These days, you barely to set foot Kiwi fruit breakfast options of your house hiredness fill your fridge Dealing with chronic tiredness a huge cheonic on days where fatigue hits you hard. CFS does more than just make people tired. J Clin Endocrinol Metab. Patients who have learned to listen to their bodies might be able to increase their activity level.

Dealing with chronic tiredness -

It also puts extra strain on your heart, which can make you tired. Lose weight and you'll feel much more energetic. Apart from eating healthily, the best way to lose weight and keep it off is to be more active and do more exercise.

Read more about how to lose weight. The website of the Royal College of Psychiatrists has information on sleeping well. Stress uses up a lot of energy. Try to introduce relaxing activities into your day.

This could be:. Read more about how to relieve stress. There's some evidence that talking therapies such as counselling or cognitive behavioural therapy CBT might help to fight fatigue, or tiredness caused by stress, anxiety or low mood.

See a GP for a referral for talking treatment on the NHS, or for advice on seeing a private therapist. Caffeine is a stimulant which means it makes you feel more awake. But it can also disrupt your usual sleep rhythms, leading to problems sleeping and then daytime tiredness.

The effects of caffeine on the body can last up to 7 hours, so you may want to avoid it in the evening if you are having trouble sleeping.

If you do want to cut caffeine out of your diet completely then the charity The Sleep Charity recommends you reduce your intake gradually. Trying to suddenly stop can lead to insomnia and headaches.

Although a couple of glasses of wine in the evening can help you fall asleep, you sleep less deeply after drinking alcohol.

The next day you'll be tired, even if you sleep a full 8 hours. Eating several small meals throughout the day rather than three large meals may also help reduce symptoms. Engage in physical activity. Regular movement, such as walking or stretching, is important for both physical and mental health.

However, overexertion should be avoided. A few short sessions of physical activity spread throughout the day are usually tolerated better than one long session.

Interval exercise, such as one minute of activity followed by three minutes of rest, may also help. Prioritize sleep. Practicing sleep hygiene , such as sticking to a consistent sleep schedule and keeping the bedroom quiet and dark, can promote good sleep.

Get support when needed. It is often difficult for family members, friends, and co-workers to understand. Joining a support group or talking to a therapist can help. Did you find this helpful? Pain Scales Pain scales and pain inventories are tools used by health care professionals to objectively assess pain.

They can be used to gauge the level of either acute or chronic pain. Because pain is multifaceted and presents differently for each person, pain scales are an effective way for individuals to learn more.

Pain Theories Numerous theories about the nature of pain have been proposed over the years. Current research on CFS focuses on the immune and adrenal systems, genetics, the biopsychosocial model, and sleep and nutrition. Because many symptoms of viral infections and CFS overlap, some physicians have theorized that CFS has a postinfectious etiology.

One popular theory is that CFS is caused by chronic Epstein-Barr virus infection; however, there is only mixed evidence of any association between specific viruses and CFS. Increasing evidence points to areas of genetic susceptibility in patients with CFS.

One study found a difference in the expression of certain genes in patients with CFS after exercise that play a role in metabolism and immune responses. CFS is often associated with depression, which has led many physicians to believe that CFS is a purely somatic illness.

Evidence supporting this conclusion is lacking. Strong evidence suggests that childhood trauma increases the risk of CFS by as much as sixfold. Some persons may assume that childhood trauma decreases resiliency, but there is evidence to suggest that it may also play an organic role by increasing the risk of adrenal system dysfunction.

Hypocortisolism has been noted in persons with CFS; one study found cortisol levels in patients with CFS were about 5 mcg per dL There is an association between delayed dim light melatonin onset and CFS, suggesting that delayed circadian rhythm could contribute to CFS.

One study has shown that persons with CFS have lower ratios of omega-3 to omega-6 unsaturated fatty acids and lower zinc levels than healthy patients. Family physicians should focus initially on management of symptoms that are often comorbid with CFS, including sleep disturbances, depression, and pain.

Any comorbidity identified should be treated. Although there is no evidence these modalities are effective, they are unlikely to be harmful and may be helpful. There is less clear evidence regarding the benefit of drug therapy for CFS in patients without comorbid depression or anxiety disorders.

Trained psychotherapists providing CBT emphasize the role of thinking and its impact on how persons feel and act. They can help persons with CFS recognize how their fears of activity lead to behaviors that ultimately cause them to feel more fatigued and disabled. A large randomized controlled trial in adults with CFS confirmed that CBT has positive effects on fatigue levels, work and social adjustment, depression, anxiety, and postexertional malaise.

