Tag: fatigue

Posted by Christine Pope on in Cancer support, exercise, Fatigue, Health Care, Healthy Ageing, stress

Beating Cancer Fatigue: How to Support Recovery with Rest, Nutrition and Gentle Movement
Two jars of green smoothie with striped straws, surrounded by fresh cucumber and leafy greens on a wooden surface.

One of the most common and frustrating side effects of cancer treatment is fatigue — the kind that doesn’t always go away with a good night’s sleep. It can linger for weeks or months after treatment, leaving you feeling flat, foggy and frustrated.

Cancer-related fatigue is different from ordinary tiredness. It’s a whole-body exhaustion that affects your physical energy, mental focus, and motivation. The good news is that with the right mix of nutrition, gentle movement, supplements and restorative rest, you can gradually rebuild your strength and vitality.

Understanding Cancer-Related Fatigue

Cancer fatigue has many contributing factors, whether its the stress of the diagnosis and difficulty sleeping, medications that impact you with different side effects, inflammation as you recover from surgery or chemotherapy, low red blood cell counts or even changes in hormones. Treatments such as chemotherapy and radiation will deplete the body’s reserves, affecting energy metabolism and muscle recovery.

This means that recovery requires a whole-body approach: nourishing your body, rebuilding muscle, and supporting your nervous system to rest and repair.

1. Nourish with Adequate Protein

During and after treatment, protein needs are often higher than usual. Protein supports muscle repair, maintains blood sugar balance and helps regulate energy levels throughout the day. Without enough protein, your body struggles to rebuild tissue and produce essential enzymes and hormones that support recovery.

Usually people need around 1g per kilo of weight of protein daily however after surgery or treatment that will increase to 1.5- 2.0 g depending on your overall health.

How to include more protein:

  • Start the day with eggs, Greek yogurt or a protein smoothie.
  • Include lean meats, fish, tofu, legumes or lentils with lunch and dinner.
  • Add nuts, seeds, or hummus for healthy snacks.
  • For those with reduced appetite, protein powders or soups can be an easy way to boost intake.

Aim to include a source of protein at every meal — even a few mouthfuls can make a difference in stabilising blood sugar and maintaining energy.

2. Balance Blood Sugar for Consistent Energy

Many people recovering from treatment notice energy crashes after meals or when skipping food. This is often due to unstable blood sugar, which can worsen fatigue and brain fog.

To keep your energy steady:

  • Eat regularly, ideally every 4-5 hours.
  • Combine protein, complex carbohydrates and healthy fats in each meal (for example, chicken and quinoa salad with mint and shredded snow peas and cranberries with an olive oil dressing).
  • Avoid relying on sugary snacks or caffeine, which cause temporary energy spikes followed by a crash.
  • Stay hydrated — even mild dehydration can sap energy and concentration.
A woman practicing gentle yoga in a cozy, well-lit room, stretching her body with a focus on relaxation and recovery.

3. Move Gently to Rebuild Strength

It might sound counterintuitive, but one of the best ways to reduce fatigue is to move more — gently.

Gentle exercise improves circulation, oxygenation and mood, and helps reduce inflammation. It also stimulates muscle repair and improves sleep quality, all of which support recovery. Again its essential if you haven’t exercise in a while to go low and go slow.

Start slowly and build up gradually:

  • Begin with short walks, stretching or gentle yoga.
  • Aim for 10–15 minutes daily and increase as tolerated.
  • On low-energy days, focus on movement over intensity — even a few minutes counts.
  • Listen to your body and prioritise rest when you need it.

Regular movement helps reset your energy rhythms and supports your body’s natural repair processes.

4. Support Recovery with Targeted Supplements

While food provides the foundation, certain supplements can help support energy metabolism, muscle recovery and cellular repair. These should always be tailored to your individual needs, but some that may help include:

  • Magnesium: Supports muscle relaxation, energy production and sleep quality.
  • B Vitamins: Essential for energy metabolism and nerve repair, often depleted during treatment.
  • CoQ10: Supports mitochondrial energy production, particularly after chemotherapy.
  • Adaptogenic herbs such as Withania or rhodiola may help regulate stress response and resilience. Personally I do like the 5 mushroom Chinese combinations for energy and immune support however these are best suited to being supported by a practitioner to check on interactions with medications.

