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Norah O'Donnell

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Health<br />

by Renee Sojcher<br />

Natural Ways to Help You Get A Good Night’s Sleep<br />

their medications. “They are worried about side<br />

effects,”, says Dr. Saffran. Although Dr. Saffran<br />

believes that Ambien is safe and not addictive,<br />

he feels that it can still be habit forming.<br />

Dr. Saffran focuses on establishing good sleep<br />

hygiene in his patients. This includes positive<br />

sleep-inducing behaviors such as; avoiding<br />

stimulants such as caffeine late at night, developing<br />

a relaxing bedtime routine, using the<br />

bedroom only for sleep and sex, and getting<br />

adequate exposure to natural daylight.<br />

Dr. Saffran has observed that a large number<br />

of patients who visit his practice are under<br />

stress. “They can’t seem to turn off what’s going<br />

on during the day.”<br />

Dr. Donielle Wilson, ND, a naturopathic doctor<br />

and current president of the New York Association<br />

of Naturopathic Physicians agrees.<br />

“Chronic stress can shift the body’s levels of<br />

cortisol, our main stress hormone, and can end<br />

up disturbing sleep because it can disrupt our<br />

circadian rhythm,” says Dr. Doni, as she is commonly<br />

known.<br />

And it isn’t only cortisol that can be blamed<br />

for insomnia. Other chemical “stress messengers”<br />

in the body, include adrenaline and glutamine.<br />

“Our bodies are constantly responding<br />

to stress and if those messengers are still active,<br />

you’re not going to sleep very well because<br />

they keep stimulating your nervous system.”<br />

Dr. Doni treats patients with insomnia by<br />

measuring their levels of stress hormones and<br />

addressing any imbalances using dietary changes<br />

and natural supplements. “It’s amazing how<br />

much of a difference it makes when someone<br />

shifts to eating small meals, including protein,<br />

every three hours throughout the day,” she<br />

says, “Many times it makes people sleep better<br />

right away.”<br />

It’s important<br />

to understand<br />

the nature<br />

of the sleep<br />

problem before<br />

recommending<br />

a supplement.<br />

14June 2013<br />

Doctors everywhere are being advised to cut<br />

down on the doses of Ambien that they prescribe,<br />

especially for women. This recommendation<br />

regarding the popular prescription<br />

sleep aid was released this past January by the<br />

Food and Drug Administration in response to<br />

patients’ reports of morning drowsiness after<br />

taking the drug, some of which have led to an<br />

increase in automobile accidents.<br />

Added to this implication, a 2012 Mayo Clinic<br />

study linked Ambien to increased falls in hospitalized<br />

patients, and another study reported<br />

this past February, correlated it to a higher likelihood<br />

of death. There have been so many reports<br />

of bizarre night time behaviors brought<br />

on by Ambien including sleep walking, sleep<br />

eating, strange telephone conversations<br />

and even sex, that a website forum<br />

called ”I Do Crazy Things When<br />

I Take Ambien” was created for people<br />

to report their experiences.<br />

Dr. Louis Saffran, MD, Co-Director<br />

of the South Nassau Community<br />

Hospital Sleep Center, reports that<br />

although such bizarre behavior only<br />

occurs in less than 5% of his patients,<br />

the majority of those seeking treatment<br />

do come in wanting to go off<br />

When it comes to acute and chronic insomnia,<br />

Dr. Doni views those conditions as a red flag<br />

for inflammation. “When I hear chronic sleep<br />

issues, it makes me think that there has to be<br />

a lot of inflammation.” According to Dr. Doni,<br />

inflammation can be due to various causes such<br />

as food sensitivities, eating irregular meals, or<br />

eating meals that contain high amounts of carbohydrate<br />

or sugar.<br />

Beth McDonald, MS, RD, CDN, an Integrative<br />

Nutritionist at the Continuum Center for Health<br />

and Healing, a multispecialty integrative medicine<br />

clinic in New York City affiliated with Beth<br />

Israel Hospital, uses natural supplements if, after<br />

establishing healthy sleep behaviors, further<br />

help is still needed.<br />

“If someone is coming off of Ambien, supple-<br />

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