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*Cognitive issues, such as not being able to focus on a task, make decisions, or remember things *Excessive daytime sleepiness *Fatigue or energy slumps *Mood swings or irritability *Reduced productivity or performance *Increased risk for accidents or injuries Some factors can trigger insomnia, these include: *Evening light exposure (especially when bright) *Blue light from screen use too close to bedtime *Light pollution from the street *Noise pollution, whether inside or out *Temperature (a room thats too warm or humid) *An irregular sleep schedule (from shift work or staying up later on weekends than on week nights) *Alcohol (especially overuse or when consumed late in the evening) *Caffeine (especially in the eight hours leading up to sleep) *Eating too close to bedtime *Medical concerns Medication side effects Pain (chronic or temporary) Acid reflux (such as with gastroesophageal reflux disease, aka GERD) Sleep apnea Mental health concerns (anxiety, depression, mood disorders, chronic stress) Thyroid issues Attention deficit hyperactivity disorder (ADHD) Restless legs syndrome Dementia Hormonal shifts (such as during the menopause transition) To avoid some triggers, Dr

Bacteriophage richness was found elevated in one ME/CFS study, but it is limited owing to its small sample sise (191)

Li, D., Field, P