Sleep Apnea and Why It’s Keeping You From Getting a Good Night’s Sleep

For many people, sleep is one of the first things to go when their schedule becomes overwhelming. But that starts a damaging cycle where too little sleep leads to sleep conditions, weight gain, and heart disease, among other issues. One of these issues is sleep apnea, a condition where the sleeper stops breathing or only takes shallow breaths while asleep. Someone who wakes up between 5 to 15 times an hour has a mild case of sleep apnea, and someone with severe sleep apnea wakes up more than 30 times.

Sleep apnea can cause serious health problems, but as many as 90% of people with it don’t even know they have it. So what is sleep apnea? How do you detect it? Most importantly, how do you treat it?

The What

There are two types of sleep apnea.

The most common type is known as obstructive sleep apnea (OSA), and it happens when something blocks airflow while you sleep. The archetypal OSA candidate is overweight, male, drinks, and smokes. Enlarged tonsils or tongue, sinus problems, gastroesophageal reflux, and allergies are other OSA risk factors.

Central sleep apnea (CSA) is much less common and affects less than 1% of people. CSA occurs because the brain stops sending the body signals to breathe while sleeping. It’s more likely to occur in men over 65 who are already suffering from heart problems.

It is possible to suffer from both types of sleep apnea at the same time. Both types increase the likelihood of stroke, diabetes, heart disease, falling asleep while driving, and obesity. In addition, people with sleep apnea already have high blood pressure.

How Do You Know You’ve Got It?

Signs of sleep apnea can include snoring, gasping noises, grinding teeth, brain fog, sleepiness, impotence, depression, and high blood pressure. Dry mouth or drooling may be another sign of sleep apnea, as conditions that cause mouth breathing like sinus infections, colds, or deviated septums also block the airway.

Many of the symptoms of sleep apnea are also treated conditions in their own right, like depression or impotence. This can lead to professionals suggesting treatment for other things before considering sleep apnea. Often family or friends are more likely to notice the snoring or gasping episodes, and a diagnosis usually occurs after a sleep study.

Treatments

For sleep apnea treatment, we can divide them into two different types: medical interventions and lifestyle changes.

Sleep Apnea and Medical Interventions

Surgery is the most invasive of the three options, and frequently performed surgeries include tonsillectomies (to create more space in the throat), rhinoplasties (fixing deviated septums), and maxillomandibular advancement (moving the upper and lower jaw forward).

For most moderate or serious cases, the most common treatment option is a continuous positive airway pressure device (CPAP) or automatic positive airway pressure (APAP) device. These are usually a plastic facial mask attached to a tube and a device that reinforces the airway with pressurized air. While the positive airway pressure treatment methods have been shown to reduce many of the health risks that come with sleep apnea, it’s also uncomfortable and can cause dry mouth, chest discomfort, and nosebleeds. The CPAP device may keep the airway open during sleep, but most people stop using it due to the discomfort. Studies are finding that positive airway pressure therapy doesn’t notably reduce the cardiovascular risk associated with sleep apnea.

Related: Insomnia – A Comprehensive Look with Natural Remedies

Sleep Apnea and Lifestyle Changes

When treating sleep apnea through lifestyle changes, many of the usual suspects apply. Sleep on your side. Stop smoking. Quit drinking. Lose weight.

These are all excellent ideas. It’s important to eliminate inflammation. Soft tissue like the tonsils, tongue, or airway relaxes when you’re asleep. If it becomes inflamed, swollen, or enlarged, it can obstruct the airway.

To deal with inflammation, stop eating processed foods and refined sugars as they trigger the body’s immune response. Make sure to get some sunshine and stay on top of your b vitamin levels, as vitamin D and B deficiencies can also cause inflammation. Easily obtained anti-inflammatory foods include turmeric, ginger, blueberries, chia seeds, broccoli, and red peppers among others.

Must Read: What Causes Chronic Inflammation, and How To Stop It For Good

Another factoring in managing sleep apnea involves clearing out the sinus passages. The buildup of mucus makes it difficult to breathe clearly during the day and results in shallow, fitful sleep at night. If you’re seeing other symptoms of sleep apnea, it’s time to clear out the sinuses. Gargle with apple cider vinegar or a fire cider. Avoid dairy, sugar, processed foods, and other foods likely to cause phlegm and mucus. Hot and cold hydrotherapy can also help things drain out the sinuses.

