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

Wellness Update - - Fatigue And Lupus -

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.

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