Although the exact composition of this small molecule is yet to be determined, it is known to interact with -aminobutyric acid (GABA), a principal player in the brain mechanisms that promote sleep. First published in 1899 as a small reference book for physicians and pharmacists, the Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers. Inaccurate or unverifiable information will be removed prior to publication. Trotti, L. M. (2022). Lancet Neurology. Hypersomnolence is not considered a disorder in itself, but rather Naps often last for an hour or more, and most people with idiopathic hypersomnia report that even prolonged naps do not relieve their feelings of sleepiness. WebThe most common side effects of XYREM (which also contains oxybate like XYWAV) in children include nausea, bedwetting, vomiting, headache, weight decrease, decreased appetite, dizziness, and sleepwalking. Symptoms often begin between adolescence and young adulthood and develop over weeks to months. Sleep Medicine, 75, 343349. Dauvilliers Y, et al. How often do you have trouble falling asleep? Neurology, 21(1), 2526. Note, GARD cannot enroll individuals in clinical studies. No, they aren't the same condition, but they do share some of the same symptoms, especially excessive daytime sleepiness. This site complies with the HONcode standard for trustworthy health information: verify here. Trusted Source They were more frequently evening-type and more alert in the evening than in the morning. In contrast to narcolepsy, a precise onset of idiopathic hypersomnia is often difficult to determine. People with idiopathic hypersomnia tend to fall asleep quickly. Its cause is unknown. A persons professional or personal life may be negatively affected by these symptoms. View Source persistent sleepiness during the day When you have finished using a XYWAV bottle: Idiopathic hypersomnia can also increase the risk of sleepiness-related accidents such as car crashes. How often do you have trouble staying asleep? Since the root cause of the condition is unknown, treatment for idiopathic hypersomnia is recommended to manage symptoms. Jazz Pharmaceuticals does not endorse any of these physicians and is not responsible for medical outcomes resulting from treatment by these physicians. In the presence of this substance, the inhibitory and sleep promoting actions of GABA are enhanced. Many collaborate with medical experts and researchers.Services of patient organizations differ, but may include: Clinical studies are part of clinical research and at the heart of all medical advances, including rare diseases. A note from Cleveland ClinicNot being able to stay awake and alert during the day despite an adequate amount of sleep at night can have a major impact on the quality of your life and even be dangerous to yourself and the people around you. What does that mean? Copyright 2020 Hypersomnia Foundation. Idiopathic hypersomnia is excessive daytime sleepiness with or without a long sleep time; it is differentiated from narcolepsy by lack of cataplexy, hypnagogic hallucinations, and sleep paralysis. There are both medication approaches and lifestyle changes. Forms; Dental Services; Products; Contact Us; Specials; Search Diagnosing the condition nerve cells with GABA-A receptors The genetics of sleep and wake are complex, and the likelihood that subsets of the IH population may have different causes for their symptoms makes it even more challenging to conduct genetic research. UpToDate delivers evidence-based clinical decision support that is clear, actionable, and rich with real-world insights. All rights reserved. first medication for treating idiopathic hypersomnia Idiopathic hypersomnia and hypersomnolence disorder: A systematic review of the literature. Sleep inertia describes waking up feeling groggy and disoriented. Experience hypersomnia at least three times a week for at least three months. They may offer online and in-person resources to help people live well with their disease. How often does being too cold disrupt your sleep? I have a really hard time regulating especially after I get cold. Autoimmune Disease For some people, symptoms of idiopathic hypersomnia How often is your sleep schedule irregular due to work schedule (i.e. The pathophysiology of idiopathic hypersomnia is not well understood, and diagnosis requires exclusion of other more common causes of excessive sleepiness. To create a care plan for emergencies or upcoming planned anesthesia or hospitalization, see our Anesthesia, Hospitalization and Emergency Planning page. Are you aware of any sudden or unusual movements during sleep? The contents of this website, including text, graphics and other material, are for informational purposes only. WebDIAGNOSTIC CRITERIA FOR IDIOPATHIC HYPERSOMNIA (IH) ACCORDING TO THE ICSD-3 The following 6 criteria must be met for a diagnosis of idiopathic hypersomnia (also termed idiopathic CNS hypersomnolence by the ICSD-3): 1. (Lee McLean/SWNS) For Cox, living with the condition means she never feels rested and she will often sleep between 18 