What to know about melatonin, CBD, magnesium, valerian and sleep

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Americans have plenty of trouble sleeping. Only 42 percent say their sleep is good or very good, according to an October 2022 nationally representative survey of 2,084 U.S. adults by Consumer Reports. And nearly all Americans — 91 percent — say they’ve experienced at least one sleep challenge in the past year, according to the survey.

So it’s no wonder that in the quest for a good night’s rest, so many people turn to supplements. Trying to get better sleep is one of the three most common reasons people say they have taken a supplement, according to a summer 2022 nationally representative Consumer Reports survey of 3,070 U.S. adults. About 1 in 3 Americans say they have taken supplements to sleep better.

Melatonin was by far the most popular supplement for sleep mentioned in our survey. Cannabidiol (CBD) and magnesium rounded out the top three but were much less popular. And other vitamins and supplements, including valerian, iron and vitamin D, have sometimes been touted as sleep aids, too. Here’s what the evidence says about whether any of these actually work — plus what you might want to try instead.

Whenever you buy a supplement, you should look for a safety seal from a trusted third party.

Your body runs on an internal clock called the circadian rhythm. Melatonin, a naturally occurring hormone, helps signal to your brain that it’s bedtime. That’s the idea behind using a melatonin supplement at bedtime.

The evidence suggests that taking melatonin can help people fall asleep about seven minutes faster, on average, and studies show that it’s useful for people with jet lag or a sleep disorder called delayed sleep phase syndrome. But to avoid interfering with your body’s natural production, high doses should not be taken long term, says Selena Chan, a psychiatrist and associate director of clinical programs at the University of California at San Francisco’s Osher Center for Integrative Health.

Some people use this compound, a nonpsychoactive derivative of hemp or marijuana, to relieve anxiety and promote sleep.

A 2017 paper suggested that CBD may be a reasonable treatment for insomnia, but the scientists said such research is in its infancy and more long-term studies are needed. As long as you’re practicing good sleep habits and not taking other medications at the same time, Chan says CBD may be beneficial before bedtime. Just check with your doctor first.

And shop carefully. Consumer Reports tests have found that some CBD gummies don’t have the amount of CBD advertised on the label.

The mineral magnesium may help reduce stress and relax the body before bed. Magnesium supplements can be taken as pills or as a powder added to drinks.

Research in this area is scarce, however. While some studies link magnesium to better sleep quality, it’s unclear whether supplementing helps with sleep disorders such as insomnia and restless legs syndrome. (Be sure to avoid types called magnesium oxide or citrate for sleep use because these forms are more commonly used as laxatives.)

Iron deficiency is closely linked to restless legs syndrome, a condition marked by uncomfortable sensations in the limbs and an uncontrollable urge to move them, which can interfere with sleep. Think this might be your problem? Consult a doctor before self-treating. Taking iron could mask a more serious problem.

Plus, for people without a deficiency, supplementing could lead to iron overload, which can damage organs.

A growing body of evidence suggests a link between low levels of vitamin D and sleep troubles.

One study of 89 adults with sleep disorders, published in 2018, found that when people whose vitamin D levels were on the low side (but not deficient) took supplements regularly for eight weeks, they said they nodded off faster, slept longer and had better sleep quality than those who received a placebo.

But other research has found that the supplements have no positive effect on sleep or may worsen it in certain populations. What to do? Talk to your doctor about getting tested for vitamin D deficiency and whether supplements might be worth a try.

This root has been used for centuries to treat insomnia. And several studies suggest that this supplement may help people fall asleep faster and wake up less often at night, although next-day grogginess may occur. But other studies show no benefit.

Such mixed findings may be due to the variable quality and instability of active ingredients in valerian, according to a 2020 research review, so be sure to check for a trustworthy seal on the bottle.

A consistent sleep routine can help signal bedtime to your body. Relax without screens, whether you journal, read or take a bath, Chan says. Try to limit alcohol, and don’t consume caffeine after lunchtime. For sleep disorders, medication or a form of psychotherapy called cognitive behavioral therapy for insomnia can also be effective.

Copyright 2023, Consumer Reports Inc.

Consumer Reports is an independent, nonprofit organization that works side by side with consumers to create a fairer, safer, and healthier world. CR does not endorse products or services, and does not accept advertising. Read more at ConsumerReports.org.

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