🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 135 (from laksa041)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa135.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.aarp.org/health/conditions-treatments/tiredness-causes/\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.aarp.org/health/conditions-treatments/tiredness-causes/\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/","crawl_time":1775966982,"first_indexed_time":1741985051,"http_code":200,"src_unparsed":"org,aarp!www,\/health\/conditions-treatments\/tiredness-causes\/ s443","src_root_hash":"2223325636571181335","history_drop_reason":null,"meta_title":"7 Reasons Why You're Always Tired and How to Fight It","meta_descriptions":["Tired all the time? It’s not a natural result of aging. Why you might be lagging — from medications to sleep disorders — and how to treat the causes."],"attrs_boilerpipe_text":"Getty Images\nBurnt out and constantly depleted of energy? It’s not a good feeling, but know that you’re not alone.\nResearch suggests that fatigue (or anergia, in medical lingo) runs as high as 50 percent in people 65 and older, compared with rates in the general population that range from 10 to 25 percent. It’s even more prevalent among adults living with health conditions that become more common with age, such as heart disease. As many as 74 percent of older adults with a chronic illness experience fatigue,\na review of studies\npublished in 2021 suggests.  \nYet “fatigue is not a natural consequence of aging,” says Barbara Resnick, codirector of the Biology and Behavior Across the Lifespan Organized Research Center at the University of Maryland School of Nursing. “It’s more related to the changes that occur due to age and commonly associated diseases.”\nFatigue is common when you’re fighting any kind of illness — from infections, like\nflu or COVID-19\n, to autoimmune disorders. It’s also a side effect of some treatments, such as chemotherapy.\nBeyond that, “all of us feel tired some of the time,” says Suzanne Salamon, M.D., assistant professor of geriatric medicine and primary care at Beth Israel Deaconess Medical Center in Boston. “Usually, it goes away, either with sleep or time.”\nBut if unexplained fatigue continues for more than a few weeks, it’s time to figure out what’s causing it. Here are some of the likely suspects (keep in mind, though, that more than one culprit may be responsible).\n1. Your medications are sapping your energy\n“Older adults take\na lot of medications\n, and a lot of those medications tend to make people feel tired,” says Brenda Windemuth, director of the Adult Gerontology Primary Care Nurse Practitioner Program at the University of Maryland School of Nursing. Chief among these: certain antidepressants, antianxiety drugs, sedatives, antihistamines, steroids, and blood pressure and cholesterol medications.\nAntipsychotics, pain meds, seizure drugs and chemotherapy also stir up trouble. Others, like diuretics, contribute to exhaustion by\ndisturbing your sleep\n. \n“Not all drugs cause the same effects in all people,” Salamon says. “If a person has started a new medicine and they notice fatigue, they should report this to the doctor. Sometimes just moving the drug to the evening or lowering the dose can help, but sometimes you need to change to a different medicine.”\nShe recommends always bringing all your medicines — prescription and over-the-counter — to your office visits so your doctor can check doses and duplicates.\n2. Your sleep hygiene may need improvement \nMany of us simply aren’t getting\nenough slumber\n— more than one-third of adults, to be exact, according to the Centers for Disease Control and Prevention.  \nPoor\nsleep habits\n are often to blame. If you’re lying in bed and can’t fall asleep, Resnick advises, get up and do something until you feel tired, and then go back and try again. “The other really big mistake people make is that they expect to lie around all day and then be able to sleep at night,” she says. “You only want to spend time in bed when it’s sleep time. Some people like to control the world from their bed.”\nOther advice: Maintain a regular sleep pattern, and avoid alcohol at night. Consider keeping a sleep diary to help you identify factors — foods, drinks, medicines — that may be keeping you from solid slumber. Keep in mind that as you get older you may not require the seven to nine hours you used to, Windemuth says.\nObstructive sleep apnea is another culprit. Patients experience as many as 30 awakenings an hour when the soft tissues of the throat relax and obstruct the airway during sleep; as a result, they feel exhausted the next day.\nLoud snoring\nis a clue. Spending the night in a sleep lab can confirm the diagnosis. The standard treatment, a continuous positive air pressure (CPAP) machine, involves wearing a mask over the nose to force air into the throat and keep the airways open.\n3. You’re missing key nutrients\nPeople over 50 are more likely to experience\nnutrient deficiencies\n— especially vitamins B12 and D, iron and folic acid — that cause fatigue. If your doctor suspects a deficiency, they’ll send you for a blood test, and you\nmay need a supplement\n. \n4. You’re anemic\nThis means that your blood has too few red cells or those cells have too little hemoglobin, which transports oxygen through the bloodstream. The result: fatigue.\nA simple blood test provides a diagnosis, after which your physician will investigate possible reasons for the anemia and may put you on iron pills. \nThere are three main reasons older adults become anemic. Kidney disease is one. If your kidneys are not working properly, they may not be able to help your body make the red blood cells it needs. “It can also be due to blood loss from somewhere, usually along the gastrointestinal tract,” Resnick says, “or it’s in the bone marrow, which could be due to a malignancy.”\n5. You have a heart or pulmonary problem\nCardiac issues — including heart failure, coronary artery disease, valvular heart disease, asthma and\nchronic obstructive pulmonary disease\n(COPD) — are among the most common causes of fatigue in older people.\nHeart disease\ncan cause the heart to pump blood less efficiently and fluid to build up in the lungs. This, in turn, results in shortness of breath and less oxygen supply to the heart and lungs. So be sure to follow doctor’s orders when it comes to treatment.\n6. You’re anxious or depressed\n“Depression,\nbeing alone\nand other psychosocial issues are a huge factor in older people,” Windemuth says. “People are losing friends and spouses. They’re being uprooted from their homes or going into assisted living. That can lead to fatigue.”\nAntidepressant medications are sometimes the answer. “We also encourage people to go out, become more involved and find things that they really enjoy doing,” Windemuth adds.\nParadoxically, \nexercise can make a huge difference\n. “The best thing for fatigue is physical activity — no matter what the underlying problem,” Resnick says. “The goal should be 30 minutes daily of moderate-level activity.”\n7. COVID could be the culprit\nWhen COVID-19 symptoms linger long after a person’s initial illness, fatigue is the most common complaint. “Estimates of the prevalence are variable but some sources suggest that more than 50 percent of all COVID survivors are affected by persistent fatigue,” says John Baratta, M.D., founder and codirector of the UNC COVID Recovery Clinic at UNC Health in Chapel Hill, North Carolina. “In our\nlong COVID\nclinic, over 90 percent are troubled by this symptom.”\nBefore treating the fatigue, doctors first investigate other potential factors that may be contributing to extreme tiredness, such as sleep apnea, depression and chronic pain, says Benjamin Abramoff, M.D., head of the Post-COVID Assessment and Recovery Clinic at Penn Medicine in Philadelphia. Then you may be prescribed physical therapy or a graded exercise program, where the duration and intensity of activity are gradually increased. Both can improve stamina, but it’s important to pace yourself to avoid exacerbating symptoms or risking relapse, Baratta says.\n“We have also found benefits from certain medications, such as antidepressants and stimulants, in certain situations,” Baratta adds. These include certain antidepressants in the SSRI (selective serotonin reuptake inhibitor) class and stimulants like those used to treat attention deficit disorder.\nIf you’re suffering from fatigue related to long COVID, ask your doctor about such strategies or consider making an appointment at a post-COVID clinic. These programs typically take a multidisciplinary approach to treating the disease’s lasting symptoms, fatigue included.\nEditor’s note: This story, first published June 23, 2020, has been updated to reflect new information.\nBeth Howard is a North Carolina–based health and lifestyle writer. She has written for dozens of publications, including\nU.S. News & World Report, The Wall Street Journal, The Washington Post, Prevention, Better Homes & Gardens\nand\nReader’s Digest.","attrs_markdown":"Javascript is not enabled.\n\nJavascript must be enabled to use this site. Please enable Javascript in your browser and try again.\n\n[Skip to content](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/#aarp-u-end-of-header)\n\n[Join AARP’s free local and virtual events to learn about fraud and connect with your community.](https:\/\/www.aarp.org\/money\/scams-fraud\/fraud-prevention-month-free-events\/?CMP=OTH-IMM-ALERT-FRD-BLITZ)\n\n[![AARP Logo Header White 139x36](https:\/\/cdn.aarp.net\/content\/dam\/aarp\/graphics\/aarp_logos\/120x30-aarp-header-logo-red.svg)](https:\/\/www.aarp.org\/?intcmp=GLOBAL-HDR-BTN-CLK-LOGO-UXDIA \"Homepage\")\n\n- [Join](https:\/\/join.aarp.org\/joinnav)\n- [Renew](https:\/\/join.aarp.org\/rfrenew)\n\n- - [Membership & Benefits](https:\/\/www.aarp.org\/membership\/benefits\/all-offers-a-z\/ \"Membership and Benefits\")\n- - [Members Edition](https:\/\/www.aarp.org\/membership\/members-edition\/ \"members edition\")\n\n[AARP 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Rewards %{points}%](https:\/\/www.aarp.org\/rewards\/)\n\n- right\\_container\n- Health\n- Money\n- Work & Jobs\n- Advocacy\n- Social Security\n- Medicare\n- Caregiving\n- Games\n- Travel\n- More...