Life style doesn’t seem to effect it.
I grew up in a family that didn’t believe in ADHD so I would cope with excessive amounts of caffeine. It’s definitely worth looking into if you have the slightest suspicion.
Also don’t get too caught up in passing the MSLT. Personally, I think it’s barely medical science, but it’s a part of getting a diagnosis and some insights into how your brain is (or isn’t) sleeping.
Completely changed my life!
Turns out there is some connection to narcolepsy and ADHD (Huberman talks about this on his podcast), and it makes sense.
Anecdotally, other people I know who’ve been diagnosed with CFS or ME tend to exhibit similar ADHD-like patterns. Maybe there’s something to that. Certainly worth exploring further.
1. Sleep is massively important. Not getting enough, sleep Apnea, and other things that mess with sleep will lead to feeling tired.
2. Diet matters. What most people consider healthy is often not all that healthy. You can read about the gut/brain connection. To keep the gut in healthy shape you needs plenty of fiber and micro nutrients found in things like vegetables and whole grains. Doctors aren't trained much in this stuff but nutritionists are.
3. I personally found that drinking too much coffee lead to it. I almost needed the coffee to feel awake. When I broke myself of that (I have limited amounts of coffee now) I had more energy. I cut off coffee cold turkey. Was not fun.
4. ADHD can lead to feeling tired.
There are exceptions but for the most part I'm almost never tired during the day anymore unless I worked out a lot. My energy isn't exactly bouncing me off any walls but it's a noticable improvement.