27 comments

  • mutagen7 hours ago
    This thesis appears to be related or the underlying research:<p><a href="https:&#x2F;&#x2F;d.lib.msu.edu&#x2F;etd&#x2F;51312" rel="nofollow">https:&#x2F;&#x2F;d.lib.msu.edu&#x2F;etd&#x2F;51312</a><p>Indicates 2mg and 5mg were given along with the placebo. While these are common dosages available in the US, these are higher dosages than recommended by at least some sleep experts. The thesis doesn&#x27;t seem to differentiate between the dosages when evaluating cognitive processes.<p>Now I want to evaluate my sleep stack against morning cognition.
    • koliber3 hours ago
      I read a while back that our brains produce roughly 0.3 mg of melatonin when signaling us to go to sleep. When I occasionally do use melatonin I split a 1mg pill into half or thirds. I find that it works well enough to help me fall asleep. Wondering how the study would look if hwy used 1&#x2F;2 mg doses.
      • jack_pp2 minutes ago
        I used to do this too, but I learned that will give you inconsistent dosage as the pills aren&#x27;t guaranteed to have the active ingredient spread uniformly.
      • mettamage3 hours ago
        Go to the Netherlands, to the Kruidvat (or Etos or something similar) and just buy a lifetime worth of supply of Melatonin. It&#x27;s 0.1 mg.<p>I&#x27;m Dutch and live here. But my wife is American. If I ever happen to live in the US (chances are there in my lifetime). I&#x27;m going to employ this strategy.<p>I don&#x27;t trust the US with this and the Netherlands has proven itself to me in this sense. There are probably many more European countries that do this well. I&#x27;m simply not changing a winning team.<p>But I&#x27;d love to hear from other people that believe they found a good melatonin supply in a country. I&#x27;m curious.
        • yalok22 minutes ago
          One can get kids doses that are 0.5 or 0.25mg. Eg see this 0.25 product on Amazon - <a href="https:&#x2F;&#x2F;a.co&#x2F;d&#x2F;0j74eWFP" rel="nofollow">https:&#x2F;&#x2F;a.co&#x2F;d&#x2F;0j74eWFP</a>
        • koliber1 hour ago
          I feel that the 1mg pill bottle that I have already is my lifetime supply, given the rate at which I use it.
          • mettamage45 minutes ago
            I&#x27;ve been supplementing for almost 2 years. It still works.<p>I unfortunately need a lifetime supply. I almost take it every day. So 0.3 mg * 300 days * 100 years = 9 grams of melatonin.<p>I don&#x27;t expect to live 100 years but it&#x27;s handy to have a bit of an oversupply.
        • budsniffer9522 hours ago
          You don&#x27;t trust US with..what exactly? Melatonin? Get a grip.
          • mettamage56 minutes ago
            So much for a good faith discussion here. I don&#x27;t appreciate that you tell me to &quot;get a grip&quot;. You&#x27;re not steelmanning. Instead, your reaction comes off as a knee jerk reaction. There are enough communities where I have to come up with defenses to deal with that nonsense. Don&#x27;t do it here please.<p>US melatonin measured dosage can be 4x as much as what is reported [1, 2].<p>Also 0.3 mg is the recommended dose [4]. A lot of doses in the US are way higher than 0.3 mg. In the Netherlands it&#x27;s stupidly easy to find 0.1 mg doses (e.g. at the Kruidvat or at the Etos). It&#x27;s in part why I never looked further.<p>And since you&#x27;re new here (55 days ago, 13 karma as of writing). I strongly recommend you to read the HN guidelines [3]. All people who are on HN should follow them, not knowing them degrades the community experience that we&#x27;re having here.<p>&gt; Be kind. Don&#x27;t be snarky. Converse curiously; don&#x27;t cross-examine. Edit out swipes.<p>&gt; Comments should get more thoughtful and substantive<p>There are a few others that apply as well.<p>[1] Cohen PA, Avula B, Wang YH, Katragunta K, Khan I. Quantity of Melatonin and CBD in Melatonin Gummies Sold in the US. JAMA. 2023;329(16):1401–1402. doi:10.1001&#x2F;jama.2023.2296<p><a href="https:&#x2F;&#x2F;pmc.ncbi.nlm.nih.gov&#x2F;articles&#x2F;PMC10130950&#x2F;" rel="nofollow">https:&#x2F;&#x2F;pmc.ncbi.nlm.nih.gov&#x2F;articles&#x2F;PMC10130950&#x2F;</a><p>[2] Erland LAE, Saxena PK. Melatonin Natural Health Products and Supplements: Presence of Serotonin and Significant Variability of Melatonin Content. J Clin Sleep Med. 2017;13(2):275–281. doi:10.5664&#x2F;jcsm.6462<p><a href="https:&#x2F;&#x2F;link.springer.com&#x2F;article&#x2F;10.5664&#x2F;jcsm.6462" rel="nofollow">https:&#x2F;&#x2F;link.springer.com&#x2F;article&#x2F;10.5664&#x2F;jcsm.6462</a><p>[3] <a href="https:&#x2F;&#x2F;news.ycombinator.com&#x2F;newsguidelines.html">https:&#x2F;&#x2F;news.ycombinator.com&#x2F;newsguidelines.html</a><p>[4] <a href="https:&#x2F;&#x2F;gwern.net&#x2F;melatonin" rel="nofollow">https:&#x2F;&#x2F;gwern.net&#x2F;melatonin</a>
            • _dark_matter_41 minutes ago
              (referring to melatonin) yeah this is valid. I used to take melatonin every night, found out about the problems with us supply, couldn&#x27;t find anything nearing 1&#x2F;2 mg, and gave up. I took kids gummies for a few weeks, but I still think they were 1mg.
          • rusk2 hours ago
            Pharma and Healthcare was the implication I believe. The US approach to these things has a bad reputation internationally though I am informed that it’s an amazing system if you’re rich.
            • mft_2 hours ago
              Let’s not conflate US pharma with their healthcare more generally.<p>The US is dominant in pharmaceutical and biotech, and FDA is generally excellent as a regulator, despite (IMO) sometimes being too conservative and resistant to any ideas not gestated within the agency. There are weird quirks (like the wide and wacky dosages of melatonin available over the counter, in this example) but most countries have such quirks.
              • Spooky2342 minutes ago
                Irrelevant due to a scoping problem. If you’re peddling a dietary supplement there is virtually no regulation at all.<p>As long as you don’t say anything in the marketing material, you’re good.<p>The only science in supplements is the marketing.
