Everyone is different. As much as is humanly possible we need to learn to live in the moment. By that I mean we do the things that are in front of us. Take out the trash, wash a few dishes, do some raking; that sort of thing. Eventually the fog and fatigue start to life. I also agree with 40 that concurrently with staying away from PMO we must change other aspects of our lives, which might mean supplementing one's diet or checking out a thyroid issue. Keep posting!