I have mid sleep awakenings too. They used to be multiple, but now I’m down to one. Occasionally, I’ll get a full 6-7 hours. My trouble started when I had several other things going on. I had post covid syndrome, dental trauma, and Vitamin B12 deficiency. So….not sure of the culprit. Several doctors and my therapist told me that once a pattern of awakening gets established, it’s difficult to break. We really need a reset to get it back to normal. I’ve tried a lot of things, including one med that does help, but isn’t designed to be taken long term so I don’t rely on it.

Mine is improving due to resolving certain conflicts in my life. The more issues I resolve, the better my sleep seems to go. Now, I’m falling asleep early and awaking early morning. Usually getting at least 6 is success for me. Seven is celebrated.

Have you had your B12 checked?