which activates nitric oxide, enhances mitochondrial energy production, and lowers blood pressure. Bryan personally uses red light beds and infrared saunas daily and criticizes heavy sunscreen use, suggesting moderate sun exposure offers substantial health benefits.
Bryan warns against common health practices that undermine nitric oxide production, neurological health, and oral microbiome balance.
Bryan underscores that fluoride is absorbed systemically through oral tissues, increasing the body's overall fluoride burden. According to toxicology research, systemic fluoride exposure is linked to reduced IQ in children and negatively impacts thyroid function.
Bryan explains that mouth breathing bypasses the nasal nitric oxide production pathway, disrupts the oral microbiome by altering saliva pH, and shuts down nitric oxide production, undermining cardiovascular and immune health.
Bryan cautions against mouth taping without thorough medical assessment. He strongly advises dental imaging to verify clear nasal airways before considering mouth taping and notes that anatomical obstructions must be corrected to prevent dangerous oxygen deprivation.
Bryan points out that beetroot juice or powder provides no nitric oxide benefit if fluoride toothpaste, antiseptic mouthwash, or fluoridated water are in use, as these substances eliminate beneficial oral bacteria. He also notes that most commercial beet powders are nutrient-depleted and ineffective, unlike the nitrate-rich beets historically used for performance enhancement.
1-Page Summary
Nathan Bryan cites recent findings showing that fluoride provides no benefit and carries significant risks, including lowering children’s IQ by as much as seven points and impairing thyroid function. Bryan calls fluoride a neurotoxin, referencing evidence from the National Toxicology Program and stating that most toothpaste contains toxic concentrations of fluoride. He notes that toothpaste packaging in the U.S. warns users to contact poison control if ingested, highlighting its toxicity. Although manufacturers recommend only a pea-size amount—roughly half a milligram of fluoride per use—most users coat the entire toothbrush, applying 10 to 20 times the advised dosage. This overuse exposes individuals to five to ten milligrams of fluoride, which, due to fluoride’s small molecular size (weight of 19), is readily absorbed through the oral mucosa into the bloodstream, even without swallowing. Bryan strongly recommends switching to non-fluoridated toothpaste to safeguard neurological and endocrine health.
Bryan advocates for tongue scraping, an ancient practice with modern scientific support, to promote a diverse and healthy oral microbiome. He compares tongue scraping to tilling soil before planting seeds: breaking up the biofilm on the tongue’s dorsal surface aerates the microbiome and increases its diversity, which is beneficial to oral and overall health. He recommends reaching as far back on the tongue as possible, even near the gag reflex, and using a copper tongue scraper to effectively pull accumulated “goop” forward, thereby breaking up biofilms and aerating the bacteria. Bryan emphasizes avoiding antiseptic mouthwash after tongue scraping, as open tongue pores allow mouthwash to penetrate deeply into the tongue crypts, killing both harmful and beneficial bacteria.
Bryan warns against antiseptic mouthwash, stating that it destroys the beneficial oral microbiome responsible for producing nitric oxide. Without nitric oxide, blood vessels constrict, leading to elevated blood pressure and increased cardiovascular risk. Moreove ...
Oral Microbiome: Fluoride-Free, Mouthwash Avoidance, Tongue Scraping, Nitric Oxide Production
Nathan Bryan and Steven Bartlett discuss the foundational role of nitric oxide (NO) in cardiovascular, hormonal, and healing processes, highlighting the wide-ranging consequences of insufficient NO production in the human body.
Nitric oxide is essential for the dilation of blood vessels, enabling proper blood flow and preventing high blood pressure. Bryan explains that without NO, blood vessels constrict, leading to hypertension. An enzyme located in the lining of blood vessels is responsible for producing nitric oxide. If this enzyme is not functional, blood flow is impaired. Inadequate nitric oxide impairs blood flow, increasing the risk for high blood pressure and associated cardiovascular health risks.