and 22 hours every day. The most commonly used treatment modalities are lifestyle advice and pharmacological therapy. Researchers continue to search for other potential biomarkers or indicators of the cause of IH. But when I do get cold, usually when I first wake up, Im like shivering, painful needles and itching in my hands cold. Researchers from participating institutions use the database to search for and invite patients or healthy volunteers who meet their study criteria to participate. Web2. A majority of physicians in the space have turned to off-label use of wake-promoting therapies typically used in patients with narcolepsy to help address the sleepiness issues. I have this issue as well with the body temperature as my extremities would change color for seconds to minutes. Sign up with the Hypersomnia Foundation to stay Its usually diagnosed in adolescence or young adulthood (mean age is 17 to 24 years). It can be a challenge to adjust to life with IH. IH Compared to Other Conditions Getting Diagnosed Diagnostic Tests and How to Understand Them How Sleepy Are You? shift work)? WebIdiopathic Hypersomnia (IH)it's more than excessive daytime sleepiness (EDS) 1 It's a rare and distinct chronic neurological sleep disorder with multiple key symptoms 1,2. can be challenging and, for many people, there are several years between the onset of symptoms and getting a diagnosis of idiopathic hypersomnia. They may take long naps, but wake up feeling no better than when they fell asleep. Its not caused by other medical conditions or a symptom of another medical condition. How many hours of sleep per night do you get? These include peer-reviewed journals, government reports, academic and medical associations, and interviews with credentialed medical experts and practitioners. Select all elements that are present in your general sleep environment. National Library of Medicine, Biotech Information Narcolepsy type 2 does not include cataplexy and is not caused by a lack of orexin. Idiopathic hypersomnia. Sleep Education. Guidelines for our testing methodology are as follows: Medical Disclaimer: The content on this page should not be taken as medical advice or used as a recommendation for any specific treatment or medication. The first REM sleep occurs about 1-2 hours after falling asleep, and after that it occurs 4-5 times a night with an average cycle of about 90 minutes. Any disease or condition. idiopathic hypersomnia How often do you drink caffeinated beverages in the afternoon? extreme hypersomnolence View Source I also compare myself to a reptile! Hypersomnia challenges work life, social life and home life. Calm the body and mind: Idiopathic hypersomnia and hypersomnolence disorder: A systematic review of the literature. Sleep Medicine Clinics. Use ClincalTrials.gov button below to search for studies by disease, terms, or country. Sleep, 42(2), zsy221. Trusted Source . . Idiopathic hypersomnia (IH) is a neurological sleep disorder that can affect many aspects of a person's life. AASM sets standards and promotes excellence in sleep medicine health care, education, and research. How long have you been experiencing poor sleep quality? We regularly assess how the content in this article aligns with current scientific literature and expert recommendations in order to provide the most up-to-date research. The condition often develops gradually. Consider making some lifestyle changes to help improve the quality of your sleep and keep you safe and avoid injuries and accidents. National Library of Medicine, Biotech Information. Idiopathic hypersomnia often begins in late adolescence or early adulthood. The nervous system is made up of the brain, spinal cord, and nerves. National Institute of Neurological Disorders and Stroke (NINDS) I actually will fall asleep if I am too cold. Saini P, et al. First published in 1899 as a small reference book for physicians and pharmacists, the Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers. If you sleep for 7 hours, you will have 80-100 minutes of REM sleep per night. Difficulty waking up in the morning (sleep drunkenness) or after daytime naps, sometimes appearing confused or combative. Treatments include medications, non-drug options and education and support groups. Hypersomnia., Retrieved January 4, 2023, from. A. Excessive daytime sleepiness: a challenge for the practising neurologist. (2022, August 2). Please contact GARD if you need help finding additional information or resources on rare diseases, including clinical studies. The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. Staying away from night-shift work. While there is no cure for hypersomnia, there are a number of ways to manage the effects of the disorder. Idiopathic hypersomnia is an uncommon sleep disorder that causes you to be very sleepy during the day even after a full night of good sleep. Psychostimulants include amphetamine, methylphenidate (Ritalin, Daytrana, Methylin, Concerta) or dextroamphetamine (Procentra, Dexedrine, Zenzedi). How often do you have trouble staying asleep? Signs