Lost your mojo? Unable to leap out of bed like you used to? You're feeling TATT – Tired All The Time

A recent study revealed up to a quarter of us are often too exhausted to go to work.

And at any given time, one in five of us feels unusually low on energy.

We talk to experts about the causes that can leave you feeling like you are running on empty and offer some simple suggestions to help shake off fatigue and perk you up.


IRON deficiency anaemia is one of the most common medical reasons behind women feeling wiped out. Alongside low energy, other typical symptoms include pale skin and heavy muscles.

GP Dr Maheinthan Yogeswaran says: “Fatigue is one of the most common symptoms of anaemia and can occur when the body doesn’t have enough red blood cells to transport oxygen to body parts. Your doctor can perform a simple blood test for this.”

Iron deficiency can be treated with prescription supplements and eating an iron-rich diet.

Other medical reasons for tiredness such as diabetes or infection can also be routinely tested for.

Perk up: Tuck into foods high in iron such as red meat and liver, and dark green leafy vegetables such as kale, spinach and watercress, and pulses such as chickpeas, lentils, kidney beans and tofu.


LOSING more fluid than you consume can leave you feeling exhausted.

As well as tiredness, other signs that you need to rehydrate are headaches, ­dizziness and dark ­yellow urine.

Dr Roger Henderson, adviser to the Natural Hydration Council, says: “NHS guidance suggests adults should drink seven to ten 200ml glasses of fluid daily.

"All soft drinks count.”

Perk up: Carry a large water bottle to sip throughout the day. You may need more fluids in hot weather or when exercising.


RELYING on stimulating caffeine or sugary foods for a quick fix will only leave you more shattered in the long run.

Nutritionist Dr Marilyn Glenville says: “Too much caffeine and sugar or long gaps between eating causes blood sugar levels to fluctuate. This results in fatigue and insomnia.

“To keep your blood sugar levels balanced and stable, eat small, regular and healthy meals or snacks.”

Perk up: Never skip breakfast. Oats are a great source of balanced, slow-release energy. Whole grains, bananas, oily fish and nuts are all perfect edible fatigue-fighters, too.

Aim for three healthy meals a day with two nutritious snacks in between to stabilise blood sugars.


MOST of us need around six to eight hours of quality sleep a night.

But staying up watching boxsets or updating social media from under the covers can fool us into thinking we are getting more shut-eye than we are.

Avoid daytime naps and stick to a regulated sleep routine for quality snooze time.

Silentnight sleep expert Dr Nerina Ramlakhan says: “Commit to getting to bed at around 10pm for four or five nights per week to allow your body to rest through important sleep cycles.”

Perk up: Blue light from laptops, tablets and smartphones can disrupt sleep by boosting alpha wavelengths that create alertness. So ban gadgets from the bedroom.


MANY women struggle with tiredness in their monthly cycle due to major hormonal fluctuations.

Just before a period, sleep- promoting progesterone levels drop and your body temperature rises, which makes it more difficult both to fall asleep and stay asleep.

Dr Yogeswaran says: “Oestrogen, progesterone, thyroid and adrenal hormones are all involved in the regulation of cellular energy in the body.

“When this regulation gets compromised by the menopause or monthly cycle, it can lead to feelings of extreme fatigue.”

Perk up: Taking a magnesium supplement before bedtime may help if hormonal sleeplessness strikes. Try KalmAssure Magnesium Powder, £24.50, naturesplus.co.uk.

Depression and anxiety

DEPRESSION, anxiety and other psychological reasons can all cause feelings of fatigue.

Psychotherapist Jane Barnfield Jukes says: “You may be struggling emotionally or psychologically, but not always be aware of it.

“This leaves us feeling emotionally depleted and physically tired.”

Feeling anxious about money or work worries, family and relationship problems or other personal strains can be both mentally draining and physically prevent sleep.

Constant tiredness and lethargy can also be a symptom of clinical depression.

If symptoms, which can also include feeling sad, low or lacking in energy, don’t alleviate within a few days or weeks, book an appointment with your doctor.

Perk up: Talk to your doctor. There are many treatments to help with mental health issues including counselling, cognitive behavioural therapy, exercise and mindfulness, and medication.


THE thyroid is a gland in the front of your neck which makes hormones that control how your body uses energy.

When hormones are low, symptoms can include fatigue during the day and poor sleep at night.

Dr Yogeswaran says: “An underactive thyroid can lead to lower energy levels, causing you to feel weak.”

This is also more common in women.

As well as tiredness, tell-tale symptoms include weight gain, feeling the cold and low mood.

Perk up: See your doctor for a blood test. It can usually be treated with daily medication.

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