Many of the steps that deal with inflammation, sinus infections, and sleep apnea in a sustainable way overlap. Everything in the body is connected. Eating a healthy diet that’s 80% fresh, raw organic veggies without processed food will result in less inflammation, better quality sleep, and make it easier to clear out the sinus passages. A diet bereft of vegetables and dependent on processed foods guarantees that any health issues will continue and eventually worsen.

The Importance of Sleep

Inadequate quality sleep is a factor in developing a multitude of health issues, from heart disease to Alzheimer’s to weight gain. Sleep apnea is a stealthy thief, as people suffering from it often don’t realize they’re waking themselves up. If you find yourself waking up in the morning feeling as though you haven’t slept at all, you owe it to yourself to find out if it could serious and reclaim a good night’s rest.

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Food, Nutrition, and Herbs for Insomnia

If your mantra in life is, “I’ll sleep when I’m dead,” you might want to take 5 minutes to rethink this strategy. Driver fatigue is responsible for an estimated 25% of all fatal and serious car accidents and a continual lack of quality sleep is directly linked to weight gain, diabetes, and cardiovascular disorders. You can pump the weights and crank up the cardio, but if you are not balancing your body with the healing powers of sleep, you won’t be able to stave off these debilitating symptoms and conditions forever. In fact, pushing your mind and body beyond its natural limits without rewarding it with well-earned sleep can result in chronic fatigue, adrenal dysfunction, and hormone dysregulation.

Not convinced? Research confirms that lack of sleep is also directly linked to:

  • Shrinking of the brain
  • Organ failure
  • Infertility
  • Memory reduction
  • Cancer
  • Depression
  • Obesity
  • Chronic illness
  • Premature aging
  • Reduced life expectancy

Luckily, stacking your fork with slumber-inducing snacks is easier than you think. But can you really eat yourself to sleep? Is it possible to create your best dreamscape while stuffing your face? Is your dinner your best doctor? Yes, yes, and definitely yes.

The Science of Sleep

There are more than a dozen interconnected hormones and chemicals responsible for the onset and execution of a successful sleep session. They’re all important ingredients for a dream feast, but having a bite-sized understanding of these primary components will see you to sleep in no time.

Melatonin

Melatonin is a hormone that is produced by the pineal gland in the brain. It’s a vital element of the system that regulates your internal body clock and natural sleep-wake rhythms.

How and when your body creates and releases melatonin is contingent upon light exposure in the day and the gradual onset of darkness in the evening. Levels start to rise from early evening, remain high and steady throughout the night, and begin to drop off in the early morning hours.

Healthy levels are attributed to the ability to fall asleep quickly, to reduced or eliminated sleep interruptions, and to being able to wake easily at consistent times. In addition, melatonin is a powerful antioxidant. It is capable of free radical scavenging throughout the entire body due to its ability to penetrate cell membranes and navigate the blood-brain barrier.

Though there is still much to learn about this heroic hormone, there is growing evidence that supports the positive impact melatonin may have on countless biological functions. From heavy metal chelation, Alzheimer’s Disease treatments, and obesity prevention to insomnia, immune function, and seasonal affective disorder (SAD) treatment, melatonin is king.

Studies show, melatonin has a hand in:

  • Immune function
  • Jet lag recovery
  • Headache reduction (particularly cluster headaches)
  • Managing sleep cycle disruption due to night or shift work
  • Delayed sleep phase syndrome treatment
  • Controlling sleep disorders associated with autism, cerebral palsy, blindness, and ADHD
  • Reducing withdrawal symptoms after quitting smoking
  • Medication or pharmaceutical induced insomnia
  • Helping to fight certain types of cancer (particularly brain, breast, colon, lung, and renal)
  • Reducing the side effects associated with chemotherapy
  • Reducing the impact and instance of tinnitus
  • Protection from radioactivity
  • Prevention of gallstone development
  • Improved fertility

Studies suggest that it may be especially useful to treat sleep issues that are due to behavioral, developmental, or mental disorders.

Tryptophan

Tryptophan is an essential amino acid that is responsible for making melatonin and serotonin. Humans cannot synthesize it, and a lack of tryptophan would be lethal; it must be obtained from plant or animal sources.