A Cochrane review also supported the use of CBT for CFS. Because of this, it is recommended that CBT be individualized to maximize benefit. There are no data to suggest that CBT provided by trained family physicians is better or worse than CBT provided by psychotherapists. Graded exercise therapy involves a gradual increase in physical activity in the hopes of increasing function.

A randomized trial found that graded exercise therapy was as effective as CBT for fatigue and the other aspects of functional impairment mentioned previously, except depression. Most patients chose to walk for exercise. Once this goal was achieved, the patients worked with the supervising physiotherapists monthly to increase the intensity of their aerobic exercise.

Several other studies have found consistent results. One study has shown that an educational intervention known as pragmatic rehabilitation provided by specially trained nurses improves fatigue in persons with CFS; however, the improvement did not persist after 70 weeks. The intervention included education about CFS, followed by a negotiated treatment plan of gradually increased activity.

Despite the positive results with CBT and graded exercise therapy, the effects are usually moderate and rarely lead to resolution of CFS. Patients with poor social adjustment, a strong belief in an organic cause for fatigue, or some sort of sickness benefit i.

Other treatments that did not improve CFS symptoms in clinical trials include homeopathic treatments 36 and multivitamins. Several pharmacologic treatments for CFS have had disappointing results in clinical trials, with weak effects of questionable clinical significance or no evidence of benefit at all.

There is no good evidence to support the use of antiviral medications, hydrocortisone, or fludrocortisone; only small or poorly designed studies exist. One study showed some clinical improvement in CFS after treatment with staphylococcus toxoid; the authors theorized that the treatment stimulated the hypoactive immune systems of persons with CFS and subsequently improved their fatigue.

However, the treatment needed to be continued to prevent relapse of symptoms. Staphylococcus toxoid is not widely available and cannot currently be recommended as a treatment for CFS. Other treatments that did not improve CFS symptoms in clinical trials include methylphenidate, 40 melatonin, 19 citalopram Celexa; used in patients without depression , 41 and galantamine Razadyne.

Data Sources: A PubMed search was completed using the MeSH term chronic fatigue syndrome. The search included randomized controlled trials and clinical trials in English from the past 10 years. We also searched the Cochrane database, Essential Evidence Plus, the National Institute for Health and Clinical Excellence guidelines, and the Centers for Disease Control and Prevention Web site.

Search date: August 26, Bierl C, Nisenbaum R, Hoaglin DC, et al. Regional distribution of fatiguing illnesses in the United States: a pilot study.

Popul Health Metr. Reeves WC, Jones JF, Maloney E, et al. Prevalence of chronic fatigue syndrome in metropolitan, urban, and rural Georgia. Darbishire L, Ridsdale L, Seed PT. Distinguishing patients with chronic fatigue from those with chronic fatigue syndrome: a diagnostic study in UK primary care.

Br J Gen Pract. Reynolds KJ, Vernon SD, Bouchery E, Reeves WC. The economic impact of chronic fatigue syndrome. Cost Eff Resour Alloc.

Reyes M, Gary HE, Dobbins JG, et al. Surveillance for chronic fatigue syndrome—four U. cities, September though August MMWR CDC Surveill Summ. Sharpe MC, Archard LC, Banatvala JE, et al. A report—chronic fatigue syndrome: guidelines for research.

J R Soc Med. Fukuda K, Straus SE, Hickie I, Sharpe MC, Dobbins JG, Komaroff A International Chronic Fatigue Syndrome Study Group. The chronic fatigue syndrome: a comprehensive approach to its definition and study.

Ann Intern Med. National Collaborating Centre for Primary Care Great Britain , Royal College of General Practitioners. London, England: National Collaborating Centre for Primary Care, Royal College of General Practitioners; Wilson A, Hickie I, Hadzi-Pavlovic D, et al.

What is chronic fatigue syndrome? Heterogeneity within an international multicentre study.

Not valid Dealing with chronic tiredness Cramp prevention techniques purchases or Dealing with chronic tiredness combined with chrnic other promotional offers. Tieedness free access to exclusive content, a personalized homepage based on your interests, and a weekly newsletter with topics of your choice. Already have an account? Log In. Living with chronic fatigue syndrome can feel like an endless guessing game. Dealing with the pain, fatigue and uncertainty can leave you feeling frustrated and helpless. Barbara Bruce, Ph.

Dealing with chronic tiredness -

You may start with treatment of these issues and progress to others in time. Many treatment options are available, ranging from over-the-counter OTC drugs to alternative therapies.

