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Spent:
An Epidemic of Exhaustion
When the alarm rings, Emily groans and hits the snooze button. Lying there dreading the second ring, she feels dead on her feet before she is even on them. As she eases out of bed, she is aware of her stiff back, sore hips, and tight neck and shoulders. She shuffles to the bathroom to brush her teeth and, looking in the mirror, notices that her puffy eyes don’t look as clear as they once did. Her hair and skin have become dull. She wonders if another cream or exercise regime might bring some life back into her. Then she heads to the kitchen for a bagel, a doughnut, maybe cereal with fruit and milk, or sometimes just a boost of caffeine. As she sips her coffee, she is assaulted with the daily TV or newspaper report of the latest tragedy, celebrity adventure, and clothes, cars, and products she should buy. Bolstered with caffeine, carbs, and sugar, or sometimes on an empty stomach, the daily scramble begins—whether it begins with going to work or getting the kids off to school, there are a multitude of responsibilities facing her. She heads out the door already haunted by guilt over things that will be left undone. But she soldiers on, diving into a day that is sure to be spent at a frantic pace—fending off and engaging with e-mails, phone calls, bills, employers and employees, children’s schoolwork, family projects, and her husband’s life.
Emily gets to work and her caffeine buzz might have her a little up, but an hour later she feels as if she has already been working for eight hours. Her thinking feels fuzzy. Her boss asks her a simple question, and even though somewhere in her brain she knows she has the answer, she can’t think of it. These days her memory is unreliable. And so is her ability to concentrate—regular tasks take much longer to accomplish.
What does Emily do to deal with this debilitating combination of stress, fog, and fatigue? She does whatever it takes to get her through the day. She eats snacks full of sugar. She drinks—more coffee or soda. She smokes. She takes a tranquilizer. She exercises. She calls her therapist to up her antidepressant. But none of these “fixes” seems to last very long—a few hours or maybe a day. Maybe every once in a while she gets lucky and hits a combination that works for a week or so, but before she knows it, fatigue and stress are once again pounding on her front door.
At the end of the day, Emily drags herself home, too tired to take pleasure in her family, too beat to go out and enjoy the company of friends. In fact, just about everything feels like a chore these days. When the phone rings, it seems more like an imposition rather than an opportunity to connect. And nothing—from a bath to a day off work—seems to restore her. Things that used to energize her seem arduous or just supply a quick rush of adrenaline with no lasting sense of rejuvenation. And activities she used to enjoy—even sex—feel like too much effort. So Emily spends many of her evenings draped on her couch barely awake in front of the TV. Then, like a cruel joke, when it is time for bed, she can’t fall asleep—no matter how exhausted she is. Or, if and when Emily finally does fall asleep, she doesn’t sleep soundly. The cycle continues. Instead of refreshed and alert, she wakes up the following morning feeling groggy and tired.
After a few months of this seemingly endless fatigue, unexplainable physical aches, and a few colds in quick succession, Emily decides to see her doctor. After running some blood and other diagnostic tests, he tells her there is nothing wrong. He says that she is just getting older and hands her a prescription for the latest anti-inflammatory pill. So she goes to another physician, who tells her that she has a “chemical imbalance” and perhaps a new kind of sleeping pill or a different antidepressant drug might help. When she tells him she has tried all these pills in the last few months and is actually feeling worse, he says she needs a vacation. But she knows something is not right even though both doctors give her a clean bill of health, and that’s when she comes to see me. I tell Emily that I know what this bone-weary, awful funk is because I see it all the time—and have been treating patients for it for more than twenty years.
Since I began practicing medicine in New York in the 1980s, I have noticed this alarming health trend. Despite being apparently disease-free and in the prime of their lives, people in their thirties, forties, and fifties have come to see me in disturbingly increasing numbers for help with similar complaints. An unbelievable 75 percent of the people I treat are overwhelmed, exhausted, and afflicted with this disorder that makes them feel decades older than their years. I call it Spent, because that is how you feel. You don’t have enough wherewithal to live your life. You are running on empty. Your energy account is tapped out. In fact, the first edition of this book was called Spent. But after seeing people experience the program, I knew we needed a title that better explained the results. Revive is what I’ve seen happen again and again when anyone tries this program—they wake up and feel vibrant and alive again, sometimes for the first time in decades.
If you can identify with Emily’s troubling picture and are wondering if you too are suffering from Spent, take this brief quiz.
ARE YOU SPENT?
"Revive is essential reading for anyone feeling exhausted by modern life. Frank Lipman's daily beats are a series of simple steps you can follow to restore and recover your natural rhythms. I can't recommend it enough." (Gwyneth Paltrow)
"Frank Lipman has been our trusted friend and doctor for more than fifteen years. Time and time again, Frank has helped us to restore our bodies to their natural rhythms and health. Revive is his detailed, engaging, and inspiring road map for how to heal your body and sustain your energy for life!" (Kyra Sedgwick and Kevin Bacon)
"When you're running on empty, the first step can be the hardest. In Revive, Dr. Lipman provides 42 options to jump-start your body and keep it cruising." (Mehmet C. Oz, M.D., professor and vice chair of Surgery, New York-Presbyterian Hospital, coauthor of the New York Times bestseller YOU: The Owner's Manual)
"REVIVE is a gold mine of life-enhancing, energy-restoring health wisdom -- all presented in easy-to-follow bite-sized pieces that go down easily. Following the instructions in this book will change your life!" (Christiane Northrup, M.D., author of Mother-Daughter Wisdom and Women's Bodies, Women's Wisdom)
"Depleted, depressed, and dog tired, millions search in the wrong places to find restoration, renewal, and replenishment. You need look no further than Dr. Lipman's groundbreaking solution-oriented program for rebuilding your energy and restoring your body and soul. Revive is a science-based guide to unparalleled wellness. Buy it, use it and you will feel rich, not spent." (Mark Hyman, M.D., author of the New York Times bestselling UltraMetabolism and The UltraSimple Diet)
"We all look to go away to rejuvenate, but the key is how to live in chaos and find the calm. Frank Lipman's Revive is a bible for how to heal and thrive in the midst of it all." (Donna Karan)
"Can we really expect to think and act skillfully with peace and joy while trying to be everything and do it all? No. Revive is a wake-up call and a guide for changing this disastrous direction of living, showing us how to turn our overwhelmed and exhausted bodies and minds into healthy, energized, and thriving selves." (Rodney Yee, author of Yoga: The Poetry of the Body and Moving Toward Balance)
"If you need more vitality and vigor -- and who doesn't? -- Revive is the book for you. This practical guidebook has been crafted and field-tested by Dr. Frank Lipman, one of America's geniuses in helping people renew and balance their lives. Trust it, believe it, use it." (Larry Dossey, M.D., author of Healing Words and The Power of Premonitions)
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