Always ensure your healthcare team is aware of any new supplement, especially during or soon after treatment.

5. Prioritise Rest and Recovery

Rest is not a luxury — it’s essential to healing. Cancer treatment places enormous stress on the body, and deep, restorative rest helps rebuild the immune system, hormones and nervous system balance.

Try to:

  • Create a regular sleep routine, aiming for 7–9 hours nightly.
  • Build restorative breaks into your day — even 20 minutes of lying down, meditation or quiet time can recharge you. Download the free meditations on The Meaning Of Life.TV for 30 days of options.
  • Avoid pushing through exhaustion; your body needs signals of safety and rest to heal.
  • Try mindfulness or gentle breathing to calm an overactive stress response and promote deeper sleep.

Recovery is not linear — some days will be better than others. The key is consistency over perfection.

6. Rebuilding Your Energy: A Holistic Perspective

Cancer fatigue is multifactorial — which means recovery needs to be multi-layered too. The most effective approach combines nutrient-rich food, balanced movement, stress management, and rest. Over time, these habits help restore your body’s energy systems, reduce inflammation and support emotional wellbeing.

Many years ago I remember asking a very experienced practitioner which change made the most difference? The response was that each intervention added about 16% so decide on how many of those changes you are prepared to implement.

Even small steps — like preparing a protein-rich breakfast or taking a slow walk in nature — signal to your body that you’re rebuilding. If you are not up to a walk by the beach to recharge then just start with a cuppa at a cafe somewhere peaceful.

🌿 Finding Your Energy Again

In my clinical practice, I often work with clients to create personalised recovery plans after cancer treatment — focusing on restoring energy, rebuilding strength and supporting overall vitality. Fatigue doesn’t have to define your recovery journey. With the right nutrition and self-care strategies, you can gradually reclaim your energy and quality of life.

If you’d like help creating a nutrition and recovery plan tailored to your needs, visit christinepopenutritionist.com to book a consultation. If you would like a meal plan that gets you started on recovery download my Better Brain Health recipes to get started today.

Posted by Christine Pope on in Ageing, exercise, Healthy Ageing, stress

Find out how what factors might put you at risk of developing chronic pain

Why do some people experience chronic pain and others have complete resolution of that pain? One in six Australians suffer from chronic pain and there are a number of factors which can predispose you to experience that condition. Chronic pain is defined as pain that continues for more than 12 weeks after the initial trauma or injury.

First up the concept of pain is more complex than originally thought. When you experience an injury the tissue that is damaged sends a series of signals through nerves to the brain. The brain then decides how to interpret that signal. It usually regards it as pain initially and then over time as the tissue heals the signal decreases and the brain usually acknowledges the signal as reduced pain. There can be times however in the presence of high levels of stress or anxiety that the signal to the brain is not adjusted as the tissue heals, this is what can happen with chronic pain.

The brain also interprets those signals through a filter of previous experiences and emotions, factors which may lead to an increased risk of chronic pain being experienced.

For many people testing or scans may no longer reveal the presence of an injury but they are still experiencing pain. This may lead to the feedback from practitioners that the sensation is not real, however it is real and the patient is still experiencing that sensation.

So what are the major risk factors for developing chronic pain (1);

  • Based on the earlier description you can probably guess that one of the major risk factors for chronic pain is a prior experience of chronic pain. That’s right the brain in filtering this information “remembers” a prior experience and this can increase your risk for developing chronic pain.
  • Two other significant contributors can be related to your workplace. Being in an environment where the injury is subject to compensation or being in an environment where your relationship with your boss is strained both lead to a higher risk of chronic pain. To a certain extent this relates to the elevated cortisol you produce when you are in a stressful situation which then leads to a reduction in the ability to modulate or reduce pain signals in the brain. When your nervous system is in overdrive you are less able to calm the signals.
  • There are gender differences in the experience of pain and responses to pain management. Women are more likely to express more sensitivity to pain and less likely to respond to conventional treatment. (2) In a 2007 review of pain research 79% of studies had been conducted solely in male animals and only 8% in female animals. Further women are more likely to experience chronic pain conditions than men.
  • Significant distress during the initial phase of the injury and high levels of anxiety in relation to the injury both predispose you to developing a chronic pain condition.
  • History of domestic violence or abuse increased the odds ratio of pain to 1.6. The data was based on a three year population study of over 24,000 women (3).

