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Certified Clinical Densitometrist and Bone Health Expert


Ask Dr. Lani - Sleeping Disorders

Wednesday, May 26, 2010
Ask Dr. Lani - Sleeping Disorders


Dr. Lani,

I have had a sleeping disorder ever since my total hysterectomy in December 2003. I wake up every 1.5 to 2 hours. I suspect it has something to do with my hormones because even if I am dog-tired, I still wake up often. I have been dieting and exercising for the past two months and am still not sleeping well.  I need sleep.



Hi Susan,

Sleep issues are one of the top reasons people (mostly women) come to see me.  Poor sleep quality can stem from a variety of areas; emotional, spiritual, physical. If lack of sleep has been going on for a period of time, all areas are involved.  If you have had insomnia for a period of time, then your adrenal glands need support. Top on the list is eating smaller amounts of food throughout the day and maintaining a good blood sugar level.  In other words, do not wait until you are hungry!  Second is to take vitamin C every 3-4 hours – vitamin C is one of the primary nutrients that the adrenal glands need to function.   Unlike dogs, cats, and most mammals, human beings do not make their own vitamin C, so the idea is to keep it in the system constantly to make sure it is available when needed. Hormones including estrogen, progesterone, thyroid and adrenals can be the cause or at least involved in insomnia as well. Since your insomnia began following the hysterectomy, with or without ovary removal, can result in hormone imbalance.  For those who are menstruating it is important to note if there is a connection to your menstrual period, which often is the case. Insomnia requires an individual response: what works for one person will not necessarily work for the next person.  Make sure that the doctor you work with is willing to do proper testing, which may involve both blood and saliva testing. Vitamin D deficiency may also be relevant, since vitamin D increases calcium absorption. Another good idea is to take calcium and magnesium before bedtime – both help deepen sleep quality. I cannot make exact recommendations on the exact quantity because I would need a food diary and other information to know for sure. Yes, you do need sleep and yes, for most people there is a reason and a solution to their insomnia.

You can find more information on sleep on my website.

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