malu: Pristiq withdrawal

[Altostrata]

I have no idea if the mirtazapine can help or if amitriptyline can help. This is why we tell people who are seeing improvement not to try to push it along with other drugs.

 

This is what happens after you take mirtazapine at 8 a.m.? Do these symptoms get worse? At what time of day?

 

4 hours ago, malu said:

Diminished hearing. Blurred eyesight. Cognitive impairment. Joint rigidity. My joints, fingers, elbow, knees, shoulders, and neck are more rigid.

 

It is going to take more than a week for the dosage reduction to take effect.

[malu]

10 hours ago, Altostrata said:

I have no idea if the mirtazapine can help or if amitriptyline can help. This is why we tell people who are seeing improvement not to try to push it along with other drugs.

 

This is what happens after you take mirtazapine at 8 a.m.? Do these symptoms get worse? At what time of day?

 

 

It is going to take more than a week for the dosage reduction to take effect.

Yes, it happens throughout the day after I take it. If I want to stop it how long should it take and how should I do it? But I'm afraid of stopping it because of the improvements. Today I slept ok. Already feeling burning panicky feelings, a more controlled akathisia... Can I do a fast taper to stop? Like using 1.50?

[malu]

I took 1.75mg at 10:30am.

[malu]

The akathisia is being more rarsh right now. I took lemongrass tea but it is still rarsh.

[malu]

Akathisia will only resolve without meds isn't it? But without it it's even worse... I can't calm down...

[manymoretodays]

Malu,

Please give a try at some Notes

They are not real difficult, and ultimately, a practice that I think we all could benefit from.

Look at the link please and then here is all that we are asking for you to post:

What we need to see for every single day over several days is what symptoms you get before and after you take your drugs. If you're not taking any drugs and have withdrawal symptoms, we still need to see your symptom pattern throughout the day:

 

The time of day, dosage, and severity of symptoms are essential information. Include

 

- Time and dosage for all drugs taken throughout the day, psychiatric and non-psychiatric.

- Following each dose, note any symptoms. If you are having a reaction to the drug, it may take hours for a symptom to show up -- that's why we ask you to keep notes all day long.

- If you're not taking any drugs, your symptoms throughout the day.

- Your sleep pattern. Since so many drugs disturb sleep, if you find you're waking in the middle of the night, it could be from a drug you took earlier in the evening. If you're not taking any drugs, there may be ways you can improve your sleep.

And so forth. A diary, in chronological order, looking something like this:
 
6 a.m. Woke with anxiety
8 a.m. Took 2.5mg Lexapro
10 a.m. Stomach is upset
10:30 a.m. Ate breakfast
11:35 a.m. Got a headache, lasted one hour
12:35 p.m. Ate lunch
4 p.m. Feel a bit better
5 p.m. Took 2.5mg Lexapro
6 p.m. Ate dinner
9:20 p.m. Headache
10:00 p.m. Took 50mg Seroquel
10:20 p.m. Feeling dizzy
10:30 p.m. Fell asleep
2:30 a.m. Woke, took 3mg Ambien (NOT "took 1/2 tablet Ambien")
2:45 a.m. Fell asleep
4:30 a.m. Woke but got back to sleep

6 a.m. Woke with anxiety (but less than yesterday)

 

I think you'll find it really helpful, as time goes by, to do this kind of thing regularly. 

 

And then:

Chronic Fatigue Syndrome, ME, CFS

Fibromyalgia Flare Up and Withdrawals

https://beyondmeds.com/2013/07/08/psych-drug-withdrawal-cfs-fibromyalgia/

 

For right now, try some simple things:  Breathing:

 

 

[manymoretodays]

 

Just the image above is so lovely. 

Bundle up with blankets if you want too.

Imagine.......what Well is going to feel like.

 

And best, L, P, H, and G,

mmt

Edited December 22, 2020 by manymoretodays

[malu]

I woke up at 8 I think

I wasnt feeling akathisia at the time if remember well

At 10:30 i took mirtazapine 1.75mg

After that the akathisia was building up and still is at 14:40

[malu]

Videos doesn't help The environment doesn't help either, I'm in a quiet place with nature but it doesnt help the akathisia

[manymoretodays]

Work the times over to the left, when posting.

And don't forget to get the lemongrass tea in, after the time on the left.

It may help too, if you note times on the left, and then when something has helped, or you feel better and have relief of symptoms.

