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There are a number of reasons why you could be feeling so tired all the time, from too many late nights and early mornings to more serious conditions such as insomnia.
While more people than ever before have reportedly felt this way during the pandemic, feeling tired all the time is actually so common that the NHS has already made it into an acronym. TATT stands for "tired all the time" and it's linked to a lack of sleep (opens in new tab), among other issues like waking up too early (opens in new tab) in the morning.
Tiredness and exhaustion in the long-term doesn't only make it harder to live your life to the full, but can cause health problems in the future.
Why am I always tired?
1. Lack of a balanced diet
If you feel tired after eating and throughout the day, you might be suffering from an unbalanced diet.
Eating foods with high antioxidant levels, also known as superfoods, improve your immune system and prevent you from feeling run down and tired. Common superfoods include fruit and vegetables, dairy products, melons, berries, dark and fibrous vegetables, whole grains and meat.
Feeling tired has also been linked to nutritional deficiencies that come with having an unbalanced diet. According to nutritionist Kim Pearson (opens in new tab), “Common deficiencies that can lead to tiredness include iron and vitamin D (opens in new tab). Opt for iron-rich foods such as spinach, kidney beans, chickpeas or grass-fed red meat, and take a daily vitamin d supplement. Vegans and vegetarians may lack iron and B12, two key nutrients for energy."
She adds, "“Vegans should take B12 and iron supplements, as well as vitamin D, while fussy eaters should consider a good quality multivitamin and mineral."
A lack of magnesium is another deficiency that could be to blame for a lack of deep sleep (opens in new tab). “Low energy levels have been linked to low magnesium levels, as it’s needed to produce adenosine triphosphate (ATP), which is essential for energy,” nutritionist Rick Hay explains. When magnesium levels are low, it’s harder to stay asleep too. So, up your intake of magnesium-rich foods, such as green leafy vegetables, nuts and dark chocolate.
Some people also use magnesium butter (opens in new tab) which has properties that have been proven to improve sleep quality.
2. Too much exercise during the day
It's normal to feel tired after working out, but fatigue is something different. This escalated feeling of tiredness, that effects the mind and body, happens when you don't fully recover from the exercise. It normally leads to people feeling drained and exhausted, especially during or immediately after exercise.
Doing too much exercise is a natural contributor to this feeling. Try to cut back on the hours spent in the gym or in the swimming pool, make sure you're fully hydrating after working out and restoring essential electrolytes, and be sure to get a good night's sleep after intense physical exercise.
Additionally, fatigue and exhaustion can occur when you don't fuel up before exercise. Without carbohydrates to feed off of during exercise, your body has to use its reserves of protein, fat and carbohydrates for energy - which can lead to you feeling tired.
However, exercise is still important for your general wellbeing.“Fresh air and brisk walks are effective ways to boost your energy, as they get the heart pumping and increase your blood flow,” says GP Dr Roger Henderson. So instead, opt for work outs three to five times a week and be sure to schedule in proper rest days.
3. Heavy periods
If you feel tired before your period starts, you could be suffering from a lack of iron or even anaemia (opens in new tab).
The body uses iron to make hemoglobin, which is a protein in red blood cells that carries oxygen from the lungs to other parts of the body. It also helps to make myoglobin, another protein that helps to provide oxygen to the muscles.
A lack of iron means a lack of these two proteins and this makes it harder for oxygen to reach your tissues and muscles. Deprived of energy, the heart has to work harder to move the blood around your body which makes you feel tired.
You can also suffer from anaemia all month long, not just when you're on your period. Try eating foods that have a lot of iron in them like liver, baked beans and curly kale or taking supplements. Talk to your doctor or health provider if you are concerned.
4. Too much sleep
Too much sleep can make you feel tired when you wake up as you're disrupting the body's biological clock. Otherwise known as the circadian pacemaker, this group of cells in the brain controls hunger, thirst, sweat and internal rhythms, including tiredness.
The pacemaker is triggered by light signals from your eye, signalling that it's daylight and the morning. It then sends out chemical messages to the rest of the body to suggest it's time to wake up.
When you have too much sleep, the pacemaker is thrown off it's regular schedule, which can make you feel fatigued as your body began to wake up hours ago.
To help combat this,sleep expert James Wilson (aka The Sleep Geek (opens in new tab)) recommends including natural light in your morning routine to help you feel more alert in the mornings. He says, "Having natural light earlier in the day helps your body to understand it is now daytime.
