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Your provider may review: Sleep history Current sleep schedule Mental health symptoms Stress and burnout Medications and supplements Caffeine, alcohol, or substance use Hormonal or metabolic concerns Pain or inflammation Breathing concerns during sleep Prior sleep treatments Safety considerations If DSIP is not appropriate, your provider can help you explore other options that may better fit your needs

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Consider functional hypothalamic amenorrhea due to stress, or anovulatory cycles in PCOS where ovulation never happens and progesterone is low