Healthy Ageing
Persistent physical or mental exhaustion that is not fully relieved by rest and may have many underlying causes.
Physician-led assessment · individualized care · Vancouver clinic
Understanding Fatigue and Reduced Energy
Maybe you wake up already tired, run on coffee by mid-morning, and feel like you're pushing through every afternoon. You've been told it's just age, or stress, or hormones. Persistent fatigue that rest doesn't fix is real, and it's worth looking into properly.
Tiredness like this rarely has one cause. Sleep quality and sleep disorders, low iron, thyroid and other hormones, mood, medications, nutrition and chronic health conditions can all play a part, often several at once. Very often there's a treatable piece in the mix, such as low iron, an underactive thyroid or sleep apnea, and finding it can make a real difference to how you feel day to day.
Causes and Contributing Factors
Fatigue rarely has a single cause. Common contributors include inadequate or poor-quality sleep, sleep disorders such as sleep apnea, iron-deficiency or other anemias, thyroid dysfunction, uncontrolled diabetes, infections, and heart, lung, kidney or liver conditions. Mental-health factors such as depression, anxiety and chronic stress are frequently involved, as are certain medications, alcohol, and nutritional shortfalls. In some people no single explanation is found, and fatigue reflects a combination of factors interacting over time.
Signs and Symptoms
Fatigue can affect the body, the mind or both. Features people commonly describe include:
Assessment
Your appointment is with one of our physicians. We'll talk about how long you've felt this way and what the pattern looks like, along with your sleep, mood, diet, medications, alcohol and caffeine, and anything else you've noticed, such as weight change, breathlessness or pain. A physical exam and selected blood tests check for things like anemia, thyroid problems or blood-sugar issues. Fatigue often has more than one cause, and the goal is to find the ones at work for you, especially treatable ones like low iron, an underactive thyroid or sleep apnea.
Medical consultations are physician appointments with a consultation fee, confirmed when you book.
Treatment Options
These are some of the options connected to this concern. The appropriate plan depends on assessment, suitability, and your goals.
Your care is built around what's causing your fatigue. It often starts with sleep, stress, activity, nutrition and any medications that may be adding to it, along with treating specific conditions like anemia or thyroid disease when we find them. Where hormones may be playing a part, our Hormone Assessment & Therapy with Dr. Gidon Frame looks at them as part of the bigger picture. We order the tests that guide your care, explain what the results mean for you, and arrange referral when that's the right step.
Together we'll put together a practical plan to rebuild your energy, paced to your daily life and the goals that matter most to you.
A physician-led approach to intimate-tissue concerns, offered here as Pink Intimate, that may include assessment and selected energy-based or regenerative options where appropriate.
Personalized hormonal health care in Vancouver with Dr. Gidon Frame, including assessment, treatment guidance, and ongoing monitoring for your symptoms and health goals.
For the fuller picture, explore the treatment pages above or discuss the options during a consultation.
Medical Assessment
Prompt medical assessment is important when fatigue is severe, worsening or unexplained, or when it comes with warning signs such as unintended weight loss, fever, night sweats, breathlessness, chest pain, fainting, significant mood change or new neurological symptoms. Fatigue that starts after a new medication, or that seriously gets in the way of daily life, should also be checked by a doctor.
Frequently Asked Questions
Some change in energy over time is common, but persistent or worsening fatigue isn't something you have to accept as aging. Many causes, such as sleep problems, anemia or thyroid conditions, are treatable, so ongoing tiredness is worth talking through with one of our physicians.
Hormonal changes can contribute to fatigue in some people, and they're one of several possible factors. Sleep, mood, nutrition, medications and other medical conditions are also common contributors, so a full assessment looks at all of them together.
Testing is guided by your history and examination, and may include bloodwork looking for anemia, thyroid problems or blood-sugar issues, among other things. Your physician chooses the tests that fit your situation, so you're not sent for every possible investigation.
Physician Assessment
An assessment can help clarify what may be contributing, which options may be appropriate, and what a reasonable next step could look like for you.
Visit Our Clinic
Anti-Aging Medical & Laser Clinic combines medical assessment, individualized planning, physician oversight, and a broad range of treatment options in its Vancouver clinic.
Bring your questions, treatment history, and goals. Your provider can help you understand appropriate options, expected recovery, and realistic outcomes.
Make an Appointment
Use our consultation form below and the clinic can guide you toward the appropriate starting point.
