For night and rotating shift workers
Telehealth built for people who work nights
More than 21 million American workers are on the job between 1am and 5am.[1] Most healthcare still assumes their bodies run on office hours. Third Shift is building circadian-first care: sleep, shift work disorder, weight and mood, treated on your clock.
What Third Shift is today: free, cited guides and a free waitlist. Nothing is prescribed, nothing is sold, and no care is delivered yet. Programs open at launch.
Built for the inverted clock
If your Monday starts at 9pm, this is for you
Nurses on rotating floors. Warehouse and fulfillment crews. Dispatchers, security officers, corrections officers, plant operators, long-haul drivers. Almost half of protective service workers (47.4%) and 29.3% of transportation, warehousing and utilities workers are on the overnight clock.[1]
Across the whole workforce, 16% of wage and salary workers were on something other than a daytime schedule, with 6% on evenings and 4% on nights.[2] That is a lot of people getting care designed for somebody else's day.
Your body clock is inverted, and every treatment plan you've been handed assumes it isn't.
That assumption is the thing Third Shift exists to remove. Not sleep tips recycled from day-shift advice: clinical care that treats the inversion as the starting fact.
21M+
employed US adults, 14.2% of workers, did overnight work between 1am and 5am.[1]
+24%
coronary event risk associated with shift work, and +23% for myocardial infarction, across 34 studies and 2,011,935 people.[3]
22% to 33%
higher depression outcomes: UK Biobank found 22% higher depression risk among 175,543 workers,[4] and a 2019 meta-analysis found 33% higher odds of depressive symptoms.[5]
1 in 10
night and rotating shift workers meet criteria for shift work disorder; 28% report insomnia or excessive sleepiness, against 18% of day workers.[6]
Why one clinic, not four
The damage is connected. The care should be.
In UK Biobank, four measurable factors (BMI, sleep duration, smoking and sedentary time) explained 31.3% of the association between shift work and depression. BMI alone accounted for 14.6%, and sleep duration for 7.7%.[4]
Treat the sleep and ignore the weight, or the reverse, and most of that pathway stays open. Third Shift is being built to treat the sleep problem and the health problems attached to it, in one place.
Read this first
- In an emergency, call 911. In a mental health crisis, call or text 988, at any hour.
- If you already have a clinician who takes your schedule seriously, keep them. Bring them the guides on this site if they help.
- Third Shift is not an emergency service, not a pharmacy, and not live yet. Today this site is guides and a waitlist, nothing more.
Medicine that runs on your clock
What opens at launch
One-time, non-prescription
Circadian assessment + protocol
A one-time assessment of your schedule and sleep, returned as a written protocol: nap timing, light timing, melatonin timing and caffeine cutoffs, built on the published AASM practice parameters.[7] No prescription involved.
Core program
Sleep program
Prescription sleep care that starts with the schedule, not the script. Non-controlled, first-line medications only, and only where a clinician decides they fit.
Core program
Shift work disorder evaluation
A structured, diagnosis-first evaluation for the condition most day-shift clinics never look for. Non-drug treatment leads every plan.
Attached, not separate
Weight and mood care
GLP-1 based weight programs and a non-controlled mental health add-on, because the evidence says the risks travel together.[4]
Design goal, coming at launch
Intake at 4am. An answer by morning.
That is the operating bar this company is being built to. It is not a live service today: nothing on this site takes an intake, and it only becomes a promise once overnight clinical coverage is proven. We will publish that proof before we sell anything against it.
Protocol before prescription
Light and timing come first
The core of every Third Shift plan is the circadian protocol, and its parts carry published evidence grades from the American Academy of Sleep Medicine's practice parameters.[7]
Planned napping before or during the night shift.
Timed light exposure at work, with light restricted on the morning commute.
Melatonin taken before daytime sleep.
Caffeine used deliberately, early in the shift.
Prescription options for shift work disorder exist, and some are federally controlled substances. Whether telehealth can prescribe those at launch depends on federal telemedicine rules at the time, and we won't pretend otherwise. Every plan starts with the protocol above either way.
Where we stand, plainly
What we will and won't claim
No invented anything
No testimonials, no member counts, no stock faces. Every number on this page carries a citation to a public source, listed at the bottom.
A named physician before launch
The circadian protocol ships when a board-certified sleep medicine physician has signed it. Until that name is real, no name appears here.
Controlled substances, plainly
Some shift work disorder medications are federally controlled. We will not auto-approve anything, we will not pay clinicians by prescription volume, and we will not promise those medications before the rules allow.
The clinician can say no
Every program runs through a licensed clinician's judgment at launch. If the answer is no, that is the answer.
Sources cited on this page
- [1] Wong IS, Alterman T, Hittle BM, Velazquez-Kronen R, Chen I-C, Prevalence of Overnight Work (1 a.m. to 5 a.m.) Among United States Workers, American Journal of Industrial Medicine (2025). https://pubmed.ncbi.nlm.nih.gov/41054842/. Accessed 2026-08-01.
- [2] U.S. Bureau of Labor Statistics, Job Flexibilities and Work Schedules, 2017-2018 Data from the American Time Use Survey. https://www.bls.gov/news.release/flex2.nr0.htm. Accessed 2026-08-01.
- [3] Vyas MV, Garg AX, Iansavichus AV, et al., Shift work and vascular events: systematic review and meta-analysis, BMJ (2012). https://pubmed.ncbi.nlm.nih.gov/22835925/. Accessed 2026-08-01.
- [4] Xu M, Yin X, Gong Y, Lifestyle Factors in the Association of Shift Work and Depression and Anxiety, JAMA Network Open (2023). https://pmc.ncbi.nlm.nih.gov/articles/PMC10425829/. Accessed 2026-08-01.
- [5] Torquati L, Mielke GI, Brown WJ, Burton NW, Kolbe-Alexander TL, Shift Work and Poor Mental Health: A Meta-Analysis of Longitudinal Studies, American Journal of Public Health (2019). https://pubmed.ncbi.nlm.nih.gov/31536404/. Accessed 2026-08-01.
- [6] Drake CL, Roehrs T, Richardson G, Walsh JK, Roth T, Shift work sleep disorder: prevalence and consequences beyond that of symptomatic day workers, Sleep (2004). https://academic.oup.com/sleep/article-abstract/27/8/1453/2696766. Accessed 2026-08-01.
- [7] Morgenthaler TI, Lee-Chiong T, Alessi C, et al., Practice Parameters for the Clinical Evaluation and Treatment of Circadian Rhythm Sleep Disorders, Sleep (2007). https://pmc.ncbi.nlm.nih.gov/articles/PMC2082098/. Accessed 2026-08-01.
Programs open at launch
The guides are free now. The care comes next.
The waitlist is free, it is the only signup that exists, and it decides onboarding order at launch. Until then, use the guides: they cite their sources and they cost nothing.