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Busting 12 Common Birth Control Myths

Busting 12 Common Birth Control Myths

In the past year, legislatures across the U.S. have been making access to birth control more difficult and passing bills that compromise women’s reproductive freedom. Scare tactics and horror stories abound, and whether it’s on the news or on your Facebook feed, it can be hard to separate fact from fiction. It’s the adult equivalent of learning sex ed from an older kid on the playground, and usually just as accurate! Let’s cut through all the misinformation and get straight to the facts, busting 12 of the most common birth control myths.

1. Birth control makes you gain weight.

“I don’t want to get fat” is a depressing and, in the end, inaccurate rationale for not using birth control. A 2011 meta-analysis of 49 studies that tracked women on a variety of birth control methods (as well as taking placebos) found no overall evidence that birth control is linked to weight gain. Yes, a 2009 study in the American Journal of Obstetrics and Gynecology did find that women using Depo-Provera (the birth control shot) gained an average of 11 pounds over three years. But there are plenty of other options out there when it comes to preventing unwanted pregnancies. If you’re concerned about weight gain, bring it up with your MD when you’re talking about birth control. And let’s not forget: condom use is not associated with weight gain, either.

2. You don’t need to use birth control if you’re breastfeeding.

Tell that to moms who have one kid in first grade… and another in kindergarten. If you only breastfeed (which means pumping and storing when you’re not around, absolutely zero formula), it can suppress the hormones secreted by your pituitary gland that make you ovulate. If you breastfeed sometimes but use formula at others, you definitely run a risk of becoming pregnant if you have unprotected sex. While it is true that there are forms of birth control that you should not use when you’re breastfeeding (e.g., hormonal birth control that releases estrogen, which can cause lactation to drop off), there are options that are safe. Pills that are progestin only (sometimes called the “mini pill”) and non-hormonal methods of birth control are options that are totally okay for nursing moms.

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3. Emergency contraception (the “morning after” pill) is an “abortion pill.”

There have been major culture wars over the availability of emergency contraception (the most common brand is Plan B One-Step, but there are others out there as well as generics). One tactic that opponents often use to scare women away from the “morning after” pill is to characterize it as an “abortion pill.” Here’s the thing: Emergency contraception literally cannot terminate an existing pregnancy. “Morning after” pills work by trying to impede fertilization (by making it harder for sperm to move, for example) and/or ovulation (keeping an egg from being released). If pregnancy has already occurred, emergency contraception can’t work. You don’t get pregnant the second a condom breaks, or you forget to take the pill—it takes a little time (though not a ton), which is why you’ve got a window of less than 120 hours to take emergency contraception. The “morning after” pill isn’t something you should use as your go-to form of birth control (there’s a reason it’s not called “Plan A”), but it is a good thing to keep on hand should your regular method of birth control fail.

4. Taking the Pill at the same time every day makes it more effective.

Nope! What’s important is just that you take it every day, and yes, if you make it part of your daily routine, it’s easier to remember. But if you’re on a regular Pill (i.e., one that contains both estrogen and progestin), it’s not a big deal if you’re off by a few hours. If you’re on a progestin-only pill (the “mini pill”) you do need to take the pill on a regular schedule. Forget a pill? If it’s been less than 24 hours, take it as soon as you realize your mistake. Use condoms or another back-up form of birth control for the next seven days; if you had unprotected sex during the interval when you missed your pill, picking up emergency contraception may be a good idea, too. Put in a call to your ob-gyn if you’re not sure what to do.

5. Being on the Pill for a long time makes it harder to conceive when you’re ready.

The corollary to this myth is that you can’t get pregnant for a while after you stop taking birth control—but like we just said, it’s possible to get pregnant even if you’ve missed one pill. With any hormonal contraceptive (except for Depo-Provera, aka the shot), it’s possible to become pregnant as soon as you go off of birth control. If you’re considering starting a family (or adding to one), make sure you’re really ready, because there’s no buffer zone. Yes, it may take time for you to conceive, but you could also conceive right away. The major takeaway here is that being on birth control now should not impact your plans for having children later—contraception won’t impact your fertility.

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6. It’s unhealthy to use birth control to skip your period.

