Tossing and turning at night is often caused by disrupted sleep signals in the body and brain. Stress and anxiety can keep the nervous system alert, making it hard to relax.

Poor sleep habits, such as irregular bedtimes, late-night screen use, or caffeine intake, can interfere with the body’s circadian rhythm.

Physical factors also play a role, including pain, uncomfortable bedding, room temperature, or noise.

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Medical conditions like insomnia, restless legs syndrome, sleep apnea, and acid reflux are common contributors.

Hormonal changes and certain medications can also disrupt sleep and reduce sleep quality.