Besides causing daytime fatigue by slowing metabolism, hypothyroidism increases risk for some sleep disorders. About 30 percent of people with hypothyroidism have sleep apnea. In this group of people, it’s the drop in oxygen and the struggle to breathe against a closed airway that disrupts their sleep.

Hypothyroidism also prevents the deepest, most important sleep. This may be another contributor to daytime fatigue in people with hypothyroidism.

Beyond treating the root cause of hypothyroidism, the best advice for getting better sleep is the same as it is for anyone that occasionally or regularly lies awake at night. Here are some tips to try:

1. Keep your bedroom cool. A comfortable bedroom temperature is important, especially while you’re in the process of getting your thyroid regulated. Set your thermostat between 65 and 70 degrees Fahrenheit.

2. Sleep in a comfy bed. If your mattress is over seven years old, it can cause a problem. Make sure your bed is comfortable and supportive for a good night’s sleep.

3. Avoid nighttime feasts. Indulging in a large meal close to bedtime can disrupt sleep, as can eating something unusual. If you’re struggling with sleep problems, avoid spicy dishes and foods or drinks with caffeine, such as chocolate or coffee.

4. De-stress. One of the biggest contributors to sleep problems is stress, and people tend to think about stressful situations instead of closing their eyes when they climb into bed. To address these issues in a beneficial way, try writing in a journal or practicing relaxation techniques like meditation.

If you continue to struggle with sleep issues, talk to your doctor in order to determine the root cause of your insomnia and help you get the quality rest you need.