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Why Am I So Tired All The Time?

By Dr. Stephen Lewis, D.C.

One of the most common questions I hear from patients is:

“Why am I so tired all the time?”

Many people assume that low energy is simply a normal part of getting older. While aging can bring changes to the body, persistent fatigue is often a sign that something deeper deserves attention.

The challenge is that fatigue can have many potential causes. Taking random supplements or following generic health advice may not address the root issue. That’s why I encourage a simple approach:

Test. Don’t Guess. Get Answers.

Common Causes of Fatigue

Thyroid Imbalances

Your thyroid gland plays a critical role in regulating metabolism and energy production. If you’re experiencing fatigue, brain fog, weight gain, or feeling cold, our Thyroid Panel can provide valuable insight into thyroid function and other markers that may influence energy levels. When thyroid function is less than optimal, symptoms may include:

  • Fatigue
  • Brain fog
  • Weight gain
  • Feeling cold
  • Dry skin
  • Hair thinning

Many individuals are surprised to learn that evaluating thyroid health often requires looking beyond a single lab marker.

Nutrient Deficiencies

Your body relies on a variety of vitamins and minerals to convert food into usable energy, support cellular function, and maintain overall health. When key nutrients are lacking, fatigue, poor concentration, reduced stamina, and a general lack of energy can occur.

Some of the most common nutrient deficiencies associated with fatigue include:

  • Vitamin B12
  • Vitamin D
  • Iron
  • Magnesium

Ensuring adequate intake of these nutrients through a healthy diet and appropriate supplementation may help support optimal energy production and overall wellness. Many individuals choose a comprehensive multivitamin, such as Active Mega Multi, as part of their daily wellness routine to help support their nutritional foundation.

Hormonal Changes

Hormone fluctuations can significantly affect energy levels in both men and women.

Women may experience fatigue associated with:

  • Perimenopause
  • Menopause
  • Estrogen imbalance
  • Progesterone imbalance

Men may experience changes in energy levels related to declining testosterone production.

Blood Sugar Imbalances

Blood sugar fluctuations are often overlooked as a cause of fatigue.

Common signs may include:

  • Afternoon energy crashes
  • Sugar cravings
  • Irritability when hungry
  • Difficulty concentrating

When blood sugar is not well regulated, energy levels can rise and fall throughout the day.

Chronic Stress and Poor Sleep

Chronic stress affects multiple systems in the body, including sleep quality, hormone balance, digestion, and recovery.

Many people believe they are sleeping enough hours but still wake up exhausted because the quality of sleep is poor.

Why Guessing Often Doesn’t Work

One person may be tired because of a thyroid imbalance. Another may have nutrient deficiencies. Someone else may be struggling with hormone fluctuations or blood sugar issues.

The symptoms may appear similar, but the underlying causes can be very different.

That is why I believe a personalized approach is important. Understanding what may be contributing to fatigue allows you to make more informed decisions about your health.

Looking Beyond the Symptoms

At Green Wisdom Health, my goal is not simply to help people manage fatigue. My goal is to help uncover potential factors that may be contributing to the problem.

Through functional nutrition, wellness education, and laboratory testing, I help individuals better understand what may be affecting their energy, overall wellness, and quality of life.

Take the First Step

If you’ve been struggling with fatigue and are tired of guessing, completing our Health Survey can be an excellent first step toward identifying the most appropriate next steps for your unique situation.

Whether the issue involves thyroid health, nutrient deficiencies, hormones, blood sugar balance, sleep quality, or stress, understanding the root cause is often the first step toward finding answers.

Test. Don’t Guess. Get Answers.

Still struggling with fatigue?

At Green Wisdom Health, we believe in a simple philosophy:

Related Resources

Looking Beyond Normal Lab Results

Supporting Hormones in a High Stress World

Why Thyroid Symptoms Can Be Present Even When You’re Told Everything Looks Normal

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Why Weight Loss Gets Harder After 40

If you’ve ever thought, “I’m doing the same things I used to, but nothing is working anymore,” you’re not imagining it.

