12 Reasons Why You're Always Tired, Even After Sleeping

February 20, 2026
Dr. Stephanie Bishop
Preventative Medicine & Gut Health Doctor | MBBS (Hons)
12 Reasons Why You're Always Tired, Even After Sleeping

Feeling tired all the time isn't normal. If you're constantly exhausted despite getting enough sleep, you're not alone. Chronic fatigue affects millions of people, and in most cases, it's not about a single cause but a combination of lifestyle factors and underlying conditions.

To get to the bottom of why you're always tired, you need to look past the surface. Fatigue is rarely caused by one thing. It's usually a mix of habits, nutrient gaps, and physiological issues that can slip through the cracks of routine testing. That’s why taking a more comprehensive look at your health matters.

Here are the 12 most common reasons for persistent fatigue.

1. Poor Sleep Quality

The most obvious reason for feeling tired is poor sleep, but it’s often more than just the number of hours you spend in bed. You might get 8 hours of sleep and still wake up feeling like you haven't rested at all.

Poor sleep quality is different from not sleeping enough, and it's one of the biggest energy drainers.

Your sleep gets disrupted when you:

  • Scroll through your phone right before bed (blue light tells your brain it's daytime)
  • Go to sleep at random times each night
  • Sleep somewhere too warm, bright, or noisy
  • Have caffeine after 2 PM

Establishing healthy sleep habits can help address poor sleep quality and chronic fatigue. Maintaining a consistent sleep schedule can improve both the quantity and quality of your sleep.

2. Obstructive Sleep Apnea

You might also have a sleep disorder.

Sleep disorders directly mess with your ability to get quality rest. The most common is obstructive sleep apnea, where your breathing stops and starts throughout the night. Your brain keeps waking you up to breathe, preventing you from reaching deep sleep.

Signs of sleep apnea:

  • Loud snoring
  • Waking up gasping or choking
  • Morning headaches
  • Your partner notices you stop breathing during sleep

If you have these warning signs, speak with your healthcare provider about a sleep study. It's the only way to properly diagnose sleep disorders and get the right treatment.

3. Nutrient Deficiencies Beyond the Basics

When you feel tired, many people check their iron levels first. While anemia (a lack of healthy red blood cells) is a major cause of fatigue, it’s only one piece of the puzzle.

Your body needs specific vitamins and minerals to produce energy at a cellular level. Without them, you'll feel exhausted no matter how much you sleep.

Why specific nutrients matter:

Nutrient Role in Energy Sign of Deficiency
Iron/Ferritin Carries oxygen to tissues via haemoglobin Extreme fatigue, cold hands, pale skin, shortness of breath
Vitamin B12 DNA synthesis & nerve function, red blood cell production Trouble concentrating, tingling in limbs, weakness
Vitamin D Muscle function & mood regulation Severe fatigue, bone pain, low mood, muscle weakness
Magnesium 300+ biochemical reactions, ATP production Muscle cramps, difficulty falling asleep, irritability
Folate Red blood cell formation Similar to B12 deficiency, weakness, irritability

4. Dehydration

Even mild dehydration makes your blood thicker, so your heart has to work harder to pump oxygen around your body. You feel tired, struggle to focus, and probably have a headache you're ignoring.

When you're dehydrated, blood volume decreases and becomes more viscous. Your heart has to work harder to circulate it. Your brain is 75% water, and even 1-2% dehydration impairs cognitive function and energy levels.

Dehydration also reduces your body's ability to regulate temperature and transport nutrients to cells. Everything becomes less efficient.

Signs you need more water:

  • Dark yellow urine
  • Dry mouth or lips
  • Feeling dizzy when you stand up
  • Struggling to concentrate by afternoon

Staying hydrated is important for maintaining energy levels and reducing the feeling of being overly tired during the day.

5. Blood Sugar Imbalance

Your energy levels are directly tied to how your body processes fuel. If you find yourself feeling overly tired, especially after lunch, you are likely experiencing a blood sugar crash.

When you eat a diet high in ultra-processed foods or simple sugars, your blood sugar spikes. Your body releases insulin to manage this, often causing a "crash" that leaves you feeling exhausted.