Cognitive behavioral therapy CBT is a treatment that helps people understand and adjust the ways they think and respond to various situations. This treatment may work best for people with mild to moderate CFS. Activity management can be an effective treatment for PEM. This treatment is usually carried out by a rehabilitation specialist or exercise physiologist.

You may start by keeping a log of your usual activities and how they affect your energy levels. From there, a healthcare professional will help you find ways to do these tasks in different ways to conserve energy. For example, you may try folding your laundry while seated or taking frequent breaks throughout the day.

Pacing is all about finding a balance between those activities that zap energy and those that may restore it. Sleep is difficult with CFS.

You may not get enough sleep, or even if you do, your sleep may not be restorative. Treatment will depend on the diagnosis.

With sleep apnea, for example, you may use a continuous positive airway pressure CPAP machine to help with breathing overnight. There are a variety of alternative methods or changes to your lifestyle that may help with CFS as well:.

A doctor may also suggest using certain supplements to address nutrition deficiencies, diet changes to support a balanced diet , or a combination of both traditional and alternative therapies to get you feeling better. Researchers share that there are some newer treatments or trial treatments for CFS.

A doctor may also know of newer treatments or other options available to you. CFS does more than just make people tired. Treatment plans vary from person to person and can include medications, therapy, complementary and alternative medicine , and more.

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. This means it can be…. It's not the ideal situation, and it continues to perplex me, but living with chronic fatigue syndrome is not all bad news.

Currently, there's no blood test that has been approved to help diagnose chronic fatigue syndrome CFS. Learn how doctors diagnose and manage CFS. Many causes, from stress to the flu to certain chronic illnesses can cause body aches. Learn what may be causing your symptoms.

New research suggests a common biomarker for inflammation is present for years in people with chronic fatigue syndrome. A Quiz for Teens Are You a Workaholic? How Well Do You Sleep? Health Conditions Discover Plan Connect.

How Is Chronic Fatigue Syndrome Treated? Medically reviewed by Meredith Goodwin, MD, FAAFP — By Ashley Marcin on August 26, How serious is chronic fatigue syndrome? What are the symptoms of chronic fatigue syndrome? Work closely with your doctor. Acupuncture , tai chi, yoga , and massage may help relieve the pain associated with CFS.

Always talk to your doctor before beginning any alternative or complementary treatments. Despite increased research efforts, CFS remains a complex condition with no exact known cause and cure. Managing CFS can therefore be challenging.

As a result, you may experience depression, anxiety , or social isolation. Many people benefit from working with a team of healthcare providers. This can include doctors, therapists, and rehabilitation specialists.

The CDC also offers recommendations for managing and living with CFS. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

VIEW ALL HISTORY. New research suggests a common biomarker for inflammation is present for years in people with chronic fatigue syndrome. Fatigue is a term used to describe an overall feeling of tiredness or a lack of energy.

Learn about over 30 possible causes, from stress to taking…. It's not the ideal situation, and it continues to perplex me, but living with chronic fatigue syndrome is not all bad news.

Fatigue and nausea combined can leave you feeling sleepy and weary, or simply drained of energy. Learn what may be causing these symptoms. Malaise is a feeling of weakness, overall discomfort, illness, or simply not feeling well. It can happen suddenly or develop gradually and persist for….

Chronic fatigue syndrome CFS is a potentially debilitating condition that causes physical and psychological symptoms.

Currently, there's no blood test that has been approved to help diagnose chronic fatigue syndrome CFS. Learn how doctors diagnose and manage CFS. A Quiz for Teens Are You a Workaholic? How Well Do You Sleep? Health Conditions Discover Plan Connect. CFS Chronic Fatigue Syndrome. Medically reviewed by Megan Soliman, MD — By Stacy Sampson, D.

What causes CFS? Risk factors for CFS. What are the symptoms of CFS? How is CFS diagnosed? How is CFS treated? What can be expected in the long term? How we reviewed this article: Sources. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations.

We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Oct 31, Written By Stacy Sampson, D. Jun 6, Medically Reviewed By Megan Soliman, MD.

Share this article. Read this next. READ MORE. Causes of Fatigue and How to Manage It. Medically reviewed by Elaine K. Luo, M. Medically reviewed by Nancy Carteron, M. Medically reviewed by Judith Marcin, M. What Causes Constipation and Fatigue? Medically reviewed by Modern Weng, DO. What Causes Malaise?

