
Understanding Root Causes of Fatigue
Fatigue is not just about feeling tired – it’s often a signal that multiple systems in your body need attention. Feeling tired is a common and often debilitating symptom experienced during perimenopause and menopause. At this stage, many women notice a decline in energy levels that can affect daily activities and overall quality of life. Two key factors contributing to this fatigue are a reduction in testosterone and an increase in systemic inflammation. At Sayana Medical, we understand that fatigue can stem from various underlying factors, including:
- Hormonal imbalances (thyroid, adrenal, sex hormones)
- Mitochondrial dysfunction
- Hidden infections or immune system challenges
- Nutritional deficiencies
- Digestive system imbalances
- Environmental toxin exposure
Beyond "Just Tired"
Conventional medicine often dismisses fatigue as stress or aging, missing the complex web of underlying causes. Our functional medicine approach takes a deeper look to identify and address the true origins of your fatigue, promoting lasting energy restoration.
Our Comprehensive Approach
Our multi-faceted treatment approach includes:
- Advanced laboratory testing to identify underlying imbalances
- Personalized nutrition and supplementation protocols
- Mitochondrial support and optimization
- Hormone balancing when needed
- Detoxification support
- Sleep optimization strategies

Common Symptoms We See
- Morning Exhaustion: Difficulty getting out of bed, even after adequate sleep
- Afternoon Energy Crashes: Significant drops in energy levels, particularly after meals
- Brain Fog: Difficulty concentrating and reduced mental clarity
- Exercise Intolerance: Unusual fatigue after physical activity and prolonged recovery time
- Mood Changes: Irritability, anxiety, or depression linked to energy levels
- Sleep Disturbances: Poor sleep quality despite feeling exhausted
Associated Health Concerns
Physical Health Impact
- Compromised immune function
- Digestive system disruption
- Hormonal imbalances
- Cardiovascular stress
Quality of Life Impact
- Reduced work productivity
- Strained relationships
- Limited physical activity
- Mental health challenges
Our Approach to Fatigue
At Sayana Medical and Wellness Center, we implement a multi-faceted treatment strategy:
Comprehensive Testing
Advanced laboratory testing to identify hormonal imbalances, nutritional deficiencies, gut inflammation, toxic burden and other biochemical factors affecting your energy levels.
Root Cause Analysis
Detailed investigation of lifestyle, environmental, and biological factors contributing to your fatigue.
Personalized Solutions
Customized treatment plans that address your unique biochemical needs and lifestyle factors.

“Fatigue is not your new normal. It’s your body’s way of communicating that something needs attention.
Through our functional medicine approach, we don’t just mask symptoms with quick fixes – we identify and address the root causes to restore your natural vitality and zest for life.”
– Dr. Shilpa Sayana
Dr. Sayana MD, Serena Teddy PA-C, and Annie Shaltz, NP-C, are highly rated and trained medical practitioners that use the best in both conventional and functional medicine to partner with patients, helping them resolve or manage their fatigue symptoms. These treatments are offered to residents of Los Angeles, Sherman Oaks, Studio City, Encino, Beverly Hills, Santa Monica, North Hollywood, Tarzana, Toluca Lake, Valley Village, Valley Glen, Burbank, Van Nuys, and surrounding areas in CA.
*If you live outside of CA you need to have your 1st appointment in person and the rest can be virtual.
Take the First Step Towards Resolving Your Fatigue
Schedule a Free Discovery Call to begin your personalized treatment journey.
