Why Am I Always Tired?
- Dr. Shadi Tabaei, ND
- Aug 20
- 2 min read
If you’ve ever felt like no matter how much sleep you get, you’re still exhausted, you’re not alone. Chronic fatigue is one of the most common concerns women bring up to their doctors, and it’s not just about being “a little tired.” For many women, fatigue shows up as low energy, brain fog, irritability, and even physical symptoms like digestive issues or hormonal imbalances.
So, what’s really behind this constant exhaustion? Let’s break down some of the most common root causes.
1. Hormonal Imbalances
Your hormones are powerful messengers that regulate energy, mood, and metabolism. When they’re out of balance, fatigue often follows.
Thyroid issues (like hypothyroidism) can slow down every system in your body.
Low progesterone or estrogen fluctuations during perimenopause often leave women feeling drained.
Blood sugar swings from insulin resistance or irregular eating can trigger that afternoon crash.
2. Chronic Stress and Burnout
Many women carry the weight of careers, family, and household responsibilities—often at the expense of their own rest. Constant stress raises cortisol, which over time can dysregulate your nervous system and leave you feeling wired but tired.
3. Poor Sleep Quality
Even if you’re in bed for 8 hours, you may not be getting restorative sleep. Common culprits include:
Hormonal shifts (especially in your 40s and 50s).
Anxiety or racing thoughts at night.
Sleep apnea or restless sleep patterns.
4. Nutrient Deficiencies
Iron deficiency, low vitamin B12, magnesium depletion, and inadequate protein intake are all common contributors to fatigue in women. These deficiencies can show up as sluggishness, brain fog, and muscle weakness.
5. Gut and Digestive Health
Your gut plays a major role in absorbing nutrients and regulating inflammation. Conditions like IBS, SIBO, or chronic bloating can impair absorption and leave you feeling drained.
6. Lifestyle Habits
Caffeine overload, skipping meals, lack of movement, and over-reliance on sugar for quick energy can all create a cycle of highs and crashes that worsen fatigue.
What You Can Do Today
Dr. Shadi Tabaei is an expert in helping women feel more energized. Consider booking an appointment with her today to get started on your healing journey.