Maybe your dose is too high........Sounds like what I experienced. Look at your free levels and adjust your dose. Going down can be rough as is going up at times but I believe many people think hormones in flux while adjusting point to free t not being high enough so they think more is better. Seems like the only thing you haven't tried is lowering your dose.My sleep has now gone to absolute crap the last few days as well. High BP and I am waking up every hour regardless of what I do. Wired and awake right now at 3 AM. My sleep had gotten somewhat better, but since my BP has spiked, it has gone to garbage.