Lethargy after meals/am I eating enough?

Answered on November 20, 2016
Created March 07, 2016 at 4:44 PM

First background info: I had anorexia in the past (10-years-old then a relapse two years ago that I've finally recoered from). My weight is still underweight for my body with 5'6'' height and 113 lbs at 22-years-old. My fat is probably very low since I lost my period for three years and it came back only because I was medically recommended to be on the NuvaRing to protect my bones from the non-existent amount of estrogen (and progesterone) in my body. I got it back with the ring (but it's basically fake).


I'm wondering if I am eating sufficient amount of food. I have gone low-carb with carb refeeding with Japanese sweet potatoes two days/week. I don't track macros, so I'm not sure as to my exact protein, fat, and carb intake. This is what my meals usually look like:

B: two eggs fried with a teaspoon of coconut oil, half an avocado, a teaspoon of royal jelly in raw honey (Y.S. Eco brand), two sheets of nori, two tablespoons of homemade saeurkraut, a cup of homemade kombucha

— I end up feeling super sleepy half an hour later. Eggs have been a recent reintroduction of two months with AIP Paleo

L: Half an avocado, two tablespoons coconut yoghurt, a tablespoon of homemade artichoke hummus (can of artichokes blended with a tablespoon of olive oil and garlic), raw greens, two tablespoons of coconut butter, a cup of kombucha (if I feel like no meat) OR 4 ounces of grilled pasture-raised chicken or wild-caught fish (sardines, salmon, etc.), half an avocado, greens, coconut aminos dulse seaweed

I usually drink some sparkling water with AVC, lemon, and a dash of stevia in between

D: 3-4 ounces of grilled pasture-raised chicken or grass-feed ground beef, greens with avocado, or the fish meal above. I'll have sweet potatoes with ground-beef on my refeed days. I also have a cup of bone broth during dinner.


I am not hungry for snacks although I have been advised to have them as I struggle to gain weight (have been losing). What would you recommend? I am so frustrated and scared. I have been paleo for over four years now. I am AIP except for the eggs and a new reintroduction of seeds (including cacao) that I am trying out. I'm jsut constantly tired and sleepy after breakfast. Usually not after lunch or dinner, but I also have a few pieces of 100% unsweetened chocolate during lunch that may be cutting the lethargy. 



on March 07, 2016
at 05:03 PM

 I also have a cup of riced cauliflower with lunch and dinner when I don't have sweet potatoes. I add in a tablespoon of chlorella and spirulina to my non-meat lunch.

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1 Answers


on November 20, 2016
at 04:01 PM

I know it may seems scary but please research the symptoms of Euthyroid Sick Syndrome and Non-Thyroidal-Illness Hypothyroidism. What you are experiencing is the same thing I experienced on keto/low carb paleo before heading into a downward spiral that I'm still trying to climb out of. It's possible that your ft3 is lowering itself (like a bear preparing for winter) in response to the low amount of carbs making you fatigued. I know it seems crazy counter productive but try adding in 50-100 grams of carbs in the form of glucose (not fructose or sucrose) daily instead of once a week. Eat your starch with plenty of fat or protein to blunt some of the insulin response and report back with how your fatigue levels have either improved or worsened. 

Oh! As for the snacks, I don't really recommend them. But that's purely subjective and anecdotal. I personally would rather have that 1 or 2 meals in a day and don't continue to graze. Keeps blood sugar levels more stable throughout the day so you don't get energy crashes. 

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