\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Health](https:\/\/www.aarp.org\/health\/ \"link to health page\")\n\n[Close Menu](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/ \"link to close menu\")\n\n[Healthy Living](https:\/\/www.aarp.org\/health\/healthy-living\/ \"link to healthy living topic page\")\n\n[Conditions & Treatments](https:\/\/www.aarp.org\/health\/conditions-treatments\/ \"Link to conditions and treatment page\")\n\n[Drugs & Supplements](https:\/\/www.aarp.org\/health\/drugs-supplements\/ \"link to drugs and supplements page\")\n\n[Health Care & Coverage](https:\/\/www.aarp.org\/health\/healthcare\/ \"link to health insurance page\")\n\n[Health 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ONLY\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Work & Jobs](https:\/\/www.aarp.org\/work\/ \"Link to work and jobs channel page\")\n\n[Close Menu](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/ \"link to close menu\")\n\n[Job Search](https:\/\/www.aarp.org\/work\/job-search\/ \"link to job search landing page\")\n\n[Careers](https:\/\/www.aarp.org\/work\/careers\/ \"link to the careers landing page\")\n\n[Small Business](https:\/\/www.aarp.org\/work\/small-business\/ \"link to small business landing page\")\n\n[Employers](https:\/\/www.aarp.org\/work\/employers\/ \"Link to the employers landing page\")\n\n[Age Discrimination](https:\/\/www.aarp.org\/work\/age-discrimination\/ \"Link to the age discrimination landing page\")\n\n[Member Benefits](https:\/\/www.aarp.org\/membership\/benefits\/finance\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/work\/job-search\/indeed-career-services\/ \"Job Search Help from AARP and Indeed\")\n\nFlexible Work\n\n[Job Search Help from AARP and Indeed](https:\/\/www.aarp.org\/work\/job-search\/indeed-career-services\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/work\/skills-builder\/ \"Online Courses to Boost Your Career\")\n\nAARP Skills Builder\n\n[Online Courses to Boost Your Career](https:\/\/www.aarp.org\/work\/skills-builder\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/work\/job-search\/retiree-part-time-jobs\/ \"Part-Time Jobs (No Degree Required!)\")\n\nFlexible Work\n\n[Part-Time Jobs (No Degree Required!)](https:\/\/www.aarp.org\/work\/job-search\/retiree-part-time-jobs\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![a person on a laptop screen with various icons around it]()](https:\/\/virtualevents.aarp.org\/workjobs-hub\/en\/home?utm_medium=dotorg&utm_source=aarp&utm_campaign=workjobs-turnkey-webinar-hubpage-2024&utm_content=evergreen-top-nav&cmp=OTH-IMM-WORKJOBS-WEBINAR-HOUSE_TOPNAV \"Tips to Enhance Your Job Search\")\n\nON-DEMAND WEBINARS\n\n[Tips to Enhance Your Job Search](https:\/\/virtualevents.aarp.org\/workjobs-hub\/en\/home?utm_medium=dotorg&utm_source=aarp&utm_campaign=workjobs-turnkey-webinar-hubpage-2024&utm_content=evergreen-top-nav&cmp=OTH-IMM-WORKJOBS-WEBINAR-HOUSE_TOPNAV)\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Advocacy](https:\/\/www.aarp.org\/advocacy\/ \"Link to advocacy channel page\")\n\n[Close Menu](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/ \"link to close menu\")\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/medicare\/more-medicare-drug-price-negotiations-2025\/ \"Saving You RX Dollars\")\n\nDrug Prices\n\n[Saving You RX Dollars](https:\/\/www.aarp.org\/medicare\/more-medicare-drug-price-negotiations-2025\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/advocacy\/call-on-congress-protect-social-security-2025\/ \"Fighting to Protect Social Security\")\n\nSocial Security\n\n[Fighting to Protect Social Security](https:\/\/www.aarp.org\/advocacy\/call-on-congress-protect-social-security-2025\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/advocacy\/safeguard-medicaid-2025\/ \"Advocating for Strong Programs\")\n\nMedicare & Medicaid\n\n[Advocating for Strong Programs](https:\/\/www.aarp.org\/advocacy\/safeguard-medicaid-2025\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/advocacy\/100-reasons-support-family-caregivers-2025\/ \"Supporting Family Caregivers\")\n\nCaregiving\n\n[Supporting Family Caregivers](https:\/\/www.aarp.org\/advocacy\/100-reasons-support-family-caregivers-2025\/)\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Social Security](https:\/\/www.aarp.org\/social-security\/)\n\n[Close Menu](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/ \"link to close menu\")\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/virtualevents.aarp.org\/socialsecurity-hub\/en\/home \"Navigating important Social Security decisions? We Can Help.\")\n\nWebinars\n\n[Navigating important Social Security decisions? We Can Help.](https:\/\/virtualevents.aarp.org\/socialsecurity-hub\/en\/home)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![ask a a r p on a red background]()](https:\/\/www.aarp.org\/ask-aarp\/ \"Ask AARP: AI-powered Tool to Get the Most Out of Social Security\")\n\nTool\n\n[Ask AARP: AI-powered Tool to Get the Most Out of Social Security](https:\/\/www.aarp.org\/ask-aarp\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/social-security\/retirement\/basics\/ \"10 Things You Need to Know About Social Security\")\n\nBasics\n\n[10 Things You Need to Know About Social Security](https:\/\/www.aarp.org\/social-security\/retirement\/basics\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/social-security\/benefits-calculator\/ \"Social Security Benefits Calculator: Maximize Your Benefits\")\n\nTools\n\n[Social Security Benefits Calculator: Maximize Your Benefits](https:\/\/www.aarp.org\/social-security\/benefits-calculator\/)\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Medicare](https:\/\/www.aarp.org\/medicare\/)\n\n[Close Menu](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/ \"link to close menu\")\n\n[Approaching Medicare](https:\/\/www.aarp.org\/medicare\/approaching-medicare\/ \"Link to approaching medicare pathway overview\")\n\n[Enrolling in Medicare](https:\/\/www.aarp.org\/medicare\/enrolling-medicare\/ \"link to parts of enrolling in medicare pathway overview\")\n\n[Managing Costs & Coverage](https:\/\/www.aarp.org\/medicare\/managing-costs-coverage\/ \"link to managing medicare costs pathway overview\")\n\n[Getting Help](https:\/\/www.aarp.org\/medicare\/getting-help\/ \"link to getting help with medicare series\")\n\n[Latest News](https:\/\/www.aarp.org\/medicare\/latest-news\/ \"link to the latest medicare news\")\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![Ask A A R P. A I powered help from trusted A A R P sources. Illustration of a man using a laptop]()](https:\/\/www.aarp.org\/ask-aarp\/ \"Ask AARP: AI-powered Tool to Get the Most Out of Medicare \")\n\nTool\n\n[Ask AARP: AI-powered Tool to Get the Most Out of Medicare](https:\/\/www.aarp.org\/ask-aarp\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![illustration of a clipboard with a checklist and medical cross on it]()](https:\/\/navigator.aarp.org\/en_gb\/courses\/course\/17 \"Take This Course to Feel Prepared About Enrolling in Medicare \")\n\nAARP Navigator\n\n[Take This Course to Feel Prepared About Enrolling in Medicare](https:\/\/navigator.aarp.org\/en_gb\/courses\/course\/17)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![a red and white illustration showing a woman in a monitor flanked by a word bubble and a calendar]()](https:\/\/virtualevents.aarp.org\/medicare-hub\/en\/home?cmp=OTH-CSN-LEARN-MULTI-MEDICARE \"Get Answers to Medicare Questions With Our On-demand Webinars \")\n\nOn-Demand Webinars\n\n[Get Answers to Medicare Questions With Our On-demand Webinars](https:\/\/virtualevents.aarp.org\/medicare-hub\/en\/home?cmp=OTH-CSN-LEARN-MULTI-MEDICARE)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![Medical stethoscope and US flag on a pink background signifying advocacy]()](https:\/\/www.aarp.org\/advocacy\/#medicare \"Learn How AARP is Fighting for Better Medicare\")\n\nAdvocacy\n\n[Learn How AARP is Fighting for Better Medicare](https:\/\/www.aarp.org\/advocacy\/#medicare)\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Caregiving](https:\/\/www.aarp.org\/caregiving\/ \"Link to caregiving channel page\")\n\n[Close Menu](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/ \"Link to close menu\")\n\n[Basics](https:\/\/www.aarp.org\/caregiving\/basics\/ \"Link to basics laning page\")\n\n[Care at Home](https:\/\/www.aarp.org\/caregiving\/home-care\/ \"Link to care at home landing page\")\n\n[Medical](https:\/\/www.aarp.org\/caregiving\/medical\/ \"Link to medical landing page\")\n\n[Financial & Legal](https:\/\/www.aarp.org\/caregiving\/financial-legal\/ \"Link to the finance and legal landing page\")\n\n[Life Balance](https:\/\/www.aarp.org\/caregiving\/life-balance\/ \"Link to life balance landing page\")\n\n[Local](https:\/\/www.aarp.org\/caregiving\/local\/ \"Link to the local landing page\")\n\n[Member Benefits](https:\/\/www.aarp.org\/membership\/benefits\/caregiving\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![person stands at a door marked with a first aid cross there are a series of many doors and the person is wondering which is the best choice]()](https:\/\/www.aarp.org\/caregiving\/financial-legal\/understanding-long-term-care-insurance\/ \"Understanding Basics of LTC Insurance\")\n\nLONG-TERM CARE\n\n[Understanding Basics of LTC