It seems natural to have your period every month, but in reality, if you haven’t ovulated, you don’t need to have a period. The period you get when you take the placebo pills? It’s not even a “real” period—it’s just your body going through withdrawal from not having the estrogen and progestin that come with most hormonal birth control methods. If you’re a healthy nonsmoker (which you should be, if you’re on hormonal birth control), you’re probably totally okay skipping a period (or two, or more). Not sure how to do it with your birth control? Ask your gynecologist for advice. And don’t worry—despite that SNL “Annuale” sketch, having fewer periods will not turn you into a wolf man.

7. IUDs are only for women who are done having children.

Actually, IUDs (intrauterine devices) are an extremely effective form of birth control (99 percent effective, as a matter of fact), and can work for everybody. A 2013 study published in the journal Obstetrics & Gynecology specifically recommends IUDs as a safe, effective option for sexually active teens and young adults. Though doctors in the past believed that IUDs were dangerous for teens, this study found (as others have) that IUDs aren’t terribly risky for women of any age. That may be one reason why, according to numbers from the Guttmacher Institute, the use of IUDs and implants has nearly doubled since 2007. The idea that IUDs are only for when you’re “finished” with your family may have stuck around simply because IUDs can last so long. Copper IUDs (like Paragard) prevent fertilization without hormones, and can last up to ten years. IUDs that use progestin (like Mirena and Skyla) don’t even make it half that long, but that still means they remain effective for years. Though they do not provide protection against STIs, IUDs are a solid choice when it comes to contraception.

8. Sometimes your body needs a break from birth control.

This is the same idea as “your body can become addicted to birth control,” and neither one is true. So long as you’re healthy, there’s no medical reason why your body needs a vacation from hormonal birth control. Remember too that if you do give yourself a “break” and you’re sexually active, you’re at risk of becoming pregnant (see #5). If you are concerned about the potential effects of taking birth control long-term, talk to your doctor. It’s not a bad idea to reassess your contraception needs every few years anyway, as your needs and lifestyle change, not to mention as new options become available.

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9. The pill increases your cancer risk.

The pill is often accused of causing many other forms of illness, but the scariest to hear about is cancer—especially because as soon as you start hearing that maybe the pill isn’t linked to one form of cancer, it feels like someone’s telling you it’s linked to another one. Here’s the thing though: research has shown over and over again that generally speaking, the pill does not increase your overall cancer risk, and it certainly doesn’t “cause cancer.” The reality is much more complicated. In some cases, the pill may have the opposite effect. A 2009 meta-analysis of 20 studies that looked at the relationship between the risk of developing colorectal cancer and taking the pill actually showed an 18% reduction in risk. That finding held regardless of whether women had recently started taking the pill or had been on it for years.

Pill use has also been connected to a 50% reduced risk of developing endometrial cancer by 50%, with protective effects lasting up to 20 years after stopping the pill. A similar 33% reduction in the risk of ovarian or uterine cancer has been found for pill users, with a protective effect reaching out to 30 years. While some studies (including one published in 2009 in the journal Cancer Epidemiology, Biomarkers & Prevention and a 2014 study in Cancer Research) have found an increased risk of some forms of breast cancer for pill users, doctors still agree that given the relative rarity of breast cancer among young women and the pill’s other benefits, there is not strong enough evidence to make a recommendation against using the pill. Increased breast cancer risk is most commonly linked to birth control pills with high levels of estrogen, which are relatively uncommon now. If you are concerned about your breast cancer risk (like if you have a family history of breast cancer), talk to your doctor about non-hormonal or progestin-only birth control options.

10. An IUD will puncture your uterus.

If you watch late night TV, chances are you’ve seen scary ads that make it seem like women are constantly being injured by IUDs (and that certain brands, like Mirena, have a higher incidence of problems). This can make it sound like an IUD is a pretty risky idea (see #7—it’s not). Research has found that IUD perforations do happen, but it’s at a rate of 0.4 per 1,000 insertions—and it’s even more rare that there are any severe or lasting complications. No brand has a higher rate of perforations than others. Looking at 90,000 women ages 15–44 who used IUDs, the 2013 Obstetrics & Gynecology study mentioned above found that less than one percent had serious complications as result of IUDs. Though many women do experience pain and cramping when an IUD is inserted, having the IUD puncture your uterus is a relatively unlikely worst case scenario. If you’re worried about it, research your physician options, and choose someone who has experience inserting IUDs. After your insertion, schedule a follow-up appointment in a month or so to double-check that everything’s okay and give you peace of mind.