This vital molecule is helpful in dealing with sleep disorders including sleep apnea, insomnia, and bruxism. It may also have a serious psychological impact, with low levels showing a correlation with depression, anxiety, irritability, and aggression. Conditions such as PMS, ADHD, and Tourette’s syndrome all show symptom relief when consistently healthy tryptophan levels are present.

Due to the link with both serotonin and melatonin, tryptophan induces feelings of calm, relaxation, well-being and sleepiness. It also assists your body in manufacturing and assimilating proteins for cellular function and efficiently assists with niacin production and conversion.

Cortisol

Cortisol is the flight-or-fight hormone responsible for a wide range of functions and reactions in the body. Produced in the adrenal glands, it is transported throughout the body via the bloodstream. Cortisol creates the rise and shine impulse that wakes you up in the morning. Maintaining homeostasis of this hormone is an essential component to finding that sweet sleep spot.

Cortisol levels peak between 8-9 am. and respond to daily activity levels. Production sharply declines between midnight and 4am. This balance creates what is known as a diurnal rhythm (being awake during the day, sleeping at night).

Depending upon the cells it is interacting with, cortisol can have a directly positive impact on your stress response, blood pressure, and inflammation reduction. It also influences blood sugar control, metabolism regulation, and memory formation.

However, both high and low cortisol levels will have a negative influence on your ability to fall and stay asleep.

Cortisol regulates energy by selecting the right nutrients the body needs to function. When elevated for extended periods of time, cortisol can interfere with weight, immune function, and chronic disease.

Experiencing a spike of cortisol late in the day or evening can induce an elongated stress response due to adrenaline release that prevents the yummy wind down after a long day. Similarly, dysregulation can cause unhelpful hiccups of cortisol through the night that interfere with a solid sleep state and those vital REM periods.

Excess cortisol may present as an inability to shut your brain down at night and racing thoughts that often focus on negative experiences in the past or worries about the future – otherwise known as being “tired but wired”.

Overproduction of cortisol can be caused by being overworked, routinely stressed, worn down, or chronically ill. Over time, this can manifest as adrenal fatigue, insomnia, sleep disruption, and depression.

Low levels will reduce the “cortisol awakening response”. Energy is often at a bare minimum, inducing a state of chronic fatigue. This can prevent initiation of other hormone cycles or incite overreaction of others, creating a negative feedback loop.

GABA (Gamma Aminobutyric Acid)

GABA is the primary inhibitory neurotransmitter and the most important amino acid for sleep, muscle relaxation, and anxiety reduction. In short, it turns off the worrying thoughts that impede restful sleep and prepares the mind for mood balancing subconscious decongesting. These sedating effects have a huge impact on sleep quality and quantity.

GABA can be helpful with relaxation and the ability to fall and stay asleep. It has also useful in dealing with restless leg syndrome, muscle spasms, and even epilepsy.

Low levels of GABA can prevent you from going into a deep sleep, which allows minor distractions to wake you up and prevent you from nodding off again. In addition, low GABA is linked to depression, anxiety and other psychiatric disorders.

Poor diet, illness, age, and exposure to environmental toxins can all affect the GABA levels.

When to Eat

Eating yourself to sleep involves diet consciousness. Get familiar with the best foods for supporting those 40 winks.

Make sure you’re not consuming the wrong stuff at the wrong time. It confuses the natural flow of chemicals and hormones that orchestrate revitalizing rest, which can be a tripwire for general system dysregulation. All sources of caffeine should be consumed before 2 pm. For sensitive folk, this includes chocolate. Additionally, avoid taking Vitamin D supplements or Fermented Cod Liver Oil after 2 pm. Ideally, you should stop eating for 4 hours before bed, but at the very least, skip heavy, spicy, and/or difficult to digest meals within that time frame.

If necessary, eat a small high protein/high fat snack at 7pm or earlier to tide you over and keep your blood sugar balanced. A handful of nuts promotes tryptophan production. To keep nighttime interruptions to a minimum, stop drinking about 2 hours prior to bed.

Foods and Substances That Prevent Sleep

Trans fatty acids and industrial seed oils (vegetable, canola, margarines, and shortenings) promote systemic inflammation, that encourage biological stress. Foods with a high glycemic index will also interfere with natural sleep patterns by spiking blood sugar and cortisol response. These include simple carbs, sugar, fruit juices, sodas, and energy drinks.

