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Is my insomnia at 34 linked to thyroid issues or low iron?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 34-year-old woman who has been struggling with severe insomnia for the past six months. I fall asleep late at night despite trying relaxation techniques and avoiding caffeine. Recent blood tests showed TSH (thyroid-stimulating hormone) 3.8 microunits per milliliter, which is slightly high, ferritin 15 nanograms per milliliter (low), and vitamin D 18 nanograms per milliliter (low).

I also feel irritable and have difficulty concentrating at work. Please tell me;

  1. Could my thyroid or iron deficiency be contributing to my insomnia, and should they be treated first?

  2. Are cognitive behavioral therapy for insomnia (CBT-I) or medications more effective for long-term improvement?

Kindly help.

Answered by Dr. Awadhesh P Singh Solanki

Education:

MBBS

Professional Bio:

Dr. Awadhesh P. Singh Solanki is a renowned Psychiatrist with expertise in treating mood disorders, anxiety, depression, schizophrenia, and substance use disorders. He is skilled in psychotherapy, medication management, and holistic mental health care. With a compassionate and patient-centered approach, Dr. Solanki is dedicated to improving emotional well-being and empowering individuals to lead healthier, balanced lives through evidence-based psychiatric treatment.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Both your slightly high TSH (thyroid-stimulating hormone) and low iron and vitamin D can affect sleep, mood, and energy. Low ferritin (iron stores) in particular can cause restlessness and difficulty sleeping, and low vitamin D can also affect mood. It is worth discussing treatment for these with your doctor, as correcting them may help improve your sleep and daytime concentration.

For insomnia itself, cognitive behavioural therapy for Insomnia (CBT-I) has the best long-term results. It works by changing unhelpful sleep habits and thoughts that keep you awake, and its benefits last even after therapy ends. Sleep medicines can help in the short term, but they don’t fix the root cause and can lead to dependence if used for too long.

You might also look at improving sleep hygiene alongside treatment, keeping a fixed wake-up time every day, getting morning sunlight exposure, keeping your bedroom cool and dark, and avoiding screens at least an hour before bed. Combining these lifestyle steps with medical treatment and CBT-I gives you the best chance for steady, lasting improvement.

I hope this information helps you.

Feel free to ask further queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At October 28, 2025
Reviewed At October 29, 2025

Education:

MBBS

Professional Bio:

Dr. Awadhesh P. Singh Solanki is a renowned Psychiatrist with expertise in treating mood disorders, anxiety, depression, schizophrenia, and substance use disorders. He is skilled in psychotherapy, medication management, and holistic mental health care. With a compassionate and patient-centered approach, Dr. Solanki is dedicated to improving emotional well-being and empowering individuals to lead healthier, balanced lives through evidence-based psychiatric treatment.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Awadhesh P. Singh Solanki is a renowned Psychiatrist with expertise in treating mood disorders, anxiety, depression, schizophrenia, and substance use disorders. He is skilled in psychotherapy, medication management, and holistic mental health care. With a compassionate and patient-centered approach, Dr. Solanki is dedicated to improving emotional well-being and empowering individuals to lead healthier, balanced lives through evidence-based psychiatric treatment.

This doctor is not available for online consultations on the platform anymore.

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