TATT (tired all the time) affects one in ten people, but just a third of these will have anything physically wrong with them, making it a tricky problem to tackle.

1. WAKE UP AND SMELL THE COFFEE

Do drink 6 to 8 glasses of water a day

Catherine Collins, chief dietician at St George’s Hospital, South London, says: “Without adequate fluid intake, blood pressure drops, slowing delivery of oxygen to the brain, which can leave you feeling tired.”

The amount of fluid needed depends on the individual, but you should aim to pass urine at least three times a day. Between 6 and 8 glasses of water-based drinks – including tea and coffee – a day are recommended.

“Coffee is often vilified but the caffeic acid it contains is a great way to instantly increase alertness and blood pressure,” says Catherine Collins.

Don’t have a nightly glass of wine

More than half of us reach for a glass of wine between 3 to 4 times a week to relax after a hectic day.

While alcohol relaxes you initially, it can compromise the quality of sleep – even if you are getting the recommended 7 to 8 hours per night.

“Alcohol has a dehydrating effect,” says Catherine Collins.

“Added to that, the chemicals in alcohol disrupt your sleep cycle, preventing you from entering deep sleep.”
2. VITAL VITAMINS

Do take a magnesium supplement

“Magnesium plays a vital role in maintaining blood glucose levels, muscle health and concentration,” says nutritional therapist Dr. Elisabeth Philipps.

“A deficiency can leave you feeling lethargic.”

Magnesium is found in leafy vegetables and nuts, but a supplement can help. Take between 200 mg and 400 mg a day.

Don’t become deficient in B vitamins

A supply of all eight B vitamins is essential for feeling energized.

“Vitamins B1, B3, B5 and B6 are crucial for the conversion of food into energy,” says Dr. Elisabeth Philipps.

B vitamins can be found in chicken, nuts, eggs, cheese and Marmite.

Dr. Elisabeth Philipps recommends taking a B complex supplement.

3. HERBS HELP, BUT PAY ATTENTION

Do try natural remedies

Herbs called adaptogens can help the body cope with environmental stresses that can trigger fatigue.

“The most popular for low energy is ginseng,” says Dee Atkinson, a medical herbalist.

“It gently stimulates the adrenal glands, making us more alert.”

Rhodiola can also fight sluggishness.

Don’t expect instant results

“It can take three to four days before you notice an improvement in energy levels when taking herbal treatments because some extracts have a gradual effect,” says Dee Atkinson.

And some herbal remedies do not work for everyone.

“As with pharmaceutical drugs, everyone’s body responds differently,” she says.

4. TIME YOUR POWER NAP

Do take 40 winks

A nap can take the edge off an afternoon slump, but the duration of a siesta is crucial.

“It has been clinically proven that taking a nap for up to 30 minutes is revitalizing,” says Dr. Chris Idzikowski, director of the Edinburgh Sleep Centre.

We tend to enter deep sleep after 30 minutes, which lasts for a further half an hour, so waking mid-cycle can leave you feeling groggy. If you want to nap for longer, have one lasting 90 minutes.

Don’t throw yourself back into action immediately

Allow 15 minutes to wake up after a nap.

“Everyone suffers with what we call sleep inertia after a nap – sometimes a person can seem drunk,” says Dr. Chris Idzikowski.

“You need to give your brain time to recover and regain composure.”

It isn’t fully understood why napping is beneficial, but it is thought that it gives the brain a chance to pause and rest.

TATT (tired all the time) symptom affects one in ten people

5. NO GRAINS, NO GAINS

Do eat low-GI foods

Choosing unprocessed foods with a low glycaemic index (GI) will maintain steady energy levels, says Dr. Elisabeth Philipps: “Choose slow-burning wholegrains, brown rice and wholemeal bread in your diet but don’t overfill your plate. Digestion uses up a lot of energy so the more packed the plate, the more tired you will feel. This is particularly the case with carbohydrates because glucose triggers the production of the hormone serotonin, which can make you sleepy.”

Don’t forget to include protein

Ensuring you get adequate levels of protein – about 50 g per day – will fight fatigue.