 

And then, post a full 24 hour segment here, when you post it.  Thank you. 

 

And here is to more natural symptoms relief malu, for you!

Edited December 22, 2020 by manymoretodays

[manymoretodays]

Audio only perhaps, music, or just a guided meditation?  While walking?

 

[malu]

I want to know if me using mirtazapine is making it more difficult for the healing or not.I started using it to make it bearable...

[malu]

15 hours ago, Altostrata said:

I have no idea if the mirtazapine can help or if amitriptyline can help. This is why we tell people who are seeing improvement not to try to push it along with other drugs.

 

This is what happens after you take mirtazapine at 8 a.m.? Do these symptoms get worse? At what time of day?

 

 

It is going to take more than a week for the dosage reduction to take effect.

Maybe it was a mistake introduce mirtazapine. Now it's difficult to stop it... I dont know how. And I dont know how to deal with akathisia other than taking liters of lemongrass and trying to meditate (very hard).

[manymoretodays]

malu,

We just don't know.  And might have a better idea of what to suggest next, if we could see a couple of days of notes.

You might try also for a consistent time to take your mirtazapine.

So far it's been 8 am, and noon, and then last at 10:30 am.

If I were you I think I would stick with taking it later. 

 

You are beginning to sound a little repetitive.

 

Let's not even go there yet, and when you do taper, when that day comes, it's not going to be so bad.

 

"Change the channel"- dealing with cognitive symptoms

 

L, P, H, and G,

mmt

 

 

 

[Altostrata]

Do you feel better before you take mirtazapine at 8 a.m.? What are the symptoms you feel after you take it?

 

How have these symptoms changed since you reduced mirtazapine?

[malu]

8 hours ago, Altostrata said:

Do you feel better before you take mirtazapine at 8 a.m.? What are the symptoms you feel after you take it?

 

How have these symptoms changed since you reduced mirtazapine?

Yesterday I was feeling a little better before taking it, yes.
Today I feel like crap. Akathisia is controlled right now. But anxiety is increasing. Very depressed. It's 7:26am right now. I feel a hungover. And yesterday I only had a slightly controlled akathisia after 18 (but it was still there). I think maybe with 2mg the akathisia was more controlled.

[malu]

On 12/21/2020 at 11:39 PM, Altostrata said:

I have no idea if the mirtazapine can help or if amitriptyline can help. This is why we tell people who are seeing improvement not to try to push it along with other drugs.

 

This is what happens after you take mirtazapine at 8 a.m.? Do these symptoms get worse? At what time of day?

 

 

It is going to take more than a week for the dosage reduction to take effect.

Alto, did I make a mistake introducing mirtazapine? How would I stop using it? Maybe I will face withdrawal from it and it will be completely unbearable.

[malu]

Oh, about those symptoms Altostrata quoted I didn't notice changes I think. Every time I take it I feel my joints getting rigid. Vision and hearing and cognitive impairment gets worse too. I didn't notice if it was less than before. Maybe.

[malu]

I didn't make the notes yet, I just described the day... Oh, I think I'm going to take the med today at 10am. Its 10 and I'm feeling with mild cognitive impairment, my eyes are hurting a bit, the akathisia seems to be increasing, but it's kind of controlled right now. I feel burning in my limbs with panicky and anxious feelings.

[malu]

I took 1.75mg of Mirtazapine at 10:25am.

10:45: I feel anxious. I dont feel any good effects immediately. My anxiety/restlessness raised. I took lemongrass tea and felt the effect of the tea, that is very mild.

[Altostrata]

malu, we have asked repeatedly for daily notes, as here

 

We ask for this because it helps us to understand the symptoms you're reporting. We cannot help you without this information.

 

Please look carefully at posts from the staff and answer them completely. For example, I would like to know what you mean by "akathisia".

[malu]

I'll try to do better notes tomorrow, today I'll end with these

Akathisia: hellish agony that that spreads throughout the body specially the limbs and that doesn't get relief or rest.
 

7:26: Today I feel like crap. Akathisia is controlled right now. But anxiety is increasing. Very depressed. I feel a hungover. And yesterday I only had a slightly controlled akathisia after 18 (but it was still there). I think maybe with 2mg the akathisia was more controlled.

10:00: I'm feeling with mild cognitive impairment, my eyes are hurting a bit, the akathisia seems to be increasing, but it's kind of controlled right now. I feel burning in my limbs with panicky and anxious feelings.

