Originally Posted by cheese
If you're really sleepy all day that sounds like a medical issue. Have you been checked out?
You might have a sleep disorder, or have issues with your sleep at night causing you to be not well-rested, or chronic fatigue/ME/viral infection, thyroid problem, malnutrition, etc. Vit B and D levels as well as iron should be checked (just get a full bloodtest). Maybe investigate food intolerances too. If the gut is malfunctioning it can greatly affect energy and mood.
In the meantime maybe try to really dial up your nutrition (green smoothies? soylent? lots of steak?) and get in a brisk walk in the sun
every day. Those are basic starting points for everyone.
Also some others here have had good results with modafinil. Gives you steady, focused energy all day without jitteriness (apparently). Kuu and Hadoblado are two members I know of who've used this regularly. You'd use it to replace caffeine (which in my experience tends to make me more tired over time - this is borne out by research too).
I hope you see a doctor - this doesn't sound right. (I should probably see a doctor too.
Could you describe your lethargy in a lot more detail? What does it feel like? Any other weird symptoms alongside it?
For instance, I've got normal sleepiness, tiredness, weariness from work. Aside from that, I've also experienced extreme fatigue (can barely move), a feeling of emptiness/hollowness, lightness, light-headeness, perceived weakness, prickling along the skin, twitches etc. These are all associated with a different type of fatigue for me. Then there's also normal tiredness vs brain fog (cognitive slowness) that persists no matter how my body feels.
Give us your full details. Someone else might have a similar experience and know what helps.
Basic Blood Tests are normal though I do not believe I have had any extensive ones. Anyway things like blood count, thyroid, and iron are all good.
I'll see if I can give you a more complete list though I probably will miss a few things.
General apathy/lack of drive
Occasional feeling of having heavy feeling limbs but no real inability to move. Actual ability to lift something heavy or sprint has not been altered.
Heavy eyelids throughout the day (relieved with caffeine though I don't drink it on a daily basis)
Basically all the symptoms of ADHD-PI/SCT (Since as far back as I can remember) with the exception that I can fall asleep with ease. Also I usually wake up without much energy. I don't know how exactly I am supposed to feel when I wake up though.
Brain Fog at differing levels
I have dealt with depression for long periods in the past but, do not believe it is still affecting me. At least not much. I have much more hope for my future than I have had in years. I do not believe this to be the same feeling I had then.
My sleep patterns are not perfect as do some work at night but usually I will get between 7-9 hours. Once I fall asleep I usually (as far as I know) stay asleep until morning. If there are any interruptions of sleep (apnea) then I am unaware of them. Sleep seems to give me the most energy around 10 or so hours though this might just be the max I am able of achieving given my schedule.
Malnutrition is unlikely. My diet is fairly balanced with meat, vegetables, fruits, carbs, etc., etc. of course it could be better and I could cut down on sugar intake.
I usually never fall asleep during the day with a few exceptions though I sometimes can if I choose to . I am just going around as a zombie would.
Also a bit on the stranger side, sometimes I look around me and it all just seems like a I am staring at a painting or a picture. Things around me do not seem as though they are really right there. This is hard for me to phrase and it does not happen all the time but it is as though there is a fundamental disconnection.
I would like to go see a doctor and talk to him about all this but I am on a parents medical plan and for my purposes it is better off that they know as little as possible about all this for the time being.