Top Rated PlusSellers with highest buyer ratingsReturns, money backShips in a business day with trackingLearn MoreSeveral ME/CFS and/or FM experts have said that you can’t fix fibromyalgia or chronic fatigue syndrome without fixing sleep. Dr. Bateman, whose SolveME/CFS presentation on sleep we’re going to cover soon, said she’s tried literally everything she can think of  to help with sleep in FM and ME/CFS. Given the negative effects poor sleep has on our immune, neuroendocrine, and central nervous systems it’s not surprising it can be so debilitating. Perhaps the most haunting sleep study was one Andrew Gross referred to which found that just a couple nights of interrupted sleep – the kind many people with ME/CFS and FM regularly experience – was enough to make healthy people  look like they had fibromyalgia. Increased heart rates, reduced heart rate variability, fragmented sleep and lack of deep sleep have all been found in ME/CFS and FM sleep studies, and the best is probably yet to come when the Zinn sleep studies from Stanford get published.

It’s not that ME/CFS and FM are sleep disorders per se, and that fixing the sleep problems found will cure either, but of all the “loads” that contribute to the distress in these disorders – poor sleep, when its present – may be the heaviest. In this first Health Rising Community Report on sleep, we ask what’s going with YOUR sleep and what has helped and what has hurt. Please take the survey below. Please note – there are questions in the form of polls (diagnosis, sleep quality, etc.) and surveys (treatment effectiveness questions  mostly). The results of  the poll questions are available immediately; the results of the survey questions will be provided in a couple of days. Health Rising Community Report on Sleep I have been diagnosed with Chronic Fatigue Syndrome (ME/CFS) I have had a polysomnography sleep test (overnight sleep study) doneyesnonot sureIn general I would rate my sleep asExcellentPretty goodOKFairly poorReally poorI generally go to bedBefore 8 pmBefore 10 pmBetween 10 pm and 12 amBetween 12 am and 2 amAfter 2 amI generally wake upbefore 5 ambetween 5 and 7ambetween 7 and 9 ambetween 9 and 11 amafter 11 amInsomnia for me is a "x" problemmajormoderatemildnot a problemDuring the night I probably wake upover 10 times5-9 times2-5 timesoncenot at allHow

many hours of sleep do you think you get a night?Less than threeFour to fivesix to eighteight to tengreater than tenIn general I wake up every morningexhaustedunrefreshedso-sofeeling fairly goodReady to tackle the dayHow much do these factors negatively affect your sleep?honeywell air purifier hht 145Very muchSomewhatNot muchDon't knowToo much activity/exercise during the dayNo exercise (e.g. walking) during the dayEmotionally stressful eventsPainLarge meals at nightSmall meals at nightDrinking caffeinated beverages after the morningDrinking alcoholGoing to bed after 11 or 12 pmA partner who snoresDrug EffectivenessVery effectiveSomewhat effectiveNot EffectiveSomewhat harmfulVery harmfulHaven't triedAntihistaminesAmbien (Zolpidem)Desreyel (Trazodone) Elavil (Amytriptyline)Flexeril (Cyclobenzaprine) Klonopin (Clonezapam)Lyrica (Pregbalin)Neurontin (Gabapentin)Seroquel (Quetiapine)Sinequam (Doxepin elixir)Xyrem (Sodium oxybate)I have tried doing the following good hygiene practices to help me minusa2 ultra quiet hepa air purifier

sleepyesnoSet regular sleep timesNot napping for long periods in later part of dayGoing to bed only to sleepKeeping light levels in the bedroom lowNot watching TV or playing computer games two hours before bedtimeDoing meditation or mindfulness exercises before sleepTaking a warm bath before sleepWhen I've implemented good "sleep hygiene" I've found it to beVery helpfulSomewhat helpfulNot that helpfulPlease rate the effectiveness of the following supplements/herbs in helping your sleepVery effectiveSomewhat effectiveNot effectiveMade sleep somewhat worseMade sleep much worseHaven't ogawa air purifier reviewtriedMelatoninValerian RootL-tryptophanKava kavaChamomile teaPlease rate the effectiveness of the following items in helping you get better sleepVery effectiveSomewhat effectiveNot effectiveHaven't triedRaising head of bed a couple of inchesInvesting in a good sleep mattressUsing a sleep app to determine what most effects your sleepI regularly monitor my sleep using an app such as the FitBit One, Sleep As, Jawbone One, SleepbotyesnoOther things that have helped you sleep betterIf you have greatly improved your sleep tell us what it did for you