10:25: I took 1.75mg of Mirtazapine

10:45: I feel anxious. I dont feel any good effects immediately. My anxiety/restlessness raised. I took lemongrass tea and felt the effect of the tea, that is very mild.

11:19: Feeling like crap, hellish agony
14:14: Akathisia increased but not like yesterday (it was worse).

18:50: Milder akathisia and i got more tired. Lemongrass tea helped with the akathisia a little bit, but it's a very limited help.
21:00: low inner restlessness, mild cognitive impairment
22:00: same, feeling tired, but anxious
23:00: anxious, inner restlessness increased

[malu]

I'm doing the notes, I'll post it by the evening. Yesterday I had insomnia. I'm very depressed and with nerve pain right now. I'm not feeling any immediate effects of the mirtazapine, It's like I'm not using anything... I'm afraid of entering more harsh akathisia, I feel the nervous system very fragile and I feel anxiety (and it hurts) and inner restlessness. I just want my body to heal...

Sometimes I think of the past, that I could have avoided the kindling of my body so easily, but time doesn't go backwards. I'm stuck in a sensitized body. It's very traumatizing feeling like this everyday. When akathisia is harder I can't even write a text like this, I just suffer and say "help" desperately with no relief. But right now I already can't have a normal conversation with someone. I'm just trying to get to the end of the day alive. It's very traumatizing.

[malu]

24 Dec 2020
 

00:00 anxious, inner restlessness, insomnia
1:00 anxious, inner restlessness, insomnia
2:00 anxious, inner restlessness, insomnia
3:00 anxious, inner restlessness, insomnia
7:37 Woke up, hungover, insomnia, anxiety, depression, joint rigidity, inner restlessness, my tongue is strange all the time
8:00 managed to fall asleep again
10:30 woke up, feeling bad, inner restlessness, anxiety, hungover, burning feelings in my nerves
10:45 Took 1.75mg of Mirtazapine
11:30 raised anxiety, raised burning and panicky feelings in my nerves
12:00 took a shower
12:13 anxiety, burning nerves, joint rigidity
12:30 ate a banana, nerve pain and increasing restlessness
13:00 eating lunch, lack of hunger, depression, nerve pain, anxiety
14:00 anxiety, heart pounding faster, inner restlessness
15:00 took lemon balm tea
Feeling a little relief, very little
15:10 ate a mango
15:25 more difficult to bear the nerve symptoms, mild akathisia
15:37 took more lemon balm tea
16:21 anxiety, inner restlessness, feeling a fragile nervous system
17:00 inner restlessness, tense body even trying to relax
17:30 drank passion fruit juice
18:00 inner restlessness
19:00 ate a bread, still feel the same
19:30 I feel more tired
20:00 I try to sleep and fall asleep

25 Dec 2020

01:00 woke up, trying to sleep again
04:00 woke up, trying to sleep again
08:00 woke up very anxious, hungover, burning nerves, depressed, joint rigidity, cognitive impairment

[malu]

25 Dec 2020

01:00 woke up, trying to sleep again
04:00 woke up, trying to sleep again
08:00 woke up very anxious, hungover, burning nerves, depressed, joint rigidity, cognitive impairment

10:45 took 1.75 of Mirtazapine
11:30 anxious, feeling the med being absorved but no relief
11:40 agony, anxiety, inner restlessness, ear pain
12:00 took lemon balm tea, very little temporary relief
12:30 inner restlessness

I'm thinking of increasing to 2.0mg again because I'm not getting relief of inner restlessness. I can't even have a conversation like this or concentrate on almost anything.

Someone help me please.

[manymoretodays]

Hi malu,

Is there anything that seems to help with the inner restlessness?  Or with any of your symptoms?  Non-drug coping that gives you a little bit of relax even?  Distractions?

Do you pace or bundle up in blankets?

 

It looks like maybe 4 hours sleep last night?  And that doesn't help now, does it?

 

I'm feeling a little hesitant on having you go up to 2 mg........just because I'm not certain symptoms were any better then.

You may want to scroll back and see, what you noted here, when you were on 2 mg.  I think it was just 2 days, and then about the same as now??

 

We are trying to help, malu.

You don't necessarily have to have a conversation with anyone, when feeling so off or badly.......but maybe just being around another, or a pet will help.

Are you able to dress, and do daily hygiene, and then perhaps go for a bit of an easy walk?

Can you soak in a bathtub?

