jd

Sorry to hear of your struggles.

First, you have a good start by looking to nutrition. I would also add B-6, B-12, folic acid, Omega 3's, and all of the anti-oxidants. Avoid caffeine (one cup of coffee a day)

Regarding fatigue, have you tried keeping a journal? It may help diagnose fatigue triggers. I quickly get fatigued from reading, especially if it is complicated reading.

The other day, I bought a wooded puzzle of an aircraft carrier that was about 100 pieces. It required a lot of visual search8ing on a diagram to find the proper order of parts assembly. It took about 2 1/2 hours. I amazed myself and finished it. The next morning, I was a zombie. I sleep most of the day.

This delayed fatigue is common for me. I did the same after an intense two hour one on one conversation.

So, as you see, there are fatigue trigger that seem to be delayed. There are also sound and visual triggers. Being in an environment where there is visual or auditory stimuli beyond the level that your brain can handle can also cause the fatigue.

My biggest auditory trigger is hearing too many voices like being in a crowd of people where everyone is talking at the same time.

Another cause of fatigue can be poor sleep. Many with a concussion have breathing irregularities. This can be caused by an upper neck injury. If you have someone who can observe you sleep, have them pay attention to your breathing as you sleep. Sometimes, this will just be noticing you stirring as you start gasping for air as your brain restarts your breathing. A common sign of sleep apnea is weird or stressful dreams.

My wife notices me because my stirring causes her to wake up. I go to bed after her so that she is asleep before I get in bed in case I stir while I am falling asleep. I sometimes go through a body jerk period as I fall asleep.

It would help if you posted what symptoms you are experiencing.

I can email you a doc file of a great resource called TBI Survival Guide by Dr Glen Johnson. It used to be available online but the link is malfunctioning. Post your email address with "AT" instead of "@".

Hope this helps.

My best to you.