              • Angostura1 hour ago
                As I understand it, the FDA doesn&#x27;t regulate melatonin as it&#x27;s not sold as a medication, but as a supplement.
            • mlrtime1 hour ago
              Are you implying that everyone in the US is taking unknown quantities of OTC medications?<p>Unless you have some data to backup this claim, it is tinfoil hat speaking.
              • mettamage48 minutes ago
                US melatonin measured dosage can be 4x as much as what is reported [1, 2].<p>Have you never looked into stuff like this? It&#x27;s all over social media and the claims are relatively easy to verify. I&#x27;m asking because I need to know if I&#x27;m in a bubble or not.<p>[1] Cohen PA, Avula B, Wang YH, Katragunta K, Khan I. Quantity of Melatonin and CBD in Melatonin Gummies Sold in the US. JAMA. 2023;329(16):1401–1402. doi:10.1001&#x2F;jama.2023.2296<p><a href="https:&#x2F;&#x2F;pmc.ncbi.nlm.nih.gov&#x2F;articles&#x2F;PMC10130950&#x2F;" rel="nofollow">https:&#x2F;&#x2F;pmc.ncbi.nlm.nih.gov&#x2F;articles&#x2F;PMC10130950&#x2F;</a><p>[2] Erland LAE, Saxena PK. Melatonin Natural Health Products and Supplements: Presence of Serotonin and Significant Variability of Melatonin Content. J Clin Sleep Med. 2017;13(2):275–281. doi:10.5664&#x2F;jcsm.6462<p><a href="https:&#x2F;&#x2F;link.springer.com&#x2F;article&#x2F;10.5664&#x2F;jcsm.6462" rel="nofollow">https:&#x2F;&#x2F;link.springer.com&#x2F;article&#x2F;10.5664&#x2F;jcsm.6462</a>
          • canarypilot2 hours ago
            [dead]
    • hinkley5 hours ago
      Long ago when I paid attention to this, the wisdom was to watch out because most melatonin pills are targeted to geriatric patients. Old folks need a significant boost to their melatonin to deal with eroding sleep quality, not a little hit of it. So as a 30 year old or younger you want a fraction of what grandad is taking.
      • HexPhantom5 hours ago
        You&#x27;d expect the standard OTC dose to be a sensible starting point, not potentially several times more than a younger person needs
        • gruturo2 hours ago
          For sleep aids this is often not the case. I&#x27;m in my early 50s and tried Doxylamine Succinate 2 years ago for the first time - an innocent Costco &quot;Sleep Aid&quot;.<p>I was beyond groggy - quite nonfunctional - until the following afternoon and would not have trusted myself with operating a car even then.
        • Angostura1 hour ago
          If they are targeted at older patients, I&#x27;d expect them to be a sensible starting point for older patients
          • glenngillen46 minutes ago
            Last time I was in the US the lowest dose melatonin gummies I could find in a CVS were 1mg — kids gummies.<p>That&#x27;s more than 3x the actual recommended dose for an average adult based on the research others have shared in this thread. So no, they&#x27;re not starting from a sensible starting point.
            • hinkley1 minute ago
              Were they packaged as kid gummies or are you presuming that gummies = kids? Because that hasn’t been the case for a long time. Those vitamin D gummies I buy because I will take them instead of might take them consistently, are not child doses either. They’re marketing gummies to adults here.
          • siva754 minutes ago
            There is no such thing as &quot;older people&quot; dose.
        • hinkley4 hours ago
          You wouldn’t, if you remembered that medically speaking, younger people “needing” melatonin pills has been pretty fringe until very recently, and the number of young people who need it is still comparatively small.<p>You can find smaller pills. But you might have to try several chains or order online to get them.
        • ajb4 hours ago
          There is a rumour that the high doses are because the correct dose was under patent.<p>I can only find that in a comment here: <a href="https:&#x2F;&#x2F;slatestarcodex.com&#x2F;2018&#x2F;07&#x2F;10&#x2F;melatonin-much-more-than-you-wanted-to-know&#x2F;" rel="nofollow">https:&#x2F;&#x2F;slatestarcodex.com&#x2F;2018&#x2F;07&#x2F;10&#x2F;melatonin-much-more-th...</a> but I could have sworn it was in the main article when I first read it. (If so that makes it <i>less</i> likely, because the author revises his articles for correctness)<p>That (albeit long) article is worth reading. For example, it explains that melatonin is a phase signal, so being saturated with too much melatonin actually makes the signal less clear (as well as potentially causing other issues).
          • budsniffer9522 hours ago
            That&#x27;s not a &quot;rumour&quot;, it&#x27;s conspiracy theory. Because everything is a conspiracy theory now.<p>No, the dosage is not patented. It doesn&#x27;t even make sense. How would it work? &quot;Oh, 0.5mg is patented, so let&#x27;s put 1mg in the tablets and <i>never sell</i> 0.5mg&quot;.<p>I can get all kinds of dosages from the pharmacy. However, most of what they stock is &quot;too high&quot;, probably because there&#x27;s very little research&#x2F;wisdom&#x2F;knowledge around the supplement.
    • budsniffer9522 hours ago
      I love that people have developed a &quot;sleep stack&quot; without ever even knowing if what they take is improving the effects of sleep.
      • bookofjoe39 minutes ago
        &quot;sleep stack&quot; gets my vote for winner of the 2026 &quot;How You Know You&#x27;re On HN&quot; award
        • satvikpendem5 minutes ago
          It&#x27;s common in the biohacking community especially on X. I&#x27;ve heard about it there much earlier and more frequently than I ever did here.
      • toilet2 hours ago
        People would rather get a wifi connected smart bed and track their sleep stats with a smart watch than put their phone away and read a book before bed
        • discreteevent1 hour ago
          &quot;Americans have a special horror of giving up control, of letting things happen in their own way without interference. They would like to jump down into their stomachs and digest the food and shovel the shit out.&quot;<p>William Burroughs - Naked Lunch
        • fragmede2 hours ago
          To be fair, the 8sleep is pretty nice because it heats and cools you so you get better sleep, and you can still put your phone away if you have one.