Pharmaceuticals, Over the Counter Meds, and Substances

Medications can be seriously disruptive to sleep, but also very sneaky. It’s often difficult to ascertain whether those tablets are tampering with your sleep, particularly if you are taking multiple medications. Have a rifle through your medicine cabinet to check whether one of these top culprits is causing problems.

  • Alpha-blockers and Beta Blockers
  • SSRI antidepressants
  • Angiotensin II-receptor blockers (ARBs)
  • Cholinesterase inhibitors and ACE inhibitors
  • Second-generation (nonsedating) H1 antagonists
  • Glucosamine and chondroitin
  • Statins
  • Corticosteroids

Nicotine and THC (marijuana) could also be a factor.

The Best Sleep Diet

Let’s eat! It’s time to breakfast, lunch, and dinner ourselves into bed. These dietary additions will manufacture the building blocks of structural hormone and chemicals to balance and promote the best sleep.

Follow an organic, anti-inflammatory diet that excludes processed products and is high in whole foods, healthy fats, vegetables, and some fruits. Along with plenty of nuts and seeds, you’ll be able to load up on important antioxidants and phytonutrients while maximizing fiber intake. Be sure to keep your Omega 3 and Omega 6 fatty acid intake ratio within the 1:3-1:4 range.

Top Foods for Melatonin Management

  • Tart cherry juice
  • Bananas, oranges, pineapple
  • Tomatoes, bell peppers, sweet corn
  • Barley, oats, rice
  • Flaxseed, walnuts, almonds
  • Fenugreek and mustard seeds

Top Foods for Tryptophan Production

  • Seeds and nuts
  • Soy
  • Cheese
  • Red meat
  • Poultry
  • Fish and shellfish
  • Beans and lentils
  • Eggs

Top Foods for Cortisol Control

  • Cold water fish
  • Beef liver
  • Eggs
  • Greek or fermented yogurt
  • Flaxseed and walnuts
  • Chard (swiss, ruby, rainbow)
  • Citrus fruits and papaya
  • White beans

Top Foods That Promote GABA

  • Black, green, oolong tea
  • Halibut, mackerel, shrimp
  • Beef liver
  • Fermented foods
  • Jumbo oats and rice bran
  • Almonds and walnuts
  • Lentils

Other Foods for Sleep

There are lots of additional options and substitutes for getting the most delicious sleep. Switch regular potatoes for beta-carotene rich sweet potatoes, and that greasy side dish for some steamed dark leafy greens. Cook with coconut oil and drizzle a fresh salad with extra virgin olive or avocado oils. Incorporate grass fed gelatin and a dash of creamy milk into your smoothies.

In the evening, make up a brew of your favorite herbal tea. Chamomile, mint, lavender and St. John’s Wort are particularly soothing.

What Supplements Promote Good Sleep

Finding the right combination of supplemental additions to your diet and routine is extremely personal. There is no one-size-fits all approach, so careful experimentation and observation is an important part of finding what’s right for you.

Herbs

Vitamins and Minerals

Supplements and Extracts

Final Thoughts

Stop hiding your sleep worries under the bed. Make integrating these balancing practices into your routine a daily, lifetime habit. Eat yourself to sleep, sleep yourself to life.`

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Sleep More, Sleep Better

Sleep deprivation is responsible for an estimated 100,000 car accidents every year. This equates to an average of 1,550 deaths and 71,000 injuries. It has been linked to such disasters as the Chernobyl nuclear power plant blow-up, the Challenger space shuttle explosion, devastating oil spills in the ocean, and commercial airline crashes.

Sleep is non-negotiable. It’s an integral component of health, wellness, and basic functionality. Our bodies rely on this sacred time to heal, assimilate nutrition, and decode the subconscious. Yet, so many of our daily habits sabotage the integrity of this essential ritual and the natural balance of melatonin, serotonin, and cortisol.

The loss of a single night’s sleep will have a negative effect on mental clarity, work efficiency, and physical capability. It can even obscure your brain’s ability to articulate ideas and its decision-making faculties. Long-running sleep deficiency is linked to increased systemic inflammation and hormone dysregulation. These, in turn, can be the catalyst for disease, dysfunction, and chronic illness.

