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Managing these challenges requires a personalized plan that often includes the following: Behavioral therapies: Implementing sleep hygiene practices to help the brain and body prepare for rest Environmental changes: Adjusting the bedroom setting to minimize disruptions throughout the night Medical management: Treating contributing conditions like GERD or scoliosis that may be causing physical discomfort Clinical interventions: Using medications or devices when behavioral changes alone are not enough Behavioral approaches to improve sleep hygiene are the first line of defense against insomnia

US EPA (1985) Health assessment document for ethylene oxide, Washington DC, US Environmental Protection Agency (EPA 600/8-84/009F)

Omatsu T, Naito Y, Handa O, et al

For example, someone weighing 200 pounds might lose 20-40 pounds with these medications combined with lifestyle modifications