Category Archives: rls natural remedies

Hot Flashes in Menopause: Studies Show Magnesium and Primrose Oil Effective

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menopause hot flashesMenopause is a natural process when the production of female hormones (estrogen and progesterone) declines and a woman stops having her monthly periods.  It usually happens gradually between the ages of 45 and 55.  

During this time, a woman can experience uncomfortable menopause symptoms such as hot flashes and night sweats, migraine headaches, anxiety, fatigue and insomnia.

Hormone replacement therapy drugs can help hot flashes, but according to the University of Maryland Medical Center, the long-term use of hormone replacement drugs can increase the risks of heart disease, stroke, blood clots in the lungs and breast disease  As a result, more and more women today are seeking to use natural remedies.

One such remedy is evening primrose oil.  This oil comes from the seeds of a wildflower that grows throughout the United States. In a study from the Archives of Gynecology and Obstetrics, researchers tested the effect of evening primrose oil on 56 menopausal women aged 45 to 59 with hot flashes.  The women were given two capsules per day of evening primrose (500 mg per capsule) for a continuous 6 weeks.  This resulted in a 42% improvement in the severity of hot flashes, as well as beneficial improvements in their life activities.

Can magnesium help menopause symptoms? Mineral supplements such as magnesium and calcium are of good benefit to menopausal women with hot flashes and night sweats.  One example is a study from the Virginia Commonwealth University Health System. Women with at least 14 hot flashes a week received 400 milligrams of magnesium oxide for 4 weeks, increasing to 800 mg. per day if needed.  At the end of the study, the magnesium supplements had reduced their frequency of hot flashes from 52 to 28 per week, which is a 41.4% reduction. Fatigue, sweating, and distress were also significantly reduced.

The 29 participants in the study were breast cancer survivors, thus they were unable to take the usual hot flash medications that have estrogenic activity such as hormone replacement or soy supplements.  Many women, breast cancer survivors or not, prefer to take a non estrogen-active natural remedy for hot flashes and night sweats, and the researchers concluded that magnesium appears to safely reduce hot flashes with few side effects and at minimal cost.

Can magnesium help balance hormones? Yes, in fact as menopause approaches, there is an emerging link between estrogen decline, menopause symptoms, and the aspect of mineral deficiency. Mildred Seeling, M.D. describes this in her report in the Journal of the American College of Nutrition. She says “Estrogen enhances magnesium utilization and uptake by soft tissues and bone, and may explain the resistance of young women to heart disease and osteoporosis — as well as the increased prevalence of these diseases when estrogen production ceases.”

Magnesium works best when it’s balanced with calcium. The pioneering nutritionist Adelle Davis writes of mineral deficiency during menopause in her book Let’s Get Well. Davis says: “Calcium is less well absorbed and the urinary losses are greater when the output of estrogen decreases. Such calcium-deficiency symptoms as nervousness, irritability, insomnia and headaches are common.”

Magnesium has also been found to help other health conditions.  According to Dr. Michael T. Murray, Doctor of Naturopathic Medicine, “In addition to helping with hot flashes, correction of low magnesium status may have additional health benefits. Magnesium deficiency is extremely common in Americans, and in addition to the well-known association between low magnesium and increased risk for cardiovascular disease, low magnesium levels have also been linked to an increase in Alzheimer’s disease, decreased muscle performance, insulin-resistance, and osteoporosis.”

Are there forms of magnesium that are more absorbable than others? Which magnesium for menopause?  Some of the most highly absorbed forms of minerals are those that are mixed into a healthy base of natural oils. When carrier oils are used along with minerals in a softgel supplement, a creamy paste is formed inside that encourages increased mineral absorption. This results in a supplement that is absorbed more rapidly and fully than hard tablets or even powdered capsules.

One natural sleep aid that helps with hot flashes and night sweats and has increased in popularity among menopausal women is Sleep Minerals II from Nutrition Breakthroughs. This insomnia remedy contains highly absorbable forms of calcium and magnesium, the best minerals for sleeplessness and insomnia, as well as for heart health, restless legs syndrome, bone strength, and menopause insomnia. The formula also includes vitamin D and zinc and is delivered in a softgel form with healthy carrier oils, making it more fully assimilated and providing a deeper, longer-lasting sleep.