Your brain runs almost entirely on glucose. When blood sugar crashes (reactive hypoglycaemia), your brain doesn't have enough fuel. You feel shaky, irritable, can't concentrate, and desperately crave sugar or caffeine. Then the cycle repeats.

Over time, these spikes can lead to insulin resistance. This is a precursor to heart disease and metabolic syndrome, but it can be felt as chronic fatigue years before a standard glucose test flags a problem.

Understanding your metabolic health and timing your meals strategically can help stabilise blood sugar and maintain steady energy.

6. Sedentary Lifestyle

It sounds backwards, but the less you move, the more tired you feel.

A sedentary lifestyle weakens your heart and reduces your body's ability to produce energy efficiently. Physical activity triggers your body to build more capacity for energy production. When you're sedentary, this capacity decreases, making everyday tasks feel more taxing.

Regular exercise improves circulation by:

  • Delivering more oxygen and nutrients to tissues
  • Improving how your body uses insulin
  • Helps regulate blood sugar
  • Triggers the release of endorphins (feel-good chemicals).

Maintaining a healthy body weight may support good sleep and energy levels. Even small amounts of movement trigger positive metabolic changes that reduce fatigue.

7. Chronic Stress

When you're constantly stressed, your body stays in fight-or-flight mode. Stress hormones remain elevated, which:

  • Disrupts your sleep cycle
  • Uses up the energy your body needs elsewhere
  • Affects appetite and digestion
  • Leaves you mentally exhausted

Chronic stress can disrupt your natural sleep cycle. High levels of the stress hormone at night interfere with sleep hormone production, making it hard to fall asleep and stay asleep.

Your body also shifts resources away from things like digestion and immune response to address the perceived threat. Your nervous system stays on high alert, which is exhausting.

Burnout is a state of emotional, mental, and physical exhaustion resulting from excessive stress.

8. Anxiety and Depression

Mental health conditions are physically exhausting. Anxiety keeps your nervous system on constant alert. Depression can change your brain chemistry in a way that makes even simple tasks feel heavy.

Depression doesn't just make you sad, but physically drains you. You can sleep for 10 hours and still wake up feeling tired.

There's often a physical component: inflammation rises with depression, thyroid function affects mood and energy, and vitamin D and B vitamins are essential for making the brain chemicals that regulate how you feel.

9. Caffeine Dependency Cycle

Unexplained fatigue can come from relying too much on caffeine, especially late in the day. You're tired, so you drink coffee. The coffee disrupts your sleep. Poor sleep makes you more tired. So you drink more coffee.

Caffeine blocks the chemical in your brain that builds up throughout the day to make you feel sleepy. It masks tiredness temporarily but doesn't restore your energy.

Limit caffeine intake to morning hours only; no caffeine after 2 pm.

10. Thyroid Issues

Your thyroid controls your metabolism and how your body produces and uses energy. When it's underactive, everything slows down. You feel tired, gain weight easily, feel cold all the time, and have trouble concentrating.

Thyroid hormones regulate how fast your cells convert nutrients into energy. When thyroid function is low, your metabolism slows and energy production drops.

Understanding your complete thyroid picture is essential when fatigue is a main symptom.

What to track:

  • Unexplained weight changes
  • Cold intolerance
  • Brain fog
  • Dry skin
  • Constipation

11. Underlying Medical Condition

Fatigue is a symptom of many medical conditions. Your body is working overtime to deal with the health issue, leaving you drained.

If you've made lifestyle changes, improved your sleep habits, and cut back on caffeine but still feel tired after a few weeks, there may be a health condition at play.

Conditions that cause chronic fatigue:

  • Early autoimmune diseases - Your immune system attacks your own tissues, causing widespread inflammation. This uses enormous amounts of energy. Conditions like rheumatoid arthritis, lupus, and multiple sclerosis often feature fatigue as the first symptom, sometimes years before other symptoms appear.
  • Chronic inflammation - Low-grade inflammation throughout your body triggers a constant immune response, which drains energy.
  • Liver or kidney dysfunction: - These organs filter waste and regulate countless processes. Early problems indicate a buildup of toxins and decreased efficiency, leading to fatigue symptoms.
  • Heart & Lung issues - If your heart isn't pumping well, less oxygen and nutrients reach your tissues. You feel tired with activity and sometimes at rest.
  • Certain medications - Blood pressure medications, antihistamines, and some antidepressants can cause fatigue as a side effect. Never stop taking prescribed medication without talking to your healthcare provider.