          • hackable_sand1 hour ago
            Better sleep than what?<p>Humans have been sleeping for at least 400 years
            • huehehue26 minutes ago
              I get what you&#x27;re saying, but let&#x27;s not pretend the modern world isn&#x27;t meaningfully different. Artificial light is a big factor, yes. So are odd and constantly changing work hours from a world that now operates 24&#x2F;7. So is the common expectation of monophasic sleep in general. So is travel and jet lag that we now have to endure, and dietary changes, and stimulants especially for folks who just don&#x27;t even have 8 uninterrupted hours available for sleep. So are dramatic global temperature changes. The list goes on, and there is more data in this paper <a href="https:&#x2F;&#x2F;pmc.ncbi.nlm.nih.gov&#x2F;articles&#x2F;PMC11152632&#x2F;" rel="nofollow">https:&#x2F;&#x2F;pmc.ncbi.nlm.nih.gov&#x2F;articles&#x2F;PMC11152632&#x2F;</a><p>I can hardly blame anyone for wanting to &quot;hack&quot; or &quot;optimize&quot; their sleep. It seems more necessary now than it has ever been.
            • efficax1 hour ago
              at least!
        • entropie1 hour ago
          Which is total unrelated and therefore i dont know what you want to commit to the discussion.
          • sd91 hour ago
            It’s not unrelated. Avoiding light before bed, seeing sunlight in the morning, and keeping a regular waketime, has a great impact on sleep.
    • bohaska4 hours ago
      Thanks for finding that!<p>I apologize for not reading the full study before submitting it on Hacker News and for the misleading headline on the frontpage given the context of the dosages used, I really should have noticed that the link only contained an abstract.
    • wincy7 hours ago
      I take 300mcg when I’m having a hard time getting to sleep or if I’ve had a lot of caffeine. Mostly because Scott Alexander told me to.
      • gleenn5 hours ago
        I end up biting a lot of pills to get around that dose. I definitely always felt groggy until I dialed down the dose to just right, and it works perfectly: I fall asleep far quicker and more assuredly, and I don&#x27;t feel to groggy. I can&#x27;t believe they sell pills as large as they do, what other medication varies in dosage as much?
        • nerdsniper2 hours ago
          Vitamin B12 supplements can be found in a range covering about 4 orders of magnitude. The RDA is 2.4 ug&#x2F;day and the Costco daily multivitamin provides 6mcg, but here is someone selling 10,000 ug supplements: <a href="https:&#x2F;&#x2F;www.hartzells.com&#x2F;b-12-10000mcg-90960" rel="nofollow">https:&#x2F;&#x2F;www.hartzells.com&#x2F;b-12-10000mcg-90960</a><p>It&#x27;s easy to find any other order of magnitude between those if you like. A half-pound of beef liver would give you about 186 ug.
        • muvlon4 hours ago
          They&#x27;re supplements, not medication, but I&#x27;ve seen crazy variation in the dosages of Vitamin D pills.
          • whycome4 hours ago
            2000iu….or 60000iu. Yep.
        • tpm5 hours ago
          I suspect the dosage and absorption isn&#x27;t fully understood yet or very individual. For me some 2mg pills work fine and other 3mg pills don&#x27;t; currently I use 4mg time-release and it&#x27;s mostly fine. 1 mg is definitely not enough for me.<p>I would be groggy a few hours after taking the pill but not in the morning.
          • ohthehugemanate4 hours ago
            Since they&#x27;re not regulated as medication, melatonin pills have no guarantees about actual melatonin content. In studies, the vast majority of supplement labels are inaccurate.
            • ButlerianJihad4 hours ago
              Remember the NIST reference samples...?<p><a href="https:&#x2F;&#x2F;store.usp.org&#x2F;product&#x2F;1380105?srsltid=AfmBOop0oZFH9SojVHM21NIu3MVD2FlaRg37Qzd8Xw1g7uTWr2opaYuv" rel="nofollow">https:&#x2F;&#x2F;store.usp.org&#x2F;product&#x2F;1380105?srsltid=AfmBOop0oZFH9S...</a>
      • mutagen6 hours ago
        Yeah I&#x27;m in the 300 mcg camp, I take a time release formulation, try to take it early but often it isn&#x27;t far off bedtime.
    • HexPhantom5 hours ago
      Seriously, separating the 2mg and 5mg groups would make this a lot more informative
      • gojomo25 minutes ago
        And having a 0.3mg (300mcg) group - the dose many meticulous online self-experimenters have found sufficient, a mere 15% of their lowest-tested 2mg.<p>Would a headline &quot;morning coffee found to cause stomach problems and anxiety&quot; be reasonable, if the smallest dose tested was 7 cups – and that dosage fact was omitted from the attached abstract&#x2F;story?
    • turtleyacht7 hours ago
      Coffee isn&#x27;t mentioned. Morning cognition could be impacted by whether subjects take caffeine before starting tasks.
      • HexPhantom5 hours ago
        Good point. For regular coffee drinkers, testing an hour after waking without their usual caffeine could be its own cognitive impairment experiment
        • lostlogin4 hours ago
          It’s hard to do a blind test on yourself.<p>But I accidentally ran this test on myself recently and didn’t realise until I got home and found my full cup on the bench.<p>It was disturbing to know how much I need it.
    • znpy5 hours ago
      Indeed the best melatonin supplement i took was a small spray bottle where each hit was 500mg
      • layer852 minutes ago
        I hope you mean µg.
    • DANmode7 hours ago
      5 is almost universally too much.<p>4 is almost universally too much..<p>3 is the most I’ve ever recommended.<p>More than enough.
      • kylecazar51 minutes ago
        I take a 3mg every night, but I&#x27;ve read that independent labs have studied the common OTC brands and found wildly different Melatonin content than advertised.<p>So I really don&#x27;t know how much I take.
      • pazimzadeh5 hours ago
        less than 1 is plenty
      • alfiedotwtf3 hours ago
        5 as in milligrams?! I’ve found 10mg is sometimes just enough, but 20-30mg is where I actually feel a noticeable difference
        • bardsore28 minutes ago
          That is an extreme amount
  • PeterStuer4 hours ago
    Tangentially: as a &#x27;young adult&#x27; I was a typical &#x27;night owl&#x27;. Cognitivly I peaked between 10pm and 3am, typically slept from 4am to 11am. When I got kids and a more &#x27;regular&#x27; job, I was forced to change to a more normal schedule. The transition from &#x27;owl&#x27; to &#x27;lark&#x27; was not easy. It took about 7 years. These days, I peak 7am to 1pm.
    • magicalhippo3 hours ago
      I too found myself most productive after 9 pm.<p>But when I moved on my own I found that it shifted quite naturally. I&#x27;d wake up earlier and go to bed earlier, and then productive peak shifted to be during working hours.<p>I think for me the key factor was primarily that the house was quiet after 9 pm.<p>When I was on my own it was quiet all day.
