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Why do you wake up at night? | Barry Krakow | TEDxABQ


20 years ago this little purple box

20 years ago this little purple box saved my life it all happened in one

saved my life it all happened in one

saved my life it all happened in one night a night of the most restful sleep

night a night of the most restful sleep

night a night of the most restful sleep I’d ever known earlier that day I was

I’d ever known earlier that day I was

I’d ever known earlier that day I was talking with my friend and colleague dr.

talking with my friend and colleague dr.

talking with my friend and colleague dr. Thomas Meade a pioneer in dental sleep

Thomas Meade a pioneer in dental sleep

Thomas Meade a pioneer in dental sleep medicine

medicine

medicine I was belaboring Tom with my two-year

I was belaboring Tom with my two-year

I was belaboring Tom with my two-year running battle with chronic insomnia

running battle with chronic insomnia

running battle with chronic insomnia frequent awakenings trips to the

frequent awakenings trips to the

frequent awakenings trips to the bathroom struggling to get back to sleep

bathroom struggling to get back to sleep

bathroom struggling to get back to sleep exhausted in the morning and tired and

exhausted in the morning and tired and

exhausted in the morning and tired and sleepy throughout the day plus two car

sleepy throughout the day plus two car

sleepy throughout the day plus two car accidents tied to sleep deprivation

accidents tied to sleep deprivation

accidents tied to sleep deprivation Tom’s Cheshire Cat grin told me he’d

Tom’s Cheshire Cat grin told me he’d

Tom’s Cheshire Cat grin told me he’d heard this story before as he pulled

heard this story before as he pulled

heard this story before as he pulled this magic box out of his oversized

this magic box out of his oversized

this magic box out of his oversized briefcase he pulled it open took out

briefcase he pulled it open took out

briefcase he pulled it open took out this piece of plastic plopped it in a

this piece of plastic plopped it in a

this piece of plastic plopped it in a mug of water boiled it in a microwave

mug of water boiled it in a microwave

mug of water boiled it in a microwave and then he handed it to me and said

and then he handed it to me and said

and then he handed it to me and said bite this after clenching my teeth into

bite this after clenching my teeth into

bite this after clenching my teeth into the warm plastic mold I handed it back

the warm plastic mold I handed it back

the warm plastic mold I handed it back he smooth the surface handed it back to

he smooth the surface handed it back to

he smooth the surface handed it back to me and he said well let’s see if you

me and he said well let’s see if you

me and he said well let’s see if you breathe any easier tonight which was a

breathe any easier tonight which was a

breathe any easier tonight which was a strange thought to someone who is

strange thought to someone who is

strange thought to someone who is complaining about insomnia that night

complaining about insomnia that night

complaining about insomnia that night was so memorable I can still picture in

was so memorable I can still picture in

was so memorable I can still picture in my mind’s eye

my mind’s eye

my mind’s eye waking up turning over and asking my

waking up turning over and asking my

waking up turning over and asking my wife Jessica what happened nothing

wife Jessica what happened nothing

wife Jessica what happened nothing happened that night there were no

happened that night there were no

happened that night there were no awakenings no trips to the bathroom I

awakenings no trips to the bathroom I

awakenings no trips to the bathroom I felt incredibly rested from the best

felt incredibly rested from the best

felt incredibly rested from the best sleep I’d had in two years really 35

sleep I’d had in two years really 35

sleep I’d had in two years really 35 years as the true nature of my sleep

years as the true nature of my sleep

years as the true nature of my sleep disorder finally dawned on me this exact

disorder finally dawned on me this exact

disorder finally dawned on me this exact moment changed my life dramatically

moment changed my life dramatically

moment changed my life dramatically because that day I experienced an

