Want better sleep? Do something different

The jury is out as to whether melatonin is the silver bullet, but if you’ve tried melatonin or other sleep products in the past and noticed “it didn’t work” or stopped working, this can be because of two reasons:

  1. A 2017 study of 31 different over the counter melatonin preparations found that, when analyzed, the dosage of 71% of the products didn’t match what was stated on the label. And 70% had a melatonin concentration that was less than 10% of what was claimed.

  2. You are using the wrong type of melatonin or sleep support for your sleep issue

Insomnia especially with hormonal imbalances like thyroid, adrenal and in peri-menopause is characterized by struggling with falling asleep and staying asleep, or both. Either way, it’s important to get control of your sleep/wake cycle to improve your balance of hormones.

Try this:

  • Change Product

  • Change Forms

  • Change Dosing

Melatonin is best taken anywhere from 30-90 min before desired bed time. Chewable, liquid and liposomal formulations seem to be faster acting as they bypass the digestive tract.

  • When it comes to sleep issues in Peri-Menopause, melatonin may be your best choice because it helps to lower your body temperature.

  • My advice is to start with a low dose and watch for side effects before working up to a higher dose.  

Melatonin, in my opinion, always works better when you have herbal support for your underlying hormonal condition.

Here are a couple of my favorites:

L-theanine-A 2011 study in the Journal of Functional Foods found that L-theanine decreased heart rate, enhanced alpha-band activity and improved attention, performance and reaction-time responses in anxiety prone students.

Lemon Balm-Lemon balm has been in use as a calming herb since the Middle Ages. It is typically used to treat anxiety, reduce stress and relieve insomnia. A 2010 study found that it worked very well as a treatment for mild to moderate anxiety and showed improvements in calm and focus.

Passion flower-A 2017 study in Medicina Oral found that passion flower capsules showed a similar anxiolytic effect as the prescription drug midazolam. In the study, both were used for conscious sedation and produced the same rate of lowered anxiety, but passion flower was found to have less interference with memory, after the fact.

Ashwagandha-The Ashwagandha plant originates from India, where practitioners of Ayurvedic medicine hold it in high regard. Also known as “Indian ginseng,” the dried and crushed plant matter provides you with a calm feeling that soothes the nervous system while boosting energy. Ashwagandha is an integral part of Indian culture and has a 3,000-year legacy of use among the Indian people to relieve stress. A wonderful herbal adaptogen that has been used to support the immune system, reduce anxiety/depression, improve mental clarity and enhance sexual function.

If you need support re-balancing your sleep/wake cycle, or picking the right combination of sleep supports to help you, reach out to me anytime.

Benadryl vs Melatonin: What's better for you?

When your sleep is horrible during peri-menopause, you might try every and anything to get you back to sleep. Here’s a quick breakdown of Benadryl v. Melatonin. In case you were feeling desperate and wanting to try either.

Benadryl

Taking Benadryl to help you get to sleep is okay in small doses once in a while.  It will work, but at a cost.

Anti-histamines can pressure your body to spend more time in the lighter stages of sleep. So you’ll actually wake up feeling unrested even though you’ve slept 7+ hours.

Benadryl (diphenhydramine) also makes most people drowsy, cause dry mouth and nasal membranes leaving you feeling stuffy and congested.

Melatonin

Melatonin on the other hand helps control your natural sleep-wake cycle. Some research suggests that melatonin supplements might be helpful in treating jet lag or reducing the time it takes to fall asleep and can improve the signal for your sleep hormones to jumpstart.

You can actually test for melatonin levels in the body, and I typically do this for patients when Benadryl and other sleep meds stop working.

The benefit of testing?

When you test for melatonin, you get instant clarity on whether your body has trouble producing the key hormone. If you aren’t making enough, this changes the game entirely on the long term effectiveness of any sleep meds you’ll try in the future. (Ask me about how to get this test)!

Either way, tolerance to the sedative effects of sleep aids (even natural ones) can develop quickly — so the longer you take them, the less likely they are to make you sleepy.

Here’s what you can do if both stop working:

  • Stop consuming too much caffeine late in the day. Cut off after 11am

  • Keep a regular sleep/wake time to maintain your body’s sleep-wake cycle

  • Cut off loose ends and worry so that your mind’s chilled out before you hit the bed

  • If you’re waking up frequently during the night, a shift in your last meal to include complex carbs can prevent middle of the night hunger pangs

  • Get those night sweats under control. It’s the #1 reason for sleepless nights in peri-menopause

  • Cut yourself off from emails, social media and stimulating television shows by a certain time

  • Listening to a guided meditation or soothing music

Get Grounded: Nurture your body with this easy technique

As we close out Mindfulness May, I challenged myself to meditate every day, for even 5 mins. Well, it wasn’t a perfect 100% but I realized something in the journey…

I’d been feeling blah, dead, less lively, less like my bubbly self. With all that’s taken place since the beginning of the pandemic, I’ve just been on autopilot with survival as my energy source. Sound familiar?

As things have loosened up and masks have come off, I’ve noticed feeling disconnected STILL and haven’t been able to connect back fully with myself and with my environment even as things are opening up.

As I know in the world of available medication, there is no pill to make you feel more alive, more connected to the soul- to your true self. But, I know in practicing medicine that healing happens thorough energy exchange.

And because I’ve been feeling like dead wood, that flow of energy wasn’t moving as I needed.

I love the saying, “Ask and Ye shall receive” because that’s exactly what happened.

In walked a Chakra Meditation that saved my life! It changed the game.

Chakras are set energy milestones along the center of your body, from where your butt touches the ground to the top of your head. There are 7 of them and each just happens to overlap with key endocrine organs.

1- Reproductive organs

2.-Digestive system

3- Adrenal

4- Heart

5-Thyroid

6-Pituitary

7- Brain

Most chakra meditations focus on using imaging, color or sounds to recharge each center.

I started with the root chakra, #1 as this is the chakra to help with stoking creativity, fire, connection, and bringing forth life to surge oxytocin (one of the key hormones of love & attraction)

This has been a game changer in breathing life into the “dead wood”!

So I decided to create a sacral-root chakra meditation ( and share it with you for free) based upon imagery, sound and engaging the senses. Perhaps if you are feeling the same, I invite you to try this new prescription:

Explore using root chakra mediation to recharge. Take the time to nourish yourself, and if you like, continue with other chakra meditations.

There’s still some time left in May to check it out!

Hope you enjoy this meditation!!

XOXO

Dr. Vera