DEAR DR. ROACH: I’m an 84-year-old woman who has, for years, had trouble falling asleep. Lately I also wake up in the middle of the night and seem to be unable to go back to sleep at times. I have been taking melatonin spray and Ashwagandha gummies with so-so results. I was wondering about your take on CBD for insomnia and also whether the gummies I’m taking are safe. I’ve been taking them for a couple of years now. Thanks for any help you can give. -- R.D.

ANSWER: Cognitive behavioral therapy for insomnia is the preferred therapy for chronic insomnia in people for whom it is available. Melatonin is generally safe, and although it does not work for everyone, I do not object to a trial. Though, I do recommend smaller doses than what is typically available, with 1 mg being a good dose to st

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