"It will reduce your lethargy and improve your alertness. This can be done by getting outside earlier in the day and using a sunshine alarm clock which has a light that rises like the sun and pulls your body out of sleep."
5. Waking up a lot in the night
A lot of us wake up in the night so briefly that we can't remember doing it. It makes us think we've slept right through but in the end, waking up more than five times a night can be the equivalent of losing an hour's sleep. So while there might be plenty of reasons for waking up in the middle of the night, including the symptoms of menopause (opens in new tab) and insomnia, there are other more natural reasons like noises in the house or outside.
So if you fit into the latter category, check out this simple technique used by registered nutritionist and army veteran, Rob Hobson.
How to fall asleep in 2 minutes:
Rob Hobson (opens in new tab) shared the following trick with us that has reportedly used by the US military in the past to get to sleep in difficult circumstances.
"This technique is said to work for around 96 per cent of people after practising for around six weeks," he said.
- Relax the muscles in your face, such as tongue, jaw and around the eyes.
- Drop shoulders as low as they will go, followed by your upper and lower arm, one side at a time.
- Breathe out, relaxing your chest then legs, working downwards from the thighs to the feet.
- Say ‘Don’t think, don’t think’ for 10 seconds to clear your mind.
By setting a proper routine for yourself, it's also possible that your body will adapt better to times when it should be asleep and awake so you'll feel less tired. To do this, it's important to fix your sleep schedule (opens in new tab) and go to bed at the same time every night, then wake up at the same time every morning.
6. Too hot or too cold in bed
If you're too hot or too cold to get to sleep, this is going to affect the quality of sleep you manage to get overnight.
It's also going to leave you feeling less than refreshed come the morning. “Getting a comfortable night’s sleep can be more challenging during the hottest months” says Thom Hemelryk founder of the Drowsy (opens in new tab) sleep company.
"Increased temperatures make it harder for us to drift off and mean we toss and turn more than the usual. But then sleeping with the windows open also increases outside light and noises that can keep us up."
Thom says the key to how to sleep in the heat (opens in new tab) is all about regulating your body temperature, “Your body temperature naturally peaks in the evening and then drops when you are asleep. Even slight changes to your normal patterns can be disruptive. So, it's important to be aware of your temperature patterns and prepare accordingly.”
He suggests these3 hacks for summer temperature control:
- Invest in a good fan, it keeps the temperature down and blocks out external noise.
- Sleep with a light cotton sheet instead of a quilt. If temperatures really soar, try rinsing it in water to keep you cool.
- Don't sleep naked as this could actually make you hotter (opens in new tab).
- Have your own bedding! In the winter it might be great to cuddle up to your partner to keep warm, but in the summer the heat from your two bodies can make you more uncomfortable. Regulate things by having separate bedding for both of you.
While keeping your bed cool or warm is vitally important for good sleep, it's also a good idea to make sure that you keep your house cool (opens in new tab) to ensure proper temperature regulation.
7. You need a new pillow or mattress
A new mattress should be purchased every 7-10 years. If your one is starting to reach the end of its life cycle, it could be impacting your sleep.
Before buying a new one, it's important to understand your own preference and the different options available when you shop.
Even if you go to bed early and think you're sleeping through until morning, your pillow could be undoing all this good work. The right pillow will support your neck and spine and prevent back pain. An old or uncomfortable pillow means that you'll toss and turn all night which stops your body getting the rest it needs, making you feel tired.
Pillow test: Place the middle of the pillow over your arm, if the sides hang down it's time to buy a new one!
8. Smoking or drinking alcohol before bed
We often feel sleepy after drinking a lot of alcohol, so you're fooled into thinking it aids sleep. But actually, our quality of sleep is affected after having a few drinks and you'll feel tired the next day. Similarly, smoking last thing at night can mean your quality of sleep suffers - even though you think you've had enough sleep. This is because like alcohol, nicotine is a stimulant.
Tom Hemelryk explains, "Stimulants like alcohol, tobacco and heavy foods in the run up to bed will disrupt the chemical balance in your brain needed for restful sleep."
If you do smoke, try to have your last cigarette at least four hours before bedtime. Nicotine patches or chewing gum can also affect your sleep. It's also best to avoid drinking large amounts of alcohol close to bedtime if you are feeling tired or having sleep problems.
9. Watching too much TV before bed
Rebecca Small, assistant medical director at Bupa says, "Television, laptop and computer games can all stimulate the mind and therefore can prevent a good night's sleep. Reading, meditation and exercise such as yoga can have a relaxing affect, helping prepare your body for sleep."
