10/19/2026
Tired every morning? Before you blame your age, here’s what I’d actually look at:
💤 Snoozing all morning isn’t helping but this workup can figure it out.
🌡️ Perimenopause: mostly a clinical diagnosis based on cycle changes, night sweats, and broken sleep. One FSH level often won’t tell you much.
🩸 Labs: CBC, ferritin (you can be iron-depleted with a normal hemoglobin), TSH, CMP, B12, vitamin D, A1c
💉 On a GLP-1: are you getting enough protein, fluids, and electrolytes? Does the fatigue cluster in the days after your dose?
🧠 Mood: anxiety and depression screening (GAD-7, PHQ-9)
😴 Sleep: snoring, gasping, or waking unrefreshed? Ask about sleep apnea screening. Also check your caffeine timing, alcohol, and late-night scrolling.
Fatigue is a symptom, not a character flaw. Bring this list to your doctor.
This is education, not medical advice.
