Fatigue

Not a true ailment in itself, fatigue is usually a classic symptom of some other problem: poor nutrition; overwork; lack of (or too much) exercise; insomnia or poor sleeping habits; or a specific medical disorder, such as premenstrual syndrome. Though everyone has an occasional energy slump, fatigue is a generalized, persistent feeling of exhaustion.

In many sufferers, fatigue can be traced to stress, anxiety, depression, or lowered immunity and chronic infections. It's been linked to diabetes; thyroid or adrenal gland imbalance; and heart, liver, or kidney disease. Vitamin and mineral deficiencies decrease red blood cell production and can lead to fatigue because these cells transport oxygen used for energy production. In women, fatigue can result from fluctuating hormone levels in pregnancy and menopause, or from anemia caused by heavy periods. Sleeping disorders and medications, including blood pressure drugs, can also bring it on.

Supplements and herbs

The supplements listed here should be used only when an underlying fatigue-causing medical condition has been ruled out. A two-month course should bring relief. Start with the vitamins and the two ginsengs. Then add magnesium, amino acids, and flaxseed oil if fatigue persists.

The B complex vitamins support the nervous and immune systems. They enhance the effectiveness of white blood cells, which fight bacteria and viruses, and they are also needed for proper replication of red blood cells. Also important is vitamin C; it promotes immune function, helps repair tissues, and supports the adrenal gland, which controls production of stress hormones in the body.

One of the most popular uses of ginseng is to boost the body's own energy levels. Panax ginseng has long been used for this purpose in Asia. Siberian ginseng contains compounds that have been shown to fight fatigue. A mild magnesium deficiency may be the cause of fatigue in some people. A two-month course of the mineral should address any shortage. Every cell in the body needs a mixture of amino acids to make protein, and in some cases low levels may contribute to fatigue. Flaxseed oil helps by supplying essential fatty acids, which protect the integrity of cell membranes and enhance the immune system.

Homeopathy

Take the chosen remedy in a 30c strength once daily for one to two weeks. The more weak or exhausted one is, the more suitable lower potencies are, repeated frequently to gradually build up strength.

  • Arsenicum
    Weakness, restlessness, anxiety combined. Problems recur regularly.
    Sudden episodes of exhaustion, triggered by least physical exertion.
    Chilly, weight loss, foul breath and excretions (toxicity), burning pains.
    Fear of disease, of death, insecurity, dependency. Fastidious, stingy.
    Worse: suppressed skin eruptions, cold, midnight, alcohol. Better: heat.
  • Carbo veg
    Low vitality, exhaustion. Listless, sluggish, sleepy, inert, indifferent.
    Causes: exhausting diseases, surgery, blood or fluid loss, toxicity.
    Cold, clammy skin, cold breath. Craves fresh air. Sluggish circulation.
    Gas, bloating. Blue complexion. Excess fats, alcohol. Desires coffee.
    Worse: humidity, tight clothes, fats, milk, excess heat. Better: belching.
  • Gelsemium
    Mental, emotional and physical weakness. Paralysis of the will, gives up.
    Causes: fear, anticipation of ordeals or performance, after any virus.
    Dull, drowsy, dizzy, trembling, heavy limbs, muscular weakness.
    Poor coordination. Heavy eyelids, dim vision, dull headache, sore eyes.
    Worse: hot, humid, if disturbed. Better: quiet, profuse urination, alcohol.
  • Kali phos
    Nervous exhaustion, sensitive, weak, easy fatigue from slightest effort.
    Causes: stress, overwork, worry, overexcitement, exhausting illness.
    Muscular weakness, low grade fever. Sweats easily with excitement. Chilly.
    Putrid yellow discharges. Shy, blushing, desires solitude, averse to talk.
    Irritability; cruelty towards family. Sudden outbursts; speechless with anger.
  • Phosphoricum acidum
    Mild, sensitive person, overwhelmed by events, illness, grief or loss, over-study, overwork, growth spurts, blood or fluid loss, anesthetics.
    Indifferent to everything, apathy, listless. Quiet, answers by single words.
    Weak. Difficult thinking, understanding. Word-hunting, poor memory.
    Chilly, sweats easily. Craves fruits or refreshing foods. Better: naps.
  • Picric Acid
    Nervous exhaustion. Indifference, aversion to talk, think or do anything.
    Causes: mental strain, exams, anxiety, grief, depression, anemia.
    Insomnia. Weakness, heaviness or burning along spine, limbs. Sallow face.
    Headaches with dilated pupils from slight motion or mental exertion.
    Worse: mental or physical exertion, heat and cold. Better: cold water.

What else you can do

  • Take a 20-minute nap in the afternoon or after work. But set the alarm: A longer nap can interfere with nighttime sleep.
  • Don't skip breakfast. Near bedtime, avoid large meals, fatty foods, alcohol, and caffeinated beverages.
  • Go to sleep and get up at the same time every day; get at least eight hours of sleep a night.
  • Keep active. Moderate exercise is a prescription for feeling less tired.
  • Don't expect an energy boost from sugary foods. Instead eat complex carbohydrates (pasta, whole grains, beans) and lots of fruits and vegetables.
  • Have blood tests for thyroid problems or anemia if fatigue persists.

How much to take

Vitamin B complex
1 pill twice a day with food.
Look for a B-50 complex with 50 mcg vitamin B12 and biotin; 400 mcg folic acid; and 50 mg all other B vitamins.
Vitamin C
1,000 mg 3 times a day.
Reduce dose if diarrhea develops.
Panax ginseng
100-250 mg twice a day.
Standardized to contain at least 7% ginsenosides.
Siberian ginseng
100-300mg twice a day.
Standardized to contain at least 0.8% eleutherosides.
Magnesium
400 mg ad ay for 2 months.
Take with food; reduce dose if diarrhea develops.
Amino acid complex
1 pill twice a day.
Take on an empty stomach.
Flaxseed oil
1 tbsp (14 grams) a day.
Can be mixed with food; take in the morning.

For kids

    See age-appropriate dosages of herbal remedies

  • Both American and Siberian ginseng contain micronutrients and trace minerals that help strengthen the overall constitution. Give a child over six years of age 10 drops of either, once daily, five times a week, for six weeks. Stop for one week, then resume giving 10 drops, once daily, five times a week, for another six weeks.
  • Echinacea and goldenseal help to treat lingering fatigue and weakness after an infection. Give your child one dose of a liquid Echinacea and goldenseal combination formula, three times a day, for one week.
    Note: You should not give your child Echinacea on a daily basis for more than ten days at a time, or it will lose its effectiveness.
  • Licorice root helps to support the adrenal glands and ease fatigue. Give your child one dose, twice a day, for two weeks.
    Note: This herb should not be given to a child with high blood pressure.
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