| Hi, seemingly above-average healthy (if 10-15 lb overweight) and late 40s but energy has really gotten lower the last year, particularly after 8 pm. Also, sometimes legs hurt especially days after exercise (like calves ache/can't stand long.) Can infer in perimenopause. Any advice to get energy up? Can anyone relate? Thanks. |
| Lose weight. Ditch wine, carbs and sugar. |
| Protect your sleep - 7-9 hours a night. Consider increasing protein intake. Talk your doctor or menopause specialist. |
| Do you wake up early? Menopause impacts circadian rhythms. Try to get sunlight early morning, midday, and (this one is important) late afternoon. It’s the late afternoon that will push your circadian clock over the hump. That said, feeling tired at 8 pm might be your new normal. For me is exhausted at like 5pm. Only thing that truly helped was HRT. |
| You can get bloodwork done—thyroid, vitamin d, that sort of thing. But yes, Peri is exhausting. |
| how much extra weight on your body is ok? I have a BMI of about 33-34 but I have PCOS, Hashimoto as well. |
| Check your ferritin levels and iron levels. |
| Thanks, everyone. Good recs. |
| Screen for sleep apea |
| It's a normal part of ageing. |
NP. Yes, but not really helpful. To the op, great suggestions so far, esp. blood work ordered by a specialist who can properly interpret them. A good quality Vitamin D3 supplement (with K) you can start today. Most people are deficient in D3. Yes to deleting alcohol & sugar and adding exercise. It’s difficult to lose weight (especially without energy). As a last resort, hormones can be miracle drugs for some; the specific for low energy is low-dose T (it also helps with brain fog). |
+1 |
| Same situation here. Where can I screen for apnea? Also, would losing weight via GLP1 be warranted (if I have 15-20 to lose?) Would that help with fatigue directly or simply give me more energy somehow even though I'd be eating less? Can someone explain the interplay? |
In your 40s? I think you must hang out with a lot of really unhealthy people. |
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Try taking a Magnesium supplement each night with your dinner.
Also sip on Powerade or Gatorade for the next day or two to see if that helps. Try a daily iron pill with your lunch. See if symptoms improve after a week of doing these. If not, go see your doctor for guidance. |