since starting camzyos, I fall asleep at a normal time 930-10:00, but have been waking up between 330 & 530 in the am and not able to fall back asleep. I was never an early riser. By 2:00 -3:00 pm I am exhausted. I have to get things done before that time because I end up on the sofa or bed resting. I was always hypothyroid and now I am the complete opposite, hyperthyroid. Doctor is adjusting my medication. I also take metoporol and valsartan, cymbalta. getting up that early makes for such a long day. I am so over it!