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The cause was respiratory failure due to chronic obstructive pulmonary disease, or COPD

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But thats actually incorrect: If you actually measure arousal threshold, the arousal threshold during REM sleep is less than that of deep slow-wave sleep and more akin to light sleep. Meaning if youre going to awaken suddenly in the night as part of that withdrawal process, its pretty likely that awakening will occur during REM sleep, raising the likelihood that youll remember whatever you were dreaming about vividly

Stress can worsen acid reflux symptoms by increasing gut sensitivity and altering digestive function