A lack of sleep is associated with, but not limited to:

  • Diabetes
  • Obesity
  • Cardiovascular disease
  • High blood pressure
  • Stroke
  • Heart attack
  • Memory loss
  • Depression
  • Immunity suppression
  • Libido reduction
  • Decreased fertility
  • Stress
  • Premature aging

The solution: sleep more, sleep better. Sleep is a vital function your body is desperate to experience at regular intervals. Let yourself steep in the optimal rest your body craves so it can thrive every single day.

By employing some simple strategies, you can dramatically improve both the quality and quantity of your shut-eye. Let sleep do the work, so you don’t have to.

Bedding

The average person spends roughly 25-30% of their life in bed. Though we often give much consideration to the plush design and comfort of our clothing, cars, and couches, the way we equip our beds tends to be sorely lacking. However, given the crucial role sleep plays, it is absolutely worth spending the time and effort getting the details right. Your health literally depends on it.

What to Look For

Mattresses, Pillows, and Padding

Over the course of ten years, a mattress can double its weight due to the accumulation of  dead skin cells and dust mites! Opt for a 100% natural latex-filled mattress. They are antimicrobial, antibacterial, dust mite free, and they inhibit the growth of mold and mildew.

According to materials published by Ohio State University, a typical used mattress may have 100,000 to 10 million mites inside. Ten percent of the weight of a two-year-old pillow can be composed of dead mites and their droppings. Mites prefer warm, moist surroundings such as the inside of a mattress when someone is on it. One of their favorite foods is dead skin, and people shed about one-fifth of an ounce of the stuff every week, some of which surely ends up flaking into your mattress.” -Live Science

Conventional mattresses are full of harmful chemicals and fire retardants – up to 4 ½  gallons per mattress! Modern beds are rife with petroleum based foams, synthetic substances, and toxic industrial byproducts.

[…]  the chemicals in a mattress can be a big source of exposure and have been linked to problems like allergies, asthma, fertility problems/hormone imbalance and even autism in sensitive individuals.“ -Wellness Mama

With all natural mattresses and bedding (trusted source), you don’t want to skimp on quality. Check for legitimate organic certifications, check into the businesses, and be wary of labels that tout “all natural materials,” as these labels are not reliable.  There are some very nice, high quality all natural mattresses labeled as such, but there are also many more brands using the label meaninglessly.

Linens

You can produce up to 26 gallons of sweat per year – while sleeping! Going for organic, chemical-free linens will help with this issue by absorbing and dispersing that moisture. Wool stuffing, cotton, and silk bedding are excellent choices that provide both lasting comfort and hygiene. These materials optimize body temperature and prevent sweating. Avoid down filled pillows and duvets, as they are prone to mold and dust mites, which add an average of 7 lbs per year in mite droppings and debris!

Grounding/Earthing Mat

Earthing is credited with everything from lowered blood pressure and reduced pain and inflammation to an increased quality of sleep, allowing you to feel calmer and more energetic.

Earthing can be accomplished by connecting your body to the ground or a natural body of water (think sitting in the park, taking your shoes off outside, playing on the beach), but for many, it is a difficult practice to do every day. Grounding mats provide a convenient way of connecting to the many benefits of earthing for those who cannot incorporate daily doses of rivers and tree climbing into their routine.

Grounding restores the healing energy that can get depleted through modern lifestyles, over exposure to electromagnetic field (EMF) sources, and a lack of connection to nature. Various sizes and shapes of mats are available, from those that fit comfortably into your shoes or on your desk chair, to sheets that you sleep on.

Your Room

The second factor to consider when developing better sleeping habits is your room. Even the softest organic cotton sheets aren’t going to mean much if you’re setting up camp in the middle of Grand Central Station. Calm it down and create a gentle ambiance that balances your cycles and rhythms of sleep, making the most out of your shut-eye hours.

How to Create an Amazing Sleep Space/Sanctuary

Feng Shui

Implement a little ancient Chinese wisdom in the form of Feng Shui. This practice is all about creating a sense of energy balance and flow that will calm the senses and encourage restfulness in your temple of sleep.

Disconnect from Technology

The blue light emitted by most modern bulbs, electrical appliances, and devices is extremely disruptive to our circadian rhythms. Avoid watching TV or using phones, tablets, and computers for 90 minutes before bed.

Fill your home and bedroom with warm light sources. Bulbs that give off yellow, orange, or red tones send signals to your brain that it is time to wind down.

