Managing Breast Cancer Fatigue

Fatigue is a common symptom of breast cancer and one of the most common side effects of breast cancer treatment. In fact, some studies suggest that between 62 and 85 percent of people undergoing cancer treatment report having cancer-related fatigue.

Breast cancer and breast cancer treatments, such as chemotherapy and hormonal therapies, can affect hormone levels. This can lead to inflammation throughout the body and other side effects, all of which can contribute to fatigue.

Studies show that women with breast cancer are most affected by fatigue in the first 6 months following their diagnosis, when treatment is typically most intense. But fatigue can often persist for many months following treatment.

Fatigue differs from just being tired. People with fatigue report not feeling relief even after getting adequate rest and sleep. This type of extreme tiredness often has a profound effect on both physical and emotional health.

Fatigue is often characterised by:

  • lack of energy
  • need to sleep more
  • lack of desire or inability to perform normal daily activities
  • feeling tired even after sleeping
  • trouble thinking or concentrating
  • difficulty finding words

Treating fatigue can be tough and may involve some trial and error and a commitment to a treatment plan. It’s important to work with your cancer care team to come up with a plan to tackle fatigue. The following tips are a good start.

Engage in aerobic exercise

Exercise may be the last thing on your mind when you’re already exhausted. But physical activity is one of the best ways to boost your mood and reduce fatigue over time.

We recommend that people who have been diagnosed with cancer start slow and build up activity with time. The goal is to add in exercise until you reach at least 150 minutes of moderate exercise or 75 minutes of vigorous-intensity activities each week.

Recent research has found that regular aerobic exercise greatly improved cancer-related fatigue and demonstrated that women with breast cancer fatigue underwent a 4-week physical exercise rehabilitation program. Researchers found that their fatigue levels significantly decreased after the program ended.

There’s no need to run a marathon. A brisk walk, bicycle ride, or yoga are always you can benefit from physical activity.

Seek out support

Stress and anxiety can contribute to fatigue. Seeking support from your community is essential in managing your emotional well-being. Community support, also known as peer-to-peer support, allows you to exchange information with others who are going through similar experiences. There are many options available, from in-person support groups to virtual forums. 

Break up large tasks

Tackling a large task all at once can be daunting when you’re feeling fatigued. Instead, try to break up large tasks into smaller, more manageable parts, such as cleaning or cooking.

This can help you pace yourself better, so your energy lasts throughout the day. Also, don’t be ashamed to ask for help if you need it.

Try acupuncture

Acupuncture is an ancient Chinese medicine-based approach that has been studied for thousands of years. Acupuncturists use tiny needles to stimulate nerve-rich areas of the skin surface. The nerves influence various functions of the body. Studies shows that acupuncture may help with several cancer-related symptoms, including fatigue, pain, sleep disturbances, anxiety, and nausea.

Mindfulness-based approaches

Mindfulness techniques — including yoga and meditation — are practices that help direct your attention to the present moment. These approaches can help you control your emotions, become less reactive, and engage in a healthier response to stressful situations. Researchers found that people with breast cancer who participated in mindfulness-based stress reduction interventions reported reductions in fatigue. They also experienced short-term reductions in depression and stress. You can partake in yoga classes at a gym or studio. Make sure to look for gentle and restorative yoga classes rather than more advanced vinyasa practices. You can also find many yoga videos online or through various apps.

Manage other side effects

Other side effects of breast cancer treatment can also contribute to your fatigue. Nausea and vomiting, for example, usually means that you aren’t able to eat enough food to keep your energy up. Anaemia, or a low red blood cell count, can be caused by chemotherapy and lead to fatigue. 

Eat a balanced diet

Eating well is important for everyone, but is certainly easier said than done. There’s no specific diet recommended for people with breast cancer, as nutritional needs vary based on your individual case. It’s also important to stay hydrated and drink water, especially while undergoing treatment. Ask us if you are interested in a personalised and nutritious meal plan.

Recipes

Feeling overwhelmed by conflicting advice on what to eat during or after a cancer diagnosis? Manuela believes that food should be a source of joy, not confusion.

Explore her collection of nourishing recipes designed to support your body and well-being.

Each meal is designed to provide essential nutrients.

Start cooking and take a positive step toward better health today.

Empower through Knowledge

 With a solid foundation of knowledge, you become a powerful partner in your care. An empowered patient knows to ask critical questions about the evidence behind a complementary medicine therapy, its potential benefits, and any risks or interactions with conventional treatments.

Manuela disseminates evidence-based research helping you engaging into a genuine collaboration and working together to build a safe, effective, and holistic treatment plan.

By seeking out and understanding information, you move from being a passive recipient of care to an active participant in your own healing.

Metabolic Balance

Your body is unique, and so are your nutritional needs.

Manuela offers the internationally renowned Metabolic Balance program. Whether you are underweight or overweight, this personalised nutritional program helps you achieve optimal health, effectively rebalancing your body composition.

The program includes positive mindset techniques to support your emotional/stress eating problems, personal food preferences, meal ideas & recipes, and nutritional education. Prevention at its best!

Functional Medicine

Since 2001, the Institute for Functional Medicine (USA) has been directly accredited by Accreditation Council for Continuing Medical Education. The strict post-graduate training education is based on current science, evidence, and clinical reasoning and evaluated for its effectiveness. Manuela has obtained the internationally recognised Board Certification for Functional Medicine.

Supporting cancer patients with personalised and complementary lifestyle-based interventions helps reduce side effects of cancer treatments and improve outcomes.

Functional medicine plays a much-needed role in cancer care, emphasising low-risk therapeutic approaches that optimise a patient’s health during their survivorship journey.

