I have managed most apsects of the menopause pretty well so far through diet and exercise. I also discovered that I had a slightly under active thyroid which has now been treated. However, I am still left with unbearable fatigue - I often shut down at work in the afternoons and rarely do anything in the evenings now. I sleep well, so what can I do to get my daily buzz back?

Firstly, check your diet; hormonal changes in the menopause often make you more sensitive to fluctuating blood sugar levels and some women find that they need to 're-do' their diet.

High carbohydrate/sugar intake in the morning and at lunch can cause that afternoon slump so look at having a protein based breakfast instead of a cereal based one and make sure that you have a good portion of protein and veg for lunch and try to avoid carbs completely.
 
Secondly, caffeine can also do this, so if you drink lots of tea and coffee you may need to cut down and try drinking plain water instead if you are not already doing this.

I would also try a Chromium Picolinate supplement as this helps to balance blood sugar levels.
 
The hormonal changes during the menopause put tremendous strain on the body generally and this, in itself, can contribute to the fatigue . Rest and relaxation are vital and I know it can be very difficult if you lead a busy life but do make 30 min a day your me-time - this can really help with most menopause symptoms!

Sensible exercise is important but don't go overboard. Combining a lot of exercise with the stress of the menopause can cause fatigue.
 
You could also look at the herb Maca, this is traditionally used for energy, stress and mood and can be a good menopause supplement (I used it and found it really helpful!)

Eileen Durward