Insurance](https:\/\/www.aarp.org\/caregiving\/financial-legal\/understanding-long-term-care-insurance\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![illustration of a map with an icon of a person helping another person with a cane navigate towards caregiving]()](https:\/\/www.aarp.org\/caregiving\/care-connect\/resources\/ \"Assistance and Services in Your Area\")\n\nState Guides\n\n[Assistance and Services in Your Area](https:\/\/www.aarp.org\/caregiving\/care-connect\/resources\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/caregiving\/prepare-to-care-planning-guide\/ \"How to Develop a Caregiving Plan\")\n\nPrepare to Care Guides\n\n[How to Develop a Caregiving Plan](https:\/\/www.aarp.org\/caregiving\/prepare-to-care-planning-guide\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![Close up of a hospice nurse holding the hands of one of her patients]()](https:\/\/www.aarp.org\/caregiving\/grief-loss-end-of-life\/ \"How to Cope With Grief, Loss\")\n\nEnd of Life\n\n[How to Cope With Grief, Loss](https:\/\/www.aarp.org\/caregiving\/grief-loss-end-of-life\/)\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Games](https:\/\/www.aarp.org\/games\/)\n\n[Close Menu](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/ \"Link to close menu\")\n\n[All](https:\/\/www.aarp.org\/games\/category\/all-games\/ \"Link to the AARP All Games landing page\")\n\n[Recently Played](https:\/\/games.aarp.org\/category\/recently-played \"Link to AARP recently played games\")\n\n[Word & Trivia](https:\/\/www.aarp.org\/games\/category\/word\/ \"Link to AARP Games Word and Trivia category landing page\")\n\n[Rewards](https:\/\/www.aarp.org\/games\/category\/rewards-games\/ \"Link to the AARP Games Rewards category landing age\")\n\n[Atari® & Retro](https:\/\/www.aarp.org\/games\/category\/atari-games\/ \"Link to the AARP Games Atari and Retro category landing page\")\n\n[Mahjongg](https:\/\/www.aarp.org\/games\/category\/mahjongg\/ \"Link to the AARP Games Mahjongg category landing page\")\n\n[Members Only](https:\/\/www.aarp.org\/games\/category\/members\/ \"Link to the AARP Games Members Only category landing page\")\n\n[Staying Sharp](https:\/\/www.aarp.org\/games\/category\/staying-sharp\/ \"Link to the AARP Games Staying Sharp category landing page\")\n\n[Solitare](https:\/\/www.aarp.org\/games\/category\/solitaire\/ \"Link to the AARP Games Solitare category landing page\")\n\n[New Games](https:\/\/www.aarp.org\/games\/category\/new\/ \"Link to new games webpage\")\n\n[Strategy](https:\/\/www.aarp.org\/games\/category\/strategy\/ \"Link to the AARP Games Strategy category landing page\")\n\n[Arcade](https:\/\/www.aarp.org\/games\/category\/arcade\/ \"Link to the AARP Games Arcade category landing page\")\n\n[Puzzles](https:\/\/www.aarp.org\/games\/category\/puzzles\/ \"Link to the AARP Games Puzzle category landing page\")\n\n[Card](https:\/\/www.aarp.org\/games\/category\/card\/ \"Link to the AARP Games Card category landing page\")\n\n[Juegos](https:\/\/www.aarp.org\/games\/category\/juegos-espanol\/ \"Link to the AARP Games Juegos category landing page\")\n\n[Daily](https:\/\/www.aarp.org\/games\/category\/daily-games\/ \"Link to the AARP Games Daily category landing page\")\n\n[Game Shows](https:\/\/www.aarp.org\/games\/category\/game-shows\/ \"Learn more about the game show\")\n\n[Multiplayer](https:\/\/www.aarp.org\/games\/category\/multiplayer-games\/ \"Learn more about the multiplayer games\")\n\n[More About Games](https:\/\/www.aarp.org\/games\/more-on-games\/ \"Learn more about A A R P games\")\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![AARP Right Again Trivia and AARP Rewards]()](https:\/\/games.aarp.org\/games\/right-again-trivia \"Right Again! Trivia\")\n\n[Right Again! Trivia](https:\/\/games.aarp.org\/games\/right-again-trivia)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![AARP Right Again Trivia Sports and AARP Rewards]()](https:\/\/games.aarp.org\/games\/right-again-trivia-sports \"Right Again! Trivia – Sports\")\n\n[Right Again! Trivia – Sports](https:\/\/games.aarp.org\/games\/right-again-trivia-sports)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![Atari, Centipede, Pong, Breakout, Missile Command Asteroids]()](https:\/\/www.aarp.org\/games\/category\/atari-games\/ \"Atari® Video Games\")\n\n[Atari® Video Games](https:\/\/www.aarp.org\/games\/category\/atari-games\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![Throwback Thursday Crossword and AARP Rewards]()](https:\/\/games.aarp.org\/games\/throwback-thursday-crossword \"Throwback Thursday Crossword\")\n\n[Throwback Thursday Crossword](https:\/\/games.aarp.org\/games\/throwback-thursday-crossword)\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Travel](https:\/\/www.aarp.org\/travel\/ \"Link to travel channel page\")\n\n[Close Menu](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/ \"Link to close menu\")\n\n[Travel Tips](https:\/\/www.aarp.org\/travel\/travel-tips\/ \"Link to travel tips page\")\n\n[Vacation Ideas](https:\/\/www.aarp.org\/travel\/vacation-ideas\/ \"Link to vacation ideas landing page\")\n\n[Destinations](https:\/\/www.aarp.org\/travel\/destinations\/ \"Link to destinations landing page\")\n\n[Travel Benefits](https:\/\/www.aarp.org\/membership\/benefits\/travel\/ \"AARP Travel Benefits\")\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/travel\/vacation-ideas\/scenic-spring-road-trips\/ \"Scenic Spring Road Trips\")\n\nSpRing TRAVEL\n\n[Scenic Spring Road Trips](https:\/\/www.aarp.org\/travel\/vacation-ideas\/scenic-spring-road-trips\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/travel\/travel-tips\/fast-free-in-flight-wifi\/ \"Fast, Free Wi-Fi on Airlines\")\n\nIN-FLIGHT WI-FI\n\n[Fast, Free Wi-Fi on Airlines](https:\/\/www.aarp.org\/travel\/travel-tips\/fast-free-in-flight-wifi\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]() MEMBERS ONLY](https:\/\/www.aarp.org\/travel\/destinations\/taste-of-america\/ \"Chefs Dish on Local Food Scene\")\n\nTASTE OF AMERICA\n\n[Chefs Dish on Local Food Scene](https:\/\/www.aarp.org\/travel\/destinations\/taste-of-america\/)\n\nMEMBERS ONLY\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/travel\/travel-tips\/cheap-flights-tips\/ \"11 Tips to Beat Airfare Hikes\")\n\nCHEAP FLIGHT TIPS\n\n[11 Tips to Beat Airfare Hikes](https:\/\/www.aarp.org\/travel\/travel-tips\/cheap-flights-tips\/)\n\n- Entertainment & Style\n- Family & Relationships\n- Personal Tech\n- AARP Smart Picks\n- Home & Living\n- Auto\n- Staying Sharp\n- Podcasts\n- Videos\n- Events\n- AARP Near You\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Entertainment & Style](https:\/\/www.aarp.org\/entertainment\/ \"Link to entertainment channel page\")\n\n[Close Menu](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/ \"link to close menu\")\n\n[Movies](https:\/\/www.aarp.org\/entertainment\/movies-for-grownups\/ \"Link to movies laning page\")\n\n[TV](https:\/\/www.aarp.org\/entertainment\/television\/ \"Link to television landing page\")\n\n[Music](https:\/\/www.aarp.org\/entertainment\/music\/ \"Link to the music landing page\")\n\n[Celebrities](https:\/\/www.aarp.org\/entertainment\/celebrities\/ \"Link to the celebrity landing page\")\n\n[Beauty & Style](https:\/\/www.aarp.org\/entertainment\/beauty-style\/ \"Link to beauty and style landing page\")\n\n[Books](https:\/\/www.aarp.org\/entertainment\/books\/ \"Link to books landing page\")\n\n[Member Benefits](https:\/\/www.aarp.org\/membership\/benefits\/entertainment\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]() MEMBERS ONLY](https:\/\/www.aarp.org\/entertainment\/beauty-style\/secrets-of-online-beauty-shoppers\/ \"The Secrets of Online Beauty Shoppers\")\n\nBeauty & Style\n\n[The Secrets of Online Beauty Shoppers](https:\/\/www.aarp.org\/entertainment\/beauty-style\/secrets-of-online-beauty-shoppers\/)\n\nMEMBERS ONLY\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/entertainment\/movies-for-grownups\/movie-preview-2026\/ \"2026 Movie Preview\")\n\nMovies for Grownups\n\n[2026 Movie Preview](https:\/\/www.aarp.org\/entertainment\/movies-for-grownups\/movie-preview-2026\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]() MEMBERS ONLY](https:\/\/www.aarp.org\/entertainment\/music\/essential-songs-for-gen-x\/ \"Essential Songs for Gen Xers\")\n\nMUSIC\n\n[Essential Songs for Gen Xers](https:\/\/www.aarp.org\/entertainment\/music\/essential-songs-for-gen-x\/)\n\nMEMBERS ONLY\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Family & Relationships](https:\/\/www.aarp.org\/family-relationships\/ \"Link to family and relationships landing page\")\n\n[Close Menu](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/ \"link to close menu\")\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![graphic of a man and a woman with a cherry in their mouths]()](https:\/\/www.aarp.org\/membership\/members-edition\/in-the-mood\/ \"Your Questions Answered\")\n\nSex & Dating\n\n[Your Questions Answered](https:\/\/www.aarp.org\/membership\/members-edition\/in-the-mood\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/caregiving\/grandparents\/ \"Everything You Need to Know\")\n\nGrandparenting\n\n[Everything You Need to Know](https:\/\/www.aarp.org\/caregiving\/grandparents\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]() MEMBERS ONLY](https:\/\/www.aarp.org\/family-relationships\/great-ways-to-bond-with-your-dog\/ \"Great Ways to Bond With Your Dog\")\n\nPets\n\n[Great Ways to Bond With Your Dog](https:\/\/www.aarp.org\/family-relationships\/great-ways-to-bond-with-your-dog\/)\n\nMEMBERS ONLY\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Personal Tech](https:\/\/www.aarp.org\/personal-technology\/ \"link to personal tech landing page\")\n\n[Close Menu](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/ \"link to close menu\")\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![a tablet displaying smart home controls in a living room]()](https:\/\/www.aarp.org\/personal-technology\/caregiving-smart-home-technology\/ \"Caregiver’s Guide to Smart Home Tech\")\n\nHome Technology\n\n[Caregiver’s Guide to Smart Home Tech](https:\/\/www.aarp.org\/personal-technology\/caregiving-smart-home-technology\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![]()](https:\/\/www.aarp.org\/social-connections\/ \"Creating Social Connections\")\n\nGet Happier\n\n[Creating Social Connections](https:\/\/www.aarp.org\/social-connections\/)\n\n[![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg) ![a hand is touching computer signals on a blue background]()](https:\/\/www.aarp.org\/personal-technology\/artificial-intelligence\/ \"Weighing the Perils and Positives\")\n\nPOSSIBILITIES OF AI\n\n[Weighing the Perils and Positives](https:\/\/www.aarp.org\/personal-technology\/artificial-intelligence\/)\n\n[Back](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[AARP Smart Picks](https:\/\/www.aarp.org\/product-reviews\/)\n\n[Close 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A different privacy policy and terms of service will apply.