because that day I experienced an

because that day I experienced an enormous burst of energy in my mind and

enormous burst of energy in my mind and

enormous burst of energy in my mind and in my body the likes of which I never

in my body the likes of which I never

in my body the likes of which I never dreamed possible for my own health this

dreamed possible for my own health this

dreamed possible for my own health this moment also revolutionized my thinking

moment also revolutionized my thinking

moment also revolutionized my thinking practice and research in the field of

practice and research in the field of

practice and research in the field of sleep medicine

sleep medicine

sleep medicine the irony is dr. Christian gman Oh made

the irony is dr. Christian gman Oh made

the irony is dr. Christian gman Oh made this discovery linking sleep breathing

this discovery linking sleep breathing

this discovery linking sleep breathing and insomnia in 1973 nearly 50 years

and insomnia in 1973 nearly 50 years

and insomnia in 1973 nearly 50 years later we’re here discussing how

later we’re here discussing how

later we’re here discussing how something physical could cause insomnia

something physical could cause insomnia

something physical could cause insomnia an idea that has flown so far below the

an idea that has flown so far below the

an idea that has flown so far below the radar of the general medical profession

radar of the general medical profession

radar of the general medical profession and even portions of the sleep medicine

and even portions of the sleep medicine

and even portions of the sleep medicine community all because of the failure to

community all because of the failure to

community all because of the failure to ask this singular question why do you

ask this singular question why do you

ask this singular question why do you wake up at night why do you wake up how

wake up at night why do you wake up how

wake up at night why do you wake up how common are awakenings in this audience

common are awakenings in this audience

common are awakenings in this audience at minimum probably one third of you

at minimum probably one third of you

at minimum probably one third of you struggle with sleep or make trips to the

struggle with sleep or make trips to the

struggle with sleep or make trips to the bathroom yet because so many of us wake

bathroom yet because so many of us wake

bathroom yet because so many of us wake up we think it’s normal

up we think it’s normal

up we think it’s normal well here’s newsflash number one if you

well here’s newsflash number one if you

well here’s newsflash number one if you wake up suffer from broken sleep trips

wake up suffer from broken sleep trips

wake up suffer from broken sleep trips to the bathroom you’re tired and sleepy

to the bathroom you’re tired and sleepy

to the bathroom you’re tired and sleepy the next day you suffer from a serious

the next day you suffer from a serious

the next day you suffer from a serious sleep disorder chronic insomnia a

sleep disorder chronic insomnia a

sleep disorder chronic insomnia a devastating and costly condition chronic

devastating and costly condition chronic

devastating and costly condition chronic insomnia damages your brain and your

insomnia damages your brain and your

insomnia damages your brain and your heart it worsens anxiety and depression

heart it worsens anxiety and depression

heart it worsens anxiety and depression it even inhibits your ability to fight

it even inhibits your ability to fight

it even inhibits your ability to fight off infections billions of healthcare

off infections billions of healthcare

off infections billions of healthcare dollars are used up through the ravages

dollars are used up through the ravages

dollars are used up through the ravages of sleepless nights on your mental and

of sleepless nights on your mental and

of sleepless nights on your mental and physical health billions more are lost

physical health billions more are lost

physical health billions more are lost economically from sick days workplace

economically from sick days workplace

economically from sick days workplace accidents and decreased productivity and

accidents and decreased productivity and

accidents and decreased productivity and of course billions more are spent in the

