Question to Dr. T on Idiopathic Hypersomnia

Published: January 21, 2026
Categories:

Q&A with Dr. T

Question

I just began listening to the book From Fatigue To Fantastic and am so grateful to have discovered it! I am only a short way in, but am wondering, if Dr. T has any recommendations for Idiopathic Hypersomnia. Maybe I will get to that later in the book. But my fogged, yet excited, brain had to ask now! Haha.

Also, could I please get more info on fibromyalgia & CFS? I was diagnosed with POTS back in 2005 as well as fibro. I'm very excited to finish the book and get to work to feeling better after all of these years!

Thank you! — Jess

Answer

Idiopathic hypersomnia is not uncommon in fibromyalgia. In addition to the overall S.H.I.N.E.® Protocol, it is important to be sure that:

  • You symptom truly is falling asleep easily during the day rather than being tired all day.
  • You've ruled out sleep apnea.
  • You've had a multiple sleep latency test was done.
  • No overt findings were seen on a through physical and lab testing.

At that point, I consider it very reasonable to use alertness enhancing agents such as Provigil, as well as amphetamines such as dexedrine, Adderall, or Ritalin. These can be very helpful in fibromyalgia in general because they also help the POTS and other issues. But I do limit the dose to 20 milligrams a day to decrease addiction issues. Most people who need these do best with a dose of 5 to 12 1/2 milligrams daily.

It is also reasonable to try the ENADA 20 mg sublingual tablets each morning for a month to see if they help.

Using the Energy Revitalization Drink Mix can also be helpful because of the vitamin B12, vitamin D, and tyrosine. The coenzyme Q10 can also be helpful, and the form I recommend is CoQ10 Chewable Tablets.

If they were not so ridiculously expensive, I would also recommend xyrem Medications. They used to be about $20 a month over the counter in health food stores. But because it was so effective, there was a concern that it was being used for date rape and so it was made available only by prescription. That change resulted in a less effective product that now costs about $250,000 a year!

Love and Blessings

Dr T

Jacob Teitelbaum, MD

is one of the most frequently quoted post viral CFS, fibromyalgia, energy, sleep and pain medical authorities in the world. He is the author of 12 books including You Can Heal from Long Covid, the best-selling From Fatigued to Fantastic!, Pain Free 1-2-3, The Complete Guide to Beating Sugar Addiction, Real Cause Real Cure, The Fatigue and Fibromyalgia Solution, and the popular free Smart Phone app Cures A-Z. He is the lead author of eight research studies and three medical textbook chapters on effective treatment for fibromyalgia and chronic fatigue syndrome. Dr. Teitelbaum appears often as a guest on news and talk shows nationwide, including past appearances on Good Morning America, The Dr. Oz Show, Oprah & Friends, CNN, and FoxNewsHealth.

Websites: Vitality101.com | EndFatigue.com
Facebook Support Group: Recovering from Fibromyalgia, Chronic Fatigue, and Long COVID
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