For those people who experience chronic pain it needs to be treated with a holistic approach that looks at physical, psychological and social factors. Whilst manual therapies for example can be of assistance in treating acute pain and assist in managing symptoms, graded exercise therapy provides more significant benefit in most of the research done to date. Combining this with appropriate counselling or stress management as well improves the overall resolution. Effectively this condition requires a team approach.

It also is clear that a lot more research is needed on the type of pain and what the best approach is in regards to it. Much of the research is 10-15 years old and often limited to common conditions like low back pain. For this reason you may find that you get more relief from a particular treatment than indicated as more commonly treatments like remedial massage are researched but there are very few studies on other forms of manual therapy such as lymphatic massage, myofascial release and Bowen therapy.

If you are suffering from aches and pains and would like to understand more about how to support yourself then this free webinar on my site could be really helpful, 6 Tips for Ageing Outrageously .

References

(1) Mills SEE, Nicolson KP, Smith BH. Chronic pain: a review of its epidemiology and associated factors in population-based studies. Br J Anaesth. 2019 Aug;123(2):e273-e283. doi: 10.1016/j.bja.2019.03.023. Epub 2019 May 10. PMID: 31079836; PMCID: PMC6676152.

(2) reenspan JD, Craft RM, LeResche L, Arendt-Nielsen L, Berkley KJ, Fillingim RB, Gold MS, Holdcroft A, Lautenbacher S, Mayer EA, Mogil JS, Murphy AZ, Traub RJ; Consensus Working Group of the Sex, Gender, and Pain SIG of the IASP. Studying sex and gender differences in pain and analgesia: a consensus report. Pain. 2007 Nov;132 Suppl 1(Suppl 1):S26-S45. doi: 10.1016/j.pain.2007.10.014. Epub 2007 Oct 25. PMID: 17964077; PMCID: PMC2823483.

(3) M Ellsberg, H Jansen, L Heise, et al. Intimate partner violence and women’s physical and mental health in the WHO multi-country study on women’s health and domestic violence: an observational study Lancet, 371 (2008), pp. 1165-1172

Posted by Christine Pope on in Detoxification, Energy, Environment, exercise, Fasting, Nutrition, Research, Sleep, stress

Six ways to increase your energy

One of the most common reasons for people to see a naturopath is that they are really tired and lack energy. If you are feeling like this at the moment its important to understand why your energy is low but there are also several things you can introduce which may help improve your energy levels on a permanent basis.

The area of the body that produces energy is a component of each cell called a mitochondria, think of them like little factories. As we get older the number of mitochondria in the body can reduce, typically we see a halving of the levels between 20-40 and then again by the time we reach 70. These mitochondria can also be damaged by a range of environmental factors which means they don’t work as effectively and produce less energy.

There are a number of “hacks” which can improve both the number of these little factories and also the quality. Most people are aware of the benefits of regular exercise however they may not be aware that muscle cells will build more mitochondria as a result and they will operate more effectively. However often when people are really fatigued they are not in a position to exercise so these are my top six strategies for improving cellular energy. There are other strategies however this list focuses on those with minimal costs.