of course billions more are spent in the

of course billions more are spent in the desperate search for sleep aids

desperate search for sleep aids

desperate search for sleep aids over-the-counter drugs prescription

over-the-counter drugs prescription

over-the-counter drugs prescription sedatives vitamins mineral supplements

sedatives vitamins mineral supplements

sedatives vitamins mineral supplements herbal remedies yet few find truly

herbal remedies yet few find truly

herbal remedies yet few find truly lasting relief mental health patients

lasting relief mental health patients

lasting relief mental health patients suffered the most from insomnia yet more

suffered the most from insomnia yet more

suffered the most from insomnia yet more drugs are prescribed tranquilizers

drugs are prescribed tranquilizers

drugs are prescribed tranquilizers antidepressants antipsychotics

antidepressants antipsychotics

antidepressants antipsychotics anti-seizure drugs they may help mental

anti-seizure drugs they may help mental

anti-seizure drugs they may help mental health but these drugs cause side

health but these drugs cause side

health but these drugs cause side effects to worsen your sleep millions

effects to worsen your sleep millions

effects to worsen your sleep millions more insomniacs believe or are led to

more insomniacs believe or are led to

more insomniacs believe or are led to believe that the only solution to

believe that the only solution to

believe that the only solution to sleepless nights are drugs

sleepless nights are drugs

sleepless nights are drugs and yet they suffer for years without

and yet they suffer for years without

and yet they suffer for years without finding a cure and often never hearing

finding a cure and often never hearing

finding a cure and often never hearing of any other options

of any other options

of any other options so if drugs are not the answer to this

so if drugs are not the answer to this

so if drugs are not the answer to this very vexing condition that drives some

very vexing condition that drives some

very vexing condition that drives some people so crazy they become suicidal or

people so crazy they become suicidal or

people so crazy they become suicidal or make some people feel crazy out of the

make some people feel crazy out of the

make some people feel crazy out of the embarrassment shame and fear from not

embarrassment shame and fear from not

embarrassment shame and fear from not being able to sleep what is the answer

being able to sleep what is the answer

being able to sleep what is the answer or for these psychological problems

or for these psychological problems

or for these psychological problems cognitive behavioral therapy for

cognitive behavioral therapy for

cognitive behavioral therapy for insomnia cbt-i is a potent tool because

insomnia cbt-i is a potent tool because

insomnia cbt-i is a potent tool because so many insomniacs frustrate themselves

so many insomniacs frustrate themselves

so many insomniacs frustrate themselves lying awake in bed tossing and turning

lying awake in bed tossing and turning

lying awake in bed tossing and turning checking the clock trying to force sleep

checking the clock trying to force sleep

checking the clock trying to force sleep all of which just aggravates their

all of which just aggravates their

all of which just aggravates their sleeplessness cbt-i is empowering to you

sleeplessness cbt-i is empowering to you

sleeplessness cbt-i is empowering to you far beyond drug therapy because it

far beyond drug therapy because it

far beyond drug therapy because it teaches you to stop losing sleep over

teaches you to stop losing sleep over

teaches you to stop losing sleep over losing sleep yet neither cbt-i

losing sleep yet neither cbt-i

losing sleep yet neither cbt-i nor drugs answer our question why do you

nor drugs answer our question why do you

nor drugs answer our question why do you get up at night

get up at night

get up at night normal sleepers wake up and go right

normal sleepers wake up and go right

normal sleepers wake up and go right back to sleep

back to sleep

back to sleep why because they’re sleepy insomniacs

why because they’re sleepy insomniacs

why because they’re sleepy insomniacs wake up and go from zero to 60 in about

wake up and go from zero to 60 in about

wake up and go from zero to 60 in about two seconds not only are they wide-awake

two seconds not only are they wide-awake

two seconds not only are they wide-awake but they may suffer racing thoughts

but they may suffer racing thoughts

but they may suffer racing thoughts heart palpitations anxiety stress

heart palpitations anxiety stress

heart palpitations anxiety stress worries all because they’ve been jarred

worries all because they’ve been jarred

worries all because they’ve been jarred out of their sleep to being fully alert

out of their sleep to being fully alert

out of their sleep to being fully alert normally we gradually ascend from

normally we gradually ascend from

normally we gradually ascend from slumber into waking consciousness in the

slumber into waking consciousness in the

