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KEY TAKEAWAYS Over 60% of patients reported trouble staying asleep, even when they got eight hours in bed Higher stress levels were associated with double the rate of low energy and significantly worse sleep quality Eating frequency matters patients eating five times per day reported the best sleep and highest energy levels The sweet spot between meals is two to four hours longer gaps were linked to sleep disruption and low energy Any amount of alcohol was associated with fragmented sleep, regardless of stress levels Nearly 65% of patients were not hydrating adequately throughout the day NOTABLE QUOTE "If your cortisol goes high, we can get the same effects that happen when we take steroids, which we know promote pre-diabetes, insulin resistance, weight gain." Dr