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11. All birth control is now free.

Free birth control remains one of the most controversial aspects of the Affordable Care Act, and thanks to our good friends at Hobby Lobby (it should be obvious, but that was sarcasm), if your employer manages to get a religious exemption, your birth control may not be covered even post-ACA. While your insurance should cover free birth control, you’ll need to check the fine print to make sure your birth control is covered. You may not be covered until your plan renews, for example, or only the generic of some forms of birth control may be included in your plan. It’s annoying, but don’t let red tape stop you from getting what you’re paying for (because yes, even if your birth control is “free,” chances are you’re still paying out-of-pocket for some of the cost of your insurance plan).

12. Access to birth control leads to more unplanned pregnancies.

This is probably the biggest myth of all, and one that is used over and over again as a reason to restrict women’s access to birth control. Yet study after study shows that it’s simply not true. Researchers at the Center for Disease Control found that the national abortion rate has dropped five percent in the past year. Coincidence? No, the Affordable Care Act, despite its flaws, has made birth control much more accessible. This is exactly what a study out of St. Louis’ Washington University School of Medicine projected. The researchers helped over 9,000 women (2/3 of whom had previously had an unplanned pregnancy) enroll in the Contraceptive Choice Project, a program that provides free birth control to uninsured women. Women could choose which form of birth control they would like to use (3/4 chose IUDs). The researchers tracked the women for three years, and found that the women experienced far fewer unplanned pregnancies. The number of STIs contracted remained stable, but critics would have predicted an increase (the belief that access to birth control leads to riskier sexual behavior). The women in the study also had between 41 and 75 percent fewer abortions than the national average. The researchers predicted that widening access to free, effective birth control could prevent abortions—and lo and behold, it has. Doctors at the American College of Obstetricians and Gynecologists actually argue that were birth control pills made available over the counter, the country’s abortion rates could go even lower. As we head into midterm election season and the political ads start flying fast and loose, it’s definitely food for thought.

Featured photo credit: Charlotte Cooper via flickr.com

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Last Updated on March 30, 2020

Why You’re Feeling Tired All the Time (And What to Do About It)

Why You’re Feeling Tired All the Time (And What to Do About It)

Feeling tired all the time?

Have you ever caught yourself nodding off when you’re watching TV, listening to someone drone on during a meeting or even driving a car?

I know I have, especially when I worked 70 hours per week as a High-Tech Executive.

Feeling tired all the time may be more widespread than you think. In fact, two-fifths of Americans are tired most of the week.[1]

If you’re tired of feeling tired, then I’ve got some great news for you. New research is helping us gain critical insights into the underlying causes of feeling tired all the time.

In this article, we’ll discuss the latest reasons why you’re feeling tired all the time and practical steps you can take to finally get to the bottom of your fatigue and feel rested.

What Happens When You’re Too Tired

If you sleep just two hours less than the normal eight hours, you could be as impaired as someone who has consumed up to three beers.[2] And you’ve probably experienced the impact yourself.

Here are some common examples of what happens when you’re feeling tired:[3]

  • You may have trouble focusing because memory and learning functions may be impaired within your brain.
  • You may experience mood swings and an inability to differentiate between what’s important and what’s not because your brain’s neurotransmitters are misfiring.
  • You may get dark circles under your eyes and/or your skin make look dull and lackluster in the short term and over time your skin may get wrinkles and show signs of aging because your body didn’t have time to remove toxins during sleep.
  • You may find it more difficult to exercise or to perform any type of athletic activity.
  • Your immune system may weaken causing you to pick up infections more easily.
  • You may overeat because not getting enough sleep activates the body’s endocannabinoids even when you’re not hungry.
  • Your metabolism slows down so what you eat is more likely to be stored as belly fat.

Are you saying that feeling tired can make me overweight?

Unfortunately, yes!

Feeling tired all the time can cause you to put on the pounds especially around your waist. But it is a classic chicken and egg situation, too.

Heavier people are more likely to feel fatigued during the day than lighter ones. And that’s even true for overweight people who don’t have sleep apnea (source: National Institutes of Health).

Speaking of sleep apnea, you may be wondering if that or something else is causing you to feel tired all the time.

Why Are you Feeling Tired All the Time?