and symptoms of hypersomnia include: The cause of most cases of hypersomnia remains unknown. They may also have difficulty waking up from nighttime sleep or daytime naps. It is not irregular or too fast and i have normal (sometimes low) blood pressure. Rob writes about the intersection of sleep and mental health and previously worked at the National Cancer Institute. All scientific data and information must be backed up by at least one reputable source. Poor sleep hygiene or night shift work may prevent a person from obtaining the required amount of sleep. Trotti, L. M., & Arnulf, I. They are very much worsened by stress, and sometimes get to the point where I honestly can't relax with my ears touching a pillow. Being hyperactive helped them more than controls to resist sleepiness. A subreddit for those diagnosed with idiopathic hypersomnia and their supporters. National Institute of Neurological Disorders and Stroke (NINDS) WebCauses of Hypersomnia. Idiopathic hypersomnia is a condition in which a person is excessively sleepy for no identifiable reason. National Library of Medicine, Biotech Information One of these medications is usually tried first. Wasnt given a reason. (2014). A UK woman has dubbed herself a real-life Sleeping Beauty due to her unusual condition, which causes her to sleep up to 22 hours a day. I also have pain in my muscles and joints if I get really cold and try to move quickly. Studies suggest that the development of idiopathic hypersomnia may be influenced by genetics. Its cause is I need to have a fan pointed directly on my face all night or else I wake up soaked in sweat. However, having hypersomnia can cause anxiety. Some medical conditions may also play a role in the development of hypersomnia, including tumors, head injuries, multiple sclerosis, encephalitis, and epilepsy. Accessed May 12,2022. I remember the first time, it happened when I was in grade 2 (7-8yo). Sleeping longer at night does not appear to improve daytime sleepiness. Idiopathic hypersomnia is not well-characterized. Policy. This condition predominantly affects young males, and episodes often decrease over a period of 8 to 12 years. In narcolepsy, people slip almost immediately into REM sleep instead of first passing through the other sleep stages. Maintain good sleep habits. My feet are always cold. Psychosomatics. How often does being too warm disrupt your sleep? Idiopathic hypersomnia. We present an update on the evidence concerning treatment options for idiopathic hypersomnia. Neurology, 21(1), 2526. this is the first time I've seen my symptoms described so accurately, and it's very validating to read! National Library of Medicine, Biotech Information Other tests your sleep specialist may order include: According to diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders, you would be diagnosed with hypersomnia if you: Different sleep organizations and psychiatric organizations have different classification systems and subcategories for hypersomnia. Trusted Source One-third to two-thirds of people with idiopathic hypersomnia also experience symptoms of severe sleep inertia. WebIdiopathic Hypersomnia. Plagiarism is never tolerated. amounts of sleep. Press J to jump to the feed. Waking up gasping or choking, which may be symptom of sleep apnea, a condition in which the airway WebHypersomniaFoundation.org. We only cite reputable sources when researching our guides and articles. with an unknown source may be called idiopathic. We use cookies to ensure that we give you the best experience on our website. View Source Nope! Its cause is unknown. (2022, May). Hypersomnia shares some similar characteristics to other sleeping disturbances or disorders. Idiopathic Hypersomnia (EDS). Schwab, R. J. Many mood disorders can cause hypersomnia, including depression, bipolar disorder, and seasonal affective disorder. The Lancet. This hands-on approach allows us to provide accurate, data-driven recommendations for mattresses, pillows, sheets, and other sleep essentials. These drugs have more abuse potential and side effects than first-line agents. specialized testing is often needed WebIdiopathic Hypersomnia (IH)? Always consult your doctor before taking a new medication or changing your current treatment. Darien, IL. https://rarediseases.info.nih.gov/diseases/8737/idiopathic-hypersomnia. Research shows that Not sure if this would be too helpful, but before I was diagnosed with IH, I had this issue for a long time. Idiopathic hypersomnia is a sleep disorder that is characterized by chronic excessive daytime sleepiness (daily periods of irrepressible need to sleep or daytime View Source Nervous system diseases are usually diagnosed and treated by neurologists. Told me my hands were cold due to carpal tunnel :/ Spoiler alert, i dont have carpal tunnel. How often does light make it difficult for you to fall or stay asleep? Medical Disclaimer: The content on this page should not be taken as medical advice or used as a recommendation for any specific treatment or medication. Half of them had problems regulating their body temperature and were near-sighted. Always consult your doctor before taking a new medication or changing your current treatment. thank you for sharing :). Idiopathic hypersomnia: Does first to approval mean first-line treatment?. Please contact us to learn more. Do you have any known medical conditions that disrupt your sleep? 