 

Wishing you the best.

And thank you for the notes, good job!

L, P, H, and G,

mmt

[malu]

3 hours ago, manymoretodays said:

Hi malu,

Is there anything that seems to help with the inner restlessness?  Or with any of your symptoms?  Non-drug coping that gives you a little bit of relax even?  Distractions?

Do you pace or bundle up in blankets?

 

It looks like maybe 4 hours sleep last night?  And that doesn't help now, does it?

 

I'm feeling a little hesitant on having you go up to 2 mg........just because I'm not certain symptoms were any better then.

You may want to scroll back and see, what you noted here, when you were on 2 mg.  I think it was just 2 days, and then about the same as now??

 

We are trying to help, malu.

You don't necessarily have to have a conversation with anyone, when feeling so off or badly.......but maybe just being around another, or a pet will help.

Are you able to dress, and do daily hygiene, and then perhaps go for a bit of an easy walk?

Can you soak in a bathtub?

 

Wishing you the best.

And thank you for the notes, good job!

L, P, H, and G,

mmt
 

"Is there anything that seems to help with the inner restlessness?  Or with any of your symptoms?  Non-drug coping that gives you a little bit of relax even?  Distractions?"

 

I don't know. I can only think of lemon balm tea, but it's limited help. I can't even distract myself on the Internet anymore, I just spend the day trying to get alive by the end of it.

 

"Do you pace or bundle up in blankets?"

 

I use two blankets, but it doesnt seem to help with my problems.

"It looks like maybe 4 hours sleep last night?  And that doesn't help now, does it?"

 

Exceptionally today I managed to sleep some minutes this afternoon, but woke up with anxiety and inner restlessness already. It's like it's not being restorative.

"I'm feeling a little hesitant on having you go up to 2 mg........just because I'm not certain symptoms were any better then.

You may want to scroll back and see, what you noted here, when you were on 2 mg.  I think it was just 2 days, and then about the same as now??"

 

Yes, but in the second day I remember it being more relaxing, I have to check it out.

"You don't necessarily have to have a conversation with anyone, when feeling so off or badly.......but maybe just being around another, or a pet will help."

 

I wish it would help.

 

"Are you able to dress, and do daily hygiene, and then perhaps go for a bit of an easy walk?"

 

I have space here, a lawn to walk, but it doens't help much. I tried to walk with the dog here. I'm doing basic hygiene.

 

"Can you soak in a bathtub?"

 

No, I don't use bathtubs, just the shower, and it used to help, but it isn't helping anymore in the current situation.


13:00 anxiety, inner restlessness
13:44 ate bread
14:00 slept a little
14:38 anxiety, inner restlessness
15:00 anxiety, inner restlessness

15:53 anxiety, inner restlessness
16:12 ate a mango
16:13 anxiety, inner restlessness

[malu]

25 Dec 2020
 

01:00 woke up, trying to sleep again
04:00 woke up, trying to sleep again
08:00 woke up very anxious, hungover, burning nerves, depressed, joint rigidity, cognitive impairment
10:45 took 1.75 of Mirtazapine
11:30 anxious, feeling the med being absorved but no relief
11:40 agony, anxiety, inner restlessness, ear pain
12:00 took lemon balm tea, very little temporary relief
12:30 inner restlessness
13:00 anxiety, inner restlessness
13:44 ate bread
14:00 slept a little
14:38 anxiety, inner restlessness
15:00 anxiety, inner restlessness
15:53 anxiety, inner restlessness
16:12 ate a mango
16:13 anxiety, inner restlessness
18:17 Tired, but subtle inner restlessness
19:00 ate fish
20:00 cognitive impairment, inner restless but less than before
21:00 tired, cognitive impairment, inner restlessness but less than before
 

26 Dec 2020
 

00:00 tired, uncomfortable, depressed, insomnia
00:30 fell asleep
9:00 woke up, hungover, uncomfortable, low inner restlessness, depressed, anxiety, joint rigidity
9:10 shower
9:30 depressed, anxiety, cognitive impairment, hearing is strange, low inner restlessness
9:40 drank water, ate a banana
10:00 sunbathed a little bit

10:10 ate breakfast
10:23 depressed, anxiety, low inner restlessness, joint rigidity, burning nerves
10:35 I took 1.75mg of Mirtazapine
11:30  depressed, anxiety, low inner restlessness, joint rigidity, burning nerves

[malu]

I just want to have a normal life again. I just want my body to be cured. How can I do this? How can I be functional again?