Anita L. of New Caney, Texas says: “I was having hot flashes every 30 minutes to an hour through the night and was so miserable.  After about two weeks of taking the Sleep Minerals, I noticed an incredible difference with my sleep.  I have much less interruption from flashes, I’m sleeping much better, and I’m a lot more comfortable.”

Valerie H. of Santa Clarita, California says: “I had such severe menopause insomnia it took me hours to fall asleep even though I was extremely tired.  My legs also had crawling and tingling feelings at night. I got the Sleep Minerals II and after several days, it started to work really well. I fall asleep now within 20 minutes and no more restless legs.”

Natural menopause remedies are a healthier option for women with hot flashes, night sweats and insomnia.  For more information on Sleep Minerals II visit this page.

Can magnesium help menopause symptoms?

Mineral supplements such as magnesium and calcium are of good benefit to menopausal women with hot flashes and night sweats.  One example is a study from the Virginia Commonwealth University Health System.  Women with at least 14 hot flashes a week received 400 milligrams of magnesium oxide for 4 weeks, increasing to 800 mg. per day if needed.  At the end of the study, the magnesium supplements had reduced their frequency of hot flashes from 52 to 28 per week, which is a 41.4% reduction. Fatigue, sweating, and distress were also significantly reduced.

Can magnesium help balance hormones?

Yes, as menopause approaches, there is an emerging link between estrogen decline, menopause symptoms and the aspect of mineral deficiency. Mildred Seeling, M.D. describes this in her report in the Journal of the American College of Nutrition. She says “Estrogen enhances magnesium utilization and uptake by soft tissues and bone, and may explain the resistance of young women to heart disease and osteoporosis — as well as the increased prevalence of these diseases when estrogen production ceases.”

Which magnesium for menopause?

Some of the most highly absorbed forms of minerals are those that are mixed into a healthy base of natural oils. When carrier oils are used along with minerals in a softgel supplement, a creamy paste is formed inside that encourages increased mineral absorption. This results in a supplement that is absorbed more rapidly and fully than hard tablets or even powdered capsules.

An Effective Natural Sleep Aid for Insomnia – Sleep Minerals II

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sleep minerals iiNutrition Breakthroughs of Glendale, California is providing Sleep Minerals II, a potent natural weapon in the war against insomnia and its many side effects.

This new generation of Sleep Minerals features fast absorbing forms of nature’s best-known minerals for relaxation – calcium and magnesium. Sleep Minerals II answers the demands of a National Sleep Foundation poll which reports that American insomnia rates have increased from 51% to 64% in the last few years.

According to the National Institutes of Health, insomnia can wreak havoc on the health and lives of its sufferers, causing excessive daytime sleepiness and extreme lack of energy.  The sleep-deprived can become irritable and depressed and may have trouble focusing on tasks, paying attention, learning and remembering.  Insomnia can contribute to accidents with machinery, accidents from poor balance, and accidents on the road while driving.

The use of prescription sleeping drugs has steadily increased, and most sleeping pills, especially when taken over long periods of time, stay in the bloodstream, give a hangover effect the next day and beyond, and impair performance on the job and at home.

Insomnia is a major problem for millions of Americans, with 25% of the U.S. using sleeping drugs in an effort to get some rest (per the National Sleep Foundation).  Because of the side effects of sleeping drugs, an increasing number of people are reaching out to find an effective natural insomnia remedy .

Sleep Minerals II from Nutrition Breakthroughs has stepped forward as a potent natural alternative.  It can help the restless sleep whether they are unable to fall asleep at the beginning of the night, or they habitually wake up in the middle of the night and can’t get back to sleep.

It is an effective insomnia remedy due to its unique combination of ingredients.  It contains highly absorbable forms of calcium, magnesium, vitamin D and zinc, all combined in a softgel with healthy carrier oils.  Oils such as rice bran oil have been shown to increase mineral absorption. Inside of the softgel, there is a creamy paste of absorbable nutrients which fuel the relaxing results that Sleep Minerals II provides.

Calcium is directly related to our cycles of sleep. One study found that calcium levels were higher during some of the deepest levels of sleep, such as the rapid eye movement (REM) phase.  Calcium is one of the few minerals that acts as a natural sedative, because it causes the release of the sleep-inducing amino acid tryptophan.

