I teach 4th grade and feel totally worn out by day's end. Are there any specific foods/diet, vitamins, exercise, etc. that can re-energize to get through a full day? Does your overall diet have any impact on lupus fatigue? La Mirada, CA
Regular exercise is one of the single most important things you can do to help combat fatigue. A diet lower in carbohydrates and higher in protein, vegetables and fruits has been shown to help with fatigue (see #5 above). I often recommend patients visit the LFA website for tips on meal planning and food choices. There are no specific vitamins that have been shown to help with fatigue unless you are deficient, which is uncommon except for vitamin D deficiency (see #12 below). Your doctor can check for vitamin deficiencies with a physical exam and simple blood tests to see if supplementation is needed.