A medical explanation may also include thyroid problems Adrenal fatigue can cause a rise in evening cortisol levels that interfere in sleep. Undiagnosed thyroid issues very often lead to adrenal issues. The early stages of adrenal fatigue/insufficiency is usually high cortisol as the body reacts to stress. Trump admits he only sleeps for four hours. An irrationality can result from sleep deprivation. The problem with this diagnosis is, I have never thought Trump was rational.
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