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Takeaway: If insomnia is entrenched, CBT-I is foundational

Its effectiveness can range from noticeable improvements to more subtle, preventative effects, depending on the individual's specific circumstances and lifestyle

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Conversion is fine for most healthy younger adults, but can be less efficient in people with MTHFR genetic variants (an estimated 25 to 40% of the population carries at least one variant), people with liver function decline (more common with age), and smokers and former smokers

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