No, feeling exhausted all the time is not normal and is often a sign that something needs attention, whether it's related to lifestyle factors, psychological well-being, or an underlying medical condition.
But tiredness or exhaustion that goes on for a long time is not normal. It can affect your ability to get on and enjoy your life. Unexplained tiredness is one of the most common reasons for people to see their GP.
Fatigue red flags signal potentially serious issues beyond normal tiredness, including unexplained weight loss, persistent fever, night sweats, shortness of breath, chest pain, severe headaches, confusion, or new neurological/joint problems alongside exhaustion. Other signs include fatigue worsening with activity, significant cognitive/mood changes, or lack of energy despite rest, suggesting conditions like infection, autoimmune disease, heart problems, cancer, or mental health issues, warranting prompt medical evaluation.
The four Ps are problem solving, planning, prioritising and pacing. The aim is to think of the four Ps at the beginning of each day or week to help you manage your energy levels.
Vitamin and mineral deficiencies, including B2, B3, B5, B6, B9, B12, C, D, iron, and magnesium, are among the most common causes of unexplained fatigue. Vitamin D deficiencies affect over 50% of the global population, and approximately 12.5% have iron deficiency anemia.
Fatigue becomes worrisome when it lasts over a couple of weeks without relief, disrupts daily activities, comes on suddenly without a clear cause, or is accompanied by "red flag" symptoms like unexplained weight loss, shortness of breath, fever, unusual bleeding, severe headaches, or chest pain, indicating a need to see a doctor promptly. It's crucial to seek medical advice if rest, good nutrition, and stress management don't improve your energy levels.
Issues with specific organs could lead to severe fatigue. The thyroid, liver and brain are possible contributors, but heart and lung conditions are the most common cause. If this condition becomes serious, your doctor may recommend cardiac care or cardiopulmonary.
Consult a GP for advice.
Warning signs of tiredness
Fatigue indicators to include: time of incident, number of days into shift pattern, number of hours into shift, number of rest days in previous 14 day period, rest in previous 24 hours, amount of sleep in previous 72 hours, work activity, commute time.
Exhaustion that doesn't let up might be a sign of:
Extreme fatigue makes it hard to get up in the morning, go to work, do your usual activities and make it through your day. Fatigue feels like you have an overwhelming urge to sleep, but you may not feel refreshed after you rest or sleep.
The 40s and 50s
Both fluctuations can result in lower energy levels, feeling lethargic, and less muscle mass. Again, the 40s and 50s impact people differently, with some noticing fewer effects than others. However, during this stage, people will usually notice they're "getting old".
Vitamin B12 and folate perform several important functions in the body, including keeping the nervous system healthy. A deficiency in either of these vitamins can cause a wide range of problems, including: extreme tiredness. a lack of energy.
Evaluation of ME/CFS
Vitamin C, Iron and Magnesium Are Also involved in Energy-Yielding Metabolism. Vitamin C is needed for two dioxygenase enzymes involved in the biosynthesis of carnitine, an essential cofactor in the transport of long-chain fatty acids into the mitochondria.
What is the best vitamin to take for tiredness? Vitamin B12 is the best vitamin supplement for treating tiredness and fatigue. This essential nutrient helps your body produce energy and keeps you feeling less fatigued both physically and mentally.
When trying to cope with fatigue, a simple rule is to remember The Five P's: Plan, Prioritise, Pace, Position and Permission. Plan and organise your time. Plan your day ahead with periods of rest and periods of activity.
Burnout happens when ongoing stress leaves you exhausted—emotionally, physically, and mentally. It can happen when you're trying to handle too many things—work, school, parenting, caregiving, or other duties. After a while, you may feel drained, disconnected, and overwhelmed.
10 Things Draining Your Energy
Water. Even being mildly dehydrated can leave you feeling weary and fatigued. As well as drinking enough water throughout the day – at least 1.5 litres, you can also top up your levels through foods such as watermelon, cucumbers and citrus fruits.
But pushing through when your body is telling you to rest can actually do more harm than good. “If you regularly ignore signs of physical fatigue and train without proper recovery, you could put yourself at risk of overtraining,” Whitehorn says. Overtraining syndrome is a real concern.
Profound and debilitating fatigue is the most common complaint reported among individuals with autoimmune disease, such as systemic lupus erythematosus, multiple sclerosis, type 1 diabetes, celiac disease, chronic fatigue syndrome, and rheumatoid arthritis.
By 9 a.m. one may already feel the exhaustion of a full workday. Others describe weakness and a lack of energy throughout the entire day. Their usual "pep" is now gone. Even little tasks become more trying and around 4 p.m., they simply must lie down to take a nap.
Peripheral fatigue is usually described as an impairment located in the muscle and characterized by a metabolic end point, while central fatigue is defined as a failure of the central nervous system to adequately drive the muscle.