\n\n[Continue](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/) [Cancel](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n\n[Health](https:\/\/www.aarp.org\/health\/)\n\n# 7 Reasons You’re Always Tired\n## What could be causing your fatigue — and how to fight it\n***\nBy\n\nBeth Howard,\n\nUpdated  August 14, 2023\n\nAARP\n\n107\n\nComments\n\n[En español](https:\/\/www.aarp.org\/espanol\/salud\/enfermedades-y-tratamientos\/info-2020\/causas-del-cansancio.html)\n\nPublished  June 23, 2020\n\n\/ Updated  August 14, 2023\n\n![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg)\n\n![tired low energy woman hunched over with a battery in her back plugged into a wall outlet](https:\/\/cdn.aarp.net\/content\/dam\/aarpe\/en\/home\/health\/conditions-treatments\/tiredness-causes\/_jcr_content\/root\/container_main\/container_body_main\/container_body1\/container_body_cf\/container_image\/articlecontentfragment\/cfimage.coreimg.50.932.jpeg\/content\/dam\/aarp\/health\/conditions_treatments\/2023\/08\/1140-running-low-on-energy.jpg)\n\nGetty Images\n\n- [Facebook](http:\/\/www.facebook.com\/sharer\/sharer.php?u=https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/)\n- [Twitter](http:\/\/twitter.com\/intent\/tweet?url=https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/&related=CreateTheGood&text=)\n- [LinkedIn](https:\/\/www.linkedin.com\/shareArticle?mini=true&url=https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/&title=)\n\nBurnt out and constantly depleted of energy? It’s not a good feeling, but know that you’re not alone.\n\nResearch suggests that fatigue (or anergia, in medical lingo) runs as high as 50 percent in people 65 and older, compared with rates in the general population that range from 10 to 25 percent. It’s even more prevalent among adults living with health conditions that become more common with age, such as heart disease. As many as 74 percent of older adults with a chronic illness experience fatigue, [a review of studies](https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7935454\/ \"read the research on chronic illness causing fatigue\") published in 2021 suggests.\n\n[aarp\/aarp-foundation\/experience-corps,taxonomy:giving-back\/volunteering]()\n\n[Help Children Learn to Read Make a meaningful difference and tutor K-3 students to become stronger readers. Volunteer with AARP Foundation Experience Corps and learn new skills.](https:\/\/www.aarp.org\/experience-corps\/)\n\nMembers only\n\nYet “fatigue is not a natural consequence of aging,” says Barbara Resnick, codirector of the Biology and Behavior Across the Lifespan Organized Research Center at the University of Maryland School of Nursing. “It’s more related to the changes that occur due to age and commonly associated diseases.”\n\nFatigue is common when you’re fighting any kind of illness — from infections, like [flu or COVID-19](https:\/\/www.aarp.org\/health\/conditions-treatments\/tripledemic-flu-rsv-covid-vaccines\/ \"learn about vaccines to avoid the tripledemic\"), to autoimmune disorders. It’s also a side effect of some treatments, such as chemotherapy.\n\nBeyond that, “all of us feel tired some of the time,” says Suzanne Salamon, M.D., assistant professor of geriatric medicine and primary care at Beth Israel Deaconess Medical Center in Boston. “Usually, it goes away, either with sleep or time.”\n\nBut if unexplained fatigue continues for more than a few weeks, it’s time to figure out what’s causing it. Here are some of the likely suspects (keep in mind, though, that more than one culprit may be responsible).\n\n### 1\\. Your medications are sapping your energy\n“Older adults take [a lot of medications](https:\/\/www.aarp.org\/health\/drugs-supplements\/medication-overload\/ \"know the signs of medication overload\"), and a lot of those medications tend to make people feel tired,” says Brenda Windemuth, director of the Adult Gerontology Primary Care Nurse Practitioner Program at the University of Maryland School of Nursing. Chief among these: certain antidepressants, antianxiety drugs, sedatives, antihistamines, steroids, and blood pressure and cholesterol medications.\n\nAntipsychotics, pain meds, seizure drugs and chemotherapy also stir up trouble. Others, like diuretics, contribute to exhaustion by [disturbing your sleep](https:\/\/www.aarp.org\/health\/drugs-supplements\/medications-that-can-cause-insomnia\/ \"medications that can cause insomnia\").\n\n“Not all drugs cause the same effects in all people,” Salamon says. “If a person has started a new medicine and they notice fatigue, they should report this to the doctor. Sometimes just moving the drug to the evening or lowering the dose can help, but sometimes you need to change to a different medicine.”\n\nShe recommends always bringing all your medicines — prescription and over-the-counter — to your office visits so your doctor can check doses and duplicates.\n\n![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg)\n\n![newsletter-naw-tablet](https:\/\/cdn.aarp.net\/content\/dam\/experience-fragments\/uxdia-folder-structure\/en\/next-action-widgets\/newsletter_naw\/Newsletter_NAW\/health\/_jcr_content\/root\/responsivegrid\/container_copy\/articleimage.coreimg.75.1140.jpeg\/content\/dam\/aarp\/QA_bucket\/widgetimages\/newsletter_NAW_tablet.jpg)\n\nAARP NEWSLETTERS\n\n![](https:\/\/cdn.aarp.net\/etc\/uxdia\/images\/uxdia-spinner.svg)\n\n![Mujer leyendo tableta](https:\/\/cdn.aarp.net\/content\/dam\/experience-fragments\/uxdia-folder-structure\/en\/next-action-widgets\/newsletter_naw\/Newsletter_NAW\/health\/_jcr_content\/root\/responsivegrid\/container_copy\/container\/container\/articleimage.coreimg.75.1140.png\/content\/dam\/aarp\/QA_bucket\/widgetimages\/newsletter_NAW_desktop.png)\n\nGet the Your Health newsletter from AARP\n\n**Sign up for the latest health news, fitness and nutrition updates and more\\!**\n\n[See All Newsletters](https:\/\/www.aarp.org\/newsletters\/)\n\n[Privacy Hub](https:\/\/www.aarp.org\/privacy\/ \"privacy hub link\")\n\nARTICLE CONTINUES AFTER ADVERTISEMENT\n\n### 2\\. Your sleep hygiene may need improvement\nMany of us simply aren’t getting [enough slumber](https:\/\/www.aarp.org\/health\/healthy-living\/sleep-hygiene\/ \"better sleep hygiene tips\") — more than one-third of adults, to be exact, according to the Centers for Disease Control and Prevention.\n\nPoor [sleep habits](https:\/\/www.aarp.org\/health\/healthy-living\/how-to-sleep-through-the-night\/ \"strategies to help you sleep through the night\") are often to blame. If you’re lying in bed and can’t fall asleep, Resnick advises, get up and do something until you feel tired, and then go back and try again. “The other really big mistake people make is that they expect to lie around all day and then be able to sleep at night,” she says. “You only want to spend time in bed when it’s sleep time. Some people like to control the world from their bed.”\n\n[Magazines & Resources]()\n\n[AARP Rewards Learn, earn and redeem points for rewards with our free loyalty program](https:\/\/www.aarp.org\/membership\/benefits\/magazines\/aarp-rewards\/)\n\nMembers only\n\nOther advice: Maintain a regular sleep pattern, and avoid alcohol at night. Consider keeping a sleep diary to help you identify factors — foods, drinks, medicines — that may be keeping you from solid slumber. Keep in mind that as you get older you may not require the seven to nine hours you used to, Windemuth says.\n\nObstructive sleep apnea is another culprit. Patients experience as many as 30 awakenings an hour when the soft tissues of the throat relax and obstruct the airway during sleep; as a result, they feel exhausted the next day.\n\n[Loud snoring](https:\/\/www.aarp.org\/health\/conditions-treatments\/causes-of-snoring\/ \"common causes of snoring and what to do\") is a clue. Spending the night in a sleep lab can confirm the diagnosis. The standard treatment, a continuous positive air pressure (CPAP) machine, involves wearing a mask over the nose to force air into the throat and keep the airways open.\n\n### 3\\. You’re missing key nutrients\nPeople over 50 are more likely to experience [nutrient deficiencies](https:\/\/www.aarp.org\/health\/conditions-treatments\/nutrient-vitamin-deficiency-symptoms\/ \"common nutrient and vitamin deficiency symptoms\") — especially vitamins B12 and D, iron and folic acid — that cause fatigue. If your doctor suspects a deficiency, they’ll send you for a blood test, and you [may need a supplement](https:\/\/www.aarp.org\/health\/drugs-supplements\/supplements-after-50\/ \"supplements you may need after 50\").