Sex hormones play a crucial role in the production of nitric oxide by triggering the relevant enzyme in vessel linings. In men, [restricted term] stimulates nitric oxide production; in women, estrogen does the same. When hormone levels are optimal and the enzyme is functional and "coupled," hormone replacement therapy offers cardioprotective benefits via the continued production of nitric oxide. Conversely, if [restricted term] or other hormones cannot activate this pathway, or if the enzyme is not working, the protective benefits are lost. For example, low [restricted term] in men leads to reduced nitric oxide production, resulting in constricted blood vessels and erectile dysfunction.
Nitric oxide is also critical for healing and repair. By boosting blood flow, it enhances cell turnover and activates stem cells, promoting faster healing and effective scar remodeling. Nitric oxide serums, when applied topically, can stimulate blood flow, accelerate cellular turnover, heal wounds, and improve circulation. NO also has antibacterial properties. High blood sugar in diabetics impairs nitric oxide production by interfering with the enzyme responsible for its synth ...
Role of Nitric Oxide in Cardiovascular Health, Hormone Function, and Wound Healing
Nathan Bryan strongly asserts that sugar is a toxin, describing it as a poison for the body. He explains that when individuals consume sugar through foods or beverages—regardless of whether it is sucrose, fructose, or high fructose corn syrup—the body converts it into glucose. This glucose binds to various proteins and enzymes within the body, acting like glue and sticking to molecules such as hemoglobin and, significantly, to the enzyme responsible for producing nitric oxide.
This sugar binding is highly detrimental to enzymes because they need to undergo conformational changes to function. When glucose attaches to the nitric oxide-producing enzyme, it locks the enzyme in a restrictive conformation, halting its ability to generate nitric oxide, which is vital for vascular health and other bodily functions.
Bryan uses hemoglobin A1c as an example, explaining that it represents hemoglobin that has been glycated (sugar-bound), and that a hemoglobin A1c over 5.7 signals diabetes and indicates long-term glucose elevation. This also points to significant disruption in nitric oxide pathways, compounding health risks. Thus, Bryan urges the reduction or elimination of sugar and high-glycemic foods to protect nitric oxide production and prevent enzyme destruction and its cascading negative effects.
Bryan emphasizes the crucial role stomach acid plays in nutrient processing and general health. Stomach acid is required to break down animal and plant proteins into amino acids and is essential for the absorption of micronutrients. Without sufficient acid, nutrients such as B vitamins, selenium, chromium, iodine, magnesium, and iron cannot be efficiently absorbed in the stomach. Bryan highlights that a majority of Americans are already deficient in magnesium (75%) and iodine (95%), largely due to disrupted stomach acid and poor absorption.
He warns against routinely using antacids, as they can severely inhibit or neutralize stomach acid, escalating the risk of nutrient deficiencies. Bryan advocates removing anything that obstructs healthy stomach function, including antacids, fluoride, mouthwash, and especially foods causing blood sugar spikes, to maintain proper digestion and micronutrient uptake.
Bryan details the dangers of proton pump inhibitors (PPIs) such as Omeprazole and [restricted term]. These drugs suppress acid production by inhibiting the action of pyloric cells in the stomach. Unlike temporary buffers, PPIs fundamentally prevent the stomach from making the acid needed for protein breakdown and nutrient absorption.
He distinguishes PPIs from buffering agents like Tums or sodium bicarbonate, which neutralize existing acid on a temporary basis but do not prevent future acid production. The quadrupling of PPI and antacid use globally over the past 20 years, Bryan states, has contributed to a worldwide epidemic of nutrient malabsorption and associated health issues.
Bryan warns about the dangers of antaci ...
Diet and Nutrition: Sugar Dangers and Antacid/Ppis Effects on Nitric Oxide and Nutrients
Nathan Bryan highlights the critical role of nitric oxide in supporting vascular health, heart function, and overall well-being, emphasizing how specific lifestyle practices can stimulate its natural production.