Leading experts are starting to recognize that there are three primary reasons people feel tired on a regular basis: sleep deprivation, fatigue and Chronic Fatigue Syndrome (CFS).

Here’s a quick overview of each root cause of feeling tired all of the time:

  1. Tiredness occurs from sleep deprivation when you don’t get high-quality sleep consistently. It typically can be solved by changing your routine and getting enough deep restorative sleep.
  2. Fatigue occurs from prolonged sleeplessness which could be triggered by numerous issues such as mental health issues, long-term illness, fibromyalgia, obesity, sleep apnea or stress. It typically can be improved by changing your lifestyle and using sleep aids or treatments, if recommended by your physician.
  3. Chronic Fatigue Syndrome (CFS) is a medical condition also known as Myalgic Encephalomyelitis that occurs from persistent exhaustion that doesn’t go away with sleep.

The exact cause of CFS is not known, but it may be due to problems with the immune system, a bacterial infection, a hormone imbalance or emotional trauma.

It typically involves working with a doctor to rule out other illnesses before diagnosing and treating CFS.[4]

Always consult a physician to get a personal diagnosis about why you are feeling tired, especially if it is a severe condition.

Feeling Tired vs Being Fatigued

If lack of quality sleep doesn’t seem to be the root cause for you, then it’s time to explore fatigue as the reason you are frequently feeling tired.

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Until recently, tiredness and fatigue were thought to be interchangeable. Leading experts now realize that tiredness and fatigue are different.

Tiredness is primarily about lack of sleep.

But fatigue is a perceived feeling of being tired that is much more likely to occur in people who have depression, anxiety or emotional stress and/or are overweight and physically inactive (source: Science Direct).

Symptoms of fatigue include:

  • Difficulty concentrating
  • Low stamina
  • Difficulty sleeping
  • Anxiety
  • Low motivation

These symptoms may sound similar to those of tiredness but they usually last longer and are more intense.

Unfortunately, there is no definitive reason why fatigue occurs because it can be a symptom of an emotional or physical illness. But there are still a number of steps you can take to reduce difficult symptoms by making a few simple lifestyle changes.

How Much Sleep Is Enough?

The number one reason you may feel tired is because of sleep deprivation which means you are not getting enough high-quality sleep.

Most adults need 7 to 9 hours of high-quality, uninterrupted sleep per night. If you’re sleep deprived, the amount of sleep you need increases.

So, quantity and quality do matter when it comes to sleep.

The key to quality sleep is being able to get long, uninterrupted sleep cycles throughout the night. It typically takes 90 minutes for you to reach a state of deep REM sleep where your body’s healing crew goes to work.

Ideally, you want to get at least 3 to 4 deep REM sleep cycles in per night. That’s why it’s so important to stay asleep for 7 or more hours.

Research also shows that people who think they can get by on less sleep don’t perform as well as people who get at least seven hours of sleep a night[5] So, you should definitely plan on getting seven hours of deep restorative sleep every night.

If you are not getting 7 hours of high-quality sleep regularly, then sleep deprivation is most likely reason you feel tired all the time.

And that is good news because sleep deprivation is much simpler and easier to address than the other root causes.

It’s also a good idea to rule out sleep deprivation as the reason why you are tired before moving on to the other possibilities such as fatigue or Chronic Fatigue Syndrome, which may require a doctor for diagnosis and treatment.

4 Simple Changes to Reduce Fatigue

Personally, I’m a big believer in upgrading your lifestyle to uplift your life. I overcame chronic stress and exhaustion by making these four changes to my lifestyle:

  1. Eating healthy, home-cooked meals versus microwaving processed foods or eating out
  2. Exercising regularly
  3. Using stressbusters
  4. Creating a bedtime routine to sleep better

So, I know it is possible to change your lifestyle even when you’re working crazy hours and have lots of family responsibilities.

After I made the 4 simple changes in my lifestyle, I no longer felt exhausted all of the time.

In addition, I lost two inches off my waist and looked and felt better than ever.

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I was so excited that I wanted to help others replace stress and exhaustion with rest and well-being, too. That’s why I became a Certified Holistic Wellness Coach through the Dr. Sears Wellness Institute.