Weight loss after 40 often feels different. What used to work in your 20s or 30s, whether that was cutting calories, adding more cardio, or simply being more active, doesn’t always lead to the same results.

This is one of the most common frustrations we hear, and it makes sense when you understand what’s changing under the surface.

Listen to this podcast where we walk through the good, the bad, and the more complex realities of weight loss in this stage of life.

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Common Causes of Hair Loss and What You Need to Know

You might notice more hair than usual in the shower, thinning around your temples, or your ponytail feeling smaller than it used to. Sometimes it seems to happen suddenly, while other times it shows up gradually over time.

A lot of people assume hair loss is purely genetic. And while genetics can definitely play a role, we often see other factors involved as well. Things like hormone changes, thyroid function, iron levels, and nutrition can all influence how healthy your hair follicles are.

What you might not know….. Hair loss is often a signal that the body might need support somewhere else.

Looking at the Root Cause

Hair loss can feel discouraging, but it can also provide helpful clues about what may be happening in the body.

Instead of focusing only on the hair itself, functional medicine looks at the bigger picture. Hormone balance, thyroid health, nutrient levels, stress, and metabolism all influence the environment where hair follicles grow.

When those systems are supported, many people begin to see gradual improvements in hair growth over time.

If you’ve been noticing hair thinning or increased shedding, taking a closer look at what’s happening inside the body can often be an important first step.

Listen to our podcast to learn what you can do to save your hair!

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Looking Beyond Normal Lab Results

One of the most common things we hear new patients tell us is, “My blood work was normal, but I still don’t feel like myself.”

They might be dealing with fatigue, brain fog, digestive issues, joint discomfort, or low energy. Yet when standard tests come back within the normal range, it can feel confusing and frustrating.

This is what makes functional testing different. We focus on understanding how the body is functioning before disease develops. Instead of waiting until a clear diagnosis appears, the goal is to look for early imbalances that may be placing stress on the body.

Sometimes these changes show up in lab markers long before a condition develops.

By looking a little deeper at those patterns, we can often identify opportunities to support the body earlier and help prevent larger issues down the road.

Listen to this podcast episode to understand the difference between normal and optimal lab work!

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Supporting Hormones in a High Stress World

Have you ever felt like stress just hits you harder than it used to?

Maybe your sleep is lighter. Your patience is shorter. PMS feels more intense. Or you feel wired but exhausted at the same time.

Many men and women assume this is just part of modern life.

But there is real biochemistry behind why stress can feel more disruptive in a woman’s body.

In our latest podcast, you’ll find out:


• How cortisol and progesterone share hormonal building blocks
• Why chronic stress can lower progesterone over time
• How this shift impacts mood, sleep, cycles, and resilience
• Why stress tolerance often changes in perimenopause
• What you can do to rebuild your stress buffering capacity

If stress has been affecting your energy, mood, or cycle more than it used to, this podcast will help you understand why and what you can do about it.

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Health and Wellness Headlines for November 27

Junk Food in Hospitals

Story from NutritionFacts.org. Originally posted on November 26, 2024, 7:00 am.

Why is hospital food so unhealthy? “Put in stark terms, CVD [cardiovascular disease] claims 1 American life every 39 seconds and is respon… Read the full story on NutritionFacts.org.


Celebrating Native American Cuisine with Chef Lois Ellen Frank, Ph.D.

Story from NutritionFacts.org. Originally posted on November 21, 2024, 7:00 am.

Meet Chef Lois Ellen Frank, Ph.D. We had the pleasure of talking with Dr. Frank about her work, food, and Native American cuisine. Read on [… Read the full story on NutritionFacts.org.


Cannabis and Cars

Story from NutritionFacts.org. Originally posted on November 19, 2024, 7:00 am.

Did traffic fatalities increase or decrease after cannabis legalization? Is cannabis-impaired driving a public health and safety concern? We… Read the full story on NutritionFacts.org.


A Look at Bariatric Surgery

Story from NutritionFacts.org. Originally posted on November 14, 2024, 7:00 am.

