Overcoming Recurrent Isolated Sleep Paralysis: A Case Report of Integrative Management With Yoga, Meditation, and Vitamin D3 Supplementation

Recurrent isolated sleep paralysis (RISP) is a rare but distressing condition characterized by episodes of temporary immobility during transitions between wakefulness and sleep. This report describes a 30-year-old female presenting frequently with nightmares, sleep paralysis, and associated stress, successfully managed with a holistic approach incorporating yoga, meditation, chanting, and vitamin D3 supplementation. The patient's significant history of osteoporosis (in February 2019, bone density T-score <-2.5; vitamin D3: 17 nmol/L), drug-resistant tuberculosis, depression, and workplace stress compounded her symptoms. After managing her with a holistic management plan, she achieved sustained remission of sleep paralysis and improved overall health with increased bone density (bone density T-score in February 2021: -2.1; vitamin D3 in February 2020: 87 nmol/L), emphasizing the importance of addressing psychological, lifestyle, and nutritional factors in such cases.