Interestingly enough, I discovered that Dr. Sears recommends a somewhat similar L.E.A.N. lifestyle:

  • L is for Lifestyle and means living healthy including getting enough sleep.
  • E is for Exercise and means getting at least 20 minutes of exercise a day ideally for six days a week.
  • A is for Attitude and means thinking positive and reducing stress whenever possible.
  • N is for Nutrition and means emphasizing a right-fat diet, not a low-fat diet.

The L.E.A.N. lifestyle is a scientifically-proven way to reduce fatigue, get to the optimal weight and to achieve overall wellness.[6]

And yes, there does seem to be an important correlation between being lean and feeling rested.

But overall based on my personal experience and Dr. Sear’s scientific proof, the key to not feeling tired all of the time does seem to be 4 simple changes to your lifestyle.

L — Living Healthy

Getting enough high-quality sleep every day is the surefire way to help you feel less fatigued, more rested and better overall.

So, whether you’re sleep deprived or potentially suffering from fatigue or Chronic Fatigue Syndrome, you probably want to find a way to sleep better.

In fact, if you aren’t getting enough sleep, your body isn’t getting the time it needs to repair itself; meaning that if you are suffering from an illness, it’s far more likely to linger.

As unlikely as it sounds, though, fatigue can sometimes make it difficult to sleep. That’s why I’d recommend taking a look at your bedtime routine before you go to bed and optimize it based on sleep best practices.

Here are 3 quick and easy tips for creating a pro-sleep bedtime routine:

1. Unplug

Many of us try to unwind by watching TV or doing something on an iPhone or tablet. But tech can affect your melatonin production due to the blue light that they emit, fooling your body into thinking it’s still daytime.

So turn off all tech one hour before bed and create a tech-free zone in your bedroom.

2. Unwind

Do something to relax.

Use the time before bed to do something you find relaxing such as reading a book, listening to soothing music, meditating or taking an Epsom salt bath.

3. Get Comfortable

Ensure your bed is comfortable and your room is set up for sleep.

Make sure you room is cool. 60-68 degrees is the ideal temperature for most people to sleep.

Also, it’s ideal if your bedroom is dark and there is no noise.

Finally, make sure everything is handled (e.g., laying out tomorrow’s clothes) before you get into your nice, comfy bed.

If your mind is still active, write a to-do list to help you fall asleep faster.[7]

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Above all, be gentle with yourself and count your blessings, some sheep or whatever helps.

This article also offers practical tips to build a bedtime routine: How to Build a Good Bedtime Routine That Makes Your Morning Easier

E — Exercise

Many people know that exercise is good for them, but just can’t figure out how to fit it into their busy schedules.

That’s what happened in my case.

But when my chronic stress and exhaustion turned into systemic inflammation (which can lead to major diseases like Alzheimer’s), I realized it was time to change my lifestyle.

As part of my lifestyle upgrade, I knew I needed to move more.

My friends who exercise all gave me the same advice: find an exercise you like to do and find a specific time in your schedule when you can consistently do it.

That made sense to me.

So, I decided to swim.

I used to love to swim when I was young, but I hadn’t done it for years. The best time for me to do it was immediately after work, since I could easily get an open swim lane at my local fitness club then.

Also, swimming became a nice reason for me to leave work on time. And I got to enjoy a nice workout before eating dinner.

Swimming is a good way to get your cardio or endurance training. But, walking, running and dancing are nice alternatives.

So find an exercise you love and stick to it. Ideally, get a combination of endurance training, strength training and flexibility training in during your daily 20-minute workout.

If you haven’t exercised in a while and have a lot of stress in your life, you may want to give yoga a try because you will increase your flexibility and lower your stress.

A — Attitude

Stress may be a major reason why you aren’t feeling well all of the time. At least that was the case with me.

When I worked 70 hours per week as a High-Tech Executive, I felt chronically stressed and exhausted. But there was one thing that always worked to help me feel calmer and less fatigued.

Do you want to know what that master stress-busting technique was?

Breathing.

But not just any old breathing. It was a special form of deep Yogic breathing called the “Long-Exhale Breathing” or “4-7-8 breathing” or “Pranayama” in Sanskrit).

