Make Visible: Chronic Illness Explored
Make Visible: Chronic Illness Explored
Visible with Emily Kate Stephens
#27 Unlocking the strategies for deep sleep with David Joffe
59 minutes Posted Feb 6, 2026 at 4:53 pm.
Why sleep matters in Long Covid - Slow-wave sleep, brain detoxification, and why restorative rest is so hard to access
Welcome to Make Visible - Introducing the episode, David Joffe, and a practical focus on sleep strategies
Living with chronic sleep disruption - Emily Kate and Gez on insomnia, Long Covid, and years of broken sleep
Why better sleep can improve quality of life - Sleep as a powerful lever for symptom reduction in Long Covid
Sleep hygiene basics for chronic illness - David Joffe on routines, environment, and reducing sleep anxiet
Creating the conditions for sleep - Inviting sleep through body cues, not forcing it
Melatonin and circadian rhythm - Low-dose, slow-release melatonin and timing for Long Covid
REM sleep, restless legs, and sleep studies - Why testing matters and what’s showing up in Long Covid patients
Magnesium and restless legs - Benefits, bioavailability, and avoiding supplement pitfalls
Mitochondrial support and sleep - Glycine, creatine, CoQ10, oxaloacetate, and brain energy
Core temperature, dysautonomia, and sleep - Why temperature regulation is crucial — and disrupted — in Long Covid
The glymphatic system and brain waste - How deep sleep clears toxins and why it’s impaired
Sleep architecture explained - Light sleep, deep sleep, REM, and what goes wrong after COVID
Slow-wave sleep and brain health - Why deep sleep protects the heart, brain, and nervous system
Unrefreshing sleep and feeling “poisoned” - Emily Kate and Gez reflect on lived experience
Sleep starts in the morning - Daylight, routines, and preparing for sleep from waking
Breaking the bed–phone cycle - Rebuilding the bed as a place of rest, not stimulation
When sleep advice isn’t accessible - Compassion for severe and bedbound listeners
Melatonin: benefits and risks - Long-term use, dosing, and personal experiences
Magnesium, supplements, and dependency - What helps, what doesn’t, and how to trial safely
Evening routines that support sleep - Caffeine, alcohol, food timing, breathwork, and baths
Audio, meditation, and Yoga Nidra - Calming the mind when the body won’t switch off
Breathwork and nervous system regulation - Practical tools for down-regulating before bed
Why earlier bedtimes matter - Deep sleep, circadian timing, and symptom load
Supplements deep dive - Glycine, chrysin, creatine, oxaloacetate, and CoQ10
Navigating supplements safely - Research, regulation, crashes, and realistic expectations
Hormones, sleep, and personalised care - Progesterone, HRT, and individual variability
Final reflections and thanks - Closing thoughts and what’s coming next
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Show notes
Sleep strategies for Long Covid, insomnia, and chronic illness
When you’re living with Long Covid or a complex chronic condition, sleep can feel like the one thing your body needs most — and the hardest thing to access. From insomnia and restless legs to sleep anxiety, constant waking, and unrefreshing rest, sleep disturbances are a common and exhausting part of chronic illness.
In this episode of Make Visible, Emily Kate Stephens and Gez Medinger explore how sleep has affected — and been effected by — their Long Covid and chronic illness, and share practical strategies to improve sleep quality and quantity.
Emily Kate is joined by sleep and respiratory physician David Joffe, who draws on over 40 years of clinical experience supporting patients with severe sleep disorders, respiratory disease, and Long Covid–related complications. Together, they discuss why Long Covid disrupts sleep architecture, how reduced slow-wave sleep impacts brain detoxification via the glymphatic system, and what the body needs to initiate and maintain restorative rest.
This episode covers:
Sleep hygiene for Long Covid and chronic illness
Daily routines to support circadian rhythm and sleep quality
Calming nighttime rituals to reduce sleep anxiety
Supplements for sleep and nervous system regulation
Pharmacological supports, including melatonin, magnesium, and glycine
Emily Kate and Gez then reflect on the interview, sharing their lived experience of these strategies, discussing supplements in more detail, and highlighting why a personalised approach to sleep is essential when the nervous system, metabolism, and brain are highly dysregulated.
About David Joffe
David Joffe is a senior staff physician at Royal North Shore Hospital in Sydney, with specialist interests in insomnia, restless legs syndrome, non-invasive ventilation (NIV), sleep apnea, and Long Covid–related sleep disorders. He is Vice Chair of the World Health Network’s Long Covid Advisory Group.