Even having the light from street lamps come through your windows can disrupt your sleep, as the high-intensity LED light emits the same blue light as a screen, although it's a smaller quantity. The American Medical Association (opens in new tab) have even issued a warning about street lights.
"The blue light emitted from phones, laptops and TVs can delay the release of sleep-inducing melatonin by up to three hours,” says Dr Vishal Shah, medical director at Thriva (opens in new tab).
To avoid this blue light from screens, try limiting your TV watching and texting to an hour a night, and don't let it be the last thing you do before you go to bed and don't use your bed for anything other than sleeping. It's not a good idea to watch TV in bed, or anything else like sorting out bills, make shopping lists or arguing. Let your body recognise that when you get into bed it's time for sleep.
As for the street lights, make sure to use black-out curtains to ensure that no light creeps through!
10. Certain medications
There are a lot of tablets and pills that can make you drowsy. Antihistamines, for example.
Many of us don't automatically link the two, even if it says so in the side effects. If you're on medication, this could be making you tired. Or it might be a mixture of tablets which on their own wouldn't affect you but together they might.
Have another look at the leaflets you get with tablets to check and if you're worried have a chat with your doctor, who might be able to suggest a solution.
11. Spending too much time indoors
If your day is made up of waking up, getting in the car, working in an office or staying at home all day and then going to bed, you probably don't get enough fresh air or sunshine.
Fresh air gives you a burst of oxygen and sunshine gives you vitamin D. Both these elements boost your energy levels and wake you up. They also boost your immune system, so you're less likely to get colds, bugs and other illnesses which make you feel run down.
Try getting out of the office at lunchtime or going for a walk in the evenings. When it's warm enough, open windows and doors too to let the air and sunshine go through your house.
12. Work and money worries
It's not new to us that worrying about our jobs and our finances makes us feel exhausted. But a study (opens in new tab) has confirmed that work and money worries can also cause sleep problems, saying that nearly 1 in 3 of us are having problems sleeping more than once a week. And those who took part in the study said work and money worries were the biggest problems when it comes to nodding off.
Try setting some time aside with your boss or manager to talk through your concerns if you're stressed about work. If you're feeling overworked or not supported, and they should be able to help you. Even a small step like this will make you feel like you are doing something about it and you'll feel better.
13. Feeling unwell
The most common theory (opens in new tab) on why you feel tired when you're unwell is that the body is forcing you to slow down. By slowing down and making you feel more tired, and so sleep more, the body has the chance to heal and fight off the infection.
14. An underlying health problem
Depression, Seasonal Affective Disorder (SAD) and going through menopause can all make you feel tired, fed up and sluggish as well as disrupt your sleeping pattern.
People who have SAD need a lot of sunshine to boost their mood and energy levels, so much so that many buy light boxes to simulate sunshine during the winter. And if you suffer from depression or are struggling with the symptoms of the menopause there are natural ways you can boost your energy levels which will make you feel happier, more awake and help you cope with all that the menopause might throw at you!
There are other health problems which can make you tired too. These include Restless Leg Syndrome (opens in new tab), hypothyroidism, diabetes, high and low blood pressure and Irritable Bowel Syndrome. Talk to your doctor or health provider if you are concerned.
“If you’re feeling tired for longer than a couple of weeks, see your GP,” says Dr Shah.
“As soon as you notice any change in your appetite, you feel pain, notice blood in your stools or urine, or are worried about any other symptoms, go and see your doctor.”
15. Too much tea and/or coffee
Caffeine is a quick pick-me-up, but it can stay in your body for five to six hours.
“This means anyconsumption in the afternoon andevenings will still affect your brain whenyou’re trying to sleep at night,” says DrAlison Bentley.
Ideally, you want to have your last cup at 3pm. But if you can’t, swap to green tea. “Green tea has caffeine but also l-theanine, which mutes the excess stimulating effect of caffeine,” says nutritionist Dana James. She also recommends avoiding non-organic drinks (ie teabags treated with pesticides, genetically modified organisms or synthetic fertilisers) to beat the afternoon slump. “Pesticide residue ends up in your coffee and that makes you feel tired,” she says. Instead of coffee, try these foods to keep you awake.
16. Not drinking enough water
Being dehydrated is one of the most common reasons for feeling tired all the time as your body is trying to work without enough water. This can cause periods of exhaustion, fatigue and low energy - as well as general tiredness.
The average recommended water intake is around three litres per day.
