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Common Symptom Guide

Constantly Tired? Fatigue Isn't Something You Just Have to Live With.

If sleep doesn't fix your exhaustion, something else is likely going on. We test for the actual cause instead of guessing.

Reviewed by Dr. Justin Abbott, D.O. — ABFM Board-Certified Physician
★★★★★5.0 from 46 Google reviews
ABFM Board Certified Evidence-Based Care Personalized Treatment Plans
What's Behind It

What's Actually Causing Your Fatigue

Fatigue that doesn't improve with rest is rarely just ‘being busy’ or ‘getting older.’ It's usually a signal — from your hormones, your thyroid, your blood sugar, or your nutrient levels — that something needs attention.

The problem is that a standard annual physical often doesn't look deep enough to find it. Basic bloodwork can come back “normal” while you still feel exhausted every day.

Common Causes We Test For

Low or imbalanced hormones (estrogen, progesterone, testosterone)
Underactive thyroid (hypothyroidism, Hashimoto's)
Iron, B12, or vitamin D deficiency
Blood sugar swings or insulin resistance
Chronic stress and elevated cortisol
Poor sleep quality — not just quantity
How We Approach It

Real Labs, Then a Real Plan

We start with a comprehensive lab panel — not a guess. Once we know what's actually off, treatment usually falls into one, or both, of two paths:

Physician Insight

"Fatigue is one of the most common things patients bring me — and one of the most commonly dismissed. It's rarely just stress. We test first, then treat what the labs actually show."

Related Conditions

Often connected to chronic fatigue: brain fog, adrenal fatigue, and Hashimoto's. Finding the root cause of fatigue & brain fog → 15 signs your hormones may be off → Why you're always tired — even when you're sleeping →

What Patients Say
Common Questions

Fatigue FAQs

What patients ask most before their first appointment.

Persistent fatigue is often tied to hormone imbalance, thyroid dysfunction, nutrient deficiencies, blood sugar issues, or chronic stress. A comprehensive lab panel is the only reliable way to identify which of these — if not several — is contributing to how you feel.
If fatigue has lasted more than a few weeks, doesn't improve with rest, or is affecting your work or daily life, it's worth a full evaluation. Fatigue is a symptom, not a diagnosis — the goal is finding what's behind it.
Treatment depends on what your labs show. Many patients benefit from a functional medicine workup addressing thyroid, adrenal, and metabolic health; others need bio-identical hormone therapy. Your provider builds a plan around your specific results.
Get Started

Find Out Why You're Tired — With Real Answers, Not Guesses.

A comprehensive lab panel and a real conversation with Dr. Abbott. That's where we start.