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I think either may very well be the case depending on the particular person but understanding what exactly happens is much harder than folks sometimes respect after they notice such co-occurrences. Analogy can be: of all the occasions when you're feeling hungry, how a lot of that's true hunger vs a craving? However, some diseases also result in shortened sleep. The analogy can be to saying that fasting is bad because in case you are forbidden by someone from consuming randomly all through the day. However, it would even be the case that there_s an upstream cause that ends in both undersleeping and lack of productivity. 2. It is perhaps that undersleeping itself causes you to be less productive. After train you're tired however over time you change into stronger. Therefore, if you wish to make the argument that the association between longer sleep and higher mortality is not indicative of the impact of sleep, you could have to simply accept that the identical is true about shorter sleep and better mortality. Also associated: when folks say that e.g. they have a small child, are doing medical residency, etc. and feel horrible attributable to undersleep, be aware that there_s an enormous difference between being randomly pressured to not sleep once you wish to sleep and managing one_s sleep consciously. Scientific Reports. 2018 May 30;8(1):8409. and other people with fatal familial insomnia wrestle with insomnia. Individuals are also not great at distinguishing true sleepiness from tiredness. Answer: Yep, I agree that driving while being sleepy is dangerous and that i don_t need anybody to drive, to operate heavy machinery, and so forth. when they are sleepy. 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