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Medical condition

Chronic Insomnia

Also known as: Sleep-Onset Insomnia · Sleep-Maintenance Insomnia

Chronic insomnia is persistent difficulty initiating or maintaining sleep with daytime impairment. Cortisol dysregulation, perimenopausal estradiol decline, low progesterone, and thyroid abnormalities are common drivers.

Medically reviewed
Dr. Laura Purdy · MD, MBA
Clinical Director, oMeds
Last reviewed
Overview

What you need to know

Provider-reviewed assessment pairs diurnal cortisol pattern, estradiol, progesterone, TSH, and free T3 to identify modifiable physiology. Sleep-medicine referral handles primary sleep disorders; oMeds optimizes hormonal context.

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Every condition, symptom, biomarker, and medication on oMeds is reviewed by a licensed provider and recalibrated against the standardized biomarker panel.