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  • oses, major depression, or alcohol or other drug abuse; and (4) a history and examination by a board-certified sleep physician to confirm a diagnosis of psychophysiologic insomnia, to exclude menopausal women with insomnia due to hot flashes and pregnant women, and to exclude patients suspected of having sleep apnea (snoring, daytime sleepiness, or obesity), restless legs, periodic limb movements,
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