“Protein slows the speed at which carbohydrates are absorbed, so there will be a steady drip-feed of glucose into your bloodstream,” says Dr. Elisabeth Philipps. Protein helps produce mood and energy-boosting hormones, too.

6. GET IN THE LIGHT MOOD

Do get enough daylight

Winter is when many people feel at their most listless because daylight hours are at a minimum, which has a knock-on effect on our body clock.

“Nerve cells called retinal ganglion receptors at the back of the eye are responsible for detecting light,” says Russell Foster, Professor of Circadian Neuroscience at Oxford University.

“If we don’t get enough, our bodies produce too much melatonin, the hormone responsible for making us feel sleepy.”

Even at dawn, daylight is up to 100 times stronger than the lighting at home and in the workplace.

Yet most of us get little, if any, daylight at this time of year – we travel to and from work in the dark and spend the majority of our time indoors at a desk. “Take a 30-minute stroll each day or move your desk near a window to increase light exposure and keep your inner clock in check,” says Prof. Russell Foster.

Don’t get too much blue light

Studies have shown that those who sit at laptops and in front of the TV late at night find it harder to drop off because the blue light emitted suppresses melatonin production.

In the evening, dim your laptop light setting and try to stop watching TV one or two hours before bed. If you can’t switch off the PC, try downloading F.lux software for free (stereopsis.com). It adapts the color of the light emitted from your laptop according to the time of day.

7. BREATHE EASY

Do breathing exercises

Believe it or not, most people don’t breathe correctly and this can contribute to a feeling of lethargy, says respiratory physiotherapist Alex Hough. The following exercise helps reset your breathing pattern. By using the diaphragm – the muscle that inflates and deflates the lungs – you inhale and exhale more efficiently.

Consciously relax your jaw, throat, shoulders and upper chest.

Breathe in through the nose. Allow the air to glide down your windpipe as if it’s filling your abdomen. Your tummy – not your chest – should rise gently like a balloon filling with air. It might help to place a hand on your abdomen to monitor movement.

As you exhale, let your abdomen sink gently like a balloon deflating.

You should be breathing 12 to 14 times a minute. If you breathe more frequently than this, gently slow your inhalations and exhalations.

Try this exercise twice a day for a few minutes at a time. You should find yourself feeling more energized and less stressed.

Don’t panic

“Modern life is stressful, which can make us fall into the habit of shallow breathing,” says Alex Hough.

“Shallow breathing makes the body work much harder to get the air it needs.”

Indeed, key symptoms of Generalized Anxiety Disorder are feeling tired, shortness of breath and a disrupted sleep pattern.

If blood tests have ruled out any deficiency or imbalance, then explaining to your GP that you are stressed could help address your lack of vitality. Treatment usually involves Cognitive Behavioral Therapy and medications to help keep symptoms under control.
8. QUICK FIXES

If you suffer from mid-afternoon inertia but don’t want to glug a double espresso to get you through the rest of the day, there are alternative pick-me-ups that have been proven to work.

9. SNIFF HERBS

Numerous studies have shown that sniffing mint is effective in boosting alertness. A 2005 study reported that volunteers in a darkened room were less likely to fall asleep if they smelled peppermint.

“Our sense of smell is very powerful and certain scents stimulate the olfactory nerve in the nose more than others,” says Dee Atkinson.

“While mint has the most evidence behind it, essential oils of eucalyptus, basil and rosemary have a similar effect. Sniffing these is a great way to pep yourself up.”

10. NIBBLE ON DARK CHOCOLATE

Chocolate contains the stimulant theobromine.

“The chemical is almost identical to caffeine but has a more measured effect on the central nervous system,” says Dr. Elisabeth Philipps. You will need to eat dark chocolate though.

“The concentration of theobromine is much lower in milk chocolate – about a tenth – so you won’t get the same effect.

“If you do, it will be because of the high sugar content, which will leave you sleepier than before.”

11. STRETCHING

A quick stretch can perk you up, says Steve Hunter, of Sport and Exercise Science at London Southbank University.

“If we sit still at a desk all day, our bodies start to slow down. Stretching limbs stimulates neurons inside our muscles, which send signals to the brain to wake us.”