Use light filtering glasses with orange lenses to reduce the effect of blue light exposure or try the free computer app f.lux that warms the light of your screen. By sunset, a sedating copper filter ensures easy night viewing.

Declutter and Make it Sacred

If a pile of unmatched socks, old magazines, and the looming treadmill are the last thing you see before tucking yourself in, the physical clutter will amount to mental clutter. This is never a winning sleep formula.

Fire up the Feng Shui to keep your to-do list out of sight by making your bedroom a sacred space. Don’t let chores and projects spill into it. Remove anything that activates your mind away from a resting state. Books, paperwork, exercise equipment and anything that stimulates a stress response should be removed.

House Plants

Thriving green life in your bedroom naturally and efficiently filters and detoxifies the air, reducing the impact any disruptive chemicals may have on your sleep cycles.

Plants have a calming effect on the nervous system that promotes a sense of well-being. This is beneficial both upon waking and before turning in for the night.

Air Flow

Opening windows is the simplest and most effective way to introduce a fresh, de-ionized airflow into your room and house, creating a rejuvenating breathing environment.

Positive pressure systems can provide a non-intrusive solution to managing humid climates and preventing toxic mold accumulation.

Plenty of open space above and below the bed allows clean, replenishing air to circulate and prevent mold and dust build up.

Light Balance

Sleeping in darkness is essential for balancing circadian rhythms. Light pollution disrupts sleep, particularly in an urban environment. Black out curtains reduce exposure to artificial sources of light. The cumulative effect of small (often blinking) lights from electronic devices in your bedroom can add up. Remove devices from your bedroom (alarm clocks, phones, night-lights, chargers, etc.) or use dark electrical tape to cover the lights.

Conversely, sunlight exposure early in the morning increases cortisol production and helps regulate circadian rhythms. Open those curtains wide straight away! Getting outside during the day, even if it’s only for a short lunchtime walk, dramatically increases circadian balance and melatonin production later in the day.

Temperature

This is a popular topic of discussion (or disagreement) between men and women, but stats show that the optimal temperature for sleeping is between 60 and 68 degrees Fahrenheit. If you start decreasing the temperature a little before the PJs come out, you’ll send signals to your brain and body that it’s time for bed.

A bedroom that is too hot or too cold can significantly interfere with quality REM sleep. Make sure you have the best bedding to help regulate body temperature. Try natural fabrics that breathe properly for the your climate you’re in.

Carpets

Carpets contain around 4,000 times more bacteria than your toilet. Additionally, they can be horribly toxic to humans and have a terrible impact on the environment, both through their production and disposal. Like conventional bed linens, synthetic carpets are petroleum based and laden with chemicals such as fire retardants.

Dust, dust mites (and their droppings!), moisture, and mold all accumulate in carpets. Opt instead for non-toxic, environmentally sustainable carpets and floor coverings. Better yet, remove carpets altogether and choose natural wood or stone flooring. If finances are a limiting factor, consider eco-friendly linoleum options.

Bright Colors in Room

Surround yourself with color and stimulate your nervous system with a bright pallet to welcome yourself awake. Striking up your senses in the morning helps to regulate your cortisol, the wake-up and activate hormone.

Always choose low VOC, organic, or water based paints to maintain low toxicity in your home.

Your Body

Sleep can also be deeply affected by what we put into our bodies. Take care to notice where these sneaky substances are cropping up, as some are much more obvious than others.

Both stimulants and depressants can disrupt sleep. Investigate, minimize, or eliminate the following for best dream-catching:

  • Caffeine
  • Nicotine
  • Sugar
  • Energy Drinks
  • Alcohol
  • THC/marijuana
  • Prescription medication
  • Over the counter drugs

Anyone suffering from regular insomnia should work on detoxifying the home, and balancing the body’s hormones. If the gut isn’t healthy, the endocrine system won’t be healthy, the body will not sleep well. It takes energy to sleep and to heal while we sleep. Check out Healing the Endocrine System and Leaky Gut Syndrome, and Autoimmune Diseases, and also see How Negative Ions and Positive Ions Affect our Health (click on the image).

Final Thoughts

Sleep is not a peripheral adjunct to a healthy existence; it is the lifeblood. It’s time to overcome the modern model of perpetual exhaustion and rebuild the ritual of sleep. Adopt conscientious strategies and revitalize your waking life.

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