12. Chronic Fatigue Syndrome (CFS)

Chronic Fatigue Syndrome (CFS), also known as myalgic encephalomyelitis, is a long-lasting condition where extreme fatigue doesn't improve with rest and worsens with physical or mental activity. The cause isn't fully understood, but it's a serious medical condition requiring specialised care.

When to See Your Healthcare Provider

Consulting a doctor is advisable if fatigue persists despite lifestyle changes, lasts for more than 2 weeks, or is accompanied by serious symptoms.

Get urgent medical help if you experience:

  • Chest pain or irregular heartbeat
  • Severe shortness of breath
  • Confusion or extreme difficulty staying awake
  • Sudden severe fatigue

Conclusion

Feeling constantly tired is your body telling you something's off. Sometimes it's lifestyle, poor sleep, inadequate nutrition, or lack of movement. Sometimes it's stress and mental health. The frustrating part is doing everything right and still feeling exhausted because there's something underneath that hasn't been found yet.

At Everlab, we believe that "not sick" isn't the same as "healthy." When you understand what's happening in your body, you can stop guessing and start taking the right steps to regain your energy. As we've found from testing over 1,000 Australians, many people who appear healthy have imbalances when you look deeper.

You deserve to know why you're always tired. Discover what gets missed and start feeling like yourself again.

Dr. Stephanie Bishop
Preventative Medicine & Gut Health Doctor | MBBS (Hons)

Clinician, medical educator, and med-tech developer with 16+ years of clinical experience and 25+ years in the health industry. Passionate about proactive longevity, preventative health, and optimising health outcomes through innovative, integrated, and holistic approaches. Experienced across rural emergency medicine, motorsport medicine, and longevity-focused care, with a research background in gastrointestinal health and a first-author publication. Dedicated to enhancing well-being, healthspan, and lifespan through evidence-based, forward-thinking healthcare solutions.

Feeling tired all the time isn't normal. If you're constantly exhausted despite getting enough sleep, you're not alone. Chronic fatigue affects millions of people, and in most cases, it's not about a single cause but a combination of lifestyle factors and underlying conditions.

To get to the bottom of why you're always tired, you need to look past the surface. Fatigue is rarely caused by one thing. It's usually a mix of habits, nutrient gaps, and physiological issues that can slip through the cracks of routine testing. That’s why taking a more comprehensive look at your health matters.

Here are the 12 most common reasons for persistent fatigue.

1. Poor Sleep Quality

The most obvious reason for feeling tired is poor sleep, but it’s often more than just the number of hours you spend in bed. You might get 8 hours of sleep and still wake up feeling like you haven't rested at all.

Poor sleep quality is different from not sleeping enough, and it's one of the biggest energy drainers.

Your sleep gets disrupted when you:

  • Scroll through your phone right before bed (blue light tells your brain it's daytime)
  • Go to sleep at random times each night
  • Sleep somewhere too warm, bright, or noisy
  • Have caffeine after 2 PM

Establishing healthy sleep habits can help address poor sleep quality and chronic fatigue. Maintaining a consistent sleep schedule can improve both the quantity and quality of your sleep.

2. Obstructive Sleep Apnea

You might also have a sleep disorder.

Sleep disorders directly mess with your ability to get quality rest. The most common is obstructive sleep apnea, where your breathing stops and starts throughout the night. Your brain keeps waking you up to breathe, preventing you from reaching deep sleep.

Signs of sleep apnea:

  • Loud snoring
  • Waking up gasping or choking
  • Morning headaches
  • Your partner notices you stop breathing during sleep

If you have these warning signs, speak with your healthcare provider about a sleep study. It's the only way to properly diagnose sleep disorders and get the right treatment.

3. Nutrient Deficiencies Beyond the Basics

When you feel tired, many people check their iron levels first. While anemia (a lack of healthy red blood cells) is a major cause of fatigue, it’s only one piece of the puzzle.