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Here’s how you do “Long-Exhale Breathing”:

  1. Sit in a comfortable position with your spine straight and your hand on your tummy (so you know you are breathing deeply from your diaphragm and not shallowly from your chest)
  2. Breathe in deeply and slowly from your diaphragm with your mouth closed while you count to 4 (ideally until your stomach feels full of air)
  3. Hold your breath while you count to 7 mentally and enjoy the stillness
  4. Breathe out through your mouth with a “ha” sound while you count to 8 (or until your stomach has no more air in it)
  5. Pause after you finish your exhale while you notice the sense of wholeness and relaxation from completing one conscious, deep, long exhale breath
  6. Repeat 3 times ensuring your exhale is longer than your inhale so you relax your nervous system

This type of “long-exhale breathing” is scientifically proven to reduce stress.

When your exhale is twice as long as your inhale, it soothes your parasympathetic nervous system, which regulates the relaxation response.[8]

Plus, this is a great technique for helping you get to sleep, too.

N — Nutrition

Diet is vital for beating fatigue – after all, food is your main source of energy.

If your diet is poor, then it implies you’re not getting the nutrients you need to sustain healthy energy levels.

Eating a diet for fatigue doesn’t need to be complicated, time-consuming though.

For most people, it’s just a case of swapping a few unhealthy foods for a few healthier ones, like switching from low-fiber, processed foods to whole, high-fiber foods.

Unless your current diet is solely made up of fast food and ready meals, adjusting to a fatigue-fighting diet shouldn’t be too much of a shock to the system.

Here’re 9 simple diet swaps you can make today:

  1. Replace your morning coffee with Matcha green tea and drink only herbal tea within six hours of bedtime.
  2. Add a healthy fat or protein to your any carb you eat, especially if you eat before bed. Please note that carb-only snacks lead to blood-sugar crashes that can make you eat more and they can keep you from sleeping.
  3. Fill up with fiber especially green leafy vegetables. Strive to get at least 25g per day with at least 5 servings (a serving is the size of your fist) of green vegetables.
  4. Replace refined, processed, low-fiber pastas and grains with zucchini noodles and whole grains such as buckwheat, quinoa, sorghum, oats, amaranth, millet, teff, brown rice and corn.
  5. Swap natural sweeteners for refined sugars and try to ensure you don’t get more than 25g of sugar a day if you are a woman and 30g of sugar a day if you are a man.
  6. Replace ice cream with low-sugar alternatives such as So Delicious Dairy-Free Vanilla Bean Coconut Ice Cream.
  7. Swap omega-6, partially-hydrogenated oils such as corn, palm, sunflower, safflower, cotton, canola and soybean oil for omega-3 oils such as flax, olive and nut oils.
  8. Replace high-sugar yoghurts with low-sugar, dairy-free yoghurts such as Kite Hill Plain Yoghurt with 1g sugar or Lifeway Farmer Cheese with 0g sugar.
  9. Swap your sugar-laden soda for sparkling water with a splash of low-sugar juice

Also, ensure your diet is giving you enough of the daily essential vitamins and minerals. Most of us don’t get enough Vitamin D, Vitamin B-12, Calcium, Iron and Magnesium. If you are low on any of the above vitamins and minerals, you may experience fatigue and low energy.

That’s why it’s always worth having your doctor check your levels. If you find any of them are low, then try to eat foods rich in them.

Alternatively, you might consider a high-quality multi-vitamin or specific supplement.

The Bottom Line

If you are tired of feeling tired, then there is tremendous hope.

If you are tired because you are not getting enough high-quality sleep, then the best remedy is a bedtime routine based on sleep best practices.

If you are tired because you have stress and fatigue, then the best remedy are four simple lifestyle changes including:

  • Enough High-Quality Sleep with Bedtime Routine
  • Regular Exercise You Love
  • Stress Reduction with Long-Exhale Breathing
  • Fatigue-Reducing Diet

Overall, adopting a healthier lifestyle Is the ideal remedy for feeling more rested and energized.

More Tips to Help You Rest Better

Featured photo credit: Cris Saur via unsplash.com

Reference

[1] YouGov: Two-fifths of Americans are tired most of the week
[2] National Safety Council: Is Your Company Confronting Workplace Fatigue?
[3] The New York Times: Why Are We So Freaking Tired?
[4] Mayo Clinic: Chronic fatigue syndrome
[5] Mayo Clinic: Lack of sleep: Can it make you sick?
[6] Ask Dr. Sears: The L.E.A.N. Lifestyle
[7] American Psychological Association: Getting a Good Night’s Sleep
[8] Yoga International: Learning to Exhale: 2-to-1 Breathing

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