Anti-cancer lifestyle changes to Sleep and Daeling. Many cases of tiredness are tlredness to stress, not Kiwi fruit breakfast options sleep, poor diet and other lifestyle factors. Try these self-help tips to restore your energy levels. If you feel you're suffering from fatigue, which is an overwhelming tiredness that isn't relieved by rest and sleep, you may have an underlying medical condition. Consult a GP for advice.

Chronic fatigue Blood sugar control for prediabetes CFS also called myalgic encephalomyelitis is a Diabetes self-care resources illness that causes a broad Metabolism Boosting Nutrients of symptoms.

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You may start by keeping a log of your usual activities and how they affect your energy levels. From there, a healthcare professional will help you find ways to do these tasks in different ways to conserve energy.

For example, you may try folding your laundry while seated or taking frequent breaks throughout the day. Pacing is all about finding a balance between those activities that zap energy and those that may restore it. Sleep is difficult with CFS. You may not get enough sleep, or even if you do, your sleep may not be restorative.

Treatment will depend on the diagnosis. With sleep apnea, for example, you may use a continuous positive airway pressure CPAP machine to help with breathing overnight.

There are a variety of alternative methods or changes to your lifestyle that may help with CFS as well:. A doctor may also suggest using certain supplements to address nutrition deficiencies, diet changes to support a balanced dietor a combination of both traditional and alternative therapies to get you feeling better.

Researchers share that there are some newer treatments or trial treatments for CFS. A doctor may also know of newer treatments or other options available to you. CFS does more than just make people tired.

Treatment plans vary from person to person and can include medications, therapy, complementary and alternative medicineand more. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. This means it can be…. It's not the ideal situation, and it continues to perplex me, but living with chronic fatigue syndrome is not all bad news.

Currently, there's no blood test that has been approved to help diagnose chronic fatigue syndrome CFS. Learn how doctors diagnose and manage CFS.

Many causes, from stress to the flu to certain chronic illnesses can cause body aches. Learn what may be causing your symptoms.

New research suggests a common biomarker for inflammation is present for years in people with chronic fatigue syndrome. A Quiz for Teens Are You a Workaholic? How Well Do You Sleep? Health Conditions Discover Plan Connect. How Is Chronic Fatigue Syndrome Treated? Medically reviewed by Meredith Goodwin, MD, FAAFP — By Ashley Marcin on August 26, How serious is chronic fatigue syndrome?

What are the symptoms of chronic fatigue syndrome? Does chronic fatigue ever go away? How do you treat chronic fatigue syndrome? Discussing treatment options with a doctor The medical community differs over the exact treatment courses for those living with CFS.

Was this helpful? What is the most effective treatment for this condition? What are the newest treatments for chronic fatigue syndrome?

How we reviewed this article: Sources. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Aug 26, Written By Ashley Marcin. Medically Reviewed By Meredith Goodwin MD, FAAFP.

Share this article. Read this next. This means it can be… READ MORE. Medically reviewed by Nancy Carteron, M.

Can a Blood Test Help Diagnose Chronic Fatigue Syndrome? Medically reviewed by Angelica Balingit, MD. Why Does My Body Ache? Medically reviewed by Avi Varma, MD, MPH, AAHIVS, FAAFP. READ MORE.

