Are you tired all the time?
If you are tired all the time, you’re not alone. Far from it, in fact. It’s one of the commonest reasons people go to see their doctor.
Over half the people presenting to their doctor as ‘ tired all the time’ can’t be diagnosed with any specific condition.  Doctors refer to it as TATT for short. In such cases, there are no signs of underlying diseases, yet the patient feels most of the time like someone’s pulled the plug out. One of the problems is that doctors’ training invariably doesn’t cater much for non-specific conditions like TATT. Doctors can often successfully diagnose certain underlying conditions that might give rise to fatigue or malaise, such as iron deficiency anaemia, heart disease, various thyroid diseases, type 2 diabetes, kidney or liver disease, upper respiratory tract infections, gastric or duodenal ulcers, Lyme disease or pneumonia. But it’s the more common, non-specific type of fatigue that plagues so many that they have more trouble with, and about which they aren’t necessarily trained to provide answers. For example, testing for mitochondrial function (e.g. ATP profile) or offering a protocol that might kickstart improved mitochondria reserve, is rarely on their possible things-to-do list.
When someone suffers from persistent fatigue, many aspects of their life suffer. The quality of their work, the nature of their relationships or family life, their ability to go out, have fun, holiday, exercise – or even party – are often affected dramatically. Depression and anxiety may be triggers for fatigue, or they may be causes. The bottom line is that all kinds of events in life – ones that any healthy person would find manageable or even enjoyable – become a matter of trepidation. A doctor confronted with someone who exhibits these non-specific fatigue symptoms, along with symptoms of depression or anxiety, will often prescribe SSRI drugs (antidepressants). In the US, up to 10% of the population is taking an antidepressant at any one time.  Things aren’t much different in most other industrialised countries.
2Focus on getting high quality sleep at night in a completely darkened room. Any light (e.g., street light, moonlight) in your bedroom will interfere with your ability to produce melatonin. Maintain good ‘sleep hygiene’ practices, including making sure that you have no electronic devices within five metres of your bed that are switched on while you sleep, and ensure you have at least one hour before bedtime that you are entirely screen free (also minimise screen time generally as far as you can).