Your body needs specific vitamins and minerals to produce energy at a cellular level. Without them, you'll feel exhausted no matter how much you sleep.

Why specific nutrients matter:

Nutrient Role in Energy Sign of Deficiency
Iron/Ferritin Carries oxygen to tissues via haemoglobin Extreme fatigue, cold hands, pale skin, shortness of breath
Vitamin B12 DNA synthesis & nerve function, red blood cell production Trouble concentrating, tingling in limbs, weakness
Vitamin D Muscle function & mood regulation Severe fatigue, bone pain, low mood, muscle weakness
Magnesium 300+ biochemical reactions, ATP production Muscle cramps, difficulty falling asleep, irritability
Folate Red blood cell formation Similar to B12 deficiency, weakness, irritability

4. Dehydration

Even mild dehydration makes your blood thicker, so your heart has to work harder to pump oxygen around your body. You feel tired, struggle to focus, and probably have a headache you're ignoring.

When you're dehydrated, blood volume decreases and becomes more viscous. Your heart has to work harder to circulate it. Your brain is 75% water, and even 1-2% dehydration impairs cognitive function and energy levels.

Dehydration also reduces your body's ability to regulate temperature and transport nutrients to cells. Everything becomes less efficient.

Signs you need more water:

  • Dark yellow urine
  • Dry mouth or lips
  • Feeling dizzy when you stand up
  • Struggling to concentrate by afternoon

Staying hydrated is important for maintaining energy levels and reducing the feeling of being overly tired during the day.

5. Blood Sugar Imbalance

Your energy levels are directly tied to how your body processes fuel. If you find yourself feeling overly tired, especially after lunch, you are likely experiencing a blood sugar crash.

When you eat a diet high in ultra-processed foods or simple sugars, your blood sugar spikes. Your body releases insulin to manage this, often causing a "crash" that leaves you feeling exhausted.

Your brain runs almost entirely on glucose. When blood sugar crashes (reactive hypoglycaemia), your brain doesn't have enough fuel. You feel shaky, irritable, can't concentrate, and desperately crave sugar or caffeine. Then the cycle repeats.

Over time, these spikes can lead to insulin resistance. This is a precursor to heart disease and metabolic syndrome, but it can be felt as chronic fatigue years before a standard glucose test flags a problem.

Understanding your metabolic health and timing your meals strategically can help stabilise blood sugar and maintain steady energy.

6. Sedentary Lifestyle

It sounds backwards, but the less you move, the more tired you feel.

A sedentary lifestyle weakens your heart and reduces your body's ability to produce energy efficiently. Physical activity triggers your body to build more capacity for energy production. When you're sedentary, this capacity decreases, making everyday tasks feel more taxing.

Regular exercise improves circulation by:

  • Delivering more oxygen and nutrients to tissues
  • Improving how your body uses insulin
  • Helps regulate blood sugar
  • Triggers the release of endorphins (feel-good chemicals).

Maintaining a healthy body weight may support good sleep and energy levels. Even small amounts of movement trigger positive metabolic changes that reduce fatigue.

7. Chronic Stress

When you're constantly stressed, your body stays in fight-or-flight mode. Stress hormones remain elevated, which:

  • Disrupts your sleep cycle
  • Uses up the energy your body needs elsewhere
  • Affects appetite and digestion
  • Leaves you mentally exhausted

Chronic stress can disrupt your natural sleep cycle. High levels of the stress hormone at night interfere with sleep hormone production, making it hard to fall asleep and stay asleep.

Your body also shifts resources away from things like digestion and immune response to address the perceived threat. Your nervous system stays on high alert, which is exhausting.

Burnout is a state of emotional, mental, and physical exhaustion resulting from excessive stress.

8. Anxiety and Depression

Mental health conditions are physically exhausting. Anxiety keeps your nervous system on constant alert. Depression can change your brain chemistry in a way that makes even simple tasks feel heavy.

Depression doesn't just make you sad, but physically drains you. You can sleep for 10 hours and still wake up feeling tired.

There's often a physical component: inflammation rises with depression, thyroid function affects mood and energy, and vitamin D and B vitamins are essential for making the brain chemicals that regulate how you feel.

