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Your Nextdoor PCP's avatar

This is an excellent “back to physiology” piece, thank you! In clinic, the biggest sleep breakthroughs rarely come from another supplement; they come from restoring circadian contrast: bright days, dim nights, plus consistent timing for sleep and food. I also appreciate you highlighting the under-recognized driver: most of us live in biologically dim daytime light (indoors) and biologically bright evenings (screens + overhead LEDs), which is essentially the perfect recipe for 3 a.m. wake-ups. The other clinically high-yield lever you emphasize (meal timing) is real: late eating can keep core temperature and glucose/insulin signaling elevated and can “pull” peripheral clocks out of sync with the brain’s clock. The practical prescription you outline (daylight early, lights low after dinner, finish dinner ~3 hours before bed, steady wake time) is simple, but it’s not simplistic; it’s how the system is built to run. And I love the tone of “aim for direction, not perfection”. For readers who do all of this and still struggle, your final point matters: that’s often when it’s worth screening for sleep apnea, restless legs, meds/alcohol effects, or mood physiology, because the foundations set the stage, but sometimes there’s a treatable blocker.

W.M.Wisniewski MD, MHPE's avatar

Thx for your kind comment.

Ali Zaidi's avatar

Thank you for writing this excellent piece. I just finished listening to an interview with Michael Grandner, PhD a sleep researcher at the University of Arizona (https://www.foundmyfitness.com/episodes/michael-grandner). He said a lot of the same things, including getting light throughout the day to set your sleep and wake times.

Can you share the reference to the Nature article?