Improving Sleep Quality with Functional Medicine

I’ll never forget the nights I spent staring at the ceiling, mind racing, desperate for sleep that never came. Chronic insomnia felt like a heavy weight dragging me down a little more each day. It disrupted my mood, my focus, and eventually my health.

Ironically, that was the wake-up call I needed. When conventional approaches with sleeping pills just left me feeling groggy and drained, I finally discovered functional medicine and acupuncture. 

By addressing the root causes of my sleepless nights—high stress and allostatic load, and what I now recognize as HPA-axis dysfunction and hidden gut imbalances—my entire life changed. 

I’m sharing my story because I know how lonely the search for answers can feel. But trust me, there is hope.

Sleep: One of the 5 Foundational Pillars of Health Creation

Sleep is one of the “five essential pillars of health creation.” It’s just as important as nourishing nutrition, regular movement, stress resilience, and connected relationships in promoting health from our genetic expression outward! 

When you get quality rest, it’s like flipping the switch on every other area of health. Hormones stabilize. The gut heals more efficiently. Stress resilience skyrockets. Your immune system is stronger. Even metabolism runs smoother. 

When you’re missing out on sleep, however, everything becomes an uphill climb.

Why Sleep Disorders Matter

Despite its importance, millions struggle with common issues like snoring, bruxism (teeth grinding), and sleep apnea. These aren’t just nighttime nuisances:

  • Snoring may signal airway obstruction or poor sleep posture.
  • Bruxism often correlates with chronic stress, nutrient shortfalls, or restricted airways
  • Sleep apnea involves breathing pauses that cause oxygen dips and strain the cardiovascular system and metabolism because oxygen is at the root of cellular energy production!

HPA-Axis Testing: A Deeper Look Into Stress and Sleep

One of the biggest lessons I learned on my own journey was that chronic insomnia rarely exists in a vacuum. It often ties back to the Hypothalamic-Pituitary-Adrenal (HPA) axis, which orchestrates our stress response. 

Over time, compounding stress, whether seen or hidden, can lead to “adrenal fatigue,” a colloquial term used that is more accurately described as HPA-axis dysfunction in functional medicine terms

When cortisol, our main stress hormone, is elevated at night, it can suppress melatonin production.

  • Salivary cortisol testing offers a window into your daily cortisol rhythm, pinpointing whether stress hormones are peaking at the wrong times and sabotaging your sleep.
  • Organic acids testing can reveal hidden imbalances in neurotransmitter metabolism, nutrient deficiencies, and even gut bacteria that may be fueling poor sleep.

Blood Sugar Balance: Another Overnight Saboteur

Did you know your blood sugar can wake you up at 3 a.m.? When blood sugar dips or spikes at night, it can jolt the body into a stress response, cueing insomnia. 

Stabilizing blood sugar through balanced meals, mindful snacking (if needed), and targeted nutrient support can help prevent these nighttime wake-up calls.

What Causes Sleep Disorders?

Beyond stress and blood sugar swings, other factors compound restless nights. 

Spotting the Warning Signs

Sleep disorders aren’t always obvious because they happen while you’re asleep. Keep these clues in mind:

  • Persistent snoring, often with gasping or choking.
  • Morning headaches, jaw soreness, or damaged teeth from grinding.
  • Daytime fatigue, mood dips, or trouble focusing.
  • Waking up unrefreshed even if you’ve spent enough hours in bed.
  • Try using sleep tracking technology to estimate your sleep quality.

How Poor Sleep Affects Overall Health

As someone who lived through chronic insomnia, I can tell you how deeply it affected every facet of life. 

Testing: The Key to Unlocking Better Sleep

If you suspect a hidden culprit behind your sleepless nights, test—don’t guess. A thorough workup can illuminate what’s really going on.

  • Sleep studies (polysomnography) to monitor breathing and oxygen levels.
  • Salivary cortisol tests to assess adrenal rhythm (HPA-axis function).
  • Organic acids tests to uncover nutrient deficiencies, neurotransmitter imbalances, and more.
  • Advanced nutrient panels to detect low magnesium or B vitamins.
  • Allergy, mold toxicity, or food sensitivity testing to identify if inflammation or congestion is clogging airways.
  • Comprehensive thyroid panels to check if hormonal shifts are disrupting sleep.
  • Advanced gut health testing to uncover hidden imbalances or gut-brain connection concerns.

Smart Habits for Better Sleep

The foundation of quality sleep lies in consistent, healthy practices:

  1. Stick to a routine: Go to bed and wake up at the same time to support your circadian rhythm.  If you have to choose, waking up at the same time every morning is the most important thing you can focus on.
  2. Optimize your environment: Keep it dark, quiet, and cool. Use blackout curtains, a white noise machine, or a fan if needed.
  3. Manage stress intentionally: Incorporate breathing exercises, meditation, or journaling to calm your nervous system.  Mindfulness-based Stress Reduction (MBSR) is an excellent technique to help with insomnia.
  4. Address snoring: Try side-sleeping or use nasal strips/saline rinses to clear congestion.
  5. Tackle bruxism: A custom mouthguard can safeguard teeth, and therapy—like CBT—helps ease the stress behind nighttime grinding

Don’t Forget Nutrition and Movement

  • Balance blood sugar: Focus on nutrient-dense meals with adequate protein, healthy fats, and complex carbs. Aim to avoid large sugar spikes that could haunt you later at night.
  • Stay active—but wisely: Regular exercise enhances sleep quality, but finish vigorous workouts at least a few hours before bed.

Supplements That Offer Extra Support

Lifestyle changes should always come first, but certain supplements can strengthen your sleep foundation:

  • Magnesium: Calms the nervous system and eases muscle tension. My personal favorite form is magnesium glycinate.
  • L-theanine: Gently promotes relaxation without drowsiness.
  • GABA (Gamma-Aminobutyric Acid): May reduce anxiety and improve sleep quality.
  • Ashwagandha: An adaptogenic herb that supports stress resilience and deeper rest. Some people may be sensitive to this herb, however.
  • B vitamins (B6, B12): Bolster serotonin and melatonin production, essential for restful nights.

Ready for Real Restful Sleep? Book Your FREE Health Clarity Consult

My own health transformation started with a single step—acknowledging that I needed help. If you’re tired of running on empty and want to explore personalized, root-cause solutions, I’m here to support you. 

Click the link here to schedule a FREE Health Clarity Consult with me. We’ll talk about your sleep struggles, explore potential root causes, and create a clear plan to help you finally rest easy no matter what issues you’re dealing with now.

About the Author

Headshot of Dr. Kenny Mittelstadt for Author Bio in Color

Kenny Mittelstadt is an acupuncturist and functional health practitioner based in San Antonio, Texas.  He is trained through the Institute for Functional Medicine and received both of his doctorate degrees with highest honors from Southern California University of Health Sciences. He focuses on empowering patients through creating opportunities for integrated understanding and personalized root-cause healing - starting with gut health and growing beyond!

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