Sleeping through the pandemic
Since the outbreak of coronavirus in the UK, many of our sleeping schedules have been broken. A new study (opens in new tab) by Kings College London and Ipsos MORI found that significant numbers of people have experienced changes to their sleep patterns since lockdown was first announced in the UK on 23 March.
The research showed that half the population has had more disturbed sleep than usual, while three in 10 people say they've slept for longer but feel less rested than they normally would.
Professor Bobby Duffy, who is the director of the Policy Institute at King's College London has outlined the negative effect that lockdown is having on our sleep. “Nearly two-thirds of the UK public report some negative impact on their sleep from the Covid-19 crisis, clearly showing just how unsettling the pandemic and lockdown measures have been for a very large proportion us.
"And this is clearly tied to both how stressful we’ve found the virus itself, and how much we fear the impact of the lockdown on our employment and finances."
He says it's actually young people who have experienced the biggest change to their sleep - both for positive and negative reasons. "They are more likely than older people to say they’ve experienced negative impacts on their sleep, but also more likely to say they’ve slept better. As with so much about Covid-19, the crisis is affecting people very differently depending on their circumstances, and that includes the most fundamental aspects of life, such as sleep.”
One of the ways that our sleep has been impacted is with our dreams. In fact, picking out dream meanings during the pandemic has never been easier as hoards more people are experiencing strange dreams, relating to stress for the most part.
"Our dreams stem from our daily reality, meaning when something scary happens, we are more likely to carry that anxiety into our dreams. And let’s face it: today’s world of don’t-go-anywhere-without-a-mask-and-social-distance-everything can be the reason you’re having unusual dreams." People Who Sleep explain (opens in new tab), "Our heightened anxiety (externally coping or not) and lack of activity we are currently facing will also likely affect our sleep quality and encourage weird dreams."
"Practising pre-bedtime relaxation techniques like guided sleep meditation can help keep anxiety-driven thoughts out of your sweet dreams."
You may be too exhausted even to manage your daily affairs. In most cases, there's a reason for the fatigue. It might be allergic rhinitis, anemia, depression, fibromyalgia, chronic kidney disease, liver disease, lung disease (COPD), a bacterial or viral infection, or some other health condition.Why am I always tired and have no energy or motivation? ›
The following factors can contribute to fatigue, either alone or in combination: Psychological and psychosocial – stress, anxiety, and depression. Physical – anemia, diabetes, glandular fever, and cancer. Physiological – pregnancy, breast-feeding, inadequate sleep, and excessive exercise.How do you know when fatigue is serious? ›
Acute Fatigue as Urgent/Emergent
If the fatigue is associated with chest pain, shortness of breath, irregular heart rate, or sense of imminent passing out, these are urgent conditions that warrant immediate medical attention. These could be symptoms of a serious heart condition or major vascular insufficiency.
- Acute liver failure.
- Anxiety disorders.
- Chronic fatigue syndrome.
- Chronic infection or inflammation.
- Chronic kidney disease.
One possible reason for feeling tired, anxious, and weak is having low levels of iron, vitamin D, or B12. Many experts believe that a significant percentage of the U.S. population is deficient in vitamin D. Having low levels of vitamin D can cause muscle weakness and pain.What Vitamin Helps fatigue? ›
If you are feeling fatigued, eating foods rich in vitamin B12 or taking a supplement might just improve your energy levels.What are 3 types of fatigue? ›
There are three types of fatigue: transient, cumulative, and circadian: Transient fatigue is acute fatigue brought on by extreme sleep restriction or extended hours awake within 1 or 2 days.Why don't I have any energy to do anything? ›
Lack of energy is a typical symptom for most major diseases, like heart disease, many types of cancer, autoimmune diseases such as lupus and multiple sclerosis, and anemia (too few red blood cells). Fatigue also is a common sign of depression and anxiety. And fatigue is a side effect of some medications.What is exhaustion a symptom of? ›
Exhaustion isn't a mental disorder. But it can be caused by anxiety, depression, bipolar disorder, neurological and sleep disorders, anemia, electrolyte abnormalities, diabetes, obesity, and/or an infectious disease or cancer. Common reasons for fatigue could be lifestyle choices you should address.What can a doctor do for extreme fatigue? ›
Some research supports the following treatments for fatigue and depression: medications, including modafinil and atomoxetine. antidepressants , such as citalopram and venlafaxine. psychotherapy , such as cognitive behavioral therapy.
