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.
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.
02Hormones · Women
Bio/bodyidentical Hormone TherapyRelevant where the hormonal picture indicates it.
Unsure which pathway suits you?
Wondering whether your hormones could be contributing to your symptoms?
23MD DigitalBHRT Expert
A hormone optimisation assistant that helps you understand common hormone symptoms and prepare questions for your consultation.
Speak to the BHRT ExpertCommon 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
Persistent, unexplained fatigue — the kind that isn't resolved by a weekend of rest, isn't traceable to one obvious cause, and is affecting how you function day to day. Sudden onset, severe fatigue, or fatigue accompanied by other red-flag symptoms needs a GP first — 23MD will say so honestly.
The Foundation Reset bloodwork is designed precisely to answer this. It looks at hormonal, metabolic, and nutritional drivers — and flags anything that warrants further investigation outside the clinic's scope.
A full clinical history, a 4D longevity assessment (hormonal, metabolic, regenerative, lifestyle), bloodwork, and — within 24 hours — a written summary of the consultation and a treatment plan. Every patient gets a written summary; that's a 23MD standard.
Depends on what's driving the picture. Nutritional deficiencies often correct in weeks; hormonal optimisation takes longer; mitochondrial and recovery work compound across months. The consultation will set honest expectations.
If the fatigue is sudden, severe, or accompanied by other symptoms — yes. 23MD is not a substitute for primary care or specialist referral; the Foundation Reset is an investigative starting point, not an emergency assessment.
Related
Continue Exploring
Medically reviewed by Dr Martin Galy, MB BCh BAO LRCP&SI, GMC-registered since 2001.
