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 Q and A on Chronic Fatigue Syndrome and Fibromyalgia with Jacob Teitelbaum, M.D. - #16 
The following is one in an ongoing series of columns entitled From Fatigued to Fantastic by . View all columns in series

Q: So how to I get my eight to nine hours sleep a night?

A: The first thing, of course, is to make time for it. Many of us feel like we're so rushed in our day-to-day lives that we don't have time for sleep. Unfortunately, lack of sleep causes you to function so inefficiently that you'll actually make more time in your life by getting eight to nine hours of deep sleep a night. Look at the things you're doing to see which ones don't feel good. I recommend you eliminate those and replace them with sleep.

The next thing to do would be to use treatments that have been shown to improve sleep quality and symptoms in CFS and fibromyalgia. Many of these are natural and others are prescription. The benefit of the natural ones is that they tend to have less side effects and that you can get them on your own. For those without prescription coverage they can also be cheaper. The benefit of prescription medications is that they are less expensive for those with insurance coverage and may require fewer tablets.

There are a few critical sleep therapy concepts to know before we start to discuss specific treatments in depth. These will be discussed next issue. For now, you can start with these if you'd like.

  1. Revitalizing Sleep Formula (by Enzymatic Therapies and PhytoPharmica) – Valerian 200mg, Passion Flower 90mg, L-Theanine 50mg, Hops 30mg, Piscidia 12mg and Wild Lettuce 28mg. Take 2-4 capsules each night 30 to 90 minutes before bedtime. This is available in most health food stores and on my website at
  2. Take calcium and magnesium at bedtime. You may choose to take half a scoop of the daily energy Enfusion powder at bedtime (take the other half scoop in the morning with the B-complex) to get the magnesium.
  3. Eat some turkey at bedtime. This can prevent hypoglycemia during the night and also supplies Tryptophan which helps sleep.
  4. Melatonin, one-half to 1 mg at bedtime (or 5 mg taken five hours before you want to go to sleep if you are wide awake at bedtime).
  5. Doxylamine 25 milligrams (Unisom for sleep) -- make sure it is pure doxylamine with no other medications added. This is like Benadryl but more effective for sleep. It is not natural but it is over-the-counter.
  6. Taking 5-HTP 200-400 mg at bedtime (limit it to 200 mg if you are on antidepressants) can help sleep, pain, and induce weight loss. Where the other treatments will work the first night that you take them, it can take the5- HTP six to twelve weeks to see the full effect.

For those of you who would like to begin with prescriptions, the three best ones to use are Ambien 10 mg, Desyrel 25 to 75 milligrams, and or Klonopin 1/2 to 1 and 1/2 mg -- often in combination.

In the upcoming newsletters we will review 20 natural and prescription sleep aids in more depth. The newsletter after the upcoming newsletter will list these with directions for use. Newsletters that follow will discuss each of the treatments in more length, discussing the strengths and weaknesses of each.

You can see this list now by going to , click on the left lowest link which says "treatment protocol" and scroll down to "sleeping AIDS for fibromyalgia". The upcoming newsletters, however, will give you much more information!

Dr. Teitelbaum is a board certified internist and director of the Annapolis Research Center for Effective CFS/Fibromyalgia Therapies, where he sees CFS/Fibromyalgia/Chronic pain patients from all over the world (410-266-6958). Having suffered with and overcome these illnesses in 1975, he spent the next 28 years creating, researching, and teaching about effective therapies. He is the author of the best-selling From Fatigued to Fantastic!" and the newly released "Three Steps to Happiness! Healing through Joy". His web site can be found at:

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 About The Author
Jacob Teitelbaum MD is author of the popular free iPhone application "Cures A-Z" and author of the best-selling book From Fatigued to Fantastic! (3rd revised edition, Avery/Penguin Group) and Pain Free 1-2-3-A......moreJacob Teitelbaum MD
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