9. Caffeine Dependency Cycle

Unexplained fatigue can come from relying too much on caffeine, especially late in the day. You're tired, so you drink coffee. The coffee disrupts your sleep. Poor sleep makes you more tired. So you drink more coffee.

Caffeine blocks the chemical in your brain that builds up throughout the day to make you feel sleepy. It masks tiredness temporarily but doesn't restore your energy.

Limit caffeine intake to morning hours only; no caffeine after 2 pm.

10. Thyroid Issues

Your thyroid controls your metabolism and how your body produces and uses energy. When it's underactive, everything slows down. You feel tired, gain weight easily, feel cold all the time, and have trouble concentrating.

Thyroid hormones regulate how fast your cells convert nutrients into energy. When thyroid function is low, your metabolism slows and energy production drops.

Understanding your complete thyroid picture is essential when fatigue is a main symptom.

What to track:

  • Unexplained weight changes
  • Cold intolerance
  • Brain fog
  • Dry skin
  • Constipation

11. Underlying Medical Condition

Fatigue is a symptom of many medical conditions. Your body is working overtime to deal with the health issue, leaving you drained.

If you've made lifestyle changes, improved your sleep habits, and cut back on caffeine but still feel tired after a few weeks, there may be a health condition at play.

Conditions that cause chronic fatigue:

  • Early autoimmune diseases - Your immune system attacks your own tissues, causing widespread inflammation. This uses enormous amounts of energy. Conditions like rheumatoid arthritis, lupus, and multiple sclerosis often feature fatigue as the first symptom, sometimes years before other symptoms appear.
  • Chronic inflammation - Low-grade inflammation throughout your body triggers a constant immune response, which drains energy.
  • Liver or kidney dysfunction: - These organs filter waste and regulate countless processes. Early problems indicate a buildup of toxins and decreased efficiency, leading to fatigue symptoms.
  • Heart & Lung issues - If your heart isn't pumping well, less oxygen and nutrients reach your tissues. You feel tired with activity and sometimes at rest.
  • Certain medications - Blood pressure medications, antihistamines, and some antidepressants can cause fatigue as a side effect. Never stop taking prescribed medication without talking to your healthcare provider.

12. Chronic Fatigue Syndrome (CFS)

Chronic Fatigue Syndrome (CFS), also known as myalgic encephalomyelitis, is a long-lasting condition where extreme fatigue doesn't improve with rest and worsens with physical or mental activity. The cause isn't fully understood, but it's a serious medical condition requiring specialised care.

When to See Your Healthcare Provider

Consulting a doctor is advisable if fatigue persists despite lifestyle changes, lasts for more than 2 weeks, or is accompanied by serious symptoms.

Get urgent medical help if you experience:

  • Chest pain or irregular heartbeat
  • Severe shortness of breath
  • Confusion or extreme difficulty staying awake
  • Sudden severe fatigue

Conclusion

Feeling constantly tired is your body telling you something's off. Sometimes it's lifestyle, poor sleep, inadequate nutrition, or lack of movement. Sometimes it's stress and mental health. The frustrating part is doing everything right and still feeling exhausted because there's something underneath that hasn't been found yet.

At Everlab, we believe that "not sick" isn't the same as "healthy." When you understand what's happening in your body, you can stop guessing and start taking the right steps to regain your energy. As we've found from testing over 1,000 Australians, many people who appear healthy have imbalances when you look deeper.

You deserve to know why you're always tired. Discover what gets missed and start feeling like yourself again.

Dr. Stephanie Bishop
Preventative Medicine & Gut Health Doctor | MBBS (Hons)

Clinician, medical educator, and med-tech developer with 16+ years of clinical experience and 25+ years in the health industry. Passionate about proactive longevity, preventative health, and optimising health outcomes through innovative, integrated, and holistic approaches. Experienced across rural emergency medicine, motorsport medicine, and longevity-focused care, with a research background in gastrointestinal health and a first-author publication. Dedicated to enhancing well-being, healthspan, and lifespan through evidence-based, forward-thinking healthcare solutions.

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12 Reasons Why You're Always Tired, Even After Sleeping

Are you worried that you're always feeling tired even after sleeping? Here are 12 reasons why you that could be happening.

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