Why fatigue is so hard to figure out
Most people are told their fatigue is caused by one thing; sleep, stress, or a lab value.
But in reality, fatigue is often multifactorial.
It develops when several systems are under strain at the same time. Each one may be mild on its own, but together they significantly impact energy, recovery, and daily function.
This is why standard approaches often fall short.
Did you know that 1 in 7 adults reports significant exhaustion?
Â
Fatigue is common, but not simple.
A large portion of adults report ongoing exhaustion, yet the underlying causes are often missed when fatigue is treated as a single issue.
GET STARTEDTHERE IS HOPE
The Most Common Drivers Of Fatigue:
Most patients have more than one of these. The goal is to understand your pattern, not chase a single cause.
 Sleep
When sleep timing or quality is disrupted.
Includes insomnia, sleep apnea, circadian rhythm issues, and poor sleep quality.
Hormonal & metabolic
When the body’s energy regulation systems are affected.
Includes thyroid disorders, insulin resistance, reproductive hormones, and metabolic dysfunction.
Nutritional & blood
When the body lacks the resources needed to produce energy.
Includes iron deficiency, anemia, vitamin deficiencies, hydration, and protein intake.
Immune & inflammatory
When the immune system is chronically activated.
Includes autoimmune disease, chronic inflammation, allergies, and post-viral fatigue.
Nervous system
When the stress response remains activated.
Includes chronic stress, trauma, burnout, and nervous system dysregulation.
Cognitive load
When mental bandwidth is constantly consumed.
Includes decision fatigue, information overload, and persistent “open loops.”
Psychological
When emotional processing affects physical energy.
Includes depression, anxiety, trauma, grief, and ongoing stress.
Complex fatigue syndromes
When fatigue becomes a primary condition.
Includes ME/CFS, fibromyalgia, and long COVID.
Ready? Book Appointment
HOW WE APPROACH THIS
-
Instead of focusing on one possible cause, we evaluate the full picture.
We look for:
- the most impactful drivers
- how they interact
- what to address first
- We then apply a stepwise approach, focusing on the highest-impact areas first so improvements can build over time. We refer to this as the Fatigue Snowball Plan.
Fatigue Doesn't Look The Same For Everyone
WHAT THIS LOOKS LIKE IN REAL LIFE
Most patients fall into one of three general patterns:
Â
1. Medical fatigue
Fatigue driven by an underlying medical condition such as anemia, thyroid disease, sleep apnea, trauma, depression or autoimmune illness.
Often:
- newer or worsening
- associated with measurable findings
- improves when the condition is treated
2. Complex chronic fatigue
Long-standing fatigue involving multiple systems, often seen in conditions like ME/CFS, long COVID, or chronic pain syndromes.
Often:
- persistent
- worsened by exertion
- difficult to explain with a single diagnosis
3. Modern life exhaustion
Fatigue driven by sleep disruption, stress, cognitive overload, and lifestyle factors.
Often:
- labs are normal
- ongoing but variable
- improves with structured changes
Patients leave with a clear understanding of their fatigue pattern and a plan for how to move forward.
What this means for you...
After your evaluation, you’ll have:
- a clear breakdown of your fatigue drivers
- a structured plan
- guidance on next steps
Some patients choose to implement the plan on their own.
Others continue with ongoing care and support to help with implementation and adjustment over time.
YES, I WANT IN!Diagnostic Evaluation
$475
Includes comprehensive intake review, two physician visits, and a personalized plan.
REGISTER NOWMonthly Membership
$275
Includes physician visits and health coach support to help implement and adjust your plan over time.
REGISTER NOWThis is a cash-pay clinic. A superbill can be provided upon request for potential out-of-network reimbursement.
We are not currently accepting Medicare patients.
Care is currently available in California. Licensure in Oregon, Washington, and Texas is pending.
If you are located in another state, please contact us! We are actively expanding and may be able to accommodate you in the future.