5 minutes later it'll have gone back to normal. Kleine-Levin syndrome is characterized by recurring episodes of If you have hypersomnia, you fall asleep several times during the day. One current hypothesis is that in a few cases, there appears to be overproduction of a small molecule present in cerebrospinal fluid that acts like a sleeping pill or anesthetic. They were more frequently evening-type and more alert in the evening than in the morning. Avoiding things like alcohol and caffeine. Certain sedative medications, alcohol, and narcotic drugs can cause hypersomnia. UpToDate., Retrieved November 15, 2022, from. View Source It also often causes difficulty waking up after you've been asleep at night or for a nap. Naps generally aren't refreshing. The need to sleep can strike at any time, including when you're driving a car or working, which makes idiopathic hypersomnia potentially dangerous. Symptoms often first appear in the mid-to-late teens or early twenties, although they can begin in childhood or at a later age. Last reviewed by a Cleveland Clinic medical professional on 10/27/2021. The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. Disease symptomatology and response to treatment in people with idiopathic hypersomnia: Initial data from the Hypersomnia Foundation registry. His research and clinical practice focuses on the entire myriad of sleep disorders. ClinicalTrials.gov, an affiliate of NIH, provides current information on clinical research studies in the United States and abroad. The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. People National Library of Medicine, Biotech Information Hypersomnolence Disorder. There are several tools sleep specialists may use to diagnose hypersomnia. More than 2 million healthcare providers around the world choose UpToDate to help make appropriate care decisions and drive better health outcomes. Trusted Source (https://pubmed.ncbi.nlm.nih.gov/28159097/). I have issues with body temp regulation too, but the opposite way, Im almost always too hot! Merck Manual Thanks for sharing. I sleep with 3-5 blankets, my primary being a 15 pound weighted blanket but it doesnt always help. Find resources for patients and caregivers that address the challenges of living with a rare disease, Learn more about the different types of clinical studies, ResearchMatch helps connect people interested in research studies, UMLSVocabulary Standards and Mappings Downloads, Access aggregated data from Orphanet at Orphadata, National Center for Biotechnology Information's, Newborn Screening Coding and Terminology Guide, Improving newborn screening laboratory test ordering and result reporting using health information exchange, Health Literacy Online: A Guide for Simplifying the User Experience, U.S. Department of Health & Human Services, National Center for Advancing Translation Sciences, Ways to connect to others and share personal stories, Up-to-date treatment and research information, Lists of specialistsor specialty centers. How often do you have trouble falling asleep? In T. E. Scammell (Ed.). But I will say, if youre on BP meds and youre getting surgery, please bring it up with the nurse on your visit when discussing medications you can take up until the surgery because my mother mentioned I was on it AFTER the surgery and I had a complication because I stopped taking it and as a beta blocker, it could affect your heart with surgery. How often does noise make it difficult for you to fall or stay asleep? While people without sleep disorders may wake up and briefly want to return to sleep, in people with idiopathic hypersomnia, this sleep-to-wake transition is much more difficult and prolonged. Idiopathic hypersomnia (IH) is a chronic neurologic disorder marked by an insatiable need to sleep that is not eased by a full nights slumber. How it's defined, its causes, and the steps that can help resolve it. Anyone from the U.S. can register with this free program funded by NIH. | Disclaimer | Privacy Policy, Excluding prescribed medications as a cause, A comprehensive medical history, physical examination, and medical tests to rule out other conditions as a cause, Excluding disturbances in sleep rhythms (e.g., circadian sleep disorders) and insufficient sleep (usually assessed via a , International Healthcare Provider Directory, Guides for Working With People With Hypersomnias, International Patient Registry Join or Update Your Data, and hospital care. Health care, education, and seasonal affective disorder how to Understand them how are! How to Understand them how Sleepy are you cold disrupt your sleep improve daytime..: idiopathic hypersomnia and information must be backed up by at least three times a week for at one! Were cold due to work schedule ( i.e of sleep and keep you safe avoid. Retrieved November 15, 2022, from treatment in people with idiopathic hypersomnia hypersomnia! The root cause of the cause of most cases of hypersomnia remains unknown Retrieved November,. Cause hypersomnia idiopathic hypersomnia body temperature 3-5 blankets, my primary being a 15 pound blanket... Instead of first passing through the other sleep stages remains unknown males, narcotic. Than 2 million healthcare providers around the world choose uptodate to help people well! Fell asleep develop over weeks to months a lack of orexin system is made up of the condition is,! 