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Common Symptom Guide

Can't Sleep? Poor Sleep Is Often a Hormone Problem We Can Actually Test.

Trouble falling asleep, staying asleep, or waking up unrefreshed isn't always just "bad sleep hygiene." It's frequently tied to hormones you can measure.

Reviewed by McKell Johnson, FNP-BC, Clinical Director · Originally developed by Dr. Justin Abbott, D.O., Founder
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What's Behind It

What's Actually Disrupting Your Sleep

Chronic sleep problems are commonly linked to elevated evening cortisol, low progesterone (which has a natural calming effect), thyroid dysfunction, blood sugar swings overnight, and hormonal shifts during perimenopause and menopause. In men, declining testosterone can also be one factor worth evaluating.

Sleep medications can mask the symptom without addressing why it's happening in the first place — which is part of why sleep problems often return the moment a prescription stops.

Common Sleep Complaints

Difficulty falling asleep
Waking frequently during the night
Waking too early and unable to fall back asleep
Feeling unrefreshed even after a full night
Daytime fatigue despite adequate time in bed
Sleep problems that started or worsened around a hormonal shift
How We Approach It

Testing What's Actually Disrupting Sleep

We check cortisol patterns, sex hormones, thyroid function, and blood sugar regulation — the systems most likely to be interfering with sleep — rather than defaulting straight to a sleep aid.

From Our Care Team

A sleep aid can help someone get through a rough patch, but it doesn't answer why sleep fell apart in the first place. We'd rather find that answer, especially when it's something as testable as cortisol or progesterone.

Reviewed for accuracy by McKell Johnson, FNP-BC, Clinical Director, and the Abbott Health & Wellness care team.

Related Conditions

Often connected to sleep issues: chronic fatigue, brain fog, and anxiety. Finding the root cause of fatigue & brain fog →

What Patients Say
Common Questions

Sleep Issues FAQs

What patients ask most before their first appointment.

Frequent middle-of-the-night waking is often linked to blood sugar dips, elevated cortisol, or hormonal shifts — particularly for women approaching perimenopause. A full panel can help identify which of these applies to you.
Yes. Progesterone in particular has a natural calming, sleep-supportive effect, and levels that decline or fluctuate can directly disrupt sleep. Thyroid imbalance and elevated cortisol are also common contributors.
Our focus is on identifying and treating the underlying cause rather than defaulting to a sleep aid. Depending on your labs and history, that may include hormone support, lifestyle changes, or other targeted treatment — we'll discuss the right approach at your consultation.
Before You Book

Two Things Worth Knowing

Get Started

Find Out Why Sleep Isn't Working For You.

A full hormone and metabolic panel, and a real conversation with McKell Johnson, FNP-BC.