\n\n### 4\\. You’re anemic\nThis means that your blood has too few red cells or those cells have too little hemoglobin, which transports oxygen through the bloodstream. The result: fatigue.\n\nA simple blood test provides a diagnosis, after which your physician will investigate possible reasons for the anemia and may put you on iron pills.\n\nThere are three main reasons older adults become anemic. Kidney disease is one. If your kidneys are not working properly, they may not be able to help your body make the red blood cells it needs. “It can also be due to blood loss from somewhere, usually along the gastrointestinal tract,” Resnick says, “or it’s in the bone marrow, which could be due to a malignancy.”\n\nARTICLE CONTINUES AFTER ADVERTISEMENT\n\n### 5\\. You have a heart or pulmonary problem\nCardiac issues — including heart failure, coronary artery disease, valvular heart disease, asthma and [chronic obstructive pulmonary disease](https:\/\/www.aarp.org\/health\/conditions-treatments\/copd-and-other-lung-disease-warning-signs\/ \"symptoms of COPD and other lung diseases\") (COPD) — are among the most common causes of fatigue in older people.\n\n[Heart disease](https:\/\/www.aarp.org\/health\/conditions-treatments\/sneaky-signs-heart-disease\/ \"sneaky signs of heart disease\") can cause the heart to pump blood less efficiently and fluid to build up in the lungs. This, in turn, results in shortness of breath and less oxygen supply to the heart and lungs. So be sure to follow doctor’s orders when it comes to treatment.\n\n### 6\\. You’re anxious or depressed\n“Depression, [being alone](https:\/\/www.aarp.org\/health\/conditions-treatments\/diseases-linked-to-loneliness\/ \"diseases linked to loneliness\") and other psychosocial issues are a huge factor in older people,” Windemuth says. “People are losing friends and spouses. They’re being uprooted from their homes or going into assisted living. That can lead to fatigue.”\n\nAntidepressant medications are sometimes the answer. “We also encourage people to go out, become more involved and find things that they really enjoy doing,” Windemuth adds.\n\nParadoxically, [exercise can make a huge difference](https:\/\/www.aarp.org\/health\/healthy-living\/exercise-and-mental-health\/ \"the link between exercise and better mental health\"). “The best thing for fatigue is physical activity — no matter what the underlying problem,” Resnick says. “The goal should be 30 minutes daily of moderate-level activity.”\n\n### 7\\. COVID could be the culprit\nWhen COVID-19 symptoms linger long after a person’s initial illness, fatigue is the most common complaint. “Estimates of the prevalence are variable but some sources suggest that more than 50 percent of all COVID survivors are affected by persistent fatigue,” says John Baratta, M.D., founder and codirector of the UNC COVID Recovery Clinic at UNC Health in Chapel Hill, North Carolina. “In our [long COVID](https:\/\/www.aarp.org\/health\/conditions-treatments\/long-covid-symptoms\/ \"common symptoms of long COVID\") clinic, over 90 percent are troubled by this symptom.”\n\nBefore treating the fatigue, doctors first investigate other potential factors that may be contributing to extreme tiredness, such as sleep apnea, depression and chronic pain, says Benjamin Abramoff, M.D., head of the Post-COVID Assessment and Recovery Clinic at Penn Medicine in Philadelphia. Then you may be prescribed physical therapy or a graded exercise program, where the duration and intensity of activity are gradually increased. Both can improve stamina, but it’s important to pace yourself to avoid exacerbating symptoms or risking relapse, Baratta says.\n\n“We have also found benefits from certain medications, such as antidepressants and stimulants, in certain situations,” Baratta adds. These include certain antidepressants in the SSRI (selective serotonin reuptake inhibitor) class and stimulants like those used to treat attention deficit disorder.\n\nIf you’re suffering from fatigue related to long COVID, ask your doctor about such strategies or consider making an appointment at a post-COVID clinic. These programs typically take a multidisciplinary approach to treating the disease’s lasting symptoms, fatigue included.\n\n*Editor’s note: This story, first published June 23, 2020, has been updated to reflect new information.*\n\n[%{postComment}%](https:\/\/www.aarp.org\/health\/conditions-treatments\/tiredness-causes\/#comments_widget_id)\n\n*Beth Howard is a North Carolina–based health and lifestyle writer. She has written for dozens of publications, including* U.S. News & World Report, The Wall Street Journal, The Washington Post, Prevention, Better Homes & Gardens *and* Reader’s Digest.\n\nUnlock Access to AARP Members Edition\n\n[Join AARP to Continue](https:\/\/appsec.aarp.org\/mem\/join?campaignID=UBJFMOA23&intcmp=MEM-ONLY-ACCESS)\n\nAlready a Member? 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}\n\nARTICLE CONTINUES AFTER ADVERTISEMENT\n\n## Conversation\nFollow this conversation to be notified when new comments are postedfollow\n\nLog in\n\n\\|\n\nRegister\n\n![Jump to log in or sign Up](https:\/\/cdn.viafoura.net\/assets\/defaultavatar.913f94a2fa72a280b0374131f1c9b175.png)\n\nAll Comments107\n\nNEWEST\n\n**0**\n\n### All Comments\n1. #### Comment by AARPStacyP.\n   AA\n   \n   AARPStacyP\n   \n   M\n   \n   July 27, 2022\n   \n   pinned\n   \n   What is your first course of action when you feel unusually fatigued?\n   \n   reply\n   \n   7 replies\n   \n   15\n   \n   share\n   \n   5\n   \n   5 older replies\n   \n   show older replies\n\n1. #### Comment by TT303743.\n   TT\n   \n   TT303743\n   \n   January 18, 2024\n   \n   Primary Progressive MS. It’s a ruthless disease\n   \n   reply\n   \n   1\n   \n   share\n   \n   report\n   \n   0\n   \n   0 older replies\n   \n   show older replies\n2. #### Comment by comquest.\n   co\n   \n   comquest\n   \n   December 13, 2023\n   \n   I have sleep apnea and sleep well for about 7 hours with a modern CPAP machine. However, I am exhausted from the minute I get up until bedtime. What could be happening?\n   \n   reply\n   \n   12\n   \n   share\n   \n   report\n   \n   0\n   \n   0 older replies\n   \n   show older replies\n3. #### Comment by n13412w.\n   n1\n   \n   n13412w\n   \n   August 29, 2023\n   \n   You forgot hypothyroidism, which is becoming commonplace. I've been anemic off and on all my life until menopause, but before being diagnosed with low thyroid, that's the most tired I've ever been. I had more symptoms than I could count. Then after several years, found out that I actually had Hashimoto's, which is also becoming somewhat commonplace. My original doctor(s)never fully tested me so they did not address the antibodies, and that is also becoming commonplace. UGH\\!\n   \n   reply\n   \n   1 reply\n   \n   4\n   \n   share\n   \n   report\n   \n   0\n   \n   0 older replies\n   \n   show older replies\n   \n   - #### Reply by CherD156873.\n     Ch\n     \n     CherD156873\n     \n     November 30, 2023\n     \n     Reply to n13412w\n     \n     For a minute there I thought I wrote this but mine was Graves disease (hyperthyroid). I had every symptom since I was a teenager and finally a nurse diagnosed me at 32 years old. Dr's would just look at me when I described my symptoms because my regular blood work was literally perfect. They said \"You just don't see these kinds of numbers these days\" and would completely ignore what I was saying. Thyroid tests (TSH) are not included in regular checkups and blood work. When I changed doctors their nurse figured it out during my sinus infection appt. My heart rate was so high at that visit they wouldn't let me leave the office until it was under control with meds my symptoms got so bad. Same with Lupus. I was still constantly exhausted and always in pain but they just kept saying the TSH numbers were good and reg. blood work was excellent. I finally got diagnosed in my late 50's with Lupus only because spouse came with me and demanded they do more to help me. He actually raised his voice and he's very laid back normally. Of course the damage is already done at that age and there is no way to reverse it. Isn't healthcare in the USA just fantastic? Esp. the way they ignore patient's medical problems and esp. when you are a female.\n     \n     Read more\n     \n     reply\n     \n     4\n     \n     share\n     \n     report\n4. #### Comment by 2Papa.\n   2P\n   \n   2Papa\n   \n   August 27, 2023\n   \n   My first course of action when I feel unusually fatigued is to take a nap\\!\n   \n   reply\n   \n   13\n   \n   share\n   \n   report\n   \n   0\n   \n   0 older replies\n   \n   show older replies\n\nLoad more comments\n\nPowered by\n\n{ \"articlePagePath\" :\"\/content\/aarpe\/en\/home\/health\/conditions-treatments\/tiredness-causes\", \"aarpId\" : \"8f673fdc63d42c38b3976445d89999ce\" \"customContainerId\" : \"\" \"limit\" : \"5\" \"paginationLimit\" : \"5\" \"replyLimit\" : \"2\" \"paginationReplyLimit\" : \"5\" \"sort\" : \"\" \"featuredTabActiveThreshold\" : \"5\" }\n\nBenefits Recommended For You\n\n[See All](https:\/\/www.aarp.org\/membership\/benefits\/all-offers-a-z\/ \"See 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It’s not a good feeling, but know that you’re not alone.\n\nResearch suggests that fatigue (or anergia, in medical lingo) runs as high as 50 percent in people 65 and older, compared with rates in the general population that range from 10 to 25 percent. It’s even more prevalent among adults living with health conditions that become more common with age, such as heart disease. As many as 74 percent of older adults with a chronic illness experience fatigue, [a review of studies](https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7935454\/ \"read the research on chronic illness causing fatigue\") published in 2021 suggests.