The well-known nutritionist Adelle Davis says: “A calcium deficiency often shows itself by insomnia, another form of an inability to relax. The harm done by sleeping tablets, to say nothing of the thousands of dollars spent on them, could largely be avoided if the calcium intake were adequate.”

Insomnia is also one of the main symptoms of a chronic magnesium deficiency. Sleep in magnesium deficiency is usually agitated with frequent nighttime awakenings. On the other hand, a high magnesium diet has been found to be associated with deeper, less interrupted sleep. This was proven in a study done by James Penland at the Human Nutrition Research Center called “Effects of trace element nutrition on sleep patterns in adult women.”

However, no matter how many studies support the use of these ingredients and their unique formulation, the proof is in the pudding.  Reviews of Sleep Minerals II continue to demonstrate it’s effectiveness.

W.W. of Perth, Australia says: “I have been taking the Sleep Minerals for the past 15 nights and am noticing an improvement in my ability to go back to sleep when waking during the night.  I have also been able to start reducing the medication that I have been taking for the past 7 years for sleep.  I will definitely keep taking them and hope to keep reducing the prescription meds and continue to feel more rested during the day.”

S. K of Indianapolis, Indiana says: “I have been using Sleep Minerals II religiously every single night. I suffered from years of anxiety-related insomnia. Nothing helped. My doctor couldn’t find a medicinal combination of medications to treat my anxiety well enough to allow me to get some good sleep. On my first night of Sleep Minerals II, I was able to sleep all the way through the night. I’ve been using it for almost two years now. I am absolutely 1000% satisfied with this product and have even recommended it to my friends and family when they discuss their sleep issues with me.”

J.H. of Manitoba, Canada says: “Sleep Minerals II has made a huge difference in my life as I was having debilitating leg cramps that used to occur every night.  My legs were sore even into the next day.  These have now become history.  My sleep is so much better and now I don’t worry constantly about my calcium and magnesium levels.  I am 70 years old and look forward to a very healthy old age. I suffered with sleep deprivation for a very long time and I will continue to pass the word to my friends about how Sleep Minerals II has changed my life.”

In summary, if you or someone you care about is suffering with sleeplessness and insomnia, try putting some Sleep Minerals II into your natural medicine cabinet for effective relief.

For more information, visit the Sleep Minerals II page.

Proven Benefits of Full Fat Dairy: Healthy Weight, Bones, Sleep

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full fat dairyWhen was the last time that you purchased whole, full fat yogurt or cheese and ate it without a second thought?

You may be enjoying these foods, but on the other hand, you may prefer non-fat or skim-type dairy foods as they’re supposedly healthier for us.

This isn’t by accident. Full-fat dairy has been shunned by U.S government guidelines for many years. Even today, the American Academy of Pediatrics recommends that only babies under the age of 2 should drink whole milk. In addition, school lunch programs provide only low-fat milk and no whole milk at all,

As a result, it’s long been expected and encouraged that children and adults only eat low-fat dairy or non-dairy alternatives. But is our avoidance of whole, full-fat dairy justified?

Instead of threatening the body’s health, recent research now suggest what many natural health experts have known all along: full-fat dairy supports our overall health and offers incredible benefits.

European studies have even suggested links between full-fat dairy and lower rates of obesity, heart disease, and diabetes. The fats in whole dairy may also play a role in beneficial hormone regulation.

The Many Health Benefits of Full-Fat Dairy

While non-fat dairy offers less than 10 mg of omega 3 fatty acids (healthy fats) per cup, whole, full dairy contains 183 mg per cup! This is a dramatic difference considering that omega-3’s are known to improve risk factors for heart disease, fight inflammation and boost brain health.

Whole dairy is also rich in vitamin D, a fat-soluble vitamin that depends on the fat content to be absorbed into the body and to be used to generate energy, strengthen the immune system and so much more.

In addition, full-fat dairy is designed to nourish the body, so it is loaded with other nutrients like calcium, magnesium, B vitamins, and selenium.

Together, the contents of whole dairy support the body’s well-being in many ways:

  • Strong, healthy bones
  • Lower risk of obesity
  • Improved brain health
  • Natural sleep remedy
  • Longer lifespan

Whole Dairy and Better Sleep

Warm milk is a well-known and time-tested sleep remedy thanks to its high concentration of magnesium and calcium. Both of these nutrients promote rest and relaxation by activating the parasympathetic nervous system, the part of the body responsible for slowing the heart rate and conserving energy.

