Hi Most days around this time - 3 to 4 pm, I feel absolutely exhausted, and reckon I could fall asleep instantly if I was able to.
I am assuming this is a 'thyroid thing'.
Does anyone have any tips on keeping awake and alert, other than caffeine?
When I drink coffee it does wake me up a bit, but makes me feel jittery, plus sometimes keeps me awake later when I need to sleep.
Recommendations appreciated!
I know the feeling. Usually try to get out into the fresh air.
Hi I would - and do, when I'm not working. Otherwise I just have to get on with it 
Have you had a sleep study? Many hypos end up with sleep apnea. I am in that category and know many others. That is just a thought.
No sleep study, but I may have sleep apnea, due to my symptoms.
Also I definitely have TMJ and teeth grind when asleep.
I am working to get both my CPAP pressure and thyroid optimized right now. I am so tired as well. I use to be a high energy person. I hope she comes back.
Think that is a standard time for an adrenal crash when cortisol levels dip, have you tried an adrenal cocktail to give them a lift?
Caffeine will give the lift but leave them more exhausted afterwards
I had a private 9am cortisol blood test, which said I had slightly elevated levels.
I was getting 'adrenaline surges' which I am not having so frequently now.
My cholesterol has been high since my 20's I do think I may have had this Hashimotos a long time.
I am hoping my cholesterol will improve a bit once I am allowed on Levothyroxine.
I think most of us come to the realization that we have been suffering for considerably longer than the diagnosis 🙄
It would be a good thing to give your adrenals some love before starting as it will help when you do add levo in 🤗 and like you say it'll likely drop your cholesterol
High morning cortisol is quite often followed by a slump later in the day
Throughout the day, do you keep yourself properly hydrated? What time and generally what do you eat for lunch - it maybe related to your blood sugar level.
Yes I drink plenty of water.
My blood sugars are all over the place. GP is aware, and I have been tested again recently for diabetes.
I have cut down on carbs and sugar, plus am gluten dairy and soy free sigh...
What was tested? Elevated fasting blood glucose, elevated LDL cholesterol and elevated triglycerides, low HDL cholesterol, means you most likely have insulin resistance which is the precursor to full blown diabetes 2. Have you had the HbA1c test?
If it was me, I would completely ditch sugar, review the type and quality of carbs I was eating, and eat some quality dairy. If it were me, globally I would ban all soy - regardless if it's GMO or not, it's a nasty bean that destroys the health of animals and humans alike! If it were me I would revisit the gluten free story - obviously if you are coeliac or know you feel better without it, then stick with it.
Also avoid all processed and ultra processed food, all the colas etc!
Hi I have had the HbA1c test, twice in the last year, with good results.
Sugar I have cut down on a lot, likewise carbs.
Gluten - I don't have celiac, but upon eating gluten, I get a burning itchy rash on my scalp, which drives me mad!
So no gluten because of this.
Dairy seems to make me feel worse. Soy, I absolutely cannot tolerate this anymore. If I accidentally eat any I am really ill.
I will work on improving my sugar intake, same with processed foods.
All of the above Justine_Case. I am starting today by changing my Vit C to around 3 o’clock to deal with my late afternoon slump around 5 pm. I read that it’s helpful and as I take it anyway I thought I would try just moving it to another time.
Hi That's a good idea I will try vitamin C thank you!
lay awake all nite and can’t fall asleep 
Anyone awake
A strange question about night time symptoms
unable to wake up
Is it bad for me to stay on Carbimazole indefinitely?
