Hello @akalsas, You will notice that we changed your discussion title to pose your question in hopes that it will bring more members into your discussion. Here are a few articles I found related somewhat to your question that may be helpful until members with experience can respond.

A study from 1984 - "Plasma melatonin, cortisol, GH and prolactin levels were determined by radioimmunoassay. Most of the cluster headache patients showed a decrease in..." -- A chronobiological study of melatonin, cortisol growth hormone and prolactin secretion in cluster headache: https://pubmed.ncbi.nlm.nih.gov/6518501/

Melatonin and cortisol profiles in late midlife and their association with age-related changes in cognition:
-- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4731002/
Circadian Variation of Migraine Attack Onset: A Review of Clinical Studies
-- https://www.hindawi.com/journals/bmri/2019/4616417/

Have you had the chance to discuss it with your doctor or care team?

@akalsas - I am curious to know if you had a MRI of the brain and evaluation by a Neurologist?
I also hate the headaches at night

I
Have had a total of 3 mri’s. One with contrast. Nothing noted. How do you handle the lack of sleep?

I usually get sinus pressure headaches at night, at times severe. I usually apply a heating pad and take acetaminophen and a decongestant.
Are you only having headaches at night?
Did you see a Neurologist when you had the MRIs?
As you know there are different types of headaches, such as tension, cluster and migraines- there probably are more.
It appears to be a vicious cycle- if you don’t get enough sleep, chances of getting a headache are large. If you have a headache- you can’t sleep.
A good Neurologist should be able to tell what type of headaches you have. There are also several different medications used to bring good sleep back, and then headaches will lessen too.

I found this information from Mayo information. Hypnic headaches.
https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/expert-answers/nighttime-headaches/faq-20057919

Need any help to work with this problem. Feeling disparate