Fatigue and Low Energy: Find the Cause

When low energy lasts for weeks with no clear reason, a full lab panel is one way to start looking for the cause.

Fatigue is a feeling of tiredness or lack of energy that gets in the way of your day, and it has many possible causes. These can include sleep, stress, mood, medicines, medical conditions and hormones. If you were told your labs look normal but you are still exhausted, there is clearly more to your fatigue than a basic lab test can see. At Dynamis, a board-certified provider reviews a full lab panel with you and reads it next to your symptoms and history.

Eligibility for HSA or FSA reimbursement depends on your individual plan and medical necessity. Patients are responsible for confirming eligibility with their HSA/FSA provider. A prescription or Letter of Medical Necessity may be required.

Recognizing the Signs of Fatigue and Low Energy

Tiredness that lasts for weeks without improving or comes with other changes is worth taking to a provider.

Fatigue can look like sleep that does not refresh you, an energy slump by mid-afternoon, slower recovery after exercise, and less drive to start things. You may also notice brain fog, or your mood can change. If poor sleep is the cause for you, our page on sleep problems covers it.

These changes tend to arrive gradually, so it is easy to put them down to stress or a busy stretch, and that can delay finding out what is going on.

What Causes Fatigue and Low Energy

Fatigue is a symptom, not a disease, so the first job is finding the cause.

Sleep is the easiest to check, though it can fall short in more than one way. You might not be getting enough of it, staying up too late, or have a sleep disorder such as sleep apnea that breaks up the sleep you do get. Even if your sleep is fine, mood and stress can take their own toll. Depression, anxiety and life challenges, such as bereavement or looking after a new baby, are all part of that. Medical problems that can cause fatigue include anemia and infections. They can also be a warning sign for long-lasting diseases such as diabetes and conditions affecting the heart, liver, kidney or thyroid. Certain medicines can make you tired, and so can too much alcohol or caffeine. Exercise cuts both ways, as too little or too much can leave you feeling drained.

Hormones are the hardest to see from the outside. Fatigue is a common symptom of an underactive thyroid, while reduced energy is a symptom of low testosterone in men. Hormonal changes such as those during puberty, pregnancy or menopause can play a part too. Low testosterone and thyroid problems can each be checked with a blood test.

A provider will ask about your sleep, daily activities, appetite and exercise, then is likely to order lab tests. At Dynamis, your provider reads your lab panel along with those answers.

What You Can Do While You Look for the Cause

A few everyday habits are worth a look while you work out what is behind the tiredness. Keep to the same sleep times where you can, and aim for 6 to 9 hours. Skip caffeine and exercise in the couple of hours before bed, and screens in the last hour. Regular exercise, a healthy diet, less alcohol and a way to manage stress are the other everyday changes commonly advised for tiredness.

None of this replaces a check-up when the tiredness has gone on for weeks.

What a Lab-First Approach Gives You

A lab panel gives your provider something to work from, and any treatment is built on it.

  1. Starting from your own results: Fatigue has many possible sources, and the same tiredness can come from sleep, mood, medicines or hormones. The panel lets your provider check which of them fit.
  2. A protocol built around your labs: If your results point to a hormone cause, your provider builds a protocol for it with the form and schedule that suits you.
  3. Follow-up that checks progress: Your Personal Health Coach checks in at 30, 60 and 90 days, while labs are repeated then reviewed on the schedule your provider sets. Your provider adjusts the protocol as your numbers and symptoms change.
  4. A coach between visits: Your Personal Health Coach helps you act on your protocol day to day, from meals and hydration to activity levels. Providers prescribe and read labs, and your coach works alongside them.
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Fatigue and Low Energy: Find the Cause At a Glance

Common symptoms

Persistent tiredness, low motivation, brain fog, and changes in mood and sleep

Treatment approach

Lab-guided evaluation, then a personalized protocol if a hormone cause is found, plus health coaching

Follow-up

Health coach check-ins at 30, 60 and 90 days, then provider visits and labs on the schedule your provider sets

Getting started

A free online assessment, then comprehensive lab work

Dynamis is a proud Member of the american Telemedicine Association.
Awaken the Warrior from within

Call (469) 214-3404 or fill out the form, and our team will reach out to you right away.

How Dynamis Looks for the Cause of Fatigue

Four steps take you from your first questions to ongoing follow-up.

  1. Free assessment: Answer questions online about how you feel, your medical history and your goals.
  2. Comprehensive lab work: You visit a partner lab near you for blood work, and your provider reads the numbers next to your symptoms.
  3. Provider visit and protocol: A board-certified provider goes through your results with you on a telehealth visit. If hormones are part of the cause, your provider builds a personalized protocol from them.
  4. Ongoing monitoring and coaching: Labs are repeated at follow-up visits, and your provider reviews your progress with you. Between visits, your Personal Health Coach is your point of contact.

You can read more about how Dynamis works and browse the other conditions we treat.

If Your Labs Point to a Hormone Cause

Your provider builds each protocol from your own lab results, then treatment is considered when your labs and symptoms point to a hormone cause. Two hormone causes behind fatigue that Dynamis treats are low testosterone and an underactive thyroid.

If Low Testosterone Is Confirmed

When labs and symptoms confirm low testosterone, a provider may prescribe testosterone replacement therapy. Your provider chooses the form, dose and schedule from your results and uses follow-up labs to see how your body responds.

If an Underactive Thyroid Is Confirmed

When labs show an underactive thyroid, a provider may prescribe thyroid hormone as part of thyroid therapy at Dynamis. Your provider adjusts the protocol with follow-up labs.

Frequently Asked Questions

Your fatigue can have a cause your tests did not check, because a standard lab panel covers only some of the possible causes. A normal result means your numbers are in the range where most healthy people’s numbers fall, but your own healthy level can still differ. At Dynamis, your provider reads a full panel next to your symptoms and history to look for the cause.

Fatigue can signal a medical condition. If you have felt tired for a few weeks, see a doctor when you are not sure why, it affects daily life, or it comes with other symptoms such as weight loss or mood changes. If anything feels urgent, contact emergency services.

A fatigue diary can help you find patterns, such as when you feel more tired and when you have more energy. Write down when your energy is higher and lower, then track it alongside your sleep, meals and activity to share with your provider.

Timing depends on the cause, and your provider cannot name a date before seeing your labs. Your Personal Health Coach checks in at 30, 60 and 90 days, and your provider repeats labs and adjusts the protocol as needed. Your provider can talk through what to expect once your results are in.

Do not stop a prescribed medicine on your own. Tell the provider who prescribes it that you have been tired, and ask whether the medicine could be part of the cause.

If this sounds like you, you can start with a kickoff call.

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From one warrior to another

We’re proud of the results our patients achieve and the trust they place in our team. Read our reviews below to see why men and women across the country choose Dynamis for hormone therapy and medical weight loss.
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I have been seeing Nicole at this clinic online for the last 6 months and I love it. She is so knowledgeable and keeps me on track with my health goals.
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Andi C
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Dynamis brings a new level of customer service to the health and wellness space! Every step of the way in my journey the team has been great! It's by far my favorite company that I've been with.

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