healthwiseGreat improvementModerate improvementSmall improvementNo improvementFatiguePainClarity of ThoughtActivity levelOverall well-beingOther CommentsI'm currently Level 135 and have done all radiant quests once, done all side quests, done the maximum amount of quests for each faction before choosing one, gotten all magazines and companion perks, gone to and cleared every location atleast once, some as many as 20 (looking at you, Faneuil Hall and Corvega Plant). I am currently turning my settlements into self-sufficient fortresses, of which I am about halfway through. First of all, either make your character have 10 Charisma to begin with or use every perk point until you make it 10 first, with this you can convince anyone, anything. Despite what you might hear, the Minuteman quests are very good to grind things with. They give a decent amount of XP, and while they are ridiculously stupid and repetitive with a very small pool of radiant places, it is worth it to level up your character early on.

It is also a good way to get resources. Second, speaking of resources, BUY EVERYTHING that has wood. Wood, while at first is plentiful, is used in over 75% of all settlement items, and in fairly large amounts. If you comb through locations and scrap everything, you will only have to worry about wood. However if you don't want to make an empire of absolute fortresses, the trees in the settlements should suffice. The difficulty is really how often you want legendaries. They only change how many hits it takes to kill an enemy, usually give or take two more. The real 'easy mode' is power armor. I can waltz through Mythic Deathclaws and Super Mutant Warlords without a scratch in my X-01 on Survival, but if I was to step out, I would probably get rekt. If you plan on getting all the perks you want, start out with 10 intelligence and level up your perception to 6 and luck to 5 for Idiot Savant and Friend of the Night. With 10 INT Idiot Savant will rarely happen, but the x3 Kill XP is worth it.

Secondly, the Friend of Night, in addition to having a hilarious icon, is very much worth it for the extra XP at night with synergizes very well with an Astoundingly Awesome! perk, +5% Damage at night, located in Outpost Zimonja. Also, if you're big on Power Armor, get the Internal Database mod as soon as possible. Lastly, go to Goodneighbor as early as possible to get a quest from Daisy which grants access to the Boston Public Library and in turn the Intelligence Bobblehead and a copy of the Massachusetts Surgical Journal, and in Hotel Rexford is a Live and Love which grants a +5% XP bonus when adventuring with a companion. Over all, this grants a +53% XP bonus at night in certain power armor while adventuring with a companion. As another small bonus, having 10 INT from the start unlocks a very useful perk early on: Nerd Rage, which is basically an on-demand supply of Pyscho jet. Some more perk info: Rank 3 of Life Giver is very powerful, usually restoring you to full health after a skirmish.

Get Bloody Mess and whatever damage perk you need(Rifleman, Gunslinger, Commando, Heavy Gunner, Big Leagues, etc) as early as possible, as they will give you an edge you might need in a battle. Lead belly is also very good for early game, as the food is like a much more common but diluted version of a stimpak. Look at this map In the blue areas, you cannot find Fusion Cores in random loot. Speaking of loot, let's go onto legendary loot. A lot of legendaries you'll find will be good only to sell, but a few are very good. The explosive, two shot, bleeding, and mighty prefixes are what you want to look for. Two shot is good on rifles, I have a two-shot combat rifle i found at Level 20 and still use it over a hundred levels later. Explosive is good on both Non-automatic and automatic rifles, especially miniguns or combat shotguns. Bleeding is insanely OP on automatic weapons, and Mighty is good for everything, but particularly on plasma weapons. Lastly, if you're a melee character, the furious prefix is best.