01First Visit
The Foundation ResetBloodwork (full hormonal + metabolic panel), 360 Longevity consultation, written plan in 24 hours.
Often There's a Reason
Fatigue
Persistent fatigue is rarely a single thing. Investigated as one continuous picture by Dr Martin Galy.
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Your Concerns
What Is It?
Persistent fatigue is one of the most common reasons patients come to 23MD Longevity — and one of the most clinically interesting, because the cause is rarely a single thing. Thyroid function, iron and B12 status, vitamin D, sex hormones, cortisol regulation, mitochondrial function, and sleep architecture all contribute. The 360 Longevity consultation, led by Dr Martin Galy, investigates these as one continuous picture rather than as separate complaints. The plan that follows comes from what the bloodwork and history reveal.
Recommended Pathway
Treatments for Fatigue
The treatments our doctors most often recommend for this concern. Your consultation confirms the right combination and sequence for you.
Unsure which pathway suits you?
Book a Consultation23MD Digital
Wondering whether your hormones could be contributing to your symptoms?
A hormone optimisation assistant that helps you understand symptoms, interpret blood tests and explore potential BHRT pathways.
23MD Digital
Not sure how different treatments fit together?
Built on our Treatment Stacking™ method: aesthetic, regenerative and longevity treatments layered and sequenced around your goals and timeline.
Common Causes
What Could Be Causing It
Hormonal
Perimenopausal shifts, thyroid imbalance, post-pill stabilisation.
Nutritional
Iron deficiency, B12, vitamin D, magnesium.
Sleep Architecture
Disturbance not always visible to the patient; affects recovery profoundly.
Mitochondrial Function
Energy production at the cellular level.
Cortisol Dysregulation
Chronic stress changes the body's pattern of energy availability.
Subclinical Infection or Inflammation
Sometimes uncovered by bloodwork.
FAQs
Your Questions, Answered
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Medically reviewed by Dr Martin Galy, MBChB, GMC-registered on April 2026.