  1. Thirty minutes of daylight as close to waking as possible. This is an invaluable reset for your body’s circadian rhythms and helps you produce a reasonable amount of melatonin. Melatonin is important to generate sleep but turns out it also helps with cell repair and can improve energy. Literally one week of eating my breakfast outside followed by a short walk saw a significant improvement in my energy levels.
  2. Mild stressors for the body such as cold can improve energy quality. Its really important with this strategy to start with a very modest amount and slowly increase. A cold swim in a mountain stream might be the goal but start by having a minute or two of your shower with cold water. If you are very temperature sensitive start with it on your arms and legs and then gradually move to the trunk.
  3. Eat in a 11-12 hour window. Allow the bodies waste systems to function effectively by giving them a reasonable window to operate with. This is particularly important if you suffer from brain fog as a result of tiredness. This is really fairly straightforward and may just see you have breakfast at 8am and dinner at 7pm.
  4. Reduce your exposure to blue light from computers and devices. This could involve using blue light blocking glasses however a lower cost solution is as simple as switching off all devices at least one hour before your bedtime. Blue light blocks the production of melatonin and results in more difficulty in getting to sleep. Low melatonin will also reduce the ability of the mitochondria to repair themselves and result in a worsening of fatigue.
  5. Sleep in complete darkness using blockout curtains and turning off all lights and devices. Good quality sleep is essential for energy as cell repair happens during our deep REM cycles. Typically if you aim for 7-8 hours of sleep you will have between 3-5 REM cycles. Each cycle tends to be longer with the first being about 90 minutes. For more information on improving your sleep quality read my blogs on Can you build up sleep Pressure and Six Sleep Myths Debunked
  6. Reduce inflammation in your diet as much as possible. Chronic inflammation reduces your ability to produce energy in your cells. The first step could be avoiding any known allergens or intolerances and the second to try and ensure that you are having at least three cups of vegetables a day. For more information on reducing inflammation my blog on Post Viral Fatigue has some useful resources. More generally to understand which vegetables are most useful for your health What are the best vegetables for feeding your gut ?

There are also a range of strategies to improve energy using tailored diet plans and supplements however these need to be prepared in consultation with a practitioner to ensure that underlying triggers are identified and addressed.

Christine Pope is a naturopath and nutritionist based at Elemental Health at St Ives. You can make appointments on 02 8084 0081 on online at Elemental Health .

Posted by Christine Pope on in Health Care, Sleep, stress

Six sleep myths debunked

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Sometimes I think we are dealing with an epidemic of insomnia. The number of people that I see who have problems falling asleep or staying asleep is concerning. Recently I was fortunate enough to go to a seminar by a Sleep Physician which looked at all the research on sleep and I was surprised to find that some of my beliefs around sleep had in fact no basis in reality whereas other areas were more critical than I thought. Let’s start with some of the myths that originated from the Puritans.

  1. 16 hours awake, 8 hours asleep. This myth originates from a time of the Puritanical work ethic but is the root belief that we need 8 hours of sleep is derived from this time period.
  2. Sleep before midnight is more valuable – well actually no if you are a night owl trying to get to sleep earlier may result in more stress and less valuable sleep than if you work with your natural time clock. Going to bed at twelve and waking at eight may be a much better fit for you and result in better energy through the day. However if you need to get up early on a regular basis you may need to wind bedtime back to an earlier time to operate effectively.
  3. Waking is not normal. Actually the evidence shows we start with a deeper sleep cycle that gets progressively lighter and we usually experience up to 4 of these a night. For women over fifty it is normal to have the cycle peak and result in waking at least two to four times a night. Being stressed about waking will probably extend the period between cycles.
  4. Screens affect sleep . I have always told people that screens in the bedroom are not a healthy option either for their relationships or their sleep patterns. Turns out that it is partially right. TV screens at a distance are actually much less problematic than devices close up, largely due to the blue light of the devices. This blue light triggers wakefulness and can affect sleep adversely. Also the noises that most phone make even on silent can interrupt sleep.
  5. Eating impacts sleep but primarily if it represents a change in routine. Eating dinner at eight or nine isn’t a problem as long as its your regular option. The body will produce digestive enzymes in accordance with your regular routine. Its only when you change your routine that it may impact your sleep.
  6. Wake up refreshed actually less than 3% of people wake up like that. For most of us it takes two hours to get to 80% of your cognitive ability. Give yourself time to wake up in the morning before kicking into work mode.

For a lot more useful information about sleep check out the website sleephub.com for a variety of podcasts and other resources. Lets hope in future you wake up more like this.

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Hopefully after reviewing these myths and making a few changes you will start to feel as though you are having better quality sleep. If not make an appointment to see me and see how we can work on the causes of poor quality sleep. Appointments can be made on 8084 0081 or online at the website