In fact, magnesium and calcium trigger the same chemical messengers as sleep drugs like Ambien, which are designed to treat sleep problems but come with many side effects.

If you want to enjoy the powerful mineral-based sleep benefits of whole dairy, consider also using a mineral-based sleep remedy like Sleep Minerals II. These natural sleep aids are growing in popularity as more and more people are seeking to achieve high-quality sleep without the use of sleep drugs.

Sleep Minerals II contains highly absorbable forms of calcium and magnesium.  It’s effective for sleeplessness and insomnia, as well as for heart health, restless leg syndrome, bone strength, menopause insomnia and teenage insomnia. It also contains vitamin D and zinc and is delivered in a softgel form mixed with natural rice bran oil, making it better assimilated than tablets or capsules and providing a deeper, longer-lasting sleep.

L.R.C. of Massachusetts says: “I had become dependent on sleeping drugs and couldn’t sleep without them.  Now I take the Sleep Minerals before bed and I can sleep through the night without drugs.  I’m also able to easily fall back to sleep if I do have to get up.  Another benefit is that this helps alleviate my chronic fatigue and aches and pains.”

With the healthy and effective sleep remedies out there, you should never have to toss and turn through a restless night or resort to sleeping drugs.

And if you aren’t already, you may consider adding some full fat dairy to your diet to benefit from its many health improvements.

For more information on Sleep Minerals II, visit this page.

Get Ten Percent off Sleep Minerals II for Christmas

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Sleep Minerals II

 

Greetings to you,

In celebration of Christmas, Nutrition Breakthroughs is giving you a present of ten percent off Sleep Minerals II when you order before December 17, 2018.  And if you have a friend or loved-one who has insomnia or sleeplessness, you can give them the gift of better, deeper sleep for the holidays.

Simply click the link below and enter “Christmas 2018” in the coupon code space when you check out.

https://www.nutritionbreakthroughs.com/sleep-minerals-ii-effective-natural-sleep-aid-for-insomnia-nutrition-breakthroughs/

Here are a couple of testimonials we received recently:

Marilyn W. of Riverside, California. says: “I decided to try an experiment.  I was running out of the Sleep Minerals II so I decided to see if they were really helping me in any way.  Now I know they were definitely helping me sleep and were definitely helping me with my hot sweats.  I have not slept well lately and the hot sweats are worse than they’ve ever been.  I ordered a bottle of Sleep Minerals last night and I can hardly wait to get the new bottle.”

Julianne H. of Canada says: “I continue to tell my friends about how Sleep Minerals II has changed my life.  I am fully retired now but still remember driving to work and wondering if I would make it there due to sleep deprivation.  And the debilitating leg cramps that used to occur every night have now become history.  My legs were sore even into the next day.  It’s great to be sleeping so much better, no more sore legs, and my calcium levels are being kept constant.”

Stephanie K. of Indianapolis, Indiana says: “I’ve been taking Sleep Minerals II for almost a year now.  My journey with insomnia started three years ago and I thought I would never get a good night’s sleep again.  I was put on a variety of anxiety medications, none of which worked nearly as well as Sleep Minerals II.  I am absolutely 1000% satisfied with this product and have even given recommendations to my friends and family when they’ve discussed their sleep issues with me.”

Sleep Minerals II is great for people and families of all ages. It is a unique formula containing highly absorbable forms of calcium and magnesium, the best minerals for sleeplessness and insomnia, as well as for heart health, restless legs syndrome, bone strength, menopause insomnia and teenage insomnia.

The formula also includes vitamin D and zinc and is delivered in a softgel form with healthy carrier oils, making it more quickly assimilated than tablets or capsules and providing a deeper, longer-lasting sleep.

To get your discount on Sleep Minerals II, click the link below before December 17, 2018 and use the coupon code “Christmas 2018” at check-out.

https://www.nutritionbreakthroughs.com/sleep-minerals-ii-effective-natural-sleep-aid-for-insomnia-nutrition-breakthroughs/ 

Here’s to good sleep for you and for those you care about.

