Narcolepsy

Low-carb or ketogenic diet (avoid post-meal blood sugar spikes that worsen sleepiness), never skip breakfast (protein-rich), avoid large meals (small frequent meals throughout day), eliminate refined carbohydrates and sugar, adequate protein at each meal for sustained energy and neurotransmitter production, healthy fats for brain function, avoid alcohol completely (worsens all symptoms), limit caffeine to morning only (can disrupt nighttime sleep), time carbohydrates strategically if eating them (evening rather than daytime), stay well-hydrated.

Strict sleep schedule (same bedtime and wake time daily including weekends), optimize nighttime sleep (7-9 hours in dark, cool room), scheduled naps (2-3 short 15-20 minute naps at same times daily), avoid driving when sleepy (serious safety risk), inform employers and get accommodations, support groups, avoid shift work, bright light therapy upon waking, regular exercise (improves alertness but not too close to bedtime), stress management, avoid sleep deprivation triggers, medical alert bracelet for cataplexy.