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Tiredness: Causes, Symptoms & Treatments

at Omniya Clinic in London

Tiredness (Fatigue) Treatment in London

Feel clearer, brighter and more energised with doctor-led care at Omniya Clinic, Knightsbridge.

Ongoing tiredness can affect your mood, focus, and motivation, but in most cases, it has identifiable and treatable causes. Factors such as hormonal imbalance, thyroid function, iron or vitamin B12 levels, sleep quality, nutrition, stress, medications, and metabolic health can all contribute to low energy.

At Omniya Clinic in London, we take a medical, root-cause approach. Your clinician will assess your overall health, identify what’s driving your fatigue, and design a personalised treatment plan to help you restore energy, mental clarity, and resilience, safely and sustainably.

Tiredness Causes Symptoms Treatments

What is Tiredness (Fatigue)?

Fatigue is a persistent feeling of physical or mental exhaustion that doesn’t fully improve with rest or sleep. You may feel flat, foggy, or less resilient, as though you’re constantly running on empty.
While busy schedules and stress can certainly contribute, ongoing tiredness often points to an underlying imbalance, such as issues with hormones, thyroid function, nutrition, or metabolism.

Identifying the root cause is the first step toward meaningful, lasting improvement.

a tired man at a laptop considering TRT

Common Causes of Tiredness

Tiredness can stem from many overlapping factors, often more than one at a time. At Omniya Clinic, we investigate your hormonal, nutritional, and lifestyle profile to pinpoint what’s driving your fatigue.

Hormonal changes

  • Perimenopause and menopause (oestrogen and progesterone fluctuations)
  • Low testosterone in men, and sometimes in women
  • Underactive thyroid (hypothyroidism)

 

Nutritional and metabolic factors

  • Low iron or ferritin, vitamin B12, or vitamin D
  • Blood-sugar dysregulation, insulin resistance, or weight gain
  • Dehydration, or diets low in protein and fibre

 

Lifestyle and sleep

  • Poor sleep quality, irregular sleep times, or sleep apnoea
  • Long-term stress, anxiety, or low mood
  • Alcohol excess, smoking, or low physical activity

 

Medical and medication factors

  • Post-viral fatigue or chronic inflammation
  • Side-effects from certain medicines (e.g. for blood pressure, mood, or allergies)
  • Long-term conditions such as diabetes

 

Seek urgent medical help if you experience chest pain, breathlessness at rest, fainting, sudden weakness, or severe new headaches.

Treatment room in omniya clinic

Symptoms to Look Out For

Fatigue can affect both body and mind, often building gradually. Common signs that it’s time to get checked include:

  • Persistent tiredness or a sense of “heavy limbs”
  • Brain fog, reduced motivation, or slower thinking and memory
  • Headaches, dizziness, muscle weakness, or slower reflexes
  • Irritability, anxiety, or low mood
  • Dark circles, a “run-down” appearance, or frequent colds and infections

 

If these symptoms persist for several weeks or start to affect your daily life, it might be beneficial to book a medical review. Identifying the cause early can make recovery much faster and more effective.

Testosterone Replacement Therapy London (TRT)

What You Can Do At Home

Small, consistent habits often make a noticeable difference in energy and focus. These foundations support recovery while you work on the underlying causes of fatigue:

  • Sleep: Keep a regular schedule, even on weekends. Aim for a cool, dark bedroom, a caffeine curfew after midday, and a wind-down routine that helps your body recognise when it’s time to rest.
  • Nutrition: Include protein at every meal, fibre-rich carbohydrates, and plenty of hydration throughout the day. Limiting alcohol on weeknights and ultra-processed foods can also stabilise energy and mood.
  • Movement: Engage in daily light-to-moderate activity such as walking, cycling, or yoga, and try to include two strength sessions per week to boost stamina, metabolism, and mental clarity.
  • Stress Care: Incorporate brief breathwork or mindfulness breaks, morning daylight exposure, and short walks between tasks to calm your nervous system and improve focus.
  • Medication Check: Never stop prescribed medicines abruptly. If you suspect a medication may be contributing to your tiredness, speak to your clinician, a simple review can often help.

 

trt patient at Omniya Clinic having blood pressure monitored

How We Treat Tiredness at Omniya

At Omniya Clinic in Knightsbridge, every treatment plan is built around the root cause of your fatigue. Your clinician will combine medical insight with practical strategies to help you restore sustainable energy, focus, and wellbeing.

When perimenopause or menopause contributes to low energy, HRT can help improve sleep, cognition, mood, and overall vitality.
For men with clinically confirmed low testosterone, TRT can boost energy, motivation, focus, and stamina while supporting long-term hormonal balance.
Optimising thyroid function supports metabolism, mood, and endurance, particularly where hypothyroidism or suboptimal thyroid levels are contributing to fatigue.
A doctor-led review with targeted blood tests, assessing key markers such as thyroid function, ferritin/iron, B12, vitamin D, HbA1c/glucose, inflammatory markers, and hormones where indicated.
Structured nutrition, movement, and medical support to improve insulin sensitivity, body composition, and sleep quality, all crucial for restoring daytime energy and reducing fatigue.
For patients experiencing bloating, IBS-type symptoms, or digestive discomfort, gut-focused assessment helps rebalance the microbiome, which plays a key role in energy regulation and immunity.
Intravenous formulations designed to rehydrate and replenish micronutrients. Energy and Recovery drips can provide short-term relief while you work on underlying causes.
A deeper assessment of sex hormones, thyroid markers, and adrenal balance, followed by a personalised optimisation plan to support long-term vitality.
A DNA methylation-based test that measures inflammation, oxidative stress, and metabolic efficiency, helping tailor your recovery and lifestyle strategy.

a tired man at a laptop considering TRT

What Treatments are Available For Tiredness?

What are the Causes of Tiredness?

A constant feeling of lethargy and tiredness may be the result of a poor sleeping routine, a diet lacking essential nutrients, the side effect of certain medications or an underlying illness such as depression or thyroid difficulties.

For some, tiredness can simply be down to the ageing process. Women often experience tiredness as a symptom of menopause when oestrogen levels reduce, which is a crucial hormone that provides energy. Not only do women suffer from this, but men also experience tiredness as testosterone depletes from their hormone level as they get older.

What are the Symptoms of Tiredness?

The symptoms of tiredness are similar for everyone. By feeling chronically tired, you may suffer from a lack of energy or motivation, muscle weakness, mood swings or headaches. It can also affect your ability to concentrate clearly and lead to a weakened immune system, making you more susceptible to infections and illnesses.

Tiredness FAQs

Is an IV drip for tiredness safe?

Yes, they contain only natural ingredients. If the body already has sufficient quantity of a particular vitamin or mineral then it will excrete it.

How does HRT help with lethargy and tiredness?

HRT can lead to better sleep and mood – both of which results in the body having more energy, reducing tiredness.

If I stop taking TRT will I have low testosterone count again?

Almost certainly. TRT only works while it is being taken.

Can TRT be injected?

It can, but TRT can also be taken via a gel, lozenges, patches or creams.

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