      • namanyayg3 hours ago
        Exactly the same experience and I try to wake up with natural sunlight as much as possible.<p>The productivity and mental boost from that is incomparable.
        • siren20262 hours ago
          I experience the complete opposite.<p>If I wake up with sunlight I&#x27;m useless until noon. If I allow myself to sleep in the dark until when I feel it naturally, I will wake up at ~9AM and be super fresh mentally with a lot of positive energy.
    • knocte57 minutes ago
      But how&#x27;s this related to melatonin? Did you use it on those 7 years to progressively switch?
    • bodash4 hours ago
      Interesting. I’m also a night owl who struggled waking up like an early bird. Was the transition and efforts worth it? Recently I tried to find a better schedule other than spending another X years fighting my biological clock
      • siren20263 hours ago
        As a night owl who tried to fight it for too long my advice is don&#x27;t change your natural circadian rythm. For some reason hustle influencer culture made us believe we should wake up at 6AM for a productive day. We all have 24 hours, just do what works for you.<p>Most of Europe doesn&#x27;t wake up that early. Only the US is obsessed with 4AM hustle culture. Stop that!<p>I tried to change my sleep for 10 years and for the last 2 I have been embracing the night owl rhythm. And yes I have kids and an amazing partner.
        • theusus3 hours ago
          Waking up at 6 AM and doing workout did wonders to my mental health.
          • siren20262 hours ago
            What do you think was the difference with working out in the evening or just shifting your day by a couple hours?
            • Fluorescence2 hours ago
              Not op, but I have been forced to switch to morning workouts for the past year and they as bad as they always were for me.<p>Above low intensity and I am impaired for the rest of the day - struggling with low energy, cognitively dulled and desperate for a nap. This applies even though it&#x27;s not from sacrificing sleep at 05:00 like some folk do but a leisurely 08:30 or later.<p>My evening workout schedule (for decades) lets me push to total exhaustion and pass out immediately after eating. One of it&#x27;s prime benefits was totally solving insomnia&#x2F;sleep-procrastination of a night owl with an involuntarily regular sleep schedule. I am always spent after exercise not energised.
            • maccard2 hours ago
              I’ve had the same experience as the parent (well, 7am). No idea but it was a marked difference.
        • andrepd3 hours ago
          It&#x27;s silly to say that &quot;Europe&quot; has substantially different working hours for the majority of the population, compared to the US. Grindset hustle sigma influencers are an outlier of course.
          • siren20262 hours ago
            For having lived in both continents, American is generally an early morning culture and Europe is generally an evening culture. There are local differences within the continents of course.
      • sigmoid104 hours ago
        Eliminate all screens after sundown. It&#x27;s literally the nr 1 reason why people struggle. I used to as well (I could easily work in front of a monitor until 4am without getting tired with no coffee or anything). After that, avoid any bright white lights in the evening (usually kitchen&#x2F;bathroom). It&#x27;s not always possible, depending on your work and place of living and especially while travelling. I ended up getting extreme blue light filtering glasses too (make sure they cover your eyes fully so light doesn&#x27;t leak in from the side). Looks ridiculous, but that helped a lot. Finally, add a wind down routine that does not involve any kind of mental or physical excitement. For me it was as simple as walking around the block for 10-15min. But it can be anything that doesn&#x27;t stimulate you in any way. You can try to sit in the darkness and meditate.<p>You will not just sleep better, you will have no issues sleeping at night and getting up in the morning. Downside is that you will definitely be awake once the sun rises (sucks in summer if you live far from the equator) and if you shut the blinds and have no automatic opener you are very likely to oversleep. Tuning your body to the solar day has pros and cons.
        • siren20263 hours ago
          I tried all those things, none worked.<p>You are assuming every brain is wired like yours. It has been proven multiple times that we all have different hormonal levels during the day based on the light patterns. Some people only produce melatonin several hours after it&#x27;s getting dark.<p>Your assumption of a world where we all behave the same regarding sleep is one of the reason why the US became such a bad 6AM hustle culture.
          • sigmoid103 hours ago
            You are conflating several aspects here. The 6am hustle culture originated during the industrial revolution in Britain.<p>And the reason why people struggle with melatonin cycles is because it is almost impossible to escape artificial light. A single bright light exposure at night can acutely alter your hormonal levels. I&#x27;m not saying that what I have done is easy or even possible for everyone.
            • siren20263 hours ago
              The thing is that we all have different natural thresholds. This paper was eye-opening to me: <a href="https:&#x2F;&#x2F;pubmed.ncbi.nlm.nih.gov&#x2F;36799668&#x2F;" rel="nofollow">https:&#x2F;&#x2F;pubmed.ncbi.nlm.nih.gov&#x2F;36799668&#x2F;</a><p>Essentially some people will naturally delay sleep multiple hours after the last light. It is believed it might be an evolutionary mechanism to not have every single person asleep at the same time.<p>And I don&#x27;t care where hustle culture started. It is more alive than ever in America.
