Why Am I Always Tired? The Overlooked Root Causes of Fatigue and How to Regain Your Energy

Why Am I Always Tired? The Overlooked Root Causes of Fatigue and How to Regain Your Energy

Do you feel exhausted no matter how much you sleep? Struggling with brain fog, low motivation, or constant fatigue? A common complaint I hear from new patients is that they are exhausted all the time and want to know what they can do to feel better.

Chronic fatigue isn’t just about getting more rest—it often signals deeper imbalances in your body. From hormone deficiencies and hidden infections to gut health issues and autoimmunity, there are many potential root causes that could be draining your energy.

At Jyzen, we take a personalized, data-driven approach to uncovering the underlying factors behind chronic fatigue and restoring vitality. Here’s what you need to know about the most common causes—and how to reclaim your energy.

Hormone Imbalances: A Common Culprit
One of the primary contributors to fatigue is hormone deficiency. I always begin with a comprehensive hormone profile, screening for deficiencies in thyroid and adrenal cortical hormones. Balancing these hormones can often lead to an immediate improvement in energy levels—sometimes significantly, if the imbalance is the primary cause of exhaustion.

Hidden Infections and Chronic Fatigue
Another key factor in chronic fatigue is infection. It’s crucial to investigate potential infections, which sometimes requires a deep dive into symptoms and testing. I frequently test for reactivated viruses such as Epstein-Barr, human herpesvirus 6, and cytomegalovirus. Additionally, tick-borne pathogens like Borrelia, Bartonella, Babesia, and Ehrlichia can contribute to fatigue, as can chronic bacterial infections like Mycoplasma and Chlamydia.

The Role of Gut Health
Gut health is another significant piece of the puzzle. Severe gut dysbiosis—caused by parasites, bad bacteria, or fungal overgrowth—can trigger immune activation and lead to conditions like leaky gut, where the intestinal wall becomes inflamed and allows toxins to enter the system. This process can be a major contributor to persistent fatigue.

Autoimmune Processes and Fatigue
Autoimmune processes may also be at play, often rooted in the very factors I just described: hormone imbalances and chronic infections. If autoimmunity is involved, restoring adrenal cortical hormone levels while addressing the underlying infection is crucial for calming the immune response and restoring energy.

Lifestyle Factors: Sleep, Diet, and Nutrition
Beyond medical conditions, lifestyle factors are equally important. I assess sleep quality, ensuring patients get enough rest each night. (Learn more about my favorite supplements for stress and sleep here.) Diet plays a key role as well—avoiding allergens and maintaining a balanced intake of macronutrients is essential. While excessive carbohydrates can be problematic, some people experience fatigue because they aren’t consuming enough carbohydrates to support their energy needs.

There are also more obscure causes of chronic fatigue. Toxic exposure, long COVID, or past injuries can sometimes play a role. While these factors require careful evaluation, starting with the most common causes—hormone imbalances, infections, and gut health—provides a solid foundation for treatment and recovery.

By addressing these interconnected factors, we can work toward restoring energy and vitality, helping patients regain their quality of life.

Ready to Take Action and Heal Your Fatigue?

If you are interested in working with our doctors to evaluate and optimize your health, please contact our Patient Care Concierge. You may call 415-729-0449 X 123 or email Concierge@jyzen.com to begin your journey to better health today.

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Book a free tour today to discover our ecosystem of services at Jyzen, a cutting-edge bio-optimization center where advanced science meets personalized care. Learn how our personalized protocols, innovative therapies can support your health and longevity goals and help you thrive at every age.
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