slumber into waking consciousness in the morning with or without coffee so why

morning with or without coffee so why

morning with or without coffee so why would you suddenly wake up at night

would you suddenly wake up at night

would you suddenly wake up at night unless something was waking you up this

unless something was waking you up this

unless something was waking you up this clue would have explained insomnia but

clue would have explained insomnia but

clue would have explained insomnia but was ignored for a long time research

was ignored for a long time research

was ignored for a long time research does show that insomniacs line up the

does show that insomniacs line up the

does show that insomniacs line up the usual list of suspects to explain

usual list of suspects to explain

usual list of suspects to explain awakenings anxiety stress worries racing

awakenings anxiety stress worries racing

awakenings anxiety stress worries racing thoughts but even insomniac snow they

thoughts but even insomniac snow they

thoughts but even insomniac snow they are asleep before they wake up so they

are asleep before they wake up so they

are asleep before they wake up so they don’t know with certainty why they’re

don’t know with certainty why they’re

don’t know with certainty why they’re waking up and they remain perplexed

waking up and they remain perplexed

waking up and they remain perplexed about being fully alert in the middle of

about being fully alert in the middle of

about being fully alert in the middle of the night we

the night we

the night we he searched insomniacs in the sleep lab

he searched insomniacs in the sleep lab

he searched insomniacs in the sleep lab and monitored them before during and

and monitored them before during and

and monitored them before during and after these awakenings and the results

after these awakenings and the results

after these awakenings and the results were breathtaking not only did they wake

were breathtaking not only did they wake

were breathtaking not only did they wake up more times than normal sleepers but

up more times than normal sleepers but

up more times than normal sleepers but they suffered hundreds of mini

they suffered hundreds of mini

they suffered hundreds of mini awakenings what we call arousal

awakenings what we call arousal

awakenings what we call arousal there were fracturing their sleep and

there were fracturing their sleep and

there were fracturing their sleep and destroying their sleep quality and if

destroying their sleep quality and if

destroying their sleep quality and if you’re ready force newsflash number two

you’re ready force newsflash number two

you’re ready force newsflash number two 90% of their awakenings and arousal ‘z

90% of their awakenings and arousal ‘z

90% of their awakenings and arousal ‘z were caused by please take a deep breath

were caused by please take a deep breath

were caused by please take a deep breath that’s what they didn’t do their

that’s what they didn’t do their

that’s what they didn’t do their breathing was compromised and obstructed

breathing was compromised and obstructed

breathing was compromised and obstructed because they suffered from obstructive

because they suffered from obstructive

because they suffered from obstructive sleep apnea the same condition that

sleep apnea the same condition that

sleep apnea the same condition that fueled my insomnia twenty years ago on

fueled my insomnia twenty years ago on

fueled my insomnia twenty years ago on this graphic you will see the three main

this graphic you will see the three main

this graphic you will see the three main breathing events of sleep apnea at the

breathing events of sleep apnea at the

breathing events of sleep apnea at the top is normal breathing smooth rounded

top is normal breathing smooth rounded

top is normal breathing smooth rounded curves up and down suggesting breathing

curves up and down suggesting breathing

curves up and down suggesting breathing in and out at the bottom is the apnea a

in and out at the bottom is the apnea a

in and out at the bottom is the apnea a flatline complete suffocation as your

flatline complete suffocation as your

flatline complete suffocation as your throat collapses obviously anyone would

throat collapses obviously anyone would

throat collapses obviously anyone would awaken from that blockage

awaken from that blockage

awaken from that blockage next are the hypopneas a 50% reduction

next are the hypopneas a 50% reduction

next are the hypopneas a 50% reduction and then the flow limitation a 25%

and then the flow limitation a 25%

and then the flow limitation a 25% reduction all of these breathing events

reduction all of these breathing events

reduction all of these breathing events can awaken you insomniacs have more of

can awaken you insomniacs have more of

can awaken you insomniacs have more of the moderate type so perhaps you’re

the moderate type so perhaps you’re

the moderate type so perhaps you’re asking would a 25% reduction in your

asking would a 25% reduction in your

asking would a 25% reduction in your breathing wake you up well let’s try

breathing wake you up well let’s try