          • mettamage3 hours ago
            What worked for me is mirtazapine at 7.5 mg (higher will make it a stimulant anyway). The irony is my doctor is really sceptical. A friend prescribed it to me, who is also a doctor. And he was a bit pissed at my doctor. Quite literally: &quot;your doctor can fucking call me if she questions my methods and I will overflow her with research on this&quot; type of vibe. He did quite some research into it. And I trust him.<p>Of course, do your own research, consult your own doctor, not a doctor. And as you say: it&#x27;s not for everyone. But not enough people mention it.<p>Let me it at least kick it off by looking for a study myself [1, 2, 3] (I just used Google Scholar).<p>Four things I&#x27;ve noticed:<p>1. For the studies saying it only works for 6 weeks, not if you only take it three to four times per week (three is better). You can literally feel the habituation go up and down when you play with the dose. I become really sensitive to it within days.<p>2. First time I took it, it gave me a sedated feel for like 14 hours. So the first few times, you need to desensitize a bit to it actually (don&#x27;t drive a car the first few times).<p>3. For me, when paired with 0.3 mg melatonin 2 hours before bed, it stacks.<p>4. When I&#x27;m super stressed, it doesn&#x27;t work. I need to be and feel normal.<p>Again: not a doctor, not medical advice. My advice is to discuss this with your doctor and see if they know anything about it. If they don&#x27;t, well then, I guess my doctor friend knows something that other doctors don&#x27;t.<p>[1] <a href="https:&#x2F;&#x2F;www.researchgate.net&#x2F;profile&#x2F;Ahsan-Aziz-Sarkar&#x2F;publication&#x2F;395201634_Therapeutic_Effects_and_Safety_of_Mirtazapine_for_Insomnia_in_Major_Depressive_Disorder_Findings_from_a_6-Week_Open-Label_Pre-_and_Post-Intervention_Study&#x2F;links&#x2F;6972230752773b62239ca58b&#x2F;Therapeutic-Effects-and-Safety-of-Mirtazapine-for-Insomnia-in-Major-Depressive-Disorder-Findings-from-a-6-Week-Open-Label-Pre-and-Post-Intervention-Study.pdf" rel="nofollow">https:&#x2F;&#x2F;www.researchgate.net&#x2F;profile&#x2F;Ahsan-Aziz-Sarkar&#x2F;publi...</a><p>[2] <a href="https:&#x2F;&#x2F;academic.oup.com&#x2F;ageing&#x2F;article&#x2F;54&#x2F;3&#x2F;afaf050&#x2F;8093583" rel="nofollow">https:&#x2F;&#x2F;academic.oup.com&#x2F;ageing&#x2F;article&#x2F;54&#x2F;3&#x2F;afaf050&#x2F;8093583</a><p>[3] <a href="https:&#x2F;&#x2F;bjgp.org&#x2F;content&#x2F;bjgp&#x2F;early&#x2F;2025&#x2F;01&#x2F;15&#x2F;BJGP.2024.0173.full.pdf" rel="nofollow">https:&#x2F;&#x2F;bjgp.org&#x2F;content&#x2F;bjgp&#x2F;early&#x2F;2025&#x2F;01&#x2F;15&#x2F;BJGP.2024.017...</a>
            • BuildTheRobots26 minutes ago
              Interesting you&#x27;re the first person to mention this.<p>I had chronic insomnia for &gt;25 years (my entire life) making it extremely difficult to hold down a job or generally interact with society. I&#x27;ve since been on Mirtazipine for about 15 years and the difference is unbelievable.<p>In the UK it&#x27;s only dispensed in 15, 30 or 45mg. I was started on 15mg but that left me extremely groggy for most of the next day. My doctor convinced me to move up to 30mg and I&#x27;m able to mostly sleep and actually function the next day.<p>It&#x27;s not all roses and there&#x27;s a handful of side effects. Personally I had about 6 months of metallic taste in my mouth and it absolutely buggered my sex drive. A few friends jokingly call it &quot;mirfatapine&quot; as it can make them binge-eat and put on weight, but personally I find the good absolutely outweighs the bad and it&#x27;s literally life changing.<p>I know if I forget to take it, because I suddenly realise it&#x27;s 4am and I&#x27;m still wide awake and gibbering. If I&#x27;m working festivals then I can _choose_ not to take it and go back to my old routine working 52-hour shifts before falling asleep.<p>Whilst I&#x27;m not overly thrilled at taking psychoactive drugs nightly, it&#x27;s been the only thing I&#x27;ve ever found (and I spent a lot of my childhood trying anything and everything the doctors recommended and self-medicating in various forms) that actually makes it possible to sleep nightly, and therefore function long term when I&#x27;m forced to wake up for work. If you&#x27;re desperate and out of options it&#x27;s absolutely worth trying, but do be aware it takes months to become effective.
            • sergers20 minutes ago
              I take 5 to 10 mg a night.<p>I have taken 20mg, but if I don&#x27;t end up sleeping made me feel really off&#x2F;groggy. But that I think more so cause I didn&#x27;t sleep.<p>I can take 10mg, get waken up in a couple hours by the kids or pets and feel fully awake and well rested.
      • iammjm3 hours ago
        This is how I did it: this is about two things: mornings and evenings and both need attention. Set a new wake up time. Deduct 7 hours from it. Deduct one more for buffer. This tells you when you need to be in bed with lights out and trying to fall asleep to then get the mandatory 7h of sleep to be a functional human being in the morning. If your new wake target is 5:45, you need to be in bed lights out at 22:45 and since 21:45 with no screens. So you need to deduct another hour to cut off screens early, and in optimal case like -3 more to cut food intake and -6 more to cut caffeine intake. I got some reminders on my phone which let me know the time comes, so I spend the last hour before nights out reading or writing or whatever. So that’s evenings. In the morning my phone rings and to turn it off I need to scan a QR code in my bathroom (alarmy app). This forces me out of bed and then I drink about 500ml of water. I also have a smart plug with a LED light on it which go on together with the alarm clock and goes on for 20 mins. Once wake, I spend 15 minutes in front of it getting light in my face which signals the body the day starts. Then I get dressed and go out for a short quick walk&#x2F;run outside (aka powerwalk) which gets my heart working. Then I come back, make coffee and start work. This way I get enough good quality sleep + each morning physical signals (water, light, movement) that signal my body it is action time. I was very surprised that already after a week my body started waking up minutes before the alarm clock! And that’s after decades of irregular late sleep! But consistency is key: early sleep and early wake up on as many days as possible. It is totally doable and you can streamline in into a simple process which doesn’t take much time or effort.
      • PeterStuer4 hours ago
        It was not an option. Kids need a regular schedule with school and things. It was rough though. I did not ever drink coffee before that time, but starting then I needed several cups just to avoid accidents in the morning.
        • siren20263 hours ago
          School starts way too early. That&#x27;s something we need to change. I grew up in Europe and school started at 9AM. Which allowed for an 8AM wake up.<p>Unlike here where my kids need to wake up at 6AM. Absolutely ridiculous
          • remuskaos3 hours ago
            &quot;I grew up in Europe&quot; can literally be any one of over 40 different countries, and even more education systems.<p>I am in Germany, and school starts at 8 in Berlin, 8:05 in Wiesbaden, 7:45 in some small cities in Baden-Württemberg... And those are only the ones that I, personally, experienced. I&#x27;m sure Poland and Spain have different times, not lastly owing to timezones etc.<p>Please don&#x27;t treat all of Europe as one single country with one set of customs.
            • siren20262 hours ago
              Yes Germany is famous for starting too early, it is an outlier.<p>The 5 countries around where I grew up have starting times between 8:30AM and 9AM. Overall Europe is simply nor as much as a morning culture as the US. Probably because life is more communal and cities have things to do in the evening (in the US, my theory is that car culture killed all energy in the evenings).
