Constant fatigue, no concentration

Question

I suffer from constant fatigue and decreased concentration. I've been checking my iron and vitamin levels, but the results are normal. I also tried taking supplements, but I did not notice any improvement. What could it be? What tests should I take?

Dr Sujal Patil · Accepted Answer

Dear Seetha,
How is your sleep & appetite? Do you feel sluggish or heavy? Are there any recent weight changes? Since your iron and vitamin levels are normal and supplements haven't helped, there could be other underlying causes for your fatigue and decreased concentration. Here are some possibilities and tests to consider:

Possible Causes:
Thyroid Dysfunction: Even subtle changes in thyroid function (hypothyroidism) can cause fatigue and brain fog.
Adrenal Fatigue: Chronic stress may lead to adrenal insufficiency, affecting energy levels.
Sleep Disorders: Conditions like sleep apnea or poor sleep quality can result in daytime fatigue.
Hormonal Imbalances: Changes in estrogen or cortisol levels, especially if you’re experiencing hormonal fluctuations.
Chronic Infections: Low-grade infections or inflammation can cause fatigue.
Mental Health: Anxiety, depression, or high stress can manifest as physical symptoms like fatigue and difficulty focusing.
Recommended Tests:
Thyroid Function Tests (TSH, Free T3, Free T4): To rule out thyroid imbalances.
Cortisol Levels: To check adrenal function and stress response.
Sleep Study: If sleep disorders like sleep apnea are suspected.
Comprehensive Metabolic Panel (CMP): To check liver, kidney function, and glucose levels.
Inflammatory Markers (CRP, ESR): To detect low-grade inflammation or chronic infections.
Hormonal Tests: To assess estrogen, progesterone, and cortisol levels, especially if hormonal imbalances are suspected.
Ayurveda looks at this as imbalance in Vata & Kapha imbalance and poor Agni status. Once the cause is determined management will be easier.

Dr. Harsha Joy · Answer

Constant fatigue and decreased concentration can stem from various underlying issues, even when iron and vitamin levels appear normal. It’s important to consider factors such as stress, sleep quality, thyroid function, and emotional well-being, as these can significantly impact your energy levels and cognitive function. Since you have already checked your iron and vitamin levels, you might want to consult your healthcare provider about tests for thyroid function, adrenal health, and possibly an evaluation for chronic fatigue syndrome or other related conditions.

From an Ayurvedic perspective, several remedies and treatments may help improve your energy levels and concentration. Ashwagandha (Withania somnifera) is renowned for its adaptogenic properties, helping to reduce stress and fatigue. Brahmi (Bacopa monnieri) can enhance cognitive function and concentration. Incorporating Triphala into your routine can support digestive health and detoxification, contributing to overall vitality. Regular practices of Yoga and Pranayama (breath control) can also help rejuvenate your body and mind. Additionally, ensuring a balanced diet rich in whole foods, along with adequate hydration and sufficient sleep, is crucial for restoring energy levels.

Constant fatigue, no concentration - #118

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