\n\nYet “fatigue is not a natural consequence of aging,” says Barbara Resnick, codirector of the Biology and Behavior Across the Lifespan Organized Research Center at the University of Maryland School of Nursing. “It’s more related to the changes that occur due to age and commonly associated diseases.”\n\nFatigue is common when you’re fighting any kind of illness — from infections, like [flu or COVID-19](https:\/\/www.aarp.org\/health\/conditions-treatments\/tripledemic-flu-rsv-covid-vaccines\/ \"learn about vaccines to avoid the tripledemic\"), to autoimmune disorders. It’s also a side effect of some treatments, such as chemotherapy.\n\nBeyond that, “all of us feel tired some of the time,” says Suzanne Salamon, M.D., assistant professor of geriatric medicine and primary care at Beth Israel Deaconess Medical Center in Boston. “Usually, it goes away, either with sleep or time.”\n\nBut if unexplained fatigue continues for more than a few weeks, it’s time to figure out what’s causing it. Here are some of the likely suspects (keep in mind, though, that more than one culprit may be responsible).\n\n### 1\\. Your medications are sapping your energy\n“Older adults take [a lot of medications](https:\/\/www.aarp.org\/health\/drugs-supplements\/medication-overload\/ \"know the signs of medication overload\"), and a lot of those medications tend to make people feel tired,” says Brenda Windemuth, director of the Adult Gerontology Primary Care Nurse Practitioner Program at the University of Maryland School of Nursing. Chief among these: certain antidepressants, antianxiety drugs, sedatives, antihistamines, steroids, and blood pressure and cholesterol medications.\n\nAntipsychotics, pain meds, seizure drugs and chemotherapy also stir up trouble. Others, like diuretics, contribute to exhaustion by [disturbing your sleep](https:\/\/www.aarp.org\/health\/drugs-supplements\/medications-that-can-cause-insomnia\/ \"medications that can cause insomnia\").\n\n“Not all drugs cause the same effects in all people,” Salamon says. “If a person has started a new medicine and they notice fatigue, they should report this to the doctor. Sometimes just moving the drug to the evening or lowering the dose can help, but sometimes you need to change to a different medicine.”\n\nShe recommends always bringing all your medicines — prescription and over-the-counter — to your office visits so your doctor can check doses and duplicates.\n\n### 2\\. Your sleep hygiene may need improvement\nMany of us simply aren’t getting [enough slumber](https:\/\/www.aarp.org\/health\/healthy-living\/sleep-hygiene\/ \"better sleep hygiene tips\") — more than one-third of adults, to be exact, according to the Centers for Disease Control and Prevention.\n\nPoor [sleep habits](https:\/\/www.aarp.org\/health\/healthy-living\/how-to-sleep-through-the-night\/ \"strategies to help you sleep through the night\") are often to blame. If you’re lying in bed and can’t fall asleep, Resnick advises, get up and do something until you feel tired, and then go back and try again. “The other really big mistake people make is that they expect to lie around all day and then be able to sleep at night,” she says. “You only want to spend time in bed when it’s sleep time. Some people like to control the world from their bed.”\n\nOther advice: Maintain a regular sleep pattern, and avoid alcohol at night. Consider keeping a sleep diary to help you identify factors — foods, drinks, medicines — that may be keeping you from solid slumber. Keep in mind that as you get older you may not require the seven to nine hours you used to, Windemuth says.\n\nObstructive sleep apnea is another culprit. Patients experience as many as 30 awakenings an hour when the soft tissues of the throat relax and obstruct the airway during sleep; as a result, they feel exhausted the next day.\n\n[Loud snoring](https:\/\/www.aarp.org\/health\/conditions-treatments\/causes-of-snoring\/ \"common causes of snoring and what to do\") is a clue. Spending the night in a sleep lab can confirm the diagnosis. The standard treatment, a continuous positive air pressure (CPAP) machine, involves wearing a mask over the nose to force air into the throat and keep the airways open.\n\n### 3\\. You’re missing key nutrients\nPeople over 50 are more likely to experience [nutrient deficiencies](https:\/\/www.aarp.org\/health\/conditions-treatments\/nutrient-vitamin-deficiency-symptoms\/ \"common nutrient and vitamin deficiency symptoms\") — especially vitamins B12 and D, iron and folic acid — that cause fatigue. If your doctor suspects a deficiency, they’ll send you for a blood test, and you [may need a supplement](https:\/\/www.aarp.org\/health\/drugs-supplements\/supplements-after-50\/ \"supplements you may need after 50\").\n\n### 4\\. You’re anemic\nThis means that your blood has too few red cells or those cells have too little hemoglobin, which transports oxygen through the bloodstream. The result: fatigue.\n\nA simple blood test provides a diagnosis, after which your physician will investigate possible reasons for the anemia and may put you on iron pills.\n\nThere are three main reasons older adults become anemic. Kidney disease is one. If your kidneys are not working properly, they may not be able to help your body make the red blood cells it needs. “It can also be due to blood loss from somewhere, usually along the gastrointestinal tract,” Resnick says, “or it’s in the bone marrow, which could be due to a malignancy.”\n\n### 5\\. You have a heart or pulmonary problem\nCardiac issues — including heart failure, coronary artery disease, valvular heart disease, asthma and [chronic obstructive pulmonary disease](https:\/\/www.aarp.org\/health\/conditions-treatments\/copd-and-other-lung-disease-warning-signs\/ \"symptoms of COPD and other lung diseases\") (COPD) — are among the most common causes of fatigue in older people.\n\n[Heart disease](https:\/\/www.aarp.org\/health\/conditions-treatments\/sneaky-signs-heart-disease\/ \"sneaky signs of heart disease\") can cause the heart to pump blood less efficiently and fluid to build up in the lungs. This, in turn, results in shortness of breath and less oxygen supply to the heart and lungs. So be sure to follow doctor’s orders when it comes to treatment.\n\n### 6\\. You’re anxious or depressed\n“Depression, [being alone](https:\/\/www.aarp.org\/health\/conditions-treatments\/diseases-linked-to-loneliness\/ \"diseases linked to loneliness\") and other psychosocial issues are a huge factor in older people,” Windemuth says. “People are losing friends and spouses. They’re being uprooted from their homes or going into assisted living. That can lead to fatigue.”\n\nAntidepressant medications are sometimes the answer. “We also encourage people to go out, become more involved and find things that they really enjoy doing,” Windemuth adds.\n\nParadoxically, [exercise can make a huge difference](https:\/\/www.aarp.org\/health\/healthy-living\/exercise-and-mental-health\/ \"the link between exercise and better mental health\"). “The best thing for fatigue is physical activity — no matter what the underlying problem,” Resnick says. “The goal should be 30 minutes daily of moderate-level activity.”\n\n### 7\\. COVID could be the culprit\nWhen COVID-19 symptoms linger long after a person’s initial illness, fatigue is the most common complaint. “Estimates of the prevalence are variable but some sources suggest that more than 50 percent of all COVID survivors are affected by persistent fatigue,” says John Baratta, M.D., founder and codirector of the UNC COVID Recovery Clinic at UNC Health in Chapel Hill, North Carolina. “In our [long COVID](https:\/\/www.aarp.org\/health\/conditions-treatments\/long-covid-symptoms\/ \"common symptoms of long COVID\") clinic, over 90 percent are troubled by this symptom.”\n\nBefore treating the fatigue, doctors first investigate other potential factors that may be contributing to extreme tiredness, such as sleep apnea, depression and chronic pain, says Benjamin Abramoff, M.D., head of the Post-COVID Assessment and Recovery Clinic at Penn Medicine in Philadelphia. Then you may be prescribed physical therapy or a graded exercise program, where the duration and intensity of activity are gradually increased. Both can improve stamina, but it’s important to pace yourself to avoid exacerbating symptoms or risking relapse, Baratta says.\n\n“We have also found benefits from certain medications, such as antidepressants and stimulants, in certain situations,” Baratta adds. These include certain antidepressants in the SSRI (selective serotonin reuptake inhibitor) class and stimulants like those used to treat attention deficit disorder.\n\nIf you’re suffering from fatigue related to long COVID, ask your doctor about such strategies or consider making an appointment at a post-COVID clinic. These programs typically take a multidisciplinary approach to treating the disease’s lasting symptoms, fatigue included.\n\n*Editor’s note: This story, first published June 23, 2020, has been updated to reflect new information.*\n\n*Beth Howard is a North Carolina–based health and lifestyle writer. She has written for dozens of publications, including* U.S. News & World Report, The Wall Street Journal, The Washington Post, Prevention, Better Homes & Gardens *and* Reader’s Digest.","meta_canonical":null}

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URL	https://www.aarp.org/health/conditions-treatments/tiredness-causes/
Last Crawled	2026-04-12 04:09:42 (3 days ago)
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HTTP Status Code	200
Meta Title	7 Reasons Why You're Always Tired and How to Fight It
Meta Description	Tired all the time? It’s not a natural result of aging. Why you might be lagging — from medications to sleep disorders — and how to treat the causes.
