Sleep Medicine
Fresh Fit Consulting · Little Silver, NJ
Sleep is not a passive state. It is an active physiological process during which the body repairs tissue, consolidates memory, regulates hormones, clears metabolic waste, and resets the immune system. When sleep is disrupted, whether by airway obstruction, hormonal imbalance, adrenal dysfunction, or circadian rhythm disruption, the downstream effects accumulate across every system in the body.
Poor sleep is both a symptom and a driver of broader health decline. It contributes to weight gain, metabolic dysfunction, hormonal disruption, cognitive impairment, cardiovascular risk, and immune suppression. It also makes every other health concern harder to address. Treating the body without addressing sleep is addressing part of the problem.
Dr. Boesler is board-certified in sleep medicine alongside her board certification in internal medicine, a combination that allows FFC to evaluate sleep in full clinical depth, not just as an isolated complaint but as part of the broader health picture that her internal medicine background captures.
Sleep disorders we treat
Sleep apnea is the most common sleep disorder evaluated at FFC and one of the most underdiagnosed conditions in the general population. Many patients are unaware they have it. FFC uses home sleep testing to accurately identify obstructive sleep apnea in the comfort of the patient's own home, without a laboratory study, and guides patients through the full range of treatment options including CPAP, BiPAP, oral appliance therapy, Inspire, medication, and biofeedback.
Insomnia and non-restorative sleep frequently have hormonal, adrenal, or circadian components that go unaddressed when sleep is treated as a primary behavioral complaint. FFC evaluates the full picture including cortisol rhythm, melatonin, sex hormones, and thyroid function before recommending a treatment direction.
Sleep disruption from hormonal imbalance is particularly common in perimenopause and menopause, where estrogen and progesterone shifts directly affect sleep architecture. FFC addresses the hormonal drivers of sleep disruption alongside the sleep disorder itself, which produces more durable results than treating either in isolation.
Circadian rhythm disorders, restless leg syndrome, hypersomnia, and other sleep conditions are also within Dr. Boesler's clinical scope and are evaluated on a case by case basis.
How FFC evaluates sleep
FFC uses two home sleep testing options depending on the patient's clinical picture and presenting concern.
The Home Sleep Test is a single-night study using the General Sleep Zmachine Synergy, a Type II device that captures both respiratory data for sleep apnea diagnosis and EEG-based sleep staging simultaneously. It is the appropriate starting point for patients with suspected sleep apnea or symptoms associated with airway obstruction.
The Home Sleep EEG uses the Advanced Brain Monitoring Sleep Profiler SP40, a purpose-built forehead EEG device dedicated entirely to brain activity monitoring. It produces higher resolution sleep staging data than combined multi-channel devices and is the appropriate study for patients whose primary concern is sleep quality, architecture, or efficiency rather than apnea.
Both studies are completed at home over one to two nights and include a results consultation with Dr. Boesler. Where sleep disruption has systemic drivers, additional testing may include cortisol rhythm, thyroid panel, sex hormones, and melatonin. The Foundational Health Evaluation includes a sleep efficiency component that produces a quantified sleep score as part of the complete Total Health Score.
Where to start
Patients whose sleep concerns intersect with hormonal, metabolic, or other systemic issues are best served by the Two-Step Assessment, which gives Dr. Boesler the full clinical picture before recommending a diagnostic and treatment path. Learn more →
Patients with an existing sleep study who feel their results were not fully addressed may be candidates for the Direct Health Program. Learn more →
Patients who want a comprehensive whole-body baseline that includes a sleep efficiency assessment may prefer to begin with the Foundational Health Evaluation. Learn more →