What happens to your body during exhaustion? 'It's not like normal tiredness. It's like you're trying to move through thick mud, and think through thick fog. All you want to do is lie down and sleep – and then sleep some more, after that.What are the 7 symptoms of chronic fatigue syndrome? ›
Chronic fatigue syndrome is characterized by profound tiredness. Symptoms often worsen with physical or mental activity. In addition to severe fatigue, symptoms include light sensitivity, headache, muscle and joint pain, difficulty concentrating, mood swings, and depression.What blood test showed chronic fatigue syndrome? ›
There's no test for myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS), but there are clear guidelines to help doctors diagnose the condition. A GP should ask you about your medical history and give you a physical examination.What neurological conditions cause fatigue? ›
- Multiple sclerosis.
- Parkinson's disease.
- Myasthenia gravis.
- Traumatic brain injury.
- Post-polio syndrome.
- Chronic fatigue syndrome.
- Functional neurological disorder.
- Transverse myelitis.
Vitamin B12 along with B6 are best for energy. Almost every cell in the body uses B12. Besides helping form red blood cells, B12 converts fat and protein to energy. A B12 deficiency causes tiredness and anemia.Can lack of B12 make you tired? ›
Fatigue. Megaloblastic anemia due to vitamin B-12 deficiency may lead to a person feeling fatigued. Without enough red blood cells to carry oxygen around their body, a person can feel extremely tired.What hormone causes fatigue? ›
Cortisol is often called the “stress hormone” because it is responsible for modulating the body's stress response, both long term and on a daily basis. When the body is not functioning as it should, cortisol can spike at the wrong time, causing sleep difficulty which leads to fatigue.What does crashing fatigue feel like? ›
People with ME/CFS often describe this experience as a “crash,” “relapse,” or “collapse.” During PEM, any ME/CFS symptoms may get worse or first appear, including difficulty thinking, problems sleeping, sore throat, headaches, feeling dizzy, or severe tiredness.What are 3 types of fatigue? ›
There are three types of fatigue: transient, cumulative, and circadian: Transient fatigue is acute fatigue brought on by extreme sleep restriction or extended hours awake within 1 or 2 days.Why am I tired no matter how much sleep I get? ›
One Reason Why You May Always Be Sleepy: Hypersomnia
If you're otherwise healthy, but are always sleepy no matter how much sleep you get, you may have Hypersomnia. In short, hypersomnia is a chronic neurological condition that makes you tired no matter how much sleep you get.
Most likely, you're still tired after eight hours of sleep because of these three factors: (1), you don't know your sleep need, (2) you're not taking into account your sleep efficiency, and (3) you carry sleep debt.Is it normal to be tired all the time? ›
But tiredness or exhaustion that goes on for a long time is not normal. It can affect your ability to get on and enjoy your life. Unexplained tiredness is one of the most common reasons for people to see their GP.Can chronic fatigue ever go away? ›
There is no cure or approved treatment for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). However, some symptoms can be treated or managed. Treating these symptoms might provide relief for some patients with ME/CFS but not others.Why do I feel so old and tired? ›
There are plenty of potential culprits. Medications for blood pressure, sleep problems, pain and gastrointestinal reflux can induce fatigue, as can infections, conditions such as arthritis, an underactive thyroid, poor nutrition and alcohol use. All can be addressed, doctors say.Why don't I have any energy to do anything? ›
Lack of energy is a typical symptom for most major diseases, like heart disease, many types of cancer, autoimmune diseases such as lupus and multiple sclerosis, and anemia (too few red blood cells). Fatigue also is a common sign of depression and anxiety. And fatigue is a side effect of some medications.What are 4 warning signs of fatigue? ›
- chronic tiredness or sleepiness.
- sore or aching muscles.
- muscle weakness.
- slowed reflexes and responses.
- impaired decision-making and judgement.
- moodiness, such as irritability.
Characteristics of hypersomnia
In extreme cases, a person with hypersomnia might sleep soundly at night for 12 hours or more, but still feel the need to nap during the day. Sleeping and napping may not help, and the mind may remain foggy with drowsiness.
- Make a commitment to sleep better. ...
- Establish a bedtime routine. ...
- Create a sleep-friendly environment. ...
- Keep your bedroom cool. ...
- Exercise regularly. ...
- Avoid heavy meals before bedtime. ...
- Morning light exposure. ...
- Limit nicotine and caffeine.
The most common causes of excessive sleepiness are sleep deprivation and disorders like sleep apnea and insomnia. Depression and other psychiatric problems, certain medications, and medical conditions affecting the brain and body can cause daytime drowsiness as well.