02/02/2026
7 common root causes of fatigue I see in practice
If you’re dealing with persistent fatigue, it’s rarely just one thing. In functional medicine, I look at why your body isn’t producing or sustaining energy.
Here are 7 of the most common causes:
1️⃣ Sleep apnea — disrupted breathing reduces oxygen and restorative sleep
2️⃣ Anemia — low iron or B12 limits oxygen delivery to tissues
3️⃣ Adrenal dysfunction — chronic stress alters cortisol and energy rhythms
4️⃣ Thyroid dysfunction — thyroid hormones regulate metabolic energy
5️⃣ Mitochondrial dysfunction — impaired cellular energy production
6️⃣ Chronic inflammation — the body diverts energy toward immune defense
7️⃣ Toxin exposure — mold, heavy metals, and chemicals burden detox pathways
Fatigue is a symptom, not a diagnosis. Identifying the underlying cause is key to lasting improvement.
🎥 I break each of these down in more detail in my full YouTube video — link in bio.