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Description

Poor sleep increases appetite hormones (ghrelin), decreases satiety hormones (leptin), increases insulin resistance, and promotes fat storage

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DSIP does not replace evidence-based insomnia treatment, sleep apnea evaluation, mental health care, medication review, or behavioral sleep therapy

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Practical tips for managing side effects include eating smaller meals more frequently, avoiding high-fat and greasy foods, staying well hydrated, eating slowly and mindfully, and keeping bland foods like crackers available for nausea relief

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Some individuals report increased nausea, headaches, or skin irritation when using medication that has begun to break down

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Most infections were caused by Rhodococcus equi, a bacterium that lives in the soil and causes pneumonia in young horses

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