 

I forgot to note that today my sleep didn't felt restorative once again...

 

12:57 tired body, inner restlessness, anxiety, joint rigidity, depression

13:12 took lemon balm tea, temporary relief, but ultimately the same

13:23 tired body, inner restlessness, anxiety, joint rigidity, depression

[manymoretodays]

I know.  You got to sunbathe!  How cool is that?

You hang on and keep moving forward a little at a time.

You've had some setbacks, but are headed toward healing now.

 

I do see some lessening in intensity of symptoms noted.  So that's good.

And did you sleep 8 and 1/2 hours on the 26th?!!!!!! 

 

[malu]

26 Dec 2020
 

00:00 tired, uncomfortable, depressed, insomnia
00:30 fell asleep
9:00 woke up, hungover, uncomfortable, low inner restlessness, depressed, anxiety, joint rigidity
9:10 shower
9:30 depressed, anxiety, cognitive impairment, hearing is strange, low inner restlessness
9:40 drank water, ate a banana
10:00 sunbathed a little bit
10:10 ate breakfast
10:23 depressed, anxiety, low inner restlessness, joint rigidity, burning nerves
10:35 I took 1.75mg of Mirtazapine
11:30  depressed, anxiety, low inner restlessness, joint rigidity, burning nerves
12:57 tired body, inner restlessness, anxiety, joint rigidity, depression
13:12 took lemon balm tea, temporary relief, but ultimately the same
13:23 tired body, inner restlessness, anxiety, joint rigidity, depression
15:01 feeling tired, depressed, anxious, inner restlessness
15:30 increased inner restlessness, increased anxiety (avoid chicken and other meats)
16:30 inner restlessness, anxiety, depression, cognitive impairment
17:30 cried,  inner restlessness, anxiety, depression, cognitive impairment
18:30  inner restlessness, anxiety, depression, cognitive impairment
15:00 Ate lentils and chicken
15:01 Feeling tired, depressed, anxious, inner restlessness
15:30 Increased inner restlessness, increased anxiety (avoid chicken and other meats)
16:30 Inner restlessness, anxiety, depression, cognitive impairment
17:30 Cried, inner restlessness, anxiety, depression, cognitive impairment
18:30 Inner restlessness, anxiety, depression, cognitive impairment
20:30 anxiety, lower inner restlessness, tiredness, depression, cognitive impairment
23:30 feel asleep

27 Dec 2020

7:00 woke up, depression, anxiety, joint rigidity, low inner restlessness
8:00 sunbathing
8:40 depression, anxiety, joint rigidity, low inner restlessness
9:45 inner restlessness, depression, anxiety, joint rigidity
10:30 took 1.75mg of Mirtazapine
11:36 joint rigidity, depression, anxiety, inner restlessness
13:00 ate more than usual
13:30 or so, tired, slept
14:00 woke up with joint rigidity, depression, anxiety, inner restlessness
15:42 joint rigidity, depression, anxiety, inner restlessness
15:45 burnings nerves
15:51 took lemon balm tea
15:52 feel the same
16:25 inner restlessness, burning nerves, depression, joint rigidity
17:00 same
18:00 tired, inner restlessness, depression, burning nerves, joint rigidity
18:30 ate some fruits
19:00 low inner restlessness, depressiom, burning nerves, joint rigidity, more tired

[malu]

18 hours ago, manymoretodays said:

I know.  You got to sunbathe!  How cool is that?

You hang on and keep moving forward a little at a time.

You've had some setbacks, but are headed toward healing now.

 

I do see some lessening in intensity of symptoms noted.  So that's good.

And did you sleep 8 and 1/2 hours on the 26th?!!!!!! 

 

Yes, comparing today with when I started mirtazapine I'm better now. Although it's still difficult to live functionally and inner restlessness is still present and I'm still trying to cope with it. But it's a much bearable inner restlessness. Before it was a hellish agony/akathisia. Yes, I did sleep 8 1/2 hours that day, but I didn't think it was so restorative.

I still have difficulty in doing basic things like having a conversation, watching or reading something, spending time on the Internet...

Thank you.

