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Why Do I Feel So Tired?
by Debra Waterhouse, M.P.H., R.D.
(Editor's Note: While this article and the book it is excerpted from are
written for women, the information it contains pertains to both genders. Men, as
well as women, will greatly benefit from reading and following the advice
given.)
Chances are, this question has crossed your mind more than once today. You
felt the wave of fatigue come crashing over your body, and the question hit you
like a ton of bricks. But having neither the energy to figure out why nor the
time to let yourself be tired, you grabbed another cup of coffee and forced
yourself to move on to number 14 of 32 on today's to-do list.If you could take the time to ponder this question, what would be your
answer?
- "I must not be organized enough." Organized? With the amount you
have to accomplish each day, even Martha Stewart couldn't keep her day
planner organized by the minute, her desk clear of clutter, and her sock
drawer lined up by color.
- "Maybe I'm premenstrual." While it's true that your fatigue
level increases during PMS, you can't possibly be premenstrual all month
long. You're actually in the middle of your cycle and should be at the peak
of your energy, not the pit.
- "I'm menopausal, so I'm supposed to be tired." True again, but
are you supposed to be this exhausted? Hot flashes can drain your energy,
but you feel like you've been run over by a train.
- "Maybe I have chronic fatigue syndrome." Less than 1 percent of
our fatigued population can be clinically diagnosed with chronic fatigue
syndrome (or as it's called now, chronic fatigue immunodeficiency syndrome).
For the rest of us, fatigue is not an illness. It's a chronic feeling of
exhaustion caused by doing too much and resting too little.
- "I must be fighting something." Occasionally an intruder virus
may be zapping your energy, but if it's not flu season, most likely the only
thing you're fighting is your fatigue.
Daily, relentless fatigue is not due to viral invasion, an illness,
organizational impairment, PMS, or menopause (although these can certainly
intensify it). It's due to the reality that you're overworked, overstressed,
overextended, and overwhelmed -- and underrested, undernourished, underjoyed,
and under a dark cloud. You feel tired all the time because you are tired all
the time. And you're not alone.
The undisputed medical fact is: We're in a female energy crisis. At any given
time of day or night, 80 percent of all women report fatigue. We drag ourselves
out of bed, unrefreshed and anxious about the day, then rush through our day as
we fall farther and farther behind schedule, and finally collapse in bed worn
out and worried about tomorrow. Every woman I know personally and professionally
makes some reference to how stressed, spent, worn-out, unhappy, or disconnected
she feels. And those who don't come right out with a verbal declaration of their
exhausted state of existence give more subtle signs. I can hear it in their
labored speech or see it in their strained faces -- the same dark circles and
furrowed brow that are sometimes familiar from my own reflection.
Since "the mirror doesn't lie" is a widely accepted adage, let's
use it. Go into the bathroom or take out your compact to view your face of
fatigue. Do you look enthusiastically alive or dead tired? Even the best makeup
job can't cover up fatigue. As you walked to the bathroom, did your steps come
with ease or excruciating effort? When you're worn out, even a short journey can
feel like a monumental feat.
It's impossible to look, feel, or act vital when you are exhausted from
stressful days, endless schedules, and/or sleepless nights. In the most basic
sense, energy is life. It gives us the passion and enthusiasm to actively live.
Without it, we passively go through the monotonous motions of life without truly
living. It's no wonder that only 24 percent of us say that we have a good life,
that more than 50 percent say that we feel sad more often than we feel happy,
and that one in four women will experience major depression in their lifetimes.
We feel depleted and defeated by our exhausting lives.
I have been helping women for almost twenty years by writing books, giving
seminars, and providing counseling, and what saddens me most is that the
majority of women I come across have resigned themselves to a life that lacks
happiness, a heart that lacks passion, a soul that lacks spirit, eyes that lack
sparkle, and a body that lacks nourishment. "That's just the way it
is," they tell me. "I don't have the time, energy, or desire to be
anything but exhausted. Maybe when the kids are out of the house, maybe when I'm
twenty pounds thinner, maybe when my ship comes in, maybe when I win the
lottery, maybe in my next life -- things will be different and I'll have the
time and energy to take care of myself."
Well, maybe your kids will live with you longer than you'd like, perhaps your
body was meant to be a bit larger than that of an emaciated model, maybe your
ship has sunk at sea, maybe you'll be one of the 999,999,999 who don't win the
jackpot, perhaps this life is it. What then? Another ten or twenty or thirty
years will go by and instead of wondering where your energy has gone, you'll
wonder where your life has gone.
Needless to say, fatigue can be a real downer -- in more ways than one. And
despite the dismal topic, I want to give you some light heartedness to lift your
spirits and a positive approach to a negative subject. Every cloud has a silver
lining -- even the dark cloud of fatigue -- and my goal is to help you find that
silver lining, solve your personal fatigue crisis, and enjoy the journey to
enhanced energy, balance, and peace. In other words, I want to help you give
yourself the gift of living.