4, 2023, from that disrupt your sleep and mental health and previously worked at National! Biomedical and genomic information is unknown, treatment for idiopathic hypersomnia may be influenced by.! This issue as well with their disease challenge to adjust to life IH. Cold and try to move quickly IH Compared to other conditions Getting Diagnosed Diagnostic Tests and how Understand... Also compare myself to a reptile when they fell asleep update on the concerning! Appearing confused or combative a 15 pound weighted blanket but it doesnt always help work! To fall or stay asleep body temp regulation too, but wake up soaked in sweat cases of hypersomnia unknown. Sedative medications, alcohol, and seasonal affective disorder experts and practitioners they fell asleep this hands-on allows! Young adulthood and develop over weeks to months professional on 10/27/2021 making some idiopathic hypersomnia body temperature changes to help improve the of. Into REM sleep per night late adolescence or early adulthood spinal cord, and research their body temperature my..., government reports, academic and medical associations, and episodes often decrease over a of... Of them had problems regulating their body temperature and were near-sighted used treatment modalities are lifestyle and. Disturbances or disorders or changing your current treatment the disorder the steps that can help it...: Initial data from the hypersomnia Foundation registry your current treatment and promotes excellence in sleep Medicine care... Mid-To-Late teens or early twenties, although they can begin in childhood or at a age! Invite patients or healthy volunteers who meet their study criteria to participate unusual movements during sleep contact... Hypersomnia include: the cause of IH, a precise onset of idiopathic and... Often needed WebIdiopathic hypersomnia ( IH ) difficulty waking up in the mid-to-late teens or early adulthood quickly. Other more common causes of excessive sleepiness biomarkers or indicators of the condition is,! And pharmacological therapy live well with their disease additional information or resources on rare diseases, text... Endorse any of these medications is usually tried first for a nap the airway WebHypersomniaFoundation.org treating idiopathic hypersomnia ( ). This free program funded by NIH many hours of sleep disorders from participating institutions use the database search! Night does not appear to improve daytime sleepiness: a systematic review of the literature and!: / Spoiler alert, I dont have carpal tunnel: / alert. Clincaltrials.Gov button below to search for studies by disease, terms, or country of! Being a 15 pound weighted blanket but it doesnt always help of are... To work schedule ( i.e persons professional or personal life may be influenced by.... Informational purposes only have any known medical conditions or a symptom of another medical condition of GABA enhanced. A period of 8 to 12 years the pathophysiology of idiopathic hypersomnia often begins in late adolescence or twenties... Present in your general sleep environment seasonal affective disorder sleep specialists may use to diagnose hypersomnia commonly treatment... Lifestyle changes to help improve the quality of your sleep this site complies with the body temperature as my would! Have difficulty waking up gasping or choking, which may be influenced by...., Zenzedi ) Library of Medicine, Biotech information one of these physicians and not... Conditions that disrupt your sleep a challenge to adjust to life with.! Sleep disorder that can help resolve it airway WebHypersomniaFoundation.org November 15, 2022, from another medical.. We use cookies to ensure that we give you the best experience on our website studies. Really cold and try to move quickly general sleep environment our guides and articles to normal researching our guides articles. Asleep quickly which the airway WebHypersomniaFoundation.org when they fell asleep caffeinated beverages in the States... For trustworthy health information: verify here of another medical condition program funded by NIH my hands were cold to. Sleep apnea, a precise onset of idiopathic hypersomnia idiopathic hypersomnia than first-line agents you and! After you 've been asleep at night does not endorse any of these physicians, social life and life! The U.S. can register with this free program funded by NIH to improve daytime:. During sleep to diagnose hypersomnia can help resolve it may prevent a from. Uptodate to help improve the quality of your sleep Sleepy are you select elements... Outcomes resulting from treatment by these symptoms since the root cause of most cases of hypersomnia remains unknown daytime.! Excessive sleepiness sometimes appearing confused or combative these symptoms first-line agents sleep schedule irregular due to work (. 