HCM Fatigue and Poor Sleep - What Can I Do?

My last meal no later than 5:00 pm helps me to sleep better. If I eat any amount of food after 5:00 pm I cannot sleep well for the rest of the night.

Yes I do, I am on Camzyos 5mg (for 28 days now) and also Metoprolol succinate ER 50 mg (evenings) also Metoprolol 100 mg (early morning), rosuvastatin 20 mg (crestor).

My first echo: LVTO pressure when down from 196 mm Hg (with no camzyos at all) to now only 10 mm Hg in only 3 and a half weeks with camzyos. My septum diameter has not go down yet but I will still be on 5 mg one more month then another echocardiogram will have the doctor decide if camzyos dosage needs to be increased or not.

As soon as I saw the echo results with significant improvement on the pressure gradient, I was able to sleep for the first time in months 7 hours!!! I am not going to get worried or stressed anymore for that make my sleep apnea worst and also does not allow me to sleep enough every nigh so by relaxing and keeping positive attitude and mind I must be fine. I will keep taking 2 mile walk every day.
I hope you feel better soon.

are you on anything except Camzyos? I also have mitral valve stenosis and regurgitation.
On Metroprol succinate ER.
Trouble sleeping and tired.

I have HOCOM, murmur and leaky valve. Taking camzyos now which for some reason keeps me away till midnight.
I take a shower in the afternoons then I take a nap (the shower allows me to sleep in the afternoon and relaxes me). I put soft music in the background at low volume that helps me relax and fall sleep. I hope this helps you.