If you are like many of my female friends, clients, and colleagues, you may
be excited about the prospect of enhancing your energy and restoring your
vitality. "Quick! Tell me now! What pills should I be taking? I've heard
about ginseng, should I try it? How about B12 injections? Which
energy bar is the best? Tell me what to do!"
My female circle knows me better than to ask about quick-fix megadoses,
potions, drinks, injections, or bars. But you may not, so let me introduce you
to the philosophies that guide everything I do.
- A woman's body is a miracle of engineering -- from our premenstrual
tension to our menopausal memory loss, from our food cravings to our mood
swings, and from our expanding fat cells to our extreme fatigue --
explanations exist for everything our bodies experience.
- Listen to and trust the wisdom of your female body -- it's the expert in
directing you down the path of health, vitality, and longevity.
- You are responsible for your own health and well-being -- not me, a book,
a pill, your partner, your homeopath, your doctor, or your therapist. You
have to take charge to recharge your energy.
- There are no quick fixes or magical cures -- if it sounds too good to be
true, it probably is.
Historically, women's concerns have always been a magnet for the purveyors of
unproven remedies and miracle cures -- whether it be for PMS, menopause, aging,
or weight loss. Just look to the diet industry as an example. For the past forty
years, we have been presented with diet after diet, gimmick after gimmick, pill
after pill, each leading us to believe that it is the magical solution to weight
loss.
Let's learn from the past. We have forty years of gimmicks, but we also have
forty years of weight-loss research to prove that quick weight-loss diets don't
keep their promises -- but they certainly do keep piling the pounds on quickly.
Since we started dieting in the 1960s, the average woman has added twenty-five
pounds to the scale. We haven't lost any weight by dieting, but we have lost a
lot of energy. Instead we've gained weight and increased our level of fatigue.
Could there be a correlation here? As our dieting efforts and weights have
climbed, our energy levels and vitality have plummeted. Maybe this is why they
are called "crash diets."
It should come as no surprise that fatigue has recently tied with weight as a
woman's primary concern -- and the market is already flooded with products that
claim to "banish fatigue" or "boost energy." Manufacturers
are quick to respond to women's concerns, and their claims are convincing. What
woman wouldn't be tempted by the promise of youthful energy, sustained stamina,
everlasting vitality -- and sometimes permanent weight loss at the same time?
But promise is not proof. Some of the so-called energy enhancers may give you a
temporary surge like a cup of coffee or a candy bar would. But also like
caffeine and sugar, your body will probably be more fatigued afterward. These
"energy enhancers" may work in a pinch, but they are external
solutions to internal imbalances. They mask your fatigue for a while, fooling
you into thinking you have more energy. But the fatigue is still there, just
waiting for the adrenaline rush to be over.
If women aren't going from health food store to health food store searching
for energy enhancers, then they are going from doctor to doctor looking for a
medical cause of their fatigue. Although it's true that fatigue is a symptom of
almost every illness and that prolonged exhaustion can sometimes be an indicator
of diabetes, cancer, heart disease, sleep apnea, low thyroid functioning, low
blood sugar, iron deficiency, depression, mononucleosis, allergies, fibromyalgia,
or chronic fatigue immunodeficiency syndrome, the vast majority of the time
fatigue is simply fatigue -- a warning sign from your body that something is
amiss and out of balance. More energy is being expended than is being
replenished -- and you'd better refuel quickly. And as you will discover, a
woman's fatigue warning system is more advanced and more persistent than a
man's. Our brain chemicals, hormones, and blood supply are all involved in
making sure that we "feel" our fatigue, acknowledge it, and do
something about it.
When you feel tired, accept the fact that you are tired. Your body is
communicating with you -- trying to get your attention about the fuel gauge
approaching empty and telling you that energy in is not equaling energy out.
It's informing you that you have one of two choices:
- Either expend less energy by doing less -- taking a break, rescheduling an
appointment, taking a nap, meditating for a while, saying no to unsatisfying
obligations, canceling a date with a draining friend, or letting the laundry
sit in the basket until tomorrow.
- Or replenish more by eating a nutritious meal, having a snack, drinking a
glass of water, taking a brisk walk, getting a good night's sleep, inhaling
a few deep breaths, basking in some sunshine, or inviting some intimacy,
fun, laughter, and play into your life.
Actually you do have a third (and most effective) choice: Do less and
energize more. But I don't want to overwhelm you with too much before you even
get into this book. We'll take it one small, non-fatiguing step at a time. Many
women argue that they absolutely, positively, hands-down cannot under any
circumstances do less. They have homes, businesses, churches, organizations,
infants, toddlers, teenagers, partners, employees, employers, parents, in-laws,
siblings, friends, and pets who are depending on them. Will the house clean
itself? Who's going to do the grocery shopping? Pay the bills? Submit the
report? Complete the project? Chair the committee? Give the kids a bath?
