Chronic Fatigue
Ongoing fatigue often has more than one cause. We look at thyroid function, cellular energy, stress hormones, and nutrient levels together to find what is draining your energy.
Ongoing exhaustion is rarely caused by just one thing. Usually several factors are working together, which is why a single thyroid test or vitamin level often does not explain it. At EvoHealth, we look at how your thyroid, cellular energy, stress hormones, metabolism, and immune system are working together, since most people have more than one issue.
Common causes include thyroid problems, including trouble converting T4 (the storage form of thyroid hormone) into T3 (the active form). Fatigue can also come from problems with how your cells make energy, low CoQ10, or low iron, B12, magnesium, or carnitine. Other causes include low cortisol output from your stress response system, blood sugar swings and insulin resistance, and infections that never fully cleared, including long COVID.
Treatment depends on what is driving your fatigue. When needed, we may recommend supplements that support cellular energy, such as CoQ10, acetyl-L-carnitine, PQQ, alpha-lipoic acid, NAD+ precursors, and adaptogens. Your plan may also include eating to keep your blood sugar steady, resetting your sleep schedule, and Zone 2 exercise, which is steady, low-intensity cardio, built around your current energy level. Sleep and stress management matter just as much as supplements.
Your assessment includes a full thyroid panel (TSH, free T4, free T3, and reverse T3), cortisol levels measured throughout the day, organic acid testing to see how your cells are making energy, ferritin, and hs-CRP for inflammation. Sometimes fatigue points to another issue that needs a cardiologist, a sleep study, or an oncologist. If your results point that way, we will tell you and help you get the right care.
Fatigue care is part of our Functional Health program, which includes your assessment, written plan, and follow-up testing. Start with a free 15-minute consultation.
Common questions
The ones we are asked most about chronic fatigue.
Normal lab results mean your numbers fall within a range based on the general population. That does not always mean your body is working at its best. The tests that show early changes are often not included in standard bloodwork.
The most common causes are trouble converting thyroid hormone, problems with cellular energy or low CoQ10, low iron, B12, magnesium, or carnitine, low cortisol, blood sugar swings, and infections that never fully cleared. Most people have more than one, which is why treating one thing at a time often does not work.
Start with a free 15-minute consultation. From there, you will have a full fatigue assessment with Dr. Tanner Wilson or Brianna Cole, in person in Overland Park or by telehealth anywhere in Kansas and Missouri.
Ready to start with a clear clinical picture?
Start with the fifteen-minute consultation. No cost, and a straight answer on whether this model fits your case.