breathing wake you up well let’s try this experiment go ahead put your put

this experiment go ahead put your put

this experiment go ahead put your put your hands out in front of you just take

your hands out in front of you just take

your hands out in front of you just take a moment now bring them up to your

a moment now bring them up to your

a moment now bring them up to your throat and start choking yourself about

throat and start choking yourself about

throat and start choking yourself about 25 okay you get the picture breathing is

25 okay you get the picture breathing is

25 okay you get the picture breathing is good not breathing is life-threatening

good not breathing is life-threatening

good not breathing is life-threatening which explains where all the skepticism

which explains where all the skepticism

which explains where all the skepticism comes about this theory because how

comes about this theory because how

comes about this theory because how could you possibly wake up all night

could you possibly wake up all night

could you possibly wake up all night long from a breathing problem and not

long from a breathing problem and not

long from a breathing problem and not know about it well consider the case of

know about it well consider the case of

know about it well consider the case of severe sleep apnea they suffer hundreds

severe sleep apnea they suffer hundreds

severe sleep apnea they suffer hundreds of Suffocation’s all night long

of Suffocation’s all night long

of Suffocation’s all night long complete loss of their breathing when do

complete loss of their breathing when do

complete loss of their breathing when do they seek help at a sleep center only

they seek help at a sleep center only

they seek help at a sleep center only after someone in their bedroom

after someone in their bedroom

after someone in their bedroom freaks out watching and listening to

freaks out watching and listening to

freaks out watching and listening to them not breathe and afterwards do they

them not breathe and afterwards do they

them not breathe and afterwards do they seek help a few months later no how

seek help a few months later no how

seek help a few months later no how about a few years later no only after

about a few years later no only after

about a few years later no only after suffering a life-threatening disorder

suffering a life-threatening disorder

suffering a life-threatening disorder for about a decade might they seek help

for about a decade might they seek help

for about a decade might they seek help so if the worst case doesn’t get it

so if the worst case doesn’t get it

so if the worst case doesn’t get it how would insomniacs detect the problem

how would insomniacs detect the problem

how would insomniacs detect the problem when they only suffer this more moderate

when they only suffer this more moderate

when they only suffer this more moderate breathing disruption that still wakes

breathing disruption that still wakes

breathing disruption that still wakes them up this recognition gap caused us

them up this recognition gap caused us

them up this recognition gap caused us to delay our understanding of the link

to delay our understanding of the link

to delay our understanding of the link between insomnia and sleep breathing

between insomnia and sleep breathing

between insomnia and sleep breathing problems now we comprehend that so many

problems now we comprehend that so many

problems now we comprehend that so many insomniacs suffer two disorders in one

insomniacs suffer two disorders in one

insomniacs suffer two disorders in one the psychological side is easy to see

the psychological side is easy to see

the psychological side is easy to see you’re awake but the physiological side

you’re awake but the physiological side

you’re awake but the physiological side is hidden from you because you are

is hidden from you because you are

is hidden from you because you are asleep this radical paradigm shift and

asleep this radical paradigm shift and

asleep this radical paradigm shift and knowledge demands a new term to

knowledge demands a new term to

knowledge demands a new term to designate the complexity of this problem

designate the complexity of this problem

designate the complexity of this problem so we call it complex insomnia which

so we call it complex insomnia which

so we call it complex insomnia which indicates the need for in-depth

indicates the need for in-depth

indicates the need for in-depth physiological testing an overnight sleep

physiological testing an overnight sleep

physiological testing an overnight sleep study to identify and diagnose what’s

study to identify and diagnose what’s

study to identify and diagnose what’s waking you up for any diehard skeptics

waking you up for any diehard skeptics

waking you up for any diehard skeptics still out there we’ve got one final and

still out there we’ve got one final and

still out there we’ve got one final and astonishing piece to the puzzle

astonishing piece to the puzzle

astonishing piece to the puzzle remember insomniacs make trips to the

remember insomniacs make trips to the

remember insomniacs make trips to the bathroom and complain about it