            • inigyou2 hours ago
              Note that Germany is one or two hours off from what its natural timezone would be, to align with more of Europe.
      • maccard3 hours ago
        Anecdotally, I’m a night owl by default but if I force myself up for exercise at 7am, I am tired that night and I am better (mentally and physically) that day. My workouts aren’t as good as if they were after work, but it doesn’t matter if I’m going 3&#x2F;4 times a week.<p>My mood is better, my routine matches the “world” better, and I would say I’m mentally sharper on those days too. YMMV
      • Itchyjohn4 hours ago
        You have to completely stop caffeine, best to cut nicotine too. It&#x27;s worth it. Watch out for caffeine In cola etc.
        • ventana3 hours ago
          Being a coffee drinker, I would not agree with the &quot;worth it&quot; part, but I was indeed surprised to learn some time ago that a can of Diet coke contains 46 mg of caffeine, which is basically a half of espresso shot. We don&#x27;t let kids drink coffee, but we let them drink coke, which just does not make any sense. Out of these two, I would assume espresso brings much less harm!<p>Recently, I started using an app to track my caffeine consumption during a day (there are a bunch of those in the stores), and even though I haven&#x27;t stopped drinking coffee and not planning to, I&#x27;m trying to stay within a reasonable limit and switch to decaf if I&#x27;m close to it.
          • jmacd2 hours ago
            I’m curious where you are located? I’m in Canada and I don’t think I know anyone who would let a child drink a coke. I have a 14 year old and it still isn’t something we’d offer.
            • sergers29 minutes ago
              Really? Like where in Canada.<p>You are rarity&#x2F;have sheltered kid well. ( Have met some families where kids never had fast food, sweets, like rod and todd Flanders in the Simpsons lol)<p>I&#x27;m on West coast, kids in elementary school, and half the bday parties in the lower grades families serving mini cans of coke for the kids (and juice with just as much sugar, pick your poison).<p>Goto any fast food joint&#x2F;mcd and see 5yr olds with a soda.<p>I have traveled throughout Canada to east coast and kids love soda pop&#x2F;coke too.<p>Not all kids like soda, many do. Not all parents allow their kids to regularly have side, but may give as a special treat.<p>More and more kids are drinking coffee due to Starbucks type drinks, but that&#x27;s mostly just sugar.
            • ventana2 hours ago
              California; from what I see, kids do drink soda, including coke, a lot.
        • siren20263 hours ago
          Why is it worth it? Why are you fighting against your natural circadian rhythm? We still all got 24 hours right?<p>My background is that as the poster above, I have always been a night owl, with the ability to function and wake up earlier if I need to.<p>For years I have tried to change it because of beliefs like yours that it was &quot;worth it&quot;. Whenever I tried to change it I would feel unergetic, crappy and unmotivated. I would stumble on words and have terrible sleep. Yes, I tried to stop caffeine, use candle light only, ton of supplements. Nothing worked.<p>Since then I have accepted I&#x27;m a night owl, and I should embrace it. I have never felt better since the day I have decided to stop fighting it.<p>The 6AM hustle seems amazing in theory but at the end of the day we all only got 24 hours.
          • ventana3 hours ago
            That&#x27;s either before, or after you have kids (if ever). As long as the school starts, you have (almost) no choice.
            • siren20262 hours ago
              I have kids. I have an amazing partner, but can also rally the days I need to get them to school myself. But even when I need to wake up abnormally early (kids should never wake up that early but that&#x27;s a different debate) I still don&#x27;t feel like going to sleep early.
          • FooBarWidget3 hours ago
            Taking caffeine is fighting against natural circadian rhythm, avoiding caffeine isn&#x27;t.
  • kolli_kumar9 minutes ago
    I live in the US and I take 300mcg - Extended Release - once in a while mainly after&#x2F;before long flight - (depending on the time). And it works fine. It doesn’t work well for me after a good meal. So pop two or take it before the meal.
  • s-ww6 hours ago
    Next, the same experiment could be done with individuals who would be more likely to use melatonin supplements, or even just a broader group than &quot;healthy young adults&quot;. I feel that the starting point of the experiment is a bit flawed since there&#x27;s a high chance these healthy young adults don&#x27;t have the problem the supplements are designed for. I&#x27;m not surprised about &quot;We found no significant differences between the melatonin and sleep groups on any of our sleep measures&quot; for these people.<p>Personal experience: I have mild insomnia* and I sometimes take melatonin. It generally does help, but I can be groggy in the morning, if I took it too late in the evening. Happens sometimes. But for me, it&#x27;s so much better to be sometimes a bit groggy for a short while, compared to being completely exhausted from sleep deprivation all day.<p>*I was a startup founder for 10 years and practically did not sleep during that time. Even years after that life, it feels like my body is not responding to melatonin that much. Or my body is not secreting enough itself. Who knows.
    • extrabajs4 hours ago
      &gt; I feel that the starting point of the experiment is a bit flawed<p>This is from the first paragraph in the abstract:<p>&gt; Exogenous melatonin has been shown to improve sleep in individuals with sleep disorders, such as insomnia and delayed sleep phase disorder. However, research on the effect of exogenous melatonin on sleep in healthy young adults is limited.
    • HexPhantom4 hours ago
      Exactly. The relevant comparison for someone with insomnia isn&#x27;t melatonin vs perfect natural sleep, it&#x27;s melatonin plus some morning grogginess vs not getting enough sleep at all
    • ttoinou6 hours ago
      Wouldnt you be less efficient with less sleep ? For a startup you should improve sleep quality
      • s-ww5 hours ago
        Generally yes, and I definitely am an advocate of getting enough sleep and good quality sleep.<p>Regarding &quot;sleep more to be more efficient&quot;; Hard to say without visiting a parallel universe. But in this specific case it was really about having enough hours in a day. Most of the work did not require me at my sharpest. If I was in the same situation today, Claude would be doing these menial things for me and I&#x27;d sleep more. But we didn&#x27;t have Claude then.<p>It was a tech startup that I wanted to build without any outside money. With investments of course I&#x27;d just hire more people. I had luck and perseverance, and everything turned out great. I had 100% ownership and sold it for private equity. Now I only work because I like solving tricky problems, and not working gets incredibly boring after a while.
      • olivermuty5 hours ago
        Yes, but this is sadly a lesson most founders (especially american ones) need to self teach.<p>I certainly did and struggle with both sleep and stress induced anxiety, 9 years after my founder burnout.
