Here are the most common culprits of exhaustion, and how to treat them
Photo: Kohei Hara/Getty Images Like everyone else, I wonder all the time: Why am I always tired? But sometime last fall, I started getting extra droopy every afternoon. Even when I’d done all the right things — slept eight hours, eaten a healthy lunch, exercised — I’d be fighting to keep my eyes open by 4 p.m.
1. You’re hormone-tired. Hormone fluctuations can turn anyone into a nap machine, as anyone who’s ever had PMS knows. But chronic hormonal imbalances can make you sleepy and grumpy all month long. The good news is that doctors can test for the presence of most hormones, so they should be able to diagnose an imbalance if you have one; most are also largely treatable with medication and/or nutritional changes.
2. You’re nutrient-deficient. Take it from someone who’s frequently anemic no matter how much steak I eat: The tricky part of getting enough vitamins and minerals is that certain nutrients are essential for the absorption of others — so if you aren’t getting enough of one, then you’re probably missing out on a bunch. Common deficiencies that cause fatigue include iron, magnesium , B vitamins, and vitamin D .
4. You’re genetically tired. It’s true: Certain genes have been linked to chronic fatigue issues, including a specific one known as the CLOCK gene , which is linked to faulty circadian rhythms. People with wonky CLOCK genes have issues with their metabolism, body temperature, blood pressure, and liver functions, among others. Luckily, it’s very rare.
5. You have bad sleep hygiene. Speaking of alcohol … and sugar, caffeine, your phone, your laptop, your TV screen, your neighbor’s music, your roommates’ music, LED lighting, your newborn kid, or the fries you just ate, you are surrounded by things that cause you to sleep poorly and be tired the next day. Both Dr. Firshein and Dr. Tolentino said that lifestyle is usually the No. 1 cause of tiredness, but the good news is that you can do something about it.
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