Topic Explanation
The forum discussion revolves around a user named Lee who is experiencing difficulties with the sleeping pill Belsomra. Despite taking the medication, Lee continues to wake up at 2 AM every night and struggles to get a full night's sleep. Lee shares their experience of fragmented sleep, waking up energized, and engaging in various activities like going to the gym and doing chores. Lee also mentions dealing with mania and the impact of iron supplements on their stoma output.

Advice and Insights

- Medication Experiences:
- Multiple users shared their experiences with different sleeping medications, noting that finding the right combination can be challenging. For example, one user mentioned trying gabapentin, Doxepin, and Ambien in various combinations without achieving consistent sleep.
- Another user highlighted that despite taking Belsomra, they still experienced fragmented sleep but were able to manage their stoma care during the night.

- Sleep Patterns and Circadian Rhythm:
- One user pointed out that irregular sleep patterns can disrupt the circadian rhythm, which is naturally set for nighttime sleep, especially between 2-5 AM. This disruption can lead to constant tiredness.
- Another user mentioned that despite being awake at night, they eventually adjust their sleep patterns due to job demands, but acknowledged the impact on natural sleep cycles.

- Energy Levels and Mania:
- Lee shared that they experience high energy levels and mania, which prevent them from feeling tired even after extensive physical activity. They noted that this could lead to an eventual crash.
- Another user empathized with Lee's insomnia and hoped that the new medication would help manage the mania and provide rest.

- Daily Activities and Mental Health:
- Lee described staying active throughout the day with various activities, including exercise, chores, and appointments, despite not working due to mental health reasons.
- One user questioned why Lee doesn't work given their active daily routine, to which Lee responded that mental health issues are the reason for being on disability.

- Managing Stoma Care:
- Lee mentioned that waking up at 2 AM allows them to manage their stoma care, such as emptying the bag when it fills with air, which could otherwise lead to complications.

- General Support and Empathy:
- Several users expressed empathy and support for Lee's struggle with insomnia and the challenges of finding effective medication. They shared personal experiences and offered encouragement.