Bryan explains that the same enzyme responsible for nitric oxide production in blood vessel linings is also found in the epithelial cells of the upper airways and sinuses. Nasal breathing activates this enzyme in these sinus cells, similar to how exercise activates it in blood vessels.
When you engage in nasal or deep breathing, the activated enzyme synthesizes nitric oxide gas, which travels into the bronchioles and lower airways. This action dilates the bronchioles and pulmonary arteries, thereby enhancing oxygen uptake and delivering oxygen more efficiently throughout the body.
By improving the production of nitric oxide and promoting vessel dilation, nasal breathing and deep breathing techniques have been shown to lower blood pressure.
Bryan states that humming at certain frequencies can activate the nitric oxide synthase enzyme in the sinuses, leading to measurable nitric oxide in exhaled breath. He describes how even simple "humming" or "ohms" during meditation can be checked with gas phase analyzers to detect this boost in nitric oxide output.
There is no single optimal frequency for everyone because each person’s airway, oral cavity, and sinus volumes differ. The specific frequency required to stimulate nitric oxide release through humming is individualized.
Bryan emphasizes that the effectiveness of both humming and nasal breathing depends on the functionality of the underlying nitric oxide-producing enzyme. In older patients or those with compromised enzyme function, neither humming nor nasal breathing will increase nitric oxide output.
Physical activity, like nasal breathing and humming, stimulates nitric oxide production, which is key for maintaining cardiovascular health.
Bryan cautions that using mouthwash, antacids, or fluoride can inhibit the nitric oxide pathway, nullifying the cardiovascular and health benefits that exercise typically provides. A balanced diet, avoidance of excessive sugar, and the exclusion of disruptive oral hygiene chemicals are recommended to preserve nitric oxide signaling.
He warns that while regular exercise, a balanced diet, and sunlight are beneficial, these gains can be completely lost if you use products like mouthwash, take antacids, or consume too much sugar, as these di ...
Nitric Oxide Boosting: Nasal Breathing, Exercise, Light, Humming
Nathan Bryan warns against several common health practices, highlighting their detrimental impacts on the body’s systems, particularly regarding nitric oxide production, neurological health, and oral microbiome balance.
Fluoride is absorbed systemically through oral tissues during routine brushing, especially when excessive amounts of toothpaste are used. This oral absorption, known as buccal mucosa uptake, increases the body’s overall fluoride burden beyond intended levels and undermines the notion that topical exposure remains localized to the teeth.
Bryan underscores that the buccal mucosa inside the mouth allows for efficient transfer of substances directly into the bloodstream. Using excessive fluoride toothpaste leads to significant systemic absorption of fluoride, adding to environmental and dietary exposures from fluoridated water.
According to toxicology research that Bryan references, systemic fluoride exposure is linked to reduced IQ in children—on average lowering scores by seven points. Additionally, fluoride has been shown to negatively impact thyroid function, “shutting down” the thyroid and contributing to a range of metabolic disruptions.
Mouth breathing bypasses the body's natural nitric oxide production pathway in the nasal passages. Bryan explains that when someone habitually breathes through the mouth, it fully oxygenates the oral cavity, changing the saliva pH and profoundly disrupting the oral microbiome. This state entirely shuts down nitric oxide production within the mouth, undermining cardiovascular and immune health.
Bryan cautions against mouth taping for sleep or anti-snoring without thorough medical assessment. The worst outcome is taping the mouth while having a constricted airway, which can lead to suffocation. He strongly advises dental imaging to verify that the nasal airways are clear and allow for safe oxygen exchange before considering mouth taping.
Sometimes anatomical issues create airway obstruction and must be addressed. If the nasal airway is blocked, it is critical to correct these problems—potentially using dental appliances or surgery—before using methods like mouth taping, as improper application risks dangerous oxygen deprivation.
Bryan notes that mouth taping's potential health benefits, such as increased nitric oxide production through nasal breathing, are only realized when na ...
Harmful Health Practices to Avoid: Fluoride Toothpaste, Antiseptic Mouthwash, Proton Pump Inhibitors, Mouth Breathing
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