Why Am I Always Tired?

A functional medicine guide to the six root causes of chronic fatigue that standard testing consistently misses.

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What is inside the guide
01

Iron and ferritin

Why low-normal ferritin is one of the most consistently missed drivers of fatigue and what the functional threshold actually is

02

Thyroid conversion

Why TSH alone misses the picture and what free T3 and reverse T3 reveal that a standard panel cannot

03

Cortisol and the HPA axis

How a dysregulated cortisol rhythm produces the wired-but-tired pattern and why a single morning blood draw misses it entirely

04

The gut-energy connection

How gut dysfunction impairs melatonin production, nutrient absorption, and the systemic inflammation driving fatigue

05

Blood sugar dysregulation

How glucose instability keeps the stress response activated throughout the day and what fasting insulin reveals that standard glucose testing misses

06

Vitamin D, magnesium and B12

The nutrient deficiencies most commonly depleted in chronic fatigue and how to assess them at a functional rather than disease threshold

✦ BONUS

Your Sleep Reset Checklist and a list of the specific tests worth asking for

This guide is for you if
You are exhausted in a way that sleep does not fix and you cannot understand why
Your blood tests have come back normal but your energy has clearly changed
You have been told to sleep more and stress less without anyone investigating the cause
You want to know what to actually test for before trying more supplements
You want a clear clinical explanation written by a practitioner — not generic wellness advice