Obesity isn’t new, but the obesity epidemic is. We went from a few corpulent queens and kings, like Henry VIII and Louis VI (known as [&#8… Read the full story on NutritionFacts.org.


Celebrating Veterans Day with Bill Muir

Story from NutritionFacts.org. Originally posted on November 11, 2024, 7:00 am.

We had the pleasure of talking with Bill Muir about his work in the military and as a Registered Nurse, food access, his book, and […]… Read the full story on NutritionFacts.org.


Drinking Water, Losing Weight

Story from NutritionFacts.org. Originally posted on November 7, 2024, 7:00 am.

A few times a day, drink two cups of cold water on an empty stomach for weight loss. After drinking two cups (half a liter) […]… Read the full story on NutritionFacts.org.

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Health and Wellness Headlines for November 20

Cannabis and Cars

Story from NutritionFacts.org. Originally posted on November 19, 2024, 7:00 am.

Did traffic fatalities increase or decrease after cannabis legalization? Is cannabis-impaired driving a public health and safety concern? We… Read the full story on NutritionFacts.org.


A Look at Bariatric Surgery

Story from NutritionFacts.org. Originally posted on November 14, 2024, 7:00 am.

Obesity isn’t new, but the obesity epidemic is. We went from a few corpulent queens and kings, like Henry VIII and Louis VI (known as [&#8… Read the full story on NutritionFacts.org.


Celebrating Veterans Day with Bill Muir

Story from NutritionFacts.org. Originally posted on November 11, 2024, 7:00 am.

We had the pleasure of talking with Bill Muir about his work in the military and as a Registered Nurse, food access, his book, and […]… Read the full story on NutritionFacts.org.


Drinking Water, Losing Weight

Story from NutritionFacts.org. Originally posted on November 7, 2024, 7:00 am.

A few times a day, drink two cups of cold water on an empty stomach for weight loss. After drinking two cups (half a liter) […]… Read the full story on NutritionFacts.org.


Boosting Your Metabolism Safely

Story from NutritionFacts.org. Originally posted on November 5, 2024, 7:00 am.

If you drink two cups of water, the adrenal hormone noradrenaline can surge in your bloodstream, similar to the response of smoking a few ci… Read the full story on NutritionFacts.org.


Does Drinking Water Affect Our Adrenal Hormones?

Story from NutritionFacts.org. Originally posted on October 31, 2024, 7:00 am.

Drinking water can be a safe, simple, and effective way to prevent yourself from fainting. Within three minutes of drinking a few cups of wa… Read the full story on NutritionFacts.org.

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Health and Wellness Headlines for November 13

Celebrating Veterans Day with Bill Muir

Story from NutritionFacts.org. Originally posted on November 11, 2024, 7:00 am.

We had the pleasure of talking with Bill Muir about his work in the military and as a Registered Nurse, food access, his book, and […]… Read the full story on NutritionFacts.org.


Drinking Water, Losing Weight

Story from NutritionFacts.org. Originally posted on November 7, 2024, 7:00 am.

A few times a day, drink two cups of cold water on an empty stomach for weight loss. After drinking two cups (half a liter) […]… Read the full story on NutritionFacts.org.


Boosting Your Metabolism Safely

Story from NutritionFacts.org. Originally posted on November 5, 2024, 7:00 am.

If you drink two cups of water, the adrenal hormone noradrenaline can surge in your bloodstream, similar to the response of smoking a few ci… Read the full story on NutritionFacts.org.


Does Drinking Water Affect Our Adrenal Hormones?

Story from NutritionFacts.org. Originally posted on October 31, 2024, 7:00 am.

Drinking water can be a safe, simple, and effective way to prevent yourself from fainting. Within three minutes of drinking a few cups of wa… Read the full story on NutritionFacts.org.


Ephedra-Like Weight Loss Minus the Risks

Story from NutritionFacts.org. Originally posted on October 29, 2024, 7:00 am.

The diving reflex shows that it’s possible to have selective adrenal hormone effects. Thermogenic drugs like DNP can cause people to overh… Read the full story on NutritionFacts.org.