Best of health

Jobee Knight
Nutrition Breakthroughs
Toll-free U.S. (888) 861-0326
International: (818) 913-4308

How to Take Sleep Minerals II, the Effective Natural Sleep Aid

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sleep minerals IIGreetings to you,

This is Jobee from Nutrition Breakthroughs. I would like every customer of Sleep Minerals II to get the full benefits of the product and enjoy the restful, deep sleep they desire.

Here are some tips and advice I’ve put together over the years, from learning how to coach people to use the product successfully.

Sleep Minerals II is the original drug-free calcium and magnesium formula for better sleep. It calms sleeplessness and insomnia and helps you to relax, fall asleep and sleep deeper.

It’s also helpful for heart health, restless leg syndrome, bone strength, menopause insomnia, muscle cramps, premenstrual syndrome and teenage insomnia.  As well as containing calcium and magnesium, Sleep Minerals II contains vitamin D and zinc and is delivered in a softgel form mixed with natural rice bran oil, making it better assimilated and absorbed than tablets or capsules and providing a deeper, longer-lasting sleep.

Richard P. of Parkville Maryland says: “The Sleep Minerals are making quite a difference.  I was regularly waking up at around 3:00 a.m. and after a week or so my sleep improved quite a lot.  I wake once a night to go to the bathroom, but the great thing is, I then fall back asleep and sleep several more hours. This has been a great improvement.”

Here are the tips on using Sleep Minerals II:

1) Some of my customers have asked me with amazement: “What is in this product? Is it really all-natural?” I want you to know that even though the product is effective at helping people fall sleep or get back to sleep in the night, it is made from only natural minerals and vitamins — it’s just a potent formula.  Sleep Minerals II is a safe product.  The factory that makes it has been certified as having Good Manufacturing Practices (GMP) and all ingredients are sourced in the USA.

2) Keep the bottle of softgels by your bed. For difficulty falling asleep, take 1 softgel with water 30 to 45 minutes before bed.  Go to the bathroom before bed so you’re not woken up to go too often during the night.   If you are sensitive to supplements or minerals, start with 1 softgel for several nights. In any case, its best to stay with one softgel for about a week.

If after a week or so you are unable to get to sleep, increase to 2 softgels before bed.  Reduce the dose if you become drowsy during the day or your bowels become too loose.  Use 1 softgel for kids over 10.

3) Gradually building up the minerals in your system is the best approach to gaining better sleep.  It may take days or weeks of use to get the best results.  Some people start noticing good effects after the first or second week of use – some sooner, some later.  Be sure to continue taking the product as consistency is the key.

4) If you are taking the product before bedtime and have a drowsy feeling in the morning or your bowels become too loose, you can take it earlier than at bedtime. For example, take it with dinner or an hour or two before bedtime with a snack.  The food will act as a buffer to help avoid any stomach upset from the minerals.

If one softgel continues to be too much, you can gently bite one end open and squeeze half the contents of a softgel into your mouth or onto some food.  You can also open the softgel with the sharp point of a knife  This is also a good approach if the softgels are too big for you to swallow. Save the other half in a baggie or other container.

This is worth doing if you find you need to, as some people require less.  Even if you’re taking just half a softgel, it’s important to be consistent with it.  Another option is to take a half before bed and another half if you wake up and can’t get back to sleep.  If you find it works for you, a whole one can be taken before bed and another one during the night.  Over time, taking the additional one during the night may not be needed.

5) Note: If someone takes too much calcium for them, the formula may have a stimulating effect and keep them awake.  If this occurs, reduce the amount you’re taking and it should have a more relaxing effect.  If you’re only taking one, you can bite the end open and take just part of a softgel.

Here are some additional tips I have found to be helpful for improving one’s sleep:

* Take a walk outside each day.  Walk around and look at the surroundings and find things you have never noticed before.  It is more of an extroverting activity rather than the exercise factor.  If you look at a computer a lot of the day, find some large things outside to see such as buildings, trees, clouds, etc.  Look for things that are a different size or shape than the things you normally look at inside. This can refresh you and allow relaxation and sleep to occur better.

* Try your best to turn off any electronics an hour before bedtime (computer, TV, texting, etc.) and do something relaxing just before bed.

* If you are taking any medications in the evening, its best to take them an hour or two apart from the Sleep Minerals.  This is because each thing may have a different effect and it works better to keep them separate.

I look forward to staying in touch with you and to hearing any questions, comments, or beneficial improvements to your sleep.  Let me know how you do by emailing me at info@nutritionbreakthroughs.com.