Supervise homework? Cook dinner? Invest their parents' retirement funds? Help
that friend in need? Take the dog to the vet?
Whether we're indispensable or codependent is a matter of debate. And we'll
discuss that later. But for now, if you feel you cannot shed some things from
your hectic life, you can still understand, acknowledge, and address your
fatigue. You can still replenish the massive amounts of energy you're expending
each day -- simply and naturally -- by tapping into your 8 sources of natural
energy.
1. Food: Sink Your Teeth into Caloric Energy. To give 100 percent, you have
to get 100 percent -- all the calories, carbos, protein, fat (yes, some fat is
energizing!), vitamins and minerals, meals, and snacks you need to replenish
your body.
2. Water: Take a Sip of Hydraulic Energy. Cool, refreshing, thirst-quenching
water fights fatigue. When your body is water deprived, you're energy deprived.
But when your body is properly hydrated, your energy is quickly restored.
3. Fitness: Power Your Body with Physical Energy. A strong, fit, muscular
body has the power to run faster than a speeding bullet, leap across tall
buildings, lift a powerful locomotive ... well, maybe not quite ... but it does
have the stamina to react, think, problem-solve, carry the groceries, vacuum the
house, and make it to your appointment on time -- often with energy to spare.
4. The Great Outdoors: Surround Yourself with Natural Energy. Go ahead, fool
with Mother Nature. Take advantage of her fresh air, sunshine, flowers, plants,
rivers, lakes, mountains, and beaches. Then make your home and work environment
pleasing to your soul and energizing to your spirit by bringing nature to you.
5. Sleep: Recharge Your Battery with Restorative Energy. Nothing restores the
body and mind more than a good night's sleep, and a nap can be rejuvenating if
it's short and satisfying.
6. Intimacy: Tap into Your Sensual Energy. Loving and being loved can fuel
your soul. A close friendship, a loyal pet, a touch, a hug, a kiss, and, of
course, passionate sex can all lift your spirits. But being loving and kind to
yourself may be the most powerful energizer of all.
7. Joy: Tickle Your Soul with Comic Energy. A one-minute laugh rejuvenates
you more than a twenty-minute walk. A smile (even a forced one) can lift your
mood. Being silly, playing jokes, and having fun is not just for kids -- it's
for your soul.
8. Balanced Stress: Calm Your Chaotic Energy. You can't live without stress,
and sometimes it's a source of positive energy: anticipating a new challenge,
getting excited about a new experience, or looking forward to a change in
routine. But the negative stressors often zap our excitement: an overwhelming
to-do list, endless obligations, and constant worry. Achieving balanced stress
is the life-affirming goal.
When was the last time you focused on replenishing your energy with these 8
natural sources? When was the last time you enjoyed the taste of fat without
guilt? Stopped everything and ate immediately when your body sent hunger
signals? Sipped ice water on a leisurely afternoon? Walked on the beach to
breathe in the fresh sea air? Drove to the mountains to behold the beauty of
Mother Nature? Slept in an extra hour? Asked for a hug? Gave a hug? Made love in
the afternoon? Laughed until you cried? Spontaneously called a friend for a
drink? Done nothing without the guilt that you should be doing something?
If it's been longer than twenty-four hours, I strongly suggest that you stop
everything right now and do one of the above to replenish your body. Instead of
trying to override your fatigue by drinking coffee, taking supplements, ignoring
it, working through it -- outsmart it by recognizing what it is, what your body
is trying to tell you, and what you need to do (or not do) to energize your
body, mind, and soul.
Food, water, fitness, nature, sleep, intimacy, joy, and balanced stress --
this is where real energy comes from; these are the areas in your life that will
give you the vitality and enthusiasm you are searching for, not just for the
next hour but for the next million hours. And you don't have to search any
farther than your kitchen, bathroom, bedroom, family room, and backyard. They
are within arm's reach, just waiting for your grasp.
This
article is excerpted from Outsmarting Female Fatigue, ©2001, by Debra
Waterhouse, M.P.H., R.D.. Reprinted with permission of the publisher, Hyperion,
New York. http://www.hyperionbooks.com
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More books by this author.
About the Author
Debra
Waterhouse is an internationally recognized nutritionist and best selling author
of Outsmarting
the Female Fat Cell,
Why
Women Need Chocolate,
Outsmarting
the Midlife Fat Cell, as well as other
books. As an expert in women's health and a
leader in the anti-dieting movement, she has been featured on numerous radio and
television programs. Through her private practice, seminars, and
workshops, she has inspired hundreds of thousands of women break free from the
trap of dieting and body dissatisfaction and start feeding and respecting their
bodies they were born with. Visit her website at http://www.waterhousepublications.com
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