Epigenetics and Obesity

Story from NutritionFacts.org. Originally posted on October 24, 2024, 7:00 am.

Identical twins don’t just share DNA; they also share a uterus. Might that help account for some of their metabolic similarities? “Fetal… Read the full story on NutritionFacts.org.

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Health and Wellness Headlines for November 6

Boosting Your Metabolism Safely

Story from NutritionFacts.org. Originally posted on November 5, 2024, 7:00 am.

If you drink two cups of water, the adrenal hormone noradrenaline can surge in your bloodstream, similar to the response of smoking a few ci… Read the full story on NutritionFacts.org.


Does Drinking Water Affect Our Adrenal Hormones?

Story from NutritionFacts.org. Originally posted on October 31, 2024, 7:00 am.

Drinking water can be a safe, simple, and effective way to prevent yourself from fainting. Within three minutes of drinking a few cups of wa… Read the full story on NutritionFacts.org.


Ephedra-Like Weight Loss Minus the Risks

Story from NutritionFacts.org. Originally posted on October 29, 2024, 7:00 am.

The diving reflex shows that it’s possible to have selective adrenal hormone effects. Thermogenic drugs like DNP can cause people to overh… Read the full story on NutritionFacts.org.


Epigenetics and Obesity

Story from NutritionFacts.org. Originally posted on October 24, 2024, 7:00 am.

Identical twins don’t just share DNA; they also share a uterus. Might that help account for some of their metabolic similarities? “Fetal… Read the full story on NutritionFacts.org.


Treat Type 1 Diabetes with a Plant-Based Diet?

Story from NutritionFacts.org. Originally posted on October 22, 2024, 7:00 am.

Is it possible to reverse type 1 diabetes if caught early enough? The International Journal of Disease Reversal and Prevention has already h… Read the full story on NutritionFacts.org.


Eating an Anti-Inflammatory Diet for Lupus

Story from NutritionFacts.org. Originally posted on October 17, 2024, 7:00 am.

Green smoothies are put to the test for the autoimmune disease lupus. There are dozens and dozens of journals I try to stay on top […]… Read the full story on NutritionFacts.org.

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Health and Wellness Headlines for October 30

Ephedra-Like Weight Loss Minus the Risks

Story from NutritionFacts.org. Originally posted on October 29, 2024, 7:00 am.

The diving reflex shows that it’s possible to have selective adrenal hormone effects. Thermogenic drugs like DNP can cause people to overh… Read the full story on NutritionFacts.org.


Epigenetics and Obesity

Story from NutritionFacts.org. Originally posted on October 24, 2024, 7:00 am.

Identical twins don’t just share DNA; they also share a uterus. Might that help account for some of their metabolic similarities? “Fetal… Read the full story on NutritionFacts.org.


Treat Type 1 Diabetes with a Plant-Based Diet?

Story from NutritionFacts.org. Originally posted on October 22, 2024, 7:00 am.

Is it possible to reverse type 1 diabetes if caught early enough? The International Journal of Disease Reversal and Prevention has already h… Read the full story on NutritionFacts.org.


Eating an Anti-Inflammatory Diet for Lupus

Story from NutritionFacts.org. Originally posted on October 17, 2024, 7:00 am.

Green smoothies are put to the test for the autoimmune disease lupus. There are dozens and dozens of journals I try to stay on top […]… Read the full story on NutritionFacts.org.


Spend Time in Nature for Your Health?

Story from NutritionFacts.org. Originally posted on October 15, 2024, 7:00 am.

For perhaps 99.99 percent of our time as a species on Earth, we lived outdoors in the natural environment. Might there be a health benefit [… Read the full story on NutritionFacts.org.


Exploring Mexican Cuisine with Alexa Soto

Story from NutritionFacts.org. Originally posted on October 10, 2024, 7:00 am.

We had the pleasure of talking with Alexa Soto about her work, food, Mexican cuisine, and Hispanic Heritage Month. We hope you enjoy this in… Read the full story on NutritionFacts.org.