bathroom and complain about it

bathroom and complain about it that’s called nocturia snooze flash

that’s called nocturia snooze flash

that’s called nocturia snooze flash number three who would have thought it

number three who would have thought it

number three who would have thought it sleep apnea causes nocturia sleep apnea

sleep apnea causes nocturia sleep apnea

sleep apnea causes nocturia sleep apnea pushes excess blood flow into your heart

pushes excess blood flow into your heart

pushes excess blood flow into your heart all night long the heart responds by

all night long the heart responds by

all night long the heart responds by releasing a natural diuretic making the

releasing a natural diuretic making the

releasing a natural diuretic making the kidneys work overtime throughout the

kidneys work overtime throughout the

kidneys work overtime throughout the night so sleep apnea causes insomnia and

night so sleep apnea causes insomnia and

night so sleep apnea causes insomnia and nocturia actually a very nice

nocturia actually a very nice

nocturia actually a very nice two-for-one deal when it comes to

two-for-one deal when it comes to

two-for-one deal when it comes to treatment there are three levels of

treatment there are three levels of

treatment there are three levels of therapy to treat sleep breathing first

therapy to treat sleep breathing first

therapy to treat sleep breathing first focus on nasal breathing nasal saline

focus on nasal breathing nasal saline

focus on nasal breathing nasal saline rinses neti

rinses neti

rinses neti washes prescription nasal sprays will

washes prescription nasal sprays will

washes prescription nasal sprays will eradicate chronic congestion last we

eradicate chronic congestion last we

eradicate chronic congestion last we strongly recommend nasal strips because

strongly recommend nasal strips because

strongly recommend nasal strips because we studied insomniacs with moderate

we studied insomniacs with moderate

we studied insomniacs with moderate sleep breathing symptoms and 75% of them

sleep breathing symptoms and 75% of them

sleep breathing symptoms and 75% of them reported a decrease in insomnia just by

reported a decrease in insomnia just by

reported a decrease in insomnia just by using the nasal strip on a nightly basis

using the nasal strip on a nightly basis

using the nasal strip on a nightly basis next or mandibular advancement devices

next or mandibular advancement devices

next or mandibular advancement devices or oral appliance therapy like the type

or oral appliance therapy like the type

or oral appliance therapy like the type provided to me by dr. Mead these are

provided to me by dr. Mead these are

provided to me by dr. Mead these are becoming first-line therapy they gently

becoming first-line therapy they gently

becoming first-line therapy they gently anchor on to your dental arches and

anchor on to your dental arches and

anchor on to your dental arches and thrust the jaw forward opening the

thrust the jaw forward opening the

thrust the jaw forward opening the airway permitting more air through and

airway permitting more air through and

airway permitting more air through and eradicating the majority of your

eradicating the majority of your

eradicating the majority of your breathing events last is pappi positive

breathing events last is pappi positive

breathing events last is pappi positive airway pressure the gold standard most

airway pressure the gold standard most

airway pressure the gold standard most know it is CPAP the C stands for

know it is CPAP the C stands for

know it is CPAP the C stands for continuous or constant pressure

continuous or constant pressure

continuous or constant pressure breathing in and breathing out and

breathing in and breathing out and

breathing in and breathing out and that’s the problem you probably know

that’s the problem you probably know

that’s the problem you probably know someone who’s failed CPAP because they

someone who’s failed CPAP because they

someone who’s failed CPAP because they couldn’t tolerate breathing out against

couldn’t tolerate breathing out against

couldn’t tolerate breathing out against that constant pressure mental health

that constant pressure mental health

that constant pressure mental health patients and insomnia patients can’t

patients and insomnia patients can’t

patients and insomnia patients can’t tolerate CPAP they develop panic attacks

tolerate CPAP they develop panic attacks

tolerate CPAP they develop panic attacks claustrophobia and even traumatizing

claustrophobia and even traumatizing

claustrophobia and even traumatizing experiences so harmful to them they will

experiences so harmful to them they will

experiences so harmful to them they will drop out of care for a few years just

drop out of care for a few years just

drop out of care for a few years just after a brief exposure to CPAP

after a brief exposure to CPAP

after a brief exposure to CPAP unfortunately some insurance carriers

unfortunately some insurance carriers

unfortunately some insurance carriers and even some sleep centers do not

