5 Reasons you’re always tired & what actually helps – DR.VEGAN

5 Reasons you’re always tired & what actually helps

5 Reasons you’re always tired & what actually helps

Article by Olivier Sanchez ND, NT Dip, Ir

We talk about "feeling tired" or "exhausted" even, as if it’s just one thing, when there are different types of fatigue, each with its own causes and solutions. Understanding which one you’re dealing with makes it much easier to know what to change.

1. Physical fatigue

This is the classic “my body feels heavy” tiredness after busy days, training, poor sleep or standing on your feet for hours.

Common causes of physical fatigue

Overtraining or going from “zero to 100” with exercise
Inadequate rest and recovery
Low iron, B12 or protein intake
Poor sleep quality

Typical symptoms of physical fatigue

Heavy limbs, muscle weakness
Feeling wiped out after small tasks
Slower recovery after workouts

How to overcome physical fatigue

  • Prioritise proper sleep: aim for 7–9 hours (adapt to your needs), regular bed and wake times, and a wind-down routine.
  • Build in rest days and light movement (walking and stretching) rather than pushing hard every workout.
  • Eat enough protein and whole-food carbohydrates at meals to refuel muscles.
  • If you suspect low iron or B12 (especially if you’re plant-based), speak with your GP about testing and appropriate supplements.

Notes: Adapt sleep to your needs. The aim is to wake up refreshed. Oversleeping is as bad for daytime alertness as not sleeping enough. 

2. Mental fatigue

Mental fatigue is that foggy, “my brain has had enough” feeling after long hours of concentration, screen time, decision-making, and multitasking.

Common causes of mental fatigue

Long periods of focused work without breaks
Information overload and constant notifications
Poor sleep and blood sugar dips

Typical symptoms of mental fatigue

Brain fog and difficulty concentrating
Forgetfulness, slower thinking
Snappy, impatient responses (irritability)

How to overcome mental fatigue

  • Work in focused blocks (e.g., 45–60 minutes) followed by short breaks away from screens.
  • Base meals around slow-release energy with fibre, healthy fats and protein, not just coffee and carbs.
  • Reduce background noise and multitasking. Close extra tabs, pause notifications where you can.
  • Build in short “brain resets” like a five-minute walk, breathing exercises, or looking outside rather than scrolling.

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3. Emotional fatigue

Emotional tiredness comes from carrying a lot mentally: caring responsibilities, conflict, people-pleasing, or simply “holding it all together” for too long.

Common causes of emotional fatigue

Ongoing stress at work or home
Relationship difficulties
Caregiver stress and unsupported responsibilities

Typical symptoms of emotional fatigue

Feeling numb, flat or tearful
Irritability, low tolerance
Avoiding people or tasks you normally enjoy

How to overcome emotional fatigue

  • Set boundaries. Say “no” more often. Reduce non-essential commitments.
  • Talk. Don’t bottle it up.
  • Create new daily automatisms: walks, yoga, journaling, breathwork, or time in nature for a complete reset.
  • Reduce stimulants like caffeine and alcohol in the evening, which can keep your system on high alert. Better yet, avoid caffeine after midday.

4. Metabolic fatigue

This is tiredness driven by how your body is handling energy – blood sugar swings, low nutrient status, thyroid issues or underlying metabolic problems.

Common causes of physical fatigue

Skipping meals or living on sugary snacks (poor blood sugar control)
Very low-carb or very low-calorie (restrictive or crash) diets for too long
Thyroid issues, low iron, B12, vitamin D or magnesium
Insulin resistance or pre-diabetes

Typical symptoms of physical fatigue

Energy crashes after meals
Cravings for sugar or caffeine just to get through the day
Feeling cold, sluggish, low-mood, hair or skin changes

How to overcome metabolic fatigue

  • Always include protein, healthy fats and fibre (vegetables, whole grains, and pulses) in your meals to stabilise blood sugar.
  • Avoid long gaps without food if you’re prone to crashes (an unsweetened, protein-rich snack can help).
  • If fatigue is persistent or accompanied by weight changes, hair loss, or low mood, ask your GP about blood tests (iron studies, B12, vitamin D, thyroid, glucose/HbA1c).
  • Consider targeted supplements where needed, ideally based on testing rather than guesswork.

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5. Lifestyle and 'overload' fatigue

This is the “I’m constantly on the go” tiredness that comes from doing too much, sleeping too little and never truly switching off. Left unchecked, it can move towards burnout.

Common causes of lifestyle fatigue

Always “on” (late-night emails, endless to-do lists, taking work to bed)
Poor sleep hygiene and irregular routines
No real downtime (every gap is filled with scrolling or tasks)

Typical symptoms of lifestyle fatigue

Waking up unrefreshed, even after a long sleep
Feeling wired but tired (tired body, racing mind)
Relying on caffeine to start and alcohol or other substances to stop

How to overcome it

  • Create non-negotiable wind-down time before bed: no work, dim lights, and a relaxing routine.
  • Incorporate small, daily pockets of time that are genuinely restful; no “screen time” or work allowed.
  • Review your week and actively remove or delegate tasks where possible. You can’t time-manage your way out of chronic overload without cutting something.
  • If you’ve felt this way for months and it’s getting worse, this may be drifting into burnout territory.

Time for action before the way back demands a lot more from you. 

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This article was written by
Zakia Mance

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References
Benoit, CE., Solopchuk, O., Borragán, G. et al. (2019). Cognitive task avoidance correlates with fatigue-induced performance decrement but not with subjective fatigue. Neuropsychologia. 123, pp. 30-40. doi:10.1016/j.neuropsychologia.2018.06.017
Cook, DB., O’Connor, PJ., Lange, G. et al. (2007). Functional neuroimaging correlates of mental fatigue induced by cognition among chronic fatigue syndrome patients and controls. Neuroimage. 36(1), pp. 108-122. doi:10.1016/j.neuroimage.2007.02.033
Fritschi, C., Quinn, L. (2010). Fatigue in patients with diabetes: A review. Journal of Psychosomatic Research. 69(1), pp. 33-41. doi:10.1016/j.jpsychores.2010.01.021
Möller, MC., Nygren de Boussard, C., Oldenburg, C. et al. (2014). An investigation of attention, executive, and psychomotor aspects of cognitive fatigability. Journal of Clinical and Experimental Neuropsychology. 36(7), pp. 716-729. doi:10.1080/13803395.2014.933779
 

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