: Dealing with chronic tiredness

Fatigue fighting tips	Eat a healthy diet — increase the amount of fruit, vegetables, wholegrain foods, low fat dairy products and lean meats in your diet. The symptoms may be caused by an immune system that isn't working well. Reyes M, Gary HE, Dobbins JG, et al. As part of this treatment you may be asked to monitor your daily activities using a diary, or apps on your phone. Chronic Fatigue Syndrome Healthcare Provider Discussion Guide Get our printable guide for your next healthcare provider's appointment to help you ask the right questions. Prevention may be impossible, but there are ways to reduce the severity of the slump, including:. Try to introduce relaxing activities into your day.
Self-help tips to fight tiredness	February 2, Peter Kendall, Mayo Clinic Press Editors. Inflammation The inflammation that is at the root of diseases like rheumatoid arthritis and lupus is directly related to fatigue, Dr. population at most. While antidepressants are a common treatment, it doesn't mean all people taking them are depressed or have a psychiatric condition. As mentioned above, some people with CFS may also have functional vitamin deficiencies and theoretically may feel better with vitamin supplementation but much more study is needed. First, simply dealing with chronic pain is exhausting, Dr. Medically reviewed by Angelica Balingit, MD.
Chronic Fatigue Syndrome: Best Ways for Treating This Condition	Trained psychotherapists providing CBT emphasize the role of thinking and its impact on how persons feel and act. They can help persons with CFS recognize how their fears of activity lead to behaviors that ultimately cause them to feel more fatigued and disabled. A large randomized controlled trial in adults with CFS confirmed that CBT has positive effects on fatigue levels, work and social adjustment, depression, anxiety, and postexertional malaise. A Cochrane review also supported the use of CBT for CFS. Because of this, it is recommended that CBT be individualized to maximize benefit. There are no data to suggest that CBT provided by trained family physicians is better or worse than CBT provided by psychotherapists. Graded exercise therapy involves a gradual increase in physical activity in the hopes of increasing function. A randomized trial found that graded exercise therapy was as effective as CBT for fatigue and the other aspects of functional impairment mentioned previously, except depression. Most patients chose to walk for exercise. Once this goal was achieved, the patients worked with the supervising physiotherapists monthly to increase the intensity of their aerobic exercise. Several other studies have found consistent results. One study has shown that an educational intervention known as pragmatic rehabilitation provided by specially trained nurses improves fatigue in persons with CFS; however, the improvement did not persist after 70 weeks. The intervention included education about CFS, followed by a negotiated treatment plan of gradually increased activity. Despite the positive results with CBT and graded exercise therapy, the effects are usually moderate and rarely lead to resolution of CFS. Patients with poor social adjustment, a strong belief in an organic cause for fatigue, or some sort of sickness benefit i. Other treatments that did not improve CFS symptoms in clinical trials include homeopathic treatments 36 and multivitamins. Several pharmacologic treatments for CFS have had disappointing results in clinical trials, with weak effects of questionable clinical significance or no evidence of benefit at all. There is no good evidence to support the use of antiviral medications, hydrocortisone, or fludrocortisone; only small or poorly designed studies exist. One study showed some clinical improvement in CFS after treatment with staphylococcus toxoid; the authors theorized that the treatment stimulated the hypoactive immune systems of persons with CFS and subsequently improved their fatigue. However, the treatment needed to be continued to prevent relapse of symptoms. Staphylococcus toxoid is not widely available and cannot currently be recommended as a treatment for CFS. Other treatments that did not improve CFS symptoms in clinical trials include methylphenidate, 40 melatonin, 19 citalopram Celexa; used in patients without depression , 41 and galantamine Razadyne. Data Sources: A PubMed search was completed using the MeSH term chronic fatigue syndrome. The search included randomized controlled trials and clinical trials in English from the past 10 years. We also searched the Cochrane database, Essential Evidence Plus, the National Institute for Health and Clinical Excellence guidelines, and the Centers for Disease Control and Prevention Web site. Search date: August 26, Bierl C, Nisenbaum R, Hoaglin DC, et al. Regional distribution of fatiguing illnesses in the United States: a pilot study. Popul Health Metr. Reeves WC, Jones JF, Maloney E, et al. Prevalence of chronic fatigue syndrome in metropolitan, urban, and rural Georgia. Darbishire L, Ridsdale L, Seed PT. Distinguishing patients with chronic fatigue from those with chronic fatigue syndrome: a diagnostic study in UK primary care. Br J Gen Pract. Reynolds KJ, Vernon SD, Bouchery E, Reeves WC. The economic impact of chronic fatigue syndrome. Cost Eff Resour Alloc. Reyes M, Gary HE, Dobbins JG, et al. Surveillance for chronic fatigue syndrome—four U. cities, September though August MMWR CDC Surveill Summ. Sharpe MC, Archard LC, Banatvala JE, et al. A report—chronic fatigue syndrome: guidelines for research. J R Soc Med. Fukuda K, Straus SE, Hickie I, Sharpe MC, Dobbins JG, Komaroff A International Chronic Fatigue Syndrome Study Group. The chronic fatigue syndrome: a comprehensive approach to its definition and study. Ann Intern Med. National Collaborating Centre for Primary Care Great Britain , Royal College of General Practitioners. London, England: National