Moderate-to-severe fatigue surrounding migraines.
 

Am I correct in believing you are currently recovering medical help for your migraines? I believe you've mentioned that before and as you are aware from previous threads of your own and the amount of time you've spent on the FAF, it is against the rules for us to give advice on this board for a condition, diagnosed or otherwise, for which you are seeing a medical professional. As you're looking for advice and support of others, in this occasion I see it fit for me to move this thread to General Support and Advice where hopefully people can help you further but I would also like to state that it may be worthwhile you discussing this with a doctor. Also, I just thought I'd mention that tea does contain caffiene which though may help your fatigue, it may be a trigger for your migraines and so could make things worse if you're not careful.

If you are not seeking medical help or want to talk to me privately then feel free to PM me,

KimA

chronic fatigue...you could have an adrenal burn out, caused by a long term stress. it may take up to few years to recover completely.

respectfully disagreeing in that migraines alone can be enough to cause fatigue, even silent migraines, sometimes for up to 7 days apparently. so chronic migraine sufferers can often feel constantly drained. my neuro thought this was my issue until my fatigue hadn't improved despite my silent migraines responding to an anti epileptic.

tea could be aggravating your migraines as pointed out by Animad. then again i'm sure you know how great it can be as a treatment for some people combined when using with meds.

as a just in case you could talk to your doctor to see if slight shifting of dosages could be worth a shot.

if you have exercise intolerance i'd obviously give this a miss but a couple a of minutes of incredibly intense cardio first thing in the morning could be your best bet. there could be an adjustment period so be careful if now is a busy time.

what about sleep quality? is sleep refreshing for you or limited? does winter worsen fatigue for you? does fresh air help? (maybe in a low stress space like the park without too many people.)

i recently read someone talking about a sort of sensory processing energy leakage they got since they, like you, had AS (i could dig it up for you if you'd like). for some people cognitive fatigue=all round fatigue. so cutting out unnecessary stimulation, like by using headphones with white noise or earplugs. if visual stimulation is more fatiguing you could make audio revision notes or see if other people have useful ones online, listen to videos or listen to dictaphone lecture recordings.

deficiencies could worsen it so you could take supplements as preventative (talk to your Dr of course, and i'd run it through an interactions checker).

there are all sorts of ways food affects fatigue and cognitive function. i know people say regular snacking is optimal but intermittent fasting can work much better for many people.

as always i know nothing about anything don't trust anyone online and talk to your dr etcetcetc but feel free to ask for more info or sources.

In a recent thread Oly said that she was drinking fizzy sugary drinks. A lot of fizzy drinks contain caffeine. Not only the obvious ones like Red Bull but coke, dr pepper and some (but not all) lemonades. It may be worth while cutting out all forms of fizzy drink and sticking to water.

If it wouldn't be triggering you could record a day or two of your diet (maybe on my fitness pal or a similar site) so you can see if there's patterns with your energy throughout the day, check your macronutrients are in order, ensuring you're getting enough calories and not too much in terms of carbohydrates, especially ones with a high glyceamic index. Frequently people find the common macronutrient ratio of high carbs to lower proteins to low fat can make them more fatigued, but very much YMMV. Of course dietary changes should be researched and discussed with your doctor of choice. I'm a total hypocrite and since recovering from my ED I've decided that if I'm going to be chronically ill I'm doing it with a huge bowl of pasta and not parting with my beloved chocolate despite my mother's scolding.

If your sleep isn't refreshing would seeing if you could get a sleep lab visit be worth a shot?

I don't get migraines all too often now (thank god) but when I was getting them frequently I was sleeping for a few hours before they'd actually hit me. according to my old gp (who I don't really believe as she said fainting from period pain is completely normal) they take a lot out of your body & it's fairly common to be tired around them, I know my sister suffers migraines & she gets drowsy for the whole period she has them.