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If nausea or reflux is disrupting sleep, speak to your GP about: Temporarily maintaining a lower dose Elevating the head of your bed to reduce reflux symptoms Whether additional medications might be appropriate to manage symptoms Maintain good sleep hygiene practices , which are beneficial regardless of medication use: Establish a consistent sleep-wake schedule Create a cool, dark, and quiet sleeping environment Limit screen time and stimulating activities before bed Avoid caffeine and alcohol in the evening Engage in regular physical activity, but not close to bedtime Monitor your blood glucose levels , particularly if you are taking Ozempic alongside insulin or sulphonylureas