and even some sleep centers do not

and even some sleep centers do not recognize these side effects and instead

recognize these side effects and instead

recognize these side effects and instead blame patients for not using CPAP

blame patients for not using CPAP

blame patients for not using CPAP fortunately technology has found a

fortunately technology has found a

fortunately technology has found a better way in 2005 we switched all of

better way in 2005 we switched all of

better way in 2005 we switched all of our patients over to by level devices

our patients over to by level devices

our patients over to by level devices dual pressure high pressure when you

dual pressure high pressure when you

dual pressure high pressure when you breathe in and low pressure when you

breathe in and low pressure when you

breathe in and low pressure when you breathe out this matches your natural

breathe out this matches your natural

breathe out this matches your natural breathing pattern there are even

breathing pattern there are even

breathing pattern there are even advanced by level devices that monitor

advanced by level devices that monitor

advanced by level devices that monitor your breathing and adjust pressures all

your breathing and adjust pressures all

your breathing and adjust pressures all night long last sleep technology has

night long last sleep technology has

night long last sleep technology has expanded with numerous masks that can

expanded with numerous masks that can

expanded with numerous masks that can fit into your nose over your nose or as

fit into your nose over your nose or as

fit into your nose over your nose or as full face masks

full face masks

full face masks and there are mask liners that enhance

and there are mask liners that enhance

and there are mask liners that enhance comfort virtually anyone can learn to

comfort virtually anyone can learn to

comfort virtually anyone can learn to use the gold standard breathing

use the gold standard breathing

use the gold standard breathing treatment if they are prescribed the

treatment if they are prescribed the

treatment if they are prescribed the right PAP device accurate pressure

right PAP device accurate pressure

right PAP device accurate pressure settings and the best mask fit are you

settings and the best mask fit are you

settings and the best mask fit are you ready to put this to bed I trust you’ve

ready to put this to bed I trust you’ve

ready to put this to bed I trust you’ve learned three things insomnia is a

learned three things insomnia is a

learned three things insomnia is a common disorder with serious

common disorder with serious

common disorder with serious consequences to your mental and physical

consequences to your mental and physical

consequences to your mental and physical health but you probably won’t seek

health but you probably won’t seek

health but you probably won’t seek treatment until you realize that

treatment until you realize that

treatment until you realize that frequent awakenings and broken sleep are

frequent awakenings and broken sleep are

frequent awakenings and broken sleep are not normal

not normal

not normal second insomnia and sleep apnea are

second insomnia and sleep apnea are

second insomnia and sleep apnea are joined at the hip using this term

joined at the hip using this term

joined at the hip using this term complex insomnia will encourage you and

complex insomnia will encourage you and

complex insomnia will encourage you and your providers to attack the mental and

your providers to attack the mental and

your providers to attack the mental and the physical part of your sleepless

the physical part of your sleepless

the physical part of your sleepless nights for so many of you that suffer as

nights for so many of you that suffer as

nights for so many of you that suffer as incredible as it sounds insomnia is not

incredible as it sounds insomnia is not

incredible as it sounds insomnia is not only in your mind it’s also in your

only in your mind it’s also in your

only in your mind it’s also in your airway last there are plenty of

airway last there are plenty of

airway last there are plenty of treatment options available and all of

treatment options available and all of

treatment options available and all of them produce good – great results I

them produce good – great results I

them produce good – great results I would like to close by saying I

would like to close by saying I

would like to close by saying I sincerely believe sincerely that if you

sincerely believe sincerely that if you

sincerely believe sincerely that if you apply this information with the aid of

apply this information with the aid of

apply this information with the aid of your doctors dentists and sleep medicine

your doctors dentists and sleep medicine

your doctors dentists and sleep medicine professionals you will conquer insomnia

professionals you will conquer insomnia

professionals you will conquer insomnia and discover and experience the rest of

and discover and experience the rest of

and discover and experience the rest of your life thank you

”

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