Meta Canonical	null
Boilerpipe Text	Getty Images Burnt out and constantly depleted of energy? It’s not a good feeling, but know that you’re not alone. Research suggests that fatigue (or anergia, in medical lingo) runs as high as 50 percent in people 65 and older, compared with rates in the general population that range from 10 to 25 percent. It’s even more prevalent among adults living with health conditions that become more common with age, such as heart disease. As many as 74 percent of older adults with a chronic illness experience fatigue, a review of studies published in 2021 suggests. Yet “fatigue is not a natural consequence of aging,” says Barbara Resnick, codirector of the Biology and Behavior Across the Lifespan Organized Research Center at the University of Maryland School of Nursing. “It’s more related to the changes that occur due to age and commonly associated diseases.” Fatigue is common when you’re fighting any kind of illness — from infections, like flu or COVID-19 , to autoimmune disorders. It’s also a side effect of some treatments, such as chemotherapy. Beyond that, “all of us feel tired some of the time,” says Suzanne Salamon, M.D., assistant professor of geriatric medicine and primary care at Beth Israel Deaconess Medical Center in Boston. “Usually, it goes away, either with sleep or time.” But if unexplained fatigue continues for more than a few weeks, it’s time to figure out what’s causing it. Here are some of the likely suspects (keep in mind, though, that more than one culprit may be responsible). 1. Your medications are sapping your energy “Older adults take a lot of medications , and a lot of those medications tend to make people feel tired,” says Brenda Windemuth, director of the Adult Gerontology Primary Care Nurse Practitioner Program at the University of Maryland School of Nursing. Chief among these: certain antidepressants, antianxiety drugs, sedatives, antihistamines, steroids, and blood pressure and cholesterol medications. Antipsychotics, pain meds, seizure drugs and chemotherapy also stir up trouble. Others, like diuretics, contribute to exhaustion by disturbing your sleep . “Not all drugs cause the same effects in all people,” Salamon says. “If a person has started a new medicine and they notice fatigue, they should report this to the doctor. Sometimes just moving the drug to the evening or lowering the dose can help, but sometimes you need to change to a different medicine.” She recommends always bringing all your medicines — prescription and over-the-counter — to your office visits so your doctor can check doses and duplicates. 2. Your sleep hygiene may need improvement Many of us simply aren’t getting enough slumber — more than one-third of adults, to be exact, according to the Centers for Disease Control and Prevention. Poor sleep habits are often to blame. If you’re lying in bed and can’t fall asleep, Resnick advises, get up and do something until you feel tired, and then go back and try again. “The other really big mistake people make is that they expect to lie around all day and then be able to sleep at night,” she says. “You only want to spend time in bed when it’s sleep time. Some people like to control the world from their bed.” Other advice: Maintain a regular sleep pattern, and avoid alcohol at night. Consider keeping a sleep diary to help you identify factors — foods, drinks, medicines — that may be keeping you from solid slumber. Keep in mind that as you get older you may not require the seven to nine hours you used to, Windemuth says. Obstructive sleep apnea is another culprit. Patients experience as many as 30 awakenings an hour when the soft tissues of the throat relax and obstruct the airway during sleep; as a result, they feel exhausted the next day. Loud snoring is a clue. Spending the night in a sleep lab can confirm the diagnosis. The standard treatment, a continuous positive air pressure (CPAP) machine, involves wearing a mask over the nose to force air into the throat and keep the airways open. 3. You’re missing key nutrients People over 50 are more likely to experience nutrient deficiencies — especially vitamins B12 and D, iron and folic acid — that cause fatigue. If your doctor suspects a deficiency, they’ll send you for a blood test, and you may need a supplement . 4. You’re anemic This means that your blood has too few red cells or those cells have too little hemoglobin, which transports oxygen through the bloodstream. The result: fatigue. A simple blood test provides a diagnosis, after which your physician will investigate possible reasons for the anemia and may put you on iron pills. There are three main reasons older adults become anemic. Kidney disease is one. If your kidneys are not working properly, they may not be able to help your body make the red blood cells it needs. “It can also be due to blood loss from somewhere, usually along the gastrointestinal tract,” Resnick says, “or it’s in the bone marrow, which could be due to a malignancy.” 5. You have a heart or pulmonary problem Cardiac issues — including heart failure, coronary artery disease, valvular heart disease, asthma and chronic obstructive pulmonary disease (COPD) — are among the most common causes of fatigue in older people. Heart disease can cause the heart to pump blood less efficiently and fluid to build up in the lungs. This, in turn, results in shortness of breath and less oxygen supply to the heart and lungs. So be sure to follow doctor’s orders when it comes to treatment. 6. You’re anxious or depressed “Depression, being alone and other psychosocial issues are a huge factor in older people,” Windemuth says. “People are losing friends and spouses. They’re being uprooted from their homes or going into assisted living. That can lead to fatigue.” Antidepressant medications are sometimes the answer. “We also encourage people to go out, become more involved and find things that they really enjoy doing,” Windemuth adds. Paradoxically, exercise can make a huge difference . “The best thing for fatigue is physical activity — no matter what the underlying problem,” Resnick says. “The goal should be 30 minutes daily of moderate-level activity.” 7. COVID could be the culprit When COVID-19 symptoms linger long after a person’s initial illness, fatigue is the most common complaint. “Estimates of the prevalence are variable but some sources suggest that more than 50 percent of all COVID survivors are affected by persistent fatigue,” says John Baratta, M.D., founder and codirector of the UNC COVID Recovery Clinic at UNC Health in Chapel Hill, North Carolina. “In our long COVID clinic, over 90 percent are troubled by this symptom.” Before treating the fatigue, doctors first investigate other potential factors that may be contributing to extreme tiredness, such as sleep apnea, depression and chronic pain, says Benjamin Abramoff, M.D., head of the Post-COVID Assessment and Recovery Clinic at Penn Medicine in Philadelphia. Then you may be prescribed physical therapy or a graded exercise program, where the duration and intensity of activity are gradually increased. Both can improve stamina, but it’s important to pace yourself to avoid exacerbating symptoms or risking relapse, Baratta says. “We have also found benefits from certain medications, such as antidepressants and stimulants, in certain situations,” Baratta adds. These include certain antidepressants in the SSRI (selective serotonin reuptake inhibitor) class and stimulants like those used to treat attention deficit disorder. If you’re suffering from fatigue related to long COVID, ask your doctor about such strategies or consider making an appointment at a post-COVID clinic. These programs typically take a multidisciplinary approach to treating the disease’s lasting symptoms, fatigue included. Editor’s note: This story, first published June 23, 2020, has been updated to reflect new information. Beth Howard is a North Carolina–based health and lifestyle writer. She has written for dozens of publications, including U.S. News & World Report, The Wall Street Journal, The Washington Post, Prevention, Better Homes & Gardens and Reader’s Digest.
