BRENDA MARSHALL, MD

Hormonal Health

Hormonal Health

Find answers to common questions about hormone imbalances, menopause, thyroid health, and how hormonal shifts impact your body and mood.

What causes chronic fatigue?

The exact cause of chronic fatigue isn’t fully understood, and it’s likely that several factors are at play. For some, it may follow a viral infection like Epstein-Barr or COVID-19. For others, it could be related to immune system issues, hormonal imbalances (like thyroid dysfunction), sleep disorders, or psychological stress. Interestingly, many patients—especially women—experience chronic fatigue in conjunction with hormonal changes, such as those during perimenopause or menopause. It's important to look at each person’s case individually to identify possible triggers.

What is chronic fatigue and how is it different from just being tired?

Great question! Chronic fatigue is much more than just feeling tired after a long day. While regular tiredness usually improves with rest or a good night's sleep, chronic fatigue persists for six months or more and doesn’t go away with rest. It often comes with a range of other symptoms like brain fog, joint pain, headaches, and unrefreshing sleep. The key difference is duration, severity, and the impact on daily life. Chronic fatigue can significantly disrupt work, relationships, and overall quality of life.

Ready to Take the Next Step in Your Wellness Journey?

Dr. Marshall offers personalized, remote consultations for California residents—designed to uncover root causes and guide you toward lasting healing. Secure your spot today and begin your path to better health.