Calm

The state of mind impacts health through the mind-body connection. There is a nexus between body and mind are one. The mind feeds the body just as the body feeds the mind.

Since emotions, feelings, thoughts, beliefs, actions, and behaviour impact and literally shape wellbeing, Manuela focuses on strengthening your mental and emotional life.

She strives to help you regain and maintain hope, calm, optimism, and inner peace. Manuela wants to know how you feel; she listens and empowers you with positive actions, step-by-step into wellness.

Regain Energy

Cancer-related is one of the most common side effects of cancer and its treatments. Like fatigue, cancer fatigue is whole-body exhaustion that you feel no matter how much sleep or rest you get.

Cancer fatigue takes exhaustion a step further: You feel physically, emotionally and mentally exhausted most of the time. Cancer fatigue may last a few weeks (acute) or for months or years (chronic).

To improve energy effectively, Manuela provides modalities ranging from mindfulness-based cognitive therapy therapies to herbal medicine and targeted nutritional interventions.

Clinical Detox

After the conclusion of cancer treatments, Manuela strongly recommends that you follow her clinical detoxification program.

After the conclusion of medical treatments, side-effects have lingering issues preventing a good recovery.

Manuela’s personalized program is designed to help you regain strength, balance, and wellness through a sensible, gentle, and effective detoxification process. It’s a path to a renewed you.

Personalised Diets

As a Clinical Nutritionist, Manuela provides personalised and appropriate dietary plans before, during and after cancer treatments.

She focuses on addressing your current nutritional status and develop the right diet for you. 

“One size does not fit all” principle applies to your diet. Each person is unique and therefore variability exists between nutrient-sense diets.

Manuela provides a detailed 7 day menu plan, shopping lists and recipes that reflect food preferences and sensitivities. The menu plans are easy to follow. Each food is selected for its specific content of nutrients. Healthy foods positively support your whole person wellness.

Preventive Care

We are increasingly aware that we face countless health challenges every day. Some of them will significantly contribute to a cancer diagnosis. We also have the tools to modify these challenges. Making proactive choices about your diet, increasing physical activity, managing stress, optimising hormonal balance, and minimising environmental exposures is a direct and potent strategy for your future health.

Manuela utilises validated Functional Medicine tests and blood work to identify the root causes of health issues and evaluate how different body systems interact and function. This approach aims to optimize overall health and well-being by addressing imbalances and deficiencies

Nutritional Medicine

Nutrition plays a foundational role in our health, influencing everything from our energy levels and mood to our susceptibility to illness. Nutritional Medicine is not just about avoiding unhealthy foods; it is about strategically using food and evidence-based nutritional supplements as therapeutic tools.

This approach recognises that each person’s nutritional needs are unique, influenced by their genetics, lifestyle, environment and specific health conditions.

Herbal Medicine

Herbal medicine is the oldest and the most widely used system of medicine in the world today. It is medicine made exclusively from plants.

Herbal medicine is validated by rigorous scientific research which has explored the complex chemistry of plants. Many modern pharmaceuticals have been modelled on, or derived from, phytochemicals found in herbs. Increasing research on herbal medicine demonstrates that liquid botanicals play a critical role during, before and after a diagnosis of cancer. Your safety is her priority. Manuela always conducts a thorough check for any potential interactions or contraindications between your herbal and medical treatments

Manuela seeks to provide only the highest quality full spectrum herbal extracts available.

Pathways to regain and maintaining wellbeing before, during and after cancer

Cancer requires negotiation and navigation. Decisions must be made. Directions must be pursued. The decisions and directions often occur in the middle of stress, fear, trauma, and many other challenging emotions. The skills with which people negotiate and navigate their cancer journey are better supported by combining conventional treatments with evidence-based natural medicine.

Manuela is dedicated to designing individual programs to support you regardless of your diagnosis and the stage of your cancer. She collects all critical information about your state of health and help you in your decision-making process with the wisdom and the experience that comes from years of clinical practice. She works in alignment with what you think, feel, say, and do. In this way, she honours your self-awareness, your knowledge and views and integrate them in safe practices.

Manuela started her practice in 2007 in London, followed by Singapore and Sri Lanka where she headed a cutting-edge Integrative Cancer Centre. Manuela has been supporting people living with cancer and their families in South-East Queensland since 2014. Manuela  is a PhD candidate, Centre for Healthcare Transformation, Queensland University of Technology; she has also completed a Master of Philosophy, Faculty of Medicine and Health, University of New England; a Master of Public Health in Nutrition, University of Queensland; a Master of Health Science in Herbal Medicine, University of New England and Bachelor of Complementary Medicine  . Manuela is a Board Certified Practitioner of Functional Medicine, with the prestigious Institute for Functional Medicine, Gig Harbour, USA; she is a certified Metabolic Balance and Fitgenes Practitioner.

Manuela maintains memberships and active training with the Australian Traditional Medicine Society (ATMS), the Nutrition Society of Australia (NSA), the Society of Integrative Oncology (USA). Manuela is also a member of Australasian Society of Behavioural Health and Medicine (ASBHM)

Manuela is a Co-Chair Health Literacy and Health Behaviour Subcommittee (IHLA), Boston, United States; a co-editor of a peer reviewed journal; a co-author of chapter books; a contributing author for multiple publications, a keynote speaker – National and International events; and podcaster. She is a workshops coordinator and facilitator for multiple events

Manuela has lectured at the College of Naturopathic Medicine (CNM, UK); at the Endeavour College of Natural Medicine (Brisbane and the Gold Coast)

Manuela Boyle consults exclusively by appointment is Brisbane and Online.