        • doctorwho4238 minutes ago
          Well there are a lot of social pressures in the startup&#x2F;tech world to be go-go-go. It&#x27;s the pure form of grind culture, coming out of silicon valley over the last few decades.
  • gwern7 hours ago
    Hard to discuss this with only a short abstract. They don&#x27;t even give a dose or formulation of the melatonin, and details like &quot;We found no significant differences between the melatonin and sleep groups on any of our sleep measures.&quot; raise more questions than they answer.
    • ororroro7 hours ago
      The study is on &quot;healthy young adults&quot;. How much improvement would you expect on someone who is already &quot;healthy&quot;? It&#x27;s not like they are going to ascend and become superhuman.
    • colordrops7 hours ago
      Anecdote - I&#x27;ve used it dozens of times and I&#x27;m always foggy in the AM, so I avoid it if I have to be sharp the next morning. Perhaps it&#x27;s a coincidence and this study is flawed, but I can believe it pretty easily.
      • flexagoon4 hours ago
        What dose are you using? Most OTC melatonin supplements are sold in a 3 or 5mg dose, while the correct one is ~0.3mg or even lower for some people. High dose may be related to the fogginess.
      • dripdry456 hours ago
        same here. I use 5HTP instead, apparently the same chemical pathway just goes in at a different point. no fog in the morning at all. Nice and sharp, feel good.
  • ajkjk6 hours ago
    My understanding is that you ought to take melatonin in small doses (0.3 or so) an hour or two before sleep in order to <i>get tired</i>, whereupon you sleep (normally, ish, unless you take too much and then you get crazy dreams or sleep paralysis). If I take it and go right to bed I always wake up still in the &#x27;window&#x27; of its effect.
    • Zardoz845 hours ago
      I was taking small doses of melatonin before go to sleep for a year or two. To help me begin to sleep. I have a tinnitus. Usually I have a deep sleep. I can get sleep, I can sleep all night without problems. it&#x27;s only the first hour that can be problematic for me. I stoped like half year, and I don&#x27;t having problems to sleep.
  • taurusnoises46 minutes ago
    Recently, I started taking a 3mg dose of melatonin for 1-3 days after flying to a timezone requiring a fair amount of effort to get a full night&#x27;s sleep (3-6+ hours time difference), and find it helps to quickly get me on the new schedule. I maybe feel a <i>little</i> groggy, but nothing unsettling.<p>Note: I take a trip like this maybe once or twice a year (no more), and typically wake up with zero grogginess otherwise.
  • WarOnPrivacy7 hours ago
    Not sleeping impairs my morning cognition - a lot. Melatonin is part of the rotating stacks I use to mitigate insomnia.<p>My mornings have always been impaired, going back to pre-school. Meds don&#x27;t make my mornings any worse than my baseline.
    • johntash6 hours ago
      What else is part of your rotating stacks? Asking as someone who melatonin doesn&#x27;t seem to help much
      • mutagen6 hours ago
        Not OP but I seem to get a benefit from GABA. Valerian root is effective at inducing sleep but leaves me groggy and I&#x27;ve had paradoxical anxiety reactions to it and there&#x27;s some question around its longer term use. L-theanine is often mentioned but I&#x27;m not sure I benefit. Magnesium glycinate is another that comes up often.
      • toilet2 hours ago
        Doxylamine for OTC, but if you take too much it will really make you groggy the next day (other people in the thread have shared the same experience.) Zolpidem&#x2F;Ambien works really really well, but it&#x27;s prescription only and also addictive so doctors advise to not take it more than a few days in a row at max.
      • rapsey4 hours ago
        Insomniac for 20 years. What was a complete solution for me was: magnesium, b6 p5p (p5p form very important) and the ultimate punch glycine.<p>Glycine takes some getting used to, as you will have crazy intense dreams at first. But it is a very safe supplement to take even in large doses.<p>I always had huge insomnia issues after a physically intensive days after workouts. The stack I settled on solved it. A heavy day just needs a bit more magnesium and quite a bit more glycine.
        • potamic2 hours ago
          How much of each do you take and when do you take them?
  • esperent4 hours ago
    As with so many experiments, the study itself is clear and testing something valid, but when it gets shared somewhere like reddit&#x2F;HN&#x2F;Facebook etc. everyone takes the broadest possible, unintended reading.<p>- study: we tested <i>specifically</i> healthy young adults and found melatonin may have a negative effect <i>on this cohort</i>. We make <i>zero claims</i> about any other cohort.<p>- every lay person reading the study, of any age: scientists just proved melatonin makes me dumb in the morning! Oh no!
  • senderista6 hours ago
    Even 200 mcg is enough to give me brain fog. I stick with 100 mcg unless I&#x27;m really having a hard time falling asleep.
  • msuniverse20264 hours ago
    I&#x27;ve noticed if I use the f.lux feature for just 15 minutes I begin to get tired at night. Blue light is a hell of a drug.
  • Snoozus1 hour ago
    There is a world where melatonin is not worth it in the short run, but the result flips after a few days of sleep deprivation in the control group.
  • redrove7 hours ago
    Could it just be dosage? Commonly found dosage is 10-20x what you&#x27;d actually secrete and IIRC absorption is actually quite good.
    • dripdry456 hours ago
      My understanding is that melatonin can overload certain receptors and cause an issue with fogginess since it works directly on the brain. 5HTP is more broad and is “gated“ on the same metabolic pathway, so cannot overload the system the way melatonin does.
  • alkyon1 hour ago
    I stopped taking melatonin because I had problems waking up in the morning and was getting nasty headaches even with half a dose (1 mg).<p>Edit: Maybe I should try reducing the dose even further (to 200 μg) as mentioned in other posts here
  • zdc14 hours ago
    Anecdotally, I&#x27;ve taken 3mg a couple of times to adjust my sleep schedule and have found that I do feel a bit drowsy&#x2F;slow the next morning. Fine for me since it&#x27;s just ad hoc usage, but I wouldn&#x27;t take it nightly.
    • vient4 hours ago
      This may just be too much. I settled up on 0.2mg dosage - you can find 0.1mg tablets, easy to try different dosages with them. Also seems to work better if you take it 2-3 hours before sleep.
  • JSR_FDED5 hours ago
    My experience with Melatonin was very hit-or-miss. Sometimes it landed like a hammer and I was very groggy the next day. Sometimes it seemed not to work at all. This was with all sorts of doses.<p>I&#x27;ve found Tart Cherry - as an OTC supplement to work much better. More pleasant drift off to sleep, less waking up at night, and no morning grogginess.
