Market resolves YES if someone finds an intervention that significantly helps my Mysterious Tiredness. I will not buy any YES in this market.
I constantly feel like I want to go to sleep. I can keep doing tasks once I start them, but starting them feels nearly impossible; I have to use willpower to do something as simple as shower or wash the dishes. I have a history of depression, borderline personality disorder, and migraines, all currently in remission. I have a history of sleep maintenance insomnia, currently usually in remission due to CBT-i and medication, although I have flareups. However, I used to get nine hours of sleep a night and currently usually get seven; I suspect that I am chronically undersleeping, and perhaps insomnia interventions would help.
Meds: nexplanon implant; testosterone for FTM transition, 80 mg weekly; 75 mg lamitrogine, mornings; 25 mg methylfolate, mornings; 1000 mcg B12, mornings; 1mg melatonin, evenings; 20mg escitalopram, evenings.
I exercise about five days a week. Lacto vegetarian diet; lots of sweets, but a reasonably number of vegetables and proteins. I don't drink, smoke, or take drugs.
I am pretty comfortable discussing private medical information on the Internet so if you have more questions please ask!
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Your melatonin dose may be too high. 0.3 mg is the normal recommended amount. https://slatestarcodex.com/2018/07/10/melatonin-much-more-than-you-wanted-to-know/
@SG I take 0.3mg occasionally and it usually causes me to wake up after 5-6 hours, this could definitely be the cause of the undersleeping. 6 hour time release taken ~3 hours before bed seems a bit better than regular 0.3mg https://a.co/d/fzEpgtj
https://www.lesswrong.com/posts/6frs5xTkeLc9vZSRN/iron-deficiencies-are-very-bad-and-you-should-treat-them
"""Tl;dr: If you are vegan or menstruate regularly, there’s a 10-50% chance you are iron deficient. Excess iron is dangerous so you shouldn’t supplement blindly, but deficiency is easy and cheap to diagnose with a common blood test. If you are deficient, iron supplementation is also easy and cheap and could give you a half standard deviation boost on multiple cognitive metrics (plus any exercise will be more effective). Due to the many uses of iron in the body, I expect moderate improvements in many areas, although how much and where will vary by person."""
Vegetarians are also more likely to be iron deficient
(I am not a doctor, this is random internet user speculation)
@NoaNabeshima High testosterone can cause fatigue via polycythemia
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5796953/
https://www.reddit.com/r/ftm/comments/8sutdr/managing_polycythemia/
@NoaNabeshima Lamotrigine and Lexapro have sleepiness as possible side effects
https://www.nhs.uk/medicines/lamotrigine/side-effects-of-lamotrigine/
Lamotrigine
https://www.nhs.uk/medicines/escitalopram/side-effects-of-escitalopram/
Escitalopram
being unable to sleep -> take first thing in morning
being sleepy -> "Take escitalopram in the evening and cut down the amount of alcohol you drink. Do not drive, ride a bike or use tools or machinery if you're feeling sleepy. If this does not help, talk to your doctor."
