If you have several of the following, a formal sleep quality assessment is worth discussing: You wake unrefreshed even after what seems like enough time in bed Your jaw, temples, or face hurt in the morning Someone reports snoring or breathing pauses You wake with dry mouth or a headache You feel sleepy, foggy, or irritable during the day Then gather a few basics before your visit: Bring a symptom timeline with when the fatigue, TMJ pain, or headaches are worst List what you notice on waking because morning clues are often the most useful Ask your bed partner what they see and hear if anyone shares your room Bring prior sleep testing if you've had any Note what you've already tried such as mouth guards, nasal strips, apps, supplements, or bedtime routine changes Some people also benefit from practical home habit changes while they pursue evaluation
Most current studies utilizing pharmacological or genetic nitrergic manipulations ascribe resulting physiological and behavioral effects specifically to that system
Fernndez-Moreno, M., Rego-Prez, I
Combined treatment of etanercept and MTX reverses Th1/Th2, Th17/Treg imbalance in patients with rheumatoid arthritis
A little more antioxidant protection might help as well
