• I have chronic Restless Legs Syndrome, under control (mostly) with drugs, exercise, and stretching at certain times of the day. Problem: I don't go to sleep until 3 AM, wake about 11 AM, so circatian rhythm is messed up. Advice respectfully requested.

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    To address your sleep schedule and manage Restless Legs Syndrome, here are some strategies that might help, as discussed by on the :

    1. Morning Light Exposure: Get bright morning light exposure, ideally from sunlight, to help reset your circadian rhythm. This can boost your alertness in the morning and improve sleep onset at night 1 2.

    2. Evening Light Management: Minimize exposure to artificial light in the evening. Using dim, warm-toned lights, or even red lights, can help lower cortisol levels and signal to your body that it's time to wind down 1 3.

    3. Regular Sleep Schedule: Try gradually shifting your sleep schedule by 15-30 minutes earlier each day until you reach your desired bedtime. Consistency is key in reinforcing your body's internal clock 4.

    4. Exercise: Regular physical activity is beneficial but try to schedule intense workouts earlier in the day to avoid delaying your circadian clock. Late-day exercise might make it harder to fall asleep earlier 5.

    5. Non-Sleep Deep Rest (NSDR): Techniques like NSDR or yoga nidra can help reduce stress and enhance relaxation, which are beneficial for both managing Restless Legs Syndrome and improving sleep quality 6.

    6. Melatonin: Consult with a healthcare provider about melatonin. Although typically used cautiously, it could help stabilize your sleep pattern if deemed appropriate for your situation 2.

    Implementing some or all of these strategies might gradually help adjust your sleep schedule and assist with managing Restless Legs Syndrome. Always discuss any changes or new treatments with your healthcare provider.

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