Tired All the Time? Here’s What Your Doctor Might Be Missing (And How to Fix It Naturally )

You’re exhausted. You sleep, but it doesn’t help. Your labs come back “normal,” yet you barely make it through the day. Sound familiar?

A woman is laying in bed covering her face with her hand while holding an alarm clock.

If you’re constantly tired and not getting answers, you’re not alone—and it’s not “all in your head.” Chronic fatigue is one of the most common complaints I hear in my functional medicine practice, and conventional medicine often overlooks root causes that could be driving your symptoms.

In this post, you’ll learn:

Why “normal” bloodwork doesn’t mean optimal health
5 root causes of fatigue that often go undiagnosed
Natural, evidence-based strategies to reclaim your energy
When to consider functional medicine testing and support

Why Your Labs Look Normal (But You Still Feel Awful)

Standard blood panels check for serious disease—but not always dysfunction. You may be told everything is “fine,” but in functional medicine, we go beyond disease to look at imbalances that affect your body’s performance.

Example: A TSH level within the “normal” range might still be too high for optimal thyroid function. That’s why we use optimal ranges, not just lab ranges.

5 Hidden Causes of Fatigue Your Doctor Might Miss

1. Adrenal Dysfunction (HPA Axis Imbalance)

Chronic stress or poor sleep can dysregulate cortisol levels. This leads to energy crashes, irritability, and brain fog.

Natural fix: Adaptogens (like ashwagandha), stress management, sleep optimization, and rhythm-resetting.

2. Thyroid Imbalances

You can have textbook symptoms of hypothyroidism (weight gain, fatigue, hair loss) and still have “normal” labs. We test free T3, free T4, reverse T3, and antibodies—not just TSH.

Natural fix: Nutrient support (selenium, iodine, zinc), gut health, and root-cause care if autoimmune.

3. Nutrient Deficiencies

Low levels of iron, B12, magnesium, and vitamin D are extremely common and can be missed in basic blood panels.

Natural fix: Functional testing, therapeutic supplementation, and food-first protocols.

4. Mitochondrial Dysfunction

Your mitochondria are your body’s energy powerhouses. Toxins, stress, and chronic infections can slow them down—leading to chronic fatigue.

Natural fix: CoQ10, alpha-lipoic acid, glutathione, and detox support.

5. Hidden Infections or Gut Dysbiosis

Conditions like SIBO, candida overgrowth, or low-grade viral infections can cause systemic inflammation and fatigue.

Natural fix: Advanced stool or organic acid testing, personalized protocols to restore balance.

Natural Ways to Start Reclaiming Your Energy Today

Even without testing, here are foundational steps you can take now:

Prioritize 7–9 hours of quality sleep
Eat a whole-food, anti-inflammatory diet
Stay hydrated and reduce caffeine after 2pm
Incorporate gentle movement (like walking or yoga)
Limit screen time before bed to support circadian rhythms
Consider working with a functional practitioner to personalize your plan

Still Struggling? It Might Be Time for a Deeper Look.

If you’ve tried “everything” but still feel tired, you don’t have to keep guessing. There are answers—and they often live in places most conventional providers don’t check.

Want personalized help?
Schedule an appointment to learn how we uncover root causes and create customized wellness plans that work.