Collaborating Centre for Primary Care, Royal College of General Practitioners; Wilson A, Hickie I, Hadzi-Pavlovic D, et al. What is chronic fatigue syndrome? Heterogeneity within an international multicentre study. Aust N Z J Psychiatry. Mawle AC, Nisenbaum R, Dobbins JG, et al. Seroepidemiology of chronic fatigue syndrome: a case-control study. Clin Infect Dis. Whistler T, Jones JF, Unger ER, Vernon SD. Exercise responsive genes measured in peripheral blood of women with chronic fatigue syndrome and matched control subjects. BMC Physiol. Zhang L, Gough J, Christmas D, et al. J Clin Pathol. Heim C, Nater UM, Maloney E, Boneva R, Jones JF, Reeves WC. Childhood trauma and risk for chronic fatigue syndrome: association with neuroendocrine dysfunction. Arch Gen Psychiatry. Prins JB, Bos E, Huibers MJ, et al. Social support and the persistence of complaints in chronic fatigue syndrome. Psychother Psychosom. Chalder T, Godfrey E, Ridsdale L, King M, Wessely S. There are many things you can try to do to alleviate your chronic fatigue syndrome symptoms. For example, Dr. Here are some tips you can try. Reach out to your health care team or a therapist if you need help implementing some of these ideas. Start by finding a primary care physician that makes you feel comfortable and understood. Ensure that your doctor knows all of your health history and symptoms. After that, Dr. When you have chronic fatigue syndrome, you might not be up to going to every activity with your friends. But be sure to keep in touch with the people you care about. That could include regular texts, emails or phone calls if in-person gatherings seem too exhausting at times. Social support is crucial to successfully managing chronic symptoms. Create an online calendar or a daily to-do list to help you focus on the things that are most important to you. With chronic fatigue syndrome, there are often good days and bad days. However, if you overdo it, your symptoms might return with a vengeance. To keep your symptoms at bay, stick to a regular daily schedule that your body can handle. However, regular exercise is one of the best ways to reduce fatigue and pain. Start small and increase the amount of activity over time. It will help relieve your symptoms and put you in a better mood. Having chronic fatigue is stressful enough. So, try to reduce stress in other areas of your life. Identify what makes you stressed out and try to limit its role in your life. Learn relaxation techniques, such as breathing exercises, yoga, tai chi or meditation. Sleep is key to helping your body work properly — especially if you have chronic fatigue symptoms. Get to sleep easier by setting a regular sleep schedule, eliminating daytime naps and avoiding caffeine, nicotine or alcohol before bedtime. But eating healthy foods and drinking lots of water can make a difference in how you feel each day. Studies show that a positive attitude lessens pain and helps you cope with other symptoms. Accomplishing your goals might take a bit longer or require extra planning, but chances are, you can still achieve them. A practical and extensive resource guide for women who want to understand and take charge of their own health and healthcare, presented in short, focused, easy-to-read chapters. We've made some updates to our Privacy Policy. Please take a moment to review. Register for an enhanced, personalized experience. Register Now Already have an account? Log In Close. What is chronic fatigue syndrome? For example, they may suggest limiting each rest period to 30 minutes and teach you relaxation techniques, such as breathing exercises. These problems, and how to avoid them, should be explained to you and your carers. You should not take up vigorous unsupervised exercise such as going to the gym or for a run as this may make your symptoms worse. A setback or relapse is when your symptoms get worse for a period of time. Sometimes there's no clear cause. Page last reviewed: 29 October Next review due: 29 October Your treatment plan should be reviewed regularly. Energy management Energy management is a treatment that aims to teach you how to make best use of your energy levels in your day to day life, without making your symptoms worse. Diet and supplements It's important you eat regularly and have a healthy, balanced diet. For example, you may: have problems getting to sleep have unrefreshing or restless sleep need an excessive amount of sleep sleep during the day and be awake at night You should be given advice about how to establish a normal sleeping pattern. Setbacks or relapses A setback or relapse is when your symptoms get worse for a period of time. The doctors treating you can help you manage a setback or relapse by: including more breaks with your current levels of activities teaching you relaxation and breathing techniques encouraging you to be optimistic about your recovery Page last reviewed: 29 October Next review due: 29 October

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Scientists Discover Robust Evidence That Chronic Fatigue Syndrome (ME/CFS) Is a Biological Illness However, there Kiwi fruit breakfast options many options for managing Dealing with chronic tiredness and improving Boosted cognitive performance of life, including lifestyle changes, stress management, therapy, and titedness. With chronjc help tiredneds Dealing with chronic tiredness Deaing provider and other Deaaling, these can be tailored to your specific symptoms. Making lifestyle changes may greatly impact how you feel, and the specific changes you need can depend on the severity of your illness and whether certain activities exacerbate your symptoms. While some people may see the tremendous benefit just from making changes to the way they eat, for example, others may find that more sweeping changes—such as a job change—may be necessary. Pushing yourself on your good days can result in crashing for the next few days, which is known as the "push-crash cycle.