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Take a rest: A field that has rested gives a bountiful crop.

Insufficient sleep is the most prevalent sleep disorder in the USA and the number of sleep hours continues to steadily decline. Over 47% of adults and 57% of children get less than the recommended amount of sleep each night. Below are the sleep foundations recommendations:

• Newborns (0-3 months): 14-17 hours • Infants (4-11 months): 12-15 hours • Toddlers (1-2 years): 11-14 hours • Preschoolers (3-5): 10-13 hours • School age children (6-13): 9-11 hours • Teenagers (14-17): 8-10 hours • Younger adults (18-25): 7-9 hours • Adults (26-64): 7-9 hours • Older adults (65+): 7-8 hours

Some global effects that insufficient sleep can lead to are: • Mental Health: Anxiety, Depression, Panic • Physical Health: Inflammation, Blood pressure, Obesity, Diabetes • Cognitive Performance: Short term memory, Verbal fluency, Creativity • Physical Performance: Reaction time, Visual acuity, Coordination • Emotional Intelligence: Ethical decision making, Identifying emotional states

I realize that many of you may be struggling with sleep at this moment in time.

The National Sleep Foundation has a number of valuable recommendations that may be useful. I have listed them below: •“Stick to a sleep schedule of the same bedtime and wake up time, even on the weekends. This helps to regulate your body's clock and could help you fall asleep and stay asleep for the night.

Practice a relaxing bedtime ritual. A relaxing, routine activity right before bedtime conducted away from bright lights helps separate your sleep time from activities that can cause excitement, stress or anxiety which can make it more difficult to fall asleep, get sound and deep sleep or remain asleep.

If you have trouble sleeping, avoid naps, especially in the afternoon. Power napping may help you get through the day, but if you find that you can't fall asleep at bedtime, eliminating even short catnaps may help.

Exercise daily. Vigorous exercise is best, but even light exercise is better than no activity. Exercise at any time of day, but not at the expense of your sleep.

Evaluate your room. Design your sleep environment to establish the conditions you need for sleep. Your bedroom should be cool – between 60 and 67 degrees. Your bedroom should also be free from any noise that can disturb your sleep. Finally, your bedroom should be free from any light. Check your room for noises or other distractions. This includes a bed partner's sleep disruptions such as snoring. Consider using blackout curtains, eye shades, ear plugs, "white noise" machines, humidifiers, fans and other devices.

Sleep on a comfortable mattress and pillows. Make sure your mattress is comfortable and supportive. The one you have been using for years may have exceeded its life expectancy – about 9 or 10 years for most good quality mattresses. Have comfortable pillows and make the room attractive and inviting for sleep but also free of allergens that might affect you and objects that might cause you to slip or fall if you have to get up during the night.

Use bright light to help manage your circadian rhythms. Avoid bright light in the evening and expose yourself to sunlight in the morning. This will keep your circadian rhythms in check.

Avoid alcohol, cigarettes, and heavy meals in the evening. Alcohol, cigarettes and caffeine can disrupt sleep. Eating big or spicy meals can cause discomfort from indigestion that can make it hard to sleep. If you can, avoid eating large meals for two to three hours before bedtime. Try a light snack 45 minutes before bed if you’re still hungry.

Wind down. Your body needs time to shift into sleep mode, so spend the last hour before bed doing a calming activity such as reading. For some people, using an electronic device such as a laptop can make it hard to fall asleep, because the particular type of light emanating from the screens of these devices is activating to the brain. If you have trouble sleeping, avoid electronics before bed or in the middle of the night.

If you can't sleep, go into another room and do something relaxing until you feel tired. It is best to take work materials, computers and televisions out of the sleeping environment. Use your bed only for sleep and intimacy to strengthen the association between bed and sleep. If you associate a particular activity or item with anxiety about sleeping, omit it from your bedtime routine.

If you’re still having trouble sleeping, don’t hesitate to speak with your doctor or to find a sleep professional. You may also benefit from recording your sleep in a Sleep Diary to help you better evaluate common patterns or issues you may see with your sleep or sleeping habits.”

Please reach out if there is anything that I can do to help with your sleep. During the temporary closure of my clinic, I am unable to offer acupuncture, however, I can provide you with additional lifestyle recommendations or herbal medicine and supplement suggestions.

Title Reference: "Take a rest: A field that has rested gives a bountiful crop" -Ovid

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