Medication, caffeine in the morning, and some hard cardio in the evenings.
The medication helps overall but impacts my sleep quality, the caffeine makes the mornings easier and also makes me more tired in the afternoons, and the hard cardio makes my sleep quality way better plus makes the following day easier to do things as even though the medication helps it only helps so much.
Basically I hope on my bike (which has been converted to stationary) and drive my heart rate up for about a half hour
Edit: By caffeine in the morning I mean a cup of coffee