For more information on Sleep Minerals II, visit this page.

Best of health,

Jobee Knight
Nutrition Breakthroughs

Studies Show Natural Remedies for Restless Leg Syndrome and Insomnia

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Restless Leg Syndrome as a disruptive condition that affects the nervous system and up to 10% of the U.S. population have some form of it.

It results in an irresistible urge to move the legs (and sometimes the arms), often accompanied by unpleasant sensations in the legs such as creeping, crawling, tingling, pulling or pain.

Because RLS most often occurs in the evening, it can disrupt sleep, contribute to insomnia, and reduce a person’s quality of life.  RLS tends to run in families.  A few natural remedies have been shown to help calm the symptoms of restless legs.

The B vitamins are nourishing and essential for the good nervous system health.  A study from the journal “Alternative Medicine Review” found that administration of folic acid (one of the B vitamins) alleviated the symptoms of RLS and may play a role in the treatment of primary, familial RLS.  As a note, the B vitamins work together as a group and should be taken together in a supplement. This will prevent creating a deficiency in the others by taking only one of the whole group, such as folic acid (also known as vitamin B8).  Some of the other B vitamins include thiamin (vitamin B1), riboflavin (vitamin B2), and niacin (vitamin B3).

In the article “Restless Leg Syndrome Responds to Calcium” by Peter Gott, M.D., he says: “Calcium has been found to be helpful in relieving nocturnal (night time) leg cramps, and some RLS sufferers have also found that it is beneficial in preventing symptoms when taken just prior to sleep…… Other deficiencies, most notably iron, magnesium, folic acid and B vitamins, are also known to cause RLS symptoms in some.”

A recent study published in the journal of “Medicine and Science in Sports and Exercise” gave the results of various forms of exercise on people who suffer with periodic leg movements (PLM).  PLM is a night-time condition with similar symptoms to RLS in which sufferers experience a repetitive cramping or jerking of the legs during sleep.  The results showed that both intense short-term exercise and longer term exercise lowered the symptoms and greatly aided with falling sleep and staying asleep.  (A tip would be to exercise earlier in the day as it may be stimulating if done too close to bed time).

Magnesium deficiency is a key factor in RLS.  Studies in the Journal “Sleep” and the “Romanian Journal of Neurology and Psychiatry” have found magnesium to be an effective natural therapy for RLS.  Insomnia remedies should have a 2 to 1 ratio of calcium to magnesium (twice as much calcium as magnesium).  The original research on this ratio appeared in 1935 in the Journal of Physiological Reviews.

Andrew Weil, M.D. says that using drugs for restless leg syndrome – many of which have serious side effects – should be employed only as a last resort.  He suggests RLS sufferers take a calcium/magnesium supplement at bedtime, do some form of daily exercise, stretch or massage their legs, take a hot bath to relax the legs, and stop smoking if they do so, as smoking may impair blood flow to the leg muscles.  Since caffeine, alcohol, and tobacco can trigger symptoms, avoiding all three substances can also bring relief.

One natural sleep remedy showing good results with restless leg syndrome is Sleep Minerals II made by Nutrition Breakthroughs.  It contains highly absorbable forms of the best minerals and vitamins for relaxation: Calcium, magnesium and Vitamin D. The ingredients are delivered in a softgel form with carrier oils, making them more easily assimilated than capsules or tablets and providing a deeper, longer-lasting sleep.

A Sleep Minerals II user in Missouri says: “This combo in softgel form really works to calm nerves and restless legs, often in as little as 20 minutes.  I’m at mid-life and I find that going too many days without this product and I am edgy and anxious, AND I don’t sleep well.”

Anne B. of El Dorado Hills, California says: “We find the Sleep Minerals very helpful for my husbands restless leg syndrome. He does not do well on many medications and the drug that the doctor prescribed him for this condition was full of bad side effects. Out of pure desperation, I researched the internet and came up with an article about the Sleep Minerals II and decided to try them. Sleep Minerals have been wonderful and we are both now getting a good night’s sleep.  Bob continues to sleep much better and with very little if any movement in his legs. We are both grateful for this product and are glad to see that something as natural as Sleep Minerals II can have such a positive result.”

For more information on Sleep Minerals II for restless leg syndrome and insomnia visit the Sleep Minerals II page.