> How many of us are just chronically tired?Probably a lot of us, especially parents of small children.
I've also been struggling with sleep for the past five or six years, waking up in the middle of the night feeling strangely wired up. With a lot of trial and error I've been improving the quality of my sleep.
Three years ago I went to a sleep clinic because I noticed symptoms of sleep apnea and they were able to confirm it and prescribe a CPAP machine, for which I am grateful, but the overall experience was disappointing. When I explained during the follow up that I still was waking up at night feeling stressed they brushed me off and suggested some herbal remedy. It turns out that the pressure they had prescribed me was laughably off, which I only learned through trial and error for a period of two years until I found what works for me -- almost twice what they prescribed.
You mention some factors that I've also noticed having a big impact, like stress/work, walking outdoors (1hr minimum for me), stretching, foam rolling, early dinners, and only drinking one cup of coffee first thing in the morning. Another one that seems to have a weirdly strong impact is what I eat for dinner, with legumes/beans being by far the most beneficial -- maybe something to do with blood glucose during the night?
Doctors will often recommend exercise, but I find that these days even moderately strenuous exercise like riding a bicycle destroys my sleep quality for several days. There's something about it that appears to be too physiologically stressing, even though ten years ago I was a happy as a regular gymgoer.