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These approaches typically involve: Lower maintenance doses (200-300mcg daily) Monthly assessment checkpoints Flexible adjustment windows Extended rest periods (4-6 weeks minimum) Research Note: Extended protocols should only be undertaken with comprehensive monitoring and documentation

Due to the intricate neurobiological underpinnings of insomnia, we only accept patients who meet the following criteria: Exclusion Criteria: Patients with untreated severe psychiatric disorders (e.g., schizophrenia), active epilepsy, current substance abuse, or ongoing infections are not eligible due to potential complications or treatment interference