04/18/2026
If you’re always tired, crashing in the afternoon, and relying on caffeine just to get through the day, your body may be trying to tell you something is off.
And for many of the women I work with, it’s not a motivation issue—it’s an underlying imbalance.
These are some of the labs I look at first:
⚡️ Iron panel + ferritin → Iron is necessary for making hemoglobin (which transports oxygen throughout the body). Low iron = less oxygen delivery = fatigue. Ferritin (your stored form of iron) is often the earliest marker of iron deficiency.
⚡️ HbA1c + fasting insulin → These help assess what’s going on with your blood sugar. Unstable levels can lead to energy crashes and cravings.
⚡️ Thyroid panel → The thyroid regulates metabolism (how your body uses energy). Fatigue is a common symptom of an underactive thyroid. I don’t just look at TSH—I also assess T4, T3, and sometimes thyroid antibodies, depending on symptoms.
⚡️ Vitamin B12 → Essential for energy production and red blood cell formation. Low levels can lead to macrocytic anemia.
⚡️ Vitamin D → Low levels are associated with changes in mood, energy, and immune function.
⚡️ CBC (complete blood count) → Can provide clues about anemia and other underlying issues.
⚡️ Salivary diurnal cortisol test → Shows how your body responds to stress throughout the day and can reflect the impact of chronic stress.
When these are off, your body may struggle to:
�➡️ feel energized�➡️ handle stress�➡️ stay balanced
These imbalances can be influenced by nutrient intake, digestive issues, chronic stress, or genetic SNPs.
So if you’ve been dealing with chronic fatigue and have been told everything looks “normal,” there may be something that hasn’t been fully evaluated.
You don’t need to push harder—you need to understand what your body actually needs.
DM “ENERGY” if you’re constantly fatigued despite getting enough sleep and want guidance.