You are exhausted from the moment you wake up, but the second your head hits the pillow you are wired. Your doctor calls it stress or anxiety. It is not. It is your body running the whole day on stress hormones because the metabolic engine underneath has gone too quiet to fuel you.
You jolt awake at 3am, heart slamming, wired and exhausted at the same time. Your doctor calls it anxiety. It is not. It is your body burning stress hormones to keep you alive overnight because the metabolic engine underneath has gone quiet.
After an extended fast, some patients come out of refeed puffier than they went in, with sustained high blood pressure, anxiety, and post-fast weight rebound. The mechanism is an enzyme called 11β-HSD2 that gets stuck in the off position. This article explains the science and the protocol stack that resets it.