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Very sleepy after a short time awake. Can't sleep well at night. Eyes have large dark circles around them. No energy. Can't gain weight.

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Luce734, sleeping problems are very, very common, and not always easy to diagnose and treat. Has he discussed this with his PCP?

I strongly suggest going to a sleep clinic -- with doctors who specialize in the diagnosis and treatment of a wide range of what can go wrong with sleep.

Does he have other kinds of symptoms? Forgetful? Confused?

My husband (who had dementia) took two different medications to ensure sleeping through the night (neither of them sleeping pills) and then took a medication to prevent daytime drowsiness. Some may think this excessive, but it allowed him to have a somewhat "normal" life pattern, despite the damage to his brain.

Let us hope there is an easier solution for your loved one. But not sleeping at night and then being droopy all day interferes with quality of life. It is worth seeing a specialist and trying to correct the problem, in my opinion.
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Eat liver.
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Has he had a complete physical lately? I would discuss it with his doctor and see if you can rule out physical problems. Many things can contribute to sleep issues, such as dementia, thyroid, etc. Also, you might have him evaluated for SLEEP APNEA. This can cause these symptoms too. It's very serious. They now have at home sleep test. Have you noticed if he stops breathing when sleeping? It's not always obvious though. Follow up with his doctor.

If health problems are ruled out, then I would discuss medication to help him rest. Seniors often have trouble staying asleep.
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He takes prednisone. Can this contribute to the condition?
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