    • rapsey4 hours ago
      The body gets used to melatonin. It is actually a crap sleep supplement. It works worse every time you take it. What you should be doing is give the body the ingredients it needs to make its own melatonin like it is suppose to work.
      • Torn1 hour ago
        Hmm no there&#x27;s no little evidence to support the body getting used to external melatonin and not making its own in response
  • RinatNabiev5 hours ago
    Does this effect depend on dosage or timing? Would be curious to see the full study.
  • karol4 hours ago
    It just says that when you slept well you can be a bit drowsy.
  • ucsandman3 hours ago
    yup I can attest to that but it&#x27;s better than getting no sleep
  • Uptrenda6 hours ago
    As a long term insomniac the head line result is not surprising. My overall experience with &quot;sleep aides&quot; is they all lead to impairments in morning cognition. The worst of which don&#x27;t last just the morning... (seroquel, I&#x27;m pointing at you...) Melatonin is surprisingly powerful for a hormone &#x2F; supplement. For me, it hits like a truck, and I find it strong enough that I had to stop taking it.<p>I&#x27;d be careful with the methodology here. There&#x27;s been research that shows that most melatonin supplements are megadosed, with something like the &quot;physiological dosage range&quot; being 1 - 2 micrograms (ug.) So I&#x27;d hope the researchers got a trustworthy source for their tablets. It seems to me that with such a low dosage range you don&#x27;t have much margin to avoid errors.<p>I think when it comes to sleep problems the worst possible place to start is with pills. Pills quickly lead to dependence and a lot of them either stop working or introduce so many side effects that there&#x27;s little &quot;therapeutic benefit.&quot; I think the right approach for insomnia is to focus on improving overall health. A lot of symptoms people go to the doctor for in that category are due to life-style factors. So if you maintain healthy habits you don&#x27;t have to end up on 10 different pills just to function...<p>It&#x27;s a slippery slope, trust me on that.
    • margor6 hours ago
      Yeah, sure.<p>I would love to find a natural or lifestyle remedy to common RLS or PLMD symptoms that I get from time to time. The problem is that for some people it&#x27;s impossible to identify what are the triggers and sometimes it&#x27;s just genetics you have no control over.<p>But sure, do tell people to avoid doctors and make them suffer even though there are drug remedies that don&#x27;t cause dependence and augumentation.
      • maccard3 hours ago
        Being charitable to OP, I think their advice is to look after your health before hyper focusing on your sleep. I’ve had a similar experience - the better I care for my body the better my sleep is (and the opposite is a self reinforcing cycle). For me, personally, CBT and therapy helped hugely with the feelings of overwhelm I got from feeling like I wasn’t getting enough sleep and gave me the tools to deal with the fact that I’m not going to fall asleep at 11:30 and wake up at 7:30 like I would like to. It’s not perfect, but what is?
        • margor3 hours ago
          I could be convinced, however for me personally sleep defines how I feel throught the day, and if my sleep is bad or not restorative, it&#x27;s almost impossible to take care of myself and adhere to &quot;being healthy and mindful&quot; because it requires just too much energy I won&#x27;t have.
          • maccard2 hours ago
            Yeah - that’s what I mean by it being a self reinforcing cycle. I have no kids which helps hugely, but I have a checklist of things to do that I made during a period when I was feeling good and had good habits. I don’t think it matters what that list is, but I’ve found that doing those things on that list has 0 impact on my mood that day but “would you rather be tired and not exercised than tired and exercised” is a good motivator for me.<p>Some element of it is not taking advantage of your body when you are restored - if you empty the tank every time you’re feeling good you’re always going to yo-yo a bit.
  • BiteCode_dev3 hours ago
    Surprisingly, one thing that tremendously helped my sleep quality, and several persons around is wim hof breathing.<p>I used to do it in the morning, and my brother recommanded I&#x27;d switch to just before sleep.<p>The difference is stark in effects, and you fall asleep like a baby even when stressed, using red light, with heat waves, etc...<p>Given it&#x27;s free and don&#x27;t have the side effects of regular melatonin supplement, I would encourage every one to give it at least a one week trial.
  • sublinear4 hours ago
    &gt; The results suggest that negative performance effects of exogenous melatonin may outweigh any benefits for healthy young adults<p>Not surprising at all. The vast majority of people taking supplements are avoiding either the doctor, eating a better diet, or regular exercise.<p>What are the odds that someone comfortable taking overpriced sketchy pills is also probably comfortable taking other substances? I only have to look at any random suburban strip mall in the USA to get my answer. I always chuckle at the IV drip place next door to the bar.
  • thin_carapace6 hours ago
    melatonin should be consumed in doses an order of magnitude smaller than the smallest available dosage. melatonin should also be consumed in a particular time period to correctly trigger the circadian rhythm. long term consistent melatonin use is not advised outside of special cases (eg elderly where morning cognition is unimpactful). irregardless I don&#x27;t believe that consuming modified release melatonin is healthy long term, because it breaks the circadian rhythm ... but if it works it works.<p>if you can afford expensive supplements, perhaps consider trying magnesium threonate for sleep. anecdotally this caused intense dreaming, leading to 1 less sleep cycle being required for restfulness. you could also try eating tons of tabouli and see if a massive apigenin hit calms the body for sleep. skullcap as a tea has some interesting properties regarding GABA modulation. on tea, passionflower is a decent MAO inhibitor and knocks some people out, but that&#x27;s way less sustainable than melatonin. lastly dont lie down on your right side after eating!!!
    • eurleif4 hours ago
      &gt;melatonin should be consumed in doses an order of magnitude smaller than the smallest available dosage.<p>It&#x27;s available on Amazon in doses as low as 100mcg: <a href="https:&#x2F;&#x2F;www.amazon.com&#x2F;dp&#x2F;B08MJL2GTC" rel="nofollow">https:&#x2F;&#x2F;www.amazon.com&#x2F;dp&#x2F;B08MJL2GTC</a> Are you saying this because you believe the correct dose is on the order of double-digit mcg, or because you&#x27;re under the impression that the lowest available dose is single-digit mg?
      • thin_carapace4 hours ago
        the lowest otc dose I previously witnessed was 1mg, perhaps my phrasing should have been &quot;smallest commonly available dosage&quot;, because the correct dose is indeed in the vicinity of 100mcg
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