REM IS CRUCIAL: REM/deep sleep is crucial , make sure to get a copy of the sleep study to confirm if sleep apnea or restless legs are present as well. You need to keep a sleep diary and try to keep your timing and preparation for bed ROUTINE. With the other symptoms full labs , TFTS EKG ECHO. Tilt table. Melatonin is my first line medication then ambien, lunesta or rozerem (ramelteon) to try and reset the sleep cycle
Answered 12/21/2016
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