Diphenhydramine (25-50 mg every 6 hours as needed) is an alternative but causes significant drowsiness and has anticholinergic effects that may be problematic, especially in older adults
Several theoretical mechanisms might explain why some patients notice sleep changes: Metabolic shifts : As the body adapts to reduced caloric intake and begins utilising fat stores, hormonal fluctuations may theoretically affect sleep-wake cycles Gastrointestinal discomfort : Nausea or abdominal discomfort, particularly if experienced during evening hours, may interfere with sleep onset or maintenance Changes in eating patterns : Altered meal timing or reduced evening food intake might affect circadian rhythms in susceptible individuals Indirect effects : The medication's impact on blood glucose regulation could theoretically influence sleep quality, though this mechanism remains speculative It is important to note that correlation does not imply causation
Gene Expression Responses: Examination of molecular changes triggered by peptide-receptor interaction
Moreover, with sufficient pressure to overcome the blood pressure of punctured small arteries, retrograde flow can be generated, potentially affecting other distal organs [19]
(If Neurontin is chaotic good this is neutral good.) My tinctures and mints are either 1:1 THC and CBD or 1THC to 20 CBD and I find those doses quite mellowing