Melatonin and Heart Failure: What 130,000 People Revealed episode artwork

EPISODE · Feb 7, 2026 · 7 MIN

Melatonin and Heart Failure: What 130,000 People Revealed

from SELF Principle with Dr. Sean · host Sean Hashmi, MD

Is your nightly melatonin safe? A groundbreaking study of 130,000 people presented at the 2025 American Heart Association Scientific Sessions found that long-term melatonin use was associated with nearly double the risk of heart failure. But before you panic, there's critical context you need to understand.In this episode, Dr. Sean Hashmi breaks down what this study actually found, provides a clear 6-step action plan for safe melatonin use, and explains whether this risk applies to you based on how you're using it.KEY TOPICS COVERED:The alarming findings from the 2025 heart failure studyWhy 90% higher risk doesn't tell the whole storyThe shocking truth about melatonin supplement quality (0-667% dosing variability)6 evidence-based steps for safe melatonin useOptimal timing: why 3 hours before bed works bestDoes melatonin even work? What the data showsWhen to use melatonin vs. when to avoid itStudy limitations and what they mean for youTHIS EPISODE IS FOR YOU IF:You take melatonin regularly or nightlyYou've been using melatonin for more than a yearYou have heart disease, diabetes, or kidney diseaseYou want to understand the real risks and benefitsYou're looking for evidence-based sleep solutionsRESEARCH DISCUSSED:American Heart Association Scientific Sessions 2025 - Long-term melatonin cardiovascular outcomes studyFDA analysis on melatonin supplement dosing variability2024 meta-analysis on optimal melatonin timingClinical trials on melatonin efficacy for sleepDr. Hashmi provides the full scientific context behind the headlines, helping you make informed decisions about your sleep health.ABOUT DR. SEAN HASHMI:Board-certified Nephrologist and Obesity Medicine Specialist (MD, MS, FASN) dedicated to translating complex medical research into clear, actionable strategies. Founder of the SELF Principle framework (Sleep, Exercise, Love, Food) and SELFPrinciple.org, a 501(c)(3) nonprofit providing free evidence-based health education.CONNECT:Website: selfprinciple.orgNewsletter: selfprinciple.org/newsletterInstagram: @seanhashmimdYouTube: @SeanHashmiMDMEDICAL DISCLAIMER:This podcast is for educational purposes only and is not medical advice, diagnosis, or treatment. Always consult your healthcare provider before making changes to your health routine. The views expressed are Dr. Hashmi's personal professional opinions and do not represent any employer or affiliated organization.Practice kindness and gratitude.

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This episode was published on February 7, 2026.

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Is your nightly melatonin safe? A groundbreaking study of 130,000 people presented at the 2025 American Heart Association Scientific Sessions found that long-term melatonin use was associated with nearly double the risk of heart failure. But before...

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