[malu]

27 Dec 2020

7:00 woke up, depression, anxiety, joint rigidity, low inner restlessness
8:00 sunbathing
8:40 depression, anxiety, joint rigidity, low inner restlessness
9:45 inner restlessness, depression, anxiety, joint rigidity
10:30 took 1.75mg of Mirtazapine
11:36 joint rigidity, depression, anxiety, inner restlessness
13:00 ate more than usual
13:30 or so, tired, slept
14:00 woke up with joint rigidity, depression, anxiety, inner restlessness
15:42 joint rigidity, depression, anxiety, inner restlessness
15:45 burnings nerves
15:51 took lemon balm tea
15:52 feel the same
16:25 inner restlessness, burning nerves, depression, joint rigidity
17:00 same
18:00 tired, inner restlessness, depression, burning nerves, joint rigidity
18:30 ate some fruits
19:00 low inner restlessness, depression, burning nerves, joint rigidity, more tired

21:27 tired, inner restlessness, depression, burning nerves
21:00 ate bread and eggs
22:00 slept

28 Dec 2020

3:00 woke up
3:10 tired, depressed, inner restlessness, burning nerves, anxiety
3:40 drank water
Woke up and tried to sleep several times
8:50 woke up
9:20 tired, depressed, inner restlessness, burning nerves, anxiety, joint rigidity
10:30 took 1.75 of Mirtazapine
10:35 tired, depressed, inner restlessness, burning nerves, anxiety, joint rigidity

 

[malu]

I can't cope right now. I can't even be in the computer or phone... Maybe I should up the dose to 2mg? I don't know...

11:00 are bread and eggs
11:30 anxiety, inner restlessness, depression, joint rigidity, burning nerves
13:00 same
13:30 took lemon balm tea
13:30 same
14:00 increased inner restlessness
14:00 ate a mango
14:27 increased inner restlessness hell (akathisia but less intense than one week ago)
15:00 took passion fruit juice
15:10 same, increased inner restlessness hell akathisia

[malu]

28 Dec 2020

 

3:00 woke up
3:10 tired, depressed, inner restlessness, burning nerves, anxiety
3:40 drank water
Woke up and tried to sleep several times
8:50 woke up
9:20 tired, depressed, inner restlessness, burning nerves, anxiety, joint rigidity
10:30 took 1.75 of Mirtazapine
10:35 tired, depressed, inner restlessness, burning nerves, anxiety, joint rigidity
11:00 are bread and eggs
11:30 anxiety, inner restlessness, depression, joint rigidity, burning nerves
13:00 same
13:30 took lemon balm tea
13:30 same
14:00 increased inner restlessness
14:00 ate a mango
14:27 increased inner restlessness hell (akathisia but less intense than one week ago)
15:00 took passion fruit juice
15:10 same, increased inner restlessness hell akathisia
16:00 took Lemon balm tea
16:10 slight relief but inner restlessness hell
16:41 ate lunch
18:00 took a stronger lemon balm tea, felt a little relief
20:00 ate eggs, bread
20:50 inner restlessness,joint rigidity, anxiety, depression, tired, cognitive impairment
23:00 tired, depression, anxiety, burning nerves, can't think straight
23:30 trying to sleep, fell asleep

 

29 Dec 2020

 

Woke up several times
7:51 woke up
10:38 depressed, anxiety, low inner restlessness, tired, joint rigidity, hungover
10:45 took 1.75mg of Mirtazapine
11:00 took shower
11:15 depressed, anxiety, low inner restlessness, tired, joint rigidity, hungover
11:56 just noticed blurred vision
12:00 took 1 capsule of fish oil to test
12:00 inner restlessness
12:54 lunched
13:20 increased inner restlessness, depressed, anxiety, cognitive impairment, blurred vision, decreased hearing, joint rigidity, inner restlessness, mild akathisia, burning nerves

[ChessieCat]

Are you listing all the food that you eat in your symptom diary?  If yes, then low blood sugar from not eating regularly throughout the day may be contributing to your symptoms/making them worse.

 

It's important to keep your blood sugar level throughout the day.  You don't have to eat a lot but having small, nutritious amounts of food throughout the day might make a difference with how you feel.

 

From https://www.newhealthadvisor.org/symptoms-of-not-eating-enough.html

 

Symptoms of Not Eating Enough:

 

1. You Have Low Energy

5. You Experience Quick Mood Shifts

8. You Cannot Sleep Comfortably

9. You Feel Depressed

12. You Experience Headaches

 

and

 

This webpage has a diagram showing where and how the body can be affected:

 

https://www.healthline.com/health/low-blood-sugar-effects-on-body#1