I am always so tired. What can be causing this?

posted 8 months ago in Wellness
Post # 17
798 posts
Busy bee

I feel you on this one. I sleep 8 hours and then need a nap. I’ve had tons of testing and nothing comes back as a problem except high cortisol. My best guess is adrenal fatigue from high stress (engineering student), plus I’m a vegetarian.

I take really high quality vitamin B and iron supplements. I try to have a cup of tea around the time of day that I normally want a nap and exercise 3x/week which can be hard when you’re so tired but I always feel energized after. Cutting out sugar, coffee and gluten also helped me but I’m still just not 100%.

I will also say that there’s multiple tests needed to truly rule out thyroid problems and even then you can be at the far end of the “acceptable” range and still feel like crud (same with many vitamin deficiencies). My cousin has hashimotos thyroid disease and it didn’t show up the first time she got tested. 

Post # 18
547 posts
Busy bee
  • Wedding: October 2016


Post # 20
1424 posts
Bumble bee

Adrenal fatique is a LOT more common than people realize…

But other than just the overwhelming amounts of stress our modern lives heap onto us, diet and exercise (I know, cliche) are super super super important elements of you energy level. 

Try to eat clean and get at least 30 minutes of exercise a day for a week or two and see if there’s any improvement. 

Post # 25
2404 posts
Buzzing bee

Without knowing your medical history it is impossible for us to tell you why you are so tired.  In my personal experience my chronic fatigue was related to PCOS.  I do not have the typical symptoms of PCOS.  PCOS is a condition with a range of symptoms from mild to severe.  It took my Gyno 4 years to diagnose it.  My “ah-ha” symptom was elevated insulin levels (not blood sugar).  I was prescribed Metformin and I feel like a different person.  Even with depression I have plenty of energy and my depression symptoms are manageable with coping techniques.  

Post # 26
560 posts
Busy bee

goneanon2017 :  Have you been tested for B12? My grandfather’s levels were so low he had a stroke (didnt know this could happen) so my entire family got tested. My levels were dangerously low as well, and I had to take a weekly injecting, which moved to monthly, and now I can just take the OTC vitamins. Made a world of difference. I didnt realize before how foggy my mind was and tired I was allll the time until it was fixed. My doctor also said a normal blood test does not include screening for B12, so you have to ask. 

Post # 27
2990 posts
Sugar bee
  • Wedding: October 2011

goneanon2017 :  MTHFR mutation resulting in problems converting B vitamins (easy to treat the resulting deficiency, you just have to switch to methylated vitamins). Also candida overgrowth can cause fatigue. A blood test can check for either of these. Good luck!

Post # 28
456 posts
Helper bee
  • Wedding: December 1995

Get copies of your blood work.  You may still be deficient, especially if you are on the low range of the levels.  Most Vitamin B12 lab tests give a range of 150 – 900.  If you are on the low end of that range, you would be feeling the symptoms of that, even though your lab work says you are “fine”.  

A lot of B12 experts say that you need to be above 500 to feel fairly decent.  Iron needs to be around 80 and folate levels around 20, in order to absorb B12.

I’d get a copy and then possibly a second opinion.  

Post # 29
598 posts
Busy bee
  • Wedding: June 2012

Have you reviewed your diet and see if cutting out, say, carbs and sugar help? Look at Whole 30 for inspiration. I know certain foods make my ass drag! Also check out the Sleep Cycle app. It wakes you up in a range not time, by sensing your lightest sleep mode instead of waking you up from a deep sleep. Helps a ton! 

Post # 30
243 posts
Helper bee

Please get your B12 levels checked! A couple of years ago I was so worried about myself… I had no energy, I would sleep 20 hours a day on weekends, my mood was low, I was just completely exhausted in every way. It turns out my B12 is low, but not dangerously so, and I started having injections and now take a supplement (I know you take this already but the injections are more effective) and it greatly improved my sypmtoms. 

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