Why am I so tired?


Do you mean "now" or long term? Now? Yes, get some sleep. If long term--eat a balanced diet, got plenty of sleep, and if you are still tired, see your doctor.
Must be late.
i have no idea
Vitamin B-12 deficiency often causes fatigue or lack of good sleep.

Talk to a doctor and get some blood work done up to see if you are deficient. Good diet, 7 to 8 hour good sleep, exercise daily.
Tired all the time? You're not alone. Twenty-five percent of all women suffer from clinically significant daytime sleepiness, according to the National Sleep Foundation. And almost three out of four women between the ages of 30 and 60 get less than the recommended eight hours of shut-eye each night during the workweek — a deprivation that can lead to weight gain, depression, a decrease in memory and motor skills, and even early aging.

For many women, stress is to blame for daytime drowsiness. "For a variety of reasons, anxiety and tension affect women more intensely than men, and often contribute to insomnia and other sleeping problems," says Joyce Walsleben, Ph.D., director of the New York University Sleep Disorders Center. If you're not stressed out but still feel unusually sluggish, a serious medical issue may be the reason. "If you're sleeping through the night and take good care of yourself but still feel wiped out, your body is probably trying to tell you that something's not right," says Sid Gilman, M.D., chairman of the department of neurology at the University of Michigan Medical School. Below, we've compiled a list of some of the most serious problems that could be leaving you exhausted.

Sleep Zapper: Reproductive Hormone Fluctuations After ovulation, sleep-inducing progesterone levels may rise, making you feel especially sleepy. And discomfort due to premenstrual bloating can cause you to feel especially exhausted during the days before your period. Another notorious source of daytime drowsiness is menopause. In a recent National Sleep Foundation poll, 36% of women who were approaching or experiencing menopause reported nighttime hot flashes, which can cause you to wake up throughout the night and may also affect the quality of your sleep.
What you can do: If you suspect that hormones are the source of your exhaustion, keep a sleep diary and look for patterns that may correspond to symptoms such as PMS and hot flashes. Then make a few simple lifestyle changes. Exercise and a low-sugar, low-caffeine diet can greatly improve PMS. And thanks to their high estrogen content, soy products help ease many of the symptoms associated with menopause. If problems persist, you may want to ask your doctor about birth control pills, which may ease PMS symptoms, or, in the case of menopause, hormone therapy or alternative treatments for halting hot flashes.

Sleep Zapper: Hypothyroidism
Up to 17% of Americans — most of whom are women — are thought to have undiagnosed hypothyroidism, a condition that occurs when the thyroid gland produces too little thyroid hormone, causing the metabolism to slow down dramatically. Hypothyroidism often results in fatigue as well as other symptoms linked to exhaustion, including depression, weight gain and increased menstrual flow. Some patients also report swelling in the front of the neck, which may be from a swollen thyroid.
What you can do: If these symptoms sound familiar, find out whether the condition runs in your family; hypothyroidism tends to be genetic. Then visit your physician, who will likely do a blood test to determine your thyroid level. If it's low, you can get back on track with thyroid hormone replacement therapy.Sleep Zapper: Multiple Sclerosis and Lupus
Both multiple sclerosis (MS) and lupus are autoimmune diseases, which cause the body to attack its own tissues. This internal battle leads to exhaustion. A full 80% of MS cases involve chronic fatigue; other symptoms include problems walking, vertigo, tremors, speech and swallowing disorders, and seizures. Key warning signs of lupus are fatigue, a butterfly rash on the skin, achy joints, fever, muscular problems, anemia and hair loss.
What you can do: Autoimmune disorders are triggered by genetic and environmental factors. If either of these conditions runs in your family, you're at risk for both. Unfortunately, diagnosing lupus or MS can be difficult, as there is no single, all-inclusive test that can spot them. If you're exhibiting symptoms, your doctor will likely evaluate your medical history, test your reflexes and run some diagnostic tests — such as magnetic resonance imaging and a spinal tap — to evaluate your condition. Treatment usually includes prescription medication. "Unfortunately, medicine for autoimmune disorders often does little to alleviate fatigue," says Dr. Gilman. "Patients have to learn how to pace themselves and make time to rest throughout the day."

Sleep Zapper: Fibromyalgia/Chronic Fatigue Syndrome
Fibromyalgia and chronic fatigue syndrome (CFS) are so similar that the terms are often used interchangeably. Although collectively these conditions claim as many as 800,000 sufferers, they continue to baffle the medical community. "The hallmark symptom for both seems to be at least six months of chronic fatigue, as well as impaired memory and concentration, sore throat, swollen lymph nodes, muscle and joint pain, headaches, and overall weakness," says Eleanor Hanna, M.D., associate director for special projects and centers at the National Institutes of Health. Severe cases can also include fever, seizures, mood swings and nausea.
What you can do: Since there is no cut-and-dried way to diagnose these disorders, they can cause confusion and frustration for both patients and doctors. "We've still got a long way to go in terms of understanding these diseases, let alone curing them," says Dr. Hanna. "Some women have found relief through cognitive behavioral therapy — learning to deal with fatigue in the most productive way possible — and through exercise."

Sleep Zapper: Tired of Being Tired?
Studies show that only 6% of women talk to their doctor about sleep problems, and even those who do may not be getting the help they need. "Don't go home with a prescription you've been given after a five-minute conversation," says Dr. Walsleben. "Make sure you get the advice and tests you need to get to the root of your problem." Talk to your doctor about any medications you may be taking, your sleep habits (keep a sleep journal, if necessary), and your family and personal medical history.

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