Sleep Medicine
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, circadian rhythm disruption, or primary sleep disorders, 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.
What we commonly address
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 identify obstructive sleep apnea accurately and comfortably, without a laboratory sleep 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 affect a large portion of FFC's patients and 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
Relevant testing includes home sleep apnea testing, home sleep EEG monitoring for detailed sleep architecture analysis, cortisol rhythm testing, 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. Learn more about functional testing at FFC →
Where to start
Patients with a specific sleep concern — suspected sleep apnea, chronic insomnia, or persistent fatigue that may be sleep-related — are well served by beginning with a direct consultation with Dr. Boesler. The Two-Step Assessment provides the most thorough clinical review for patients whose sleep concerns intersect with hormonal, metabolic, or other systemic issues. Learn more about the Two-Step Assessment →
Patients with an existing sleep study who feel their results were not fully addressed may be candidates for the Direct Health Program. Learn more about the Direct Health Program →
Patients who want a complete whole-body baseline that includes a sleep efficiency assessment may prefer to begin with the Foundational Health Evaluation. Learn more about the Foundational Health Evaluation →