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Reply to "Bad sleep, actually no sleep at all"

It sounds like two key issues here may be anxiety-related: getting up to use the toilet even though it isn’t necessary, and struggling to get back to sleep. Strategies that focus on that anxiety might be particularly beneficial. It sounds like your J-pouch is doing just fine but you haven’t caught up to it yet.

FWIW, there’s some evidence that melatonin may work best at surprisingly low doses - 1 mg or even less.

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