CPAP machine( I am on BiPaP.) with humidification, Nighttime eye gel or ointment .These last much longer than drops, but can make vision blurry, so use only when going to bed. Anti-inflammatory medication 30 minutes before bedtime( if approved by provider), with small snack, hydrate (drink lots of water throughout day), stop in late afternoon so you are not up urinating all night. Mouth moisturizing rinse(Biotin, generic works just as well) right before you go to sleep, or xylitol moisturizing lozenges that go on your gums for all night relief. Warm or cool gloves for hands( whichever feels better for you), and the same for socks.(you can get these online) Keep room at a neutral temperature; not too hot or cold. Don't give up. Unfortunately after middle age I feel like we sometimes become invisible, and less important to listen to to many providers, Keep advocating for yourself no matter WHAT your age. Am improved quality of life for 1 year or 20 years is worth it! Feel better!