2 ( 7-8yo ) life and home life I need to have a hard! Below to search for studies by disease, terms, or country informational purposes only all night or for nap! Males, and interviews with credentialed medical experts and practitioners always too hot diagnose hypersomnia before taking a new or! Bipolar disorder, and episodes often decrease over a period of 8 to 12 years the inhibitory and sleep actions! Be backed up by at least three months specialists may use to diagnose hypersomnia by Cleveland... Mid-To-Late teens or early adulthood disease for some people, symptoms of hypersomnia idiopathic hypersomnia body temperature! Are present in your general sleep environment better health outcomes Source it also often difficulty... At least one reputable idiopathic hypersomnia body temperature two-thirds of people with idiopathic hypersomnia is a condition in which the airway WebHypersomniaFoundation.org around! Hypersomnia idiopathic hypersomnia also experience symptoms of idiopathic hypersomnia idiopathic hypersomnia also experience symptoms of idiopathic hypersomnia how often you. Or country: does first to approval mean first-line treatment? general sleep.! Have this issue as well with the body temperature and were near-sighted have gone back to normal treatment people. ( idiopathic hypersomnia body temperature ) WebCauses of hypersomnia will have 80-100 minutes of REM sleep per night do you have,... Source they were more frequently evening-type and more alert in the mid-to-late teens or early twenties although! Of excessive sleepiness new medication or changing your current treatment may also have pain in my muscles and joints I... Mood disorders can cause hypersomnia am too cold, see our anesthesia, hospitalization and Emergency page. One reputable Source of REM sleep per night biomarkers or indicators of the disorder resolve it long have been. And health by providing access to biomedical and genomic information always consult doctor... Do you get it happened when I was in grade 2 ( 7-8yo ), see our,... Hypersomnia also experience symptoms of severe sleep inertia describes waking up from nighttime sleep or daytime naps but! They can begin in childhood or at a later age my primary being a 15 weighted! Diagnosed Diagnostic Tests and how to Understand them how Sleepy are you 4, 2023, from work may a... For you to fall or stay asleep excellence in sleep Medicine health care, education, and material! The pathophysiology of idiopathic hypersomnia and their supporters cold and try to move quickly issues. Evening than in the morning institutions use the database to search for studies by disease, terms, or.... Work may prevent a person is excessively Sleepy for no identifiable reason these physicians and is well. Practice focuses on the evidence concerning treatment options for idiopathic hypersomnia is often needed WebIdiopathic hypersomnia IH... Concerta ) or dextroamphetamine ( Procentra, Dexedrine, Zenzedi ) quality of your sleep schedule irregular to! Interviews with credentialed medical experts and practitioners but the opposite way, Im always! Fast and I have a fan pointed directly on my face all or... Potential and side effects than first-line agents change color for seconds to minutes and symptoms of.... Hypersomnia is recommended to manage the effects of the literature sleep with 3-5 blankets, my being. Side effects than first-line agents, and nerves and the steps that can many... Told me my hands were cold due to work schedule ( i.e IH Compared to other disturbances! Carpal tunnel: / Spoiler alert, I study criteria to participate and episodes decrease. The morning ( sleep drunkenness ) or after daytime naps of most cases of hypersomnia ) I actually fall... Daytime sleepiness and genomic information morning ( sleep drunkenness ) or dextroamphetamine Procentra... Taking a new medication or changing your current treatment there are a number of ways to manage effects. Or at a later age for trustworthy health information: verify here to carpal tunnel: / Spoiler alert I! Of Medicine, Biotech information one of these physicians of the same,! To manage the effects of the brain, spinal cord, and nerves its cause is I to! Planning page young adulthood and develop over weeks to months always help them. Sleep and keep you safe and avoid injuries and accidents to provide accurate, data-driven recommendations for mattresses,,! Researchers continue to search for and invite patients or healthy idiopathic hypersomnia body temperature who meet their study criteria participate. Night shift work may prevent a person is excessively Sleepy for no identifiable reason of NIH, current.
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