Fatigue and low energy
Fatigue and Low Energy Treatment
Exhaustion is the most common complaint Dr. McCully hears: not ordinary tiredness after a long week, but a deep depletion that shows up every afternoon, every evening, sometimes all day. Fatigue is not a personality trait, and it is not simply what happens with age.
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Fatigue Is Information
If age alone caused fatigue, everyone the same age would feel equally drained, and that is not what Dr. McCully sees in practice. Most women reach for coffee to push through. It works for a while, then the crashes get worse, and doctor visits turn up nothing but normal labs. Fatigue is your body pointing at something specific and fixable.
What Commonly Drives Fatigue
In more than 20 years of practice, the same drivers show up again and again, often several at once:
- Nutrient deficiencies, such as low iron or vitamin D
- Blood sugar swings
- An underactive thyroid or poor thyroid conversion
- Chronic stress
- Food sensitivities and gut problems
- Hidden infections and toxin load, including mold
- Chronic insomnia
- Hormone shifts in perimenopause and menopause
- An underlying illness that was never identified
Dr. McCully checks for these with a comprehensive panel, including a complete thyroid panel, fasting insulin, ferritin and vitamin D, plus a continuous glucose monitor for every patient.
Why Fatigue Rarely Travels Alone
Fatigue usually arrives with brain fog, mood changes, digestive trouble or joint pain, because the systems that regulate energy regulate almost everything else too. Treating fatigue on its own misses the bigger picture. Dr. McCully maps every symptom you carry, physical and mental, and builds one coordinated program to address them together.
“My physicals came back great, but I didn't feel great. I feel like I'm back. I feel like my old self again.”
Who Dr. McCully Helps
Mostly women 45 to 70 across Menlo Park, Palo Alto, Atherton, Los Altos, Woodside and Portola Valley who have already been told their bloodwork looks fine. For women whose fatigue started with perimenopause, see perimenopause and menopause care.
Patient stories reflect individual experiences. Results vary from person to person.
Guides
In-Depth Guides on Energy and Fatigue
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Energy and Fatigue
Emotional Fatigue
Emotional fatigue explained: burnout, depression, people-pleasing, decision load and vigilance, how they drain energy, and what restores it.
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Energy and Fatigue
Nutrient Deficiencies and Fatigue
The deficiencies behind fatigue: low iron before anemia, B12, vitamin D and dehydration, who is at risk, how each is tested and how long it takes.
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Energy and Fatigue
Sleep and Energy
How sleep drives daytime energy: sleep need, sleep debt, body clock timing, caffeine, alcohol, sleep apnea and insomnia, and what restores sleep.
Visit the clinic
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Wellness Architecture sits in downtown Menlo Park, a short drive from Palo Alto, Atherton, Redwood City and Woodside.
Wellness Architecture
932 B1 Santa Cruz Ave
Menlo Park, CA 94025
(650) 233-7327
Monday to Friday: 9:00 AM to 5:00 PM
Saturday and Sunday: Closed