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[Continue](https://www.aarp.org/health/conditions-treatments/tiredness-causes/) [Cancel](https://www.aarp.org/health/conditions-treatments/tiredness-causes/) [Health](https://www.aarp.org/health/) # 7 Reasons You’re Always Tired ## What could be causing your fatigue — and how to fight it * By Beth Howard, Updated August 14, 2023 AARP 107 Comments [En español](https://www.aarp.org/espanol/salud/enfermedades-y-tratamientos/info-2020/causas-del-cansancio.html) Published June 23, 2020 / Updated August 14, 2023 ![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![tired low energy woman hunched over with a battery in her back plugged into a wall outlet](https://cdn.aarp.net/content/dam/aarpe/en/home/health/conditions-treatments/tiredness-causes/_jcr_content/root/container_main/container_body_main/container_body1/container_body_cf/container_image/articlecontentfragment/cfimage.coreimg.50.932.jpeg/content/dam/aarp/health/conditions_treatments/2023/08/1140-running-low-on-energy.jpg) Getty Images - [Facebook](http://www.facebook.com/sharer/sharer.php?u=https://www.aarp.org/health/conditions-treatments/tiredness-causes/) - [Twitter](http://twitter.com/intent/tweet?url=https://www.aarp.org/health/conditions-treatments/tiredness-causes/&related=CreateTheGood&text=) - [LinkedIn](https://www.linkedin.com/shareArticle?mini=true&url=https://www.aarp.org/health/conditions-treatments/tiredness-causes/&title=) Burnt out and constantly depleted of energy? It’s not a good feeling, but know that you’re not alone. Research suggests that fatigue (or anergia, in medical lingo) runs as high as 50 percent in people 65 and older, compared with rates in the general population that range from 10 to 25 percent. It’s even more prevalent among adults living with health conditions that become more common with age, such as heart disease. As many as 74 percent of older adults with a chronic illness experience fatigue, [a review of studies](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7935454/ "read the research on chronic illness causing fatigue") published in 2021 suggests. [aarp/aarp-foundation/experience-corps,taxonomy:giving-back/volunteering]() [Help Children Learn to Read Make a meaningful difference and tutor K-3 students to become stronger readers. Volunteer with AARP Foundation Experience Corps and learn new skills.](https://www.aarp.org/experience-corps/) Members only Yet “fatigue is not a natural consequence of aging,” says Barbara Resnick, codirector of the Biology and Behavior Across the Lifespan Organized Research Center at the University of Maryland School of Nursing. “It’s more related to the changes that occur due to age and commonly associated diseases.” Fatigue is common when you’re fighting any kind of illness — from infections, like [flu or COVID-19](https://www.aarp.org/health/conditions-treatments/tripledemic-flu-rsv-covid-vaccines/ "learn about vaccines to avoid the tripledemic"), to autoimmune disorders. It’s also a side effect of some treatments, such as chemotherapy. Beyond that, “all of us feel tired some of the time,” says Suzanne Salamon, M.D., assistant professor of geriatric medicine and primary care at Beth Israel Deaconess Medical Center in Boston. “Usually, it goes away, either with sleep or time.” But if unexplained fatigue continues for more than a few weeks, it’s time to figure out what’s causing it. Here are some of the likely suspects (keep in mind, though, that more than one culprit may be responsible). ### 1\. Your medications are sapping your energy “Older adults take [a lot of medications](https://www.aarp.org/health/drugs-supplements/medication-overload/ "know the signs of medication overload"), and a lot of those medications tend to make people feel tired,” says Brenda Windemuth, director of the Adult Gerontology Primary Care Nurse Practitioner Program at the University of Maryland School of Nursing. Chief among these: certain antidepressants, antianxiety drugs, sedatives, antihistamines, steroids, and blood pressure and cholesterol medications. Antipsychotics, pain meds, seizure drugs and chemotherapy also stir up trouble. Others, like diuretics, contribute to exhaustion by [disturbing your sleep](https://www.aarp.org/health/drugs-supplements/medications-that-can-cause-insomnia/ "medications that can cause insomnia"). “Not all drugs cause the same effects in all people,” Salamon says. “If a person has started a new medicine and they notice fatigue, they should report this to the doctor. Sometimes just moving the drug to the evening or lowering the dose can help, but sometimes you need to change to a different medicine.” She recommends always bringing all your medicines — prescription and over-the-counter — to your office visits so your doctor can check doses and duplicates. ![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![newsletter-naw-tablet](https://cdn.aarp.net/content/dam/experience-fragments/uxdia-folder-structure/en/next-action-widgets/newsletter_naw/Newsletter_NAW/health/_jcr_content/root/responsivegrid/container_copy/articleimage.coreimg.75.1140.jpeg/content/dam/aarp/QA_bucket/widgetimages/newsletter_NAW_tablet.jpg) AARP NEWSLETTERS ![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![Mujer leyendo tableta](https://cdn.aarp.net/content/dam/experience-fragments/uxdia-folder-structure/en/next-action-widgets/newsletter_naw/Newsletter_NAW/health/_jcr_content/root/responsivegrid/container_copy/container/container/articleimage.coreimg.75.1140.png/content/dam/aarp/QA_bucket/widgetimages/newsletter_NAW_desktop.png) Get the Your Health newsletter from AARP Sign up for the latest health news, fitness and nutrition updates and more\!** [See All Newsletters](https://www.aarp.org/newsletters/) [Privacy Hub](https://www.aarp.org/privacy/ "privacy hub link") ARTICLE CONTINUES AFTER ADVERTISEMENT ### 2\. Your sleep hygiene may need improvement Many of us simply aren’t getting [enough slumber](https://www.aarp.org/health/healthy-living/sleep-hygiene/ "better sleep hygiene tips") — more than one-third of adults, to be exact, according to the Centers for Disease Control and Prevention. Poor [sleep habits](https://www.aarp.org/health/healthy-living/how-to-sleep-through-the-night/ "strategies to help you sleep through the night") are often to blame. If you’re lying in bed and can’t fall asleep, Resnick advises, get up and do something until you feel tired, and then go back and try again. “The other really big mistake people make is that they expect to lie around all day and then be able to sleep at night,” she says. “You only want to spend time in bed when it’s sleep time. Some people like to control the world from their bed.” [Magazines & Resources]() [AARP Rewards Learn, earn and redeem points for rewards with our free loyalty program](https://www.aarp.org/membership/benefits/magazines/aarp-rewards/) Members only Other advice: Maintain a regular sleep pattern, and avoid alcohol at night. Consider keeping a sleep diary to help you identify factors — foods, drinks, medicines — that may be keeping you from solid slumber. Keep in mind that as you get older you may not require the seven to nine hours you used to, Windemuth says. Obstructive sleep apnea is another culprit. Patients experience as many as 30 awakenings an hour when the soft tissues of the throat relax and obstruct the airway during sleep; as a result, they feel exhausted the next day. [Loud snoring](https://www.aarp.org/health/conditions-treatments/causes-of-snoring/ "common causes of snoring and what to do") is a clue. Spending the night in a sleep lab can confirm the diagnosis. The standard treatment, a continuous positive air pressure (CPAP) machine, involves wearing a mask over the nose to force air into the throat and keep the airways open. ### 3\. You’re missing key nutrients People over 50 are more likely to experience [nutrient deficiencies](https://www.aarp.org/health/conditions-treatments/nutrient-vitamin-deficiency-symptoms/ "common nutrient and vitamin deficiency symptoms") — especially vitamins B12 and D, iron and folic acid — that cause fatigue. If your doctor suspects a deficiency, they’ll send you for a blood test, and you [may need a supplement](https://www.aarp.org/health/drugs-supplements/supplements-after-50/ "supplements you may need after 50"). ### 4\. You’re anemic This means that your blood has too few red cells or those cells have too little hemoglobin, which transports oxygen through the bloodstream. The result: fatigue. A simple blood test provides a diagnosis, after which your physician will investigate possible reasons for the anemia and may put you on iron pills. There are three main reasons older adults become anemic. Kidney disease is one. If your kidneys are not working properly, they may not be able to help your body make the red blood cells it needs. “It can also be due to blood loss from somewhere, usually along the gastrointestinal tract,” Resnick says, “or it’s in the bone marrow, which could be due to a malignancy.” ARTICLE CONTINUES AFTER ADVERTISEMENT ### 5\. You have a heart or pulmonary problem Cardiac issues — including heart failure, coronary artery disease, valvular heart disease, asthma and [chronic obstructive pulmonary disease](https://www.aarp.org/health/conditions-treatments/copd-and-other-lung-disease-warning-signs/ "symptoms of COPD and other lung diseases") (COPD) — are among the most common causes of fatigue in older people. [Heart disease](https://www.aarp.org/health/conditions-treatments/sneaky-signs-heart-disease/ "sneaky signs of heart disease") can cause the heart to pump blood less efficiently and fluid to build up in the lungs. This, in turn, results in shortness of breath and less oxygen supply to the heart and lungs. So be sure to follow doctor’s orders when it comes to treatment. ### 6\. You’re anxious or depressed “Depression, [being alone](https://www.aarp.org/health/conditions-treatments/diseases-linked-to-loneliness/ "diseases linked to loneliness") and other psychosocial issues are a huge factor in older people,” Windemuth says. “People are losing friends and spouses. They’re being uprooted from their homes or going into assisted living. That can lead to fatigue.” Antidepressant medications are sometimes the answer. “We also encourage people to go out, become more involved and find things that they really enjoy doing,” Windemuth adds. Paradoxically, [exercise can make a huge difference](https://www.aarp.org/health/healthy-living/exercise-and-mental-health/ "the link between exercise and better mental health"). “The best thing for fatigue is physical activity — no matter what the underlying problem,” Resnick says. “The goal should be 30 minutes daily of moderate-level activity.” ### 7\. COVID could be the culprit When COVID-19 symptoms linger long after a person’s initial illness, fatigue is the most common complaint. “Estimates of the prevalence are variable but some sources suggest that more than 50 percent of all COVID survivors are affected by persistent fatigue,” says John Baratta, M.D., founder and codirector of the UNC COVID Recovery Clinic at UNC Health in Chapel Hill, North Carolina. “In our [long COVID](https://www.aarp.org/health/conditions-treatments/long-covid-symptoms/ "common symptoms of long COVID") clinic, over 90 percent are troubled by this symptom.” Before treating the fatigue, doctors first investigate other potential factors that may be contributing to extreme tiredness, such as sleep apnea, depression and chronic pain, says Benjamin Abramoff, M.D., head of the Post-COVID Assessment and Recovery Clinic at Penn Medicine in Philadelphia. Then you may be prescribed physical therapy or a graded exercise program, where the duration and intensity of activity are gradually increased. Both can improve stamina, but it’s important to pace yourself to avoid exacerbating symptoms or risking relapse, Baratta says. “We have also found benefits from certain medications, such as antidepressants and stimulants, in certain situations,” Baratta adds. These include certain antidepressants in the SSRI (selective serotonin reuptake inhibitor) class and stimulants like those used to treat attention deficit disorder. If you’re suffering from fatigue related to long COVID, ask your doctor about such strategies or consider making an appointment at a post-COVID clinic. These programs typically take a multidisciplinary approach to treating the disease’s lasting symptoms, fatigue included. Editor’s note: This story, first published June 23, 2020, has been updated to reflect new information. [%{postComment}%](https://www.aarp.org/health/conditions-treatments/tiredness-causes/#comments_widget_id) Beth Howard is a North Carolina–based health and lifestyle writer. She has written for dozens of publications, including U.S. News & World Report, The Wall Street Journal, The Washington Post, Prevention, Better Homes & Gardens and Reader’s Digest. Unlock Access to AARP Members Edition [Join AARP to Continue](https://appsec.aarp.org/mem/join?campaignID=UBJFMOA23&intcmp=MEM-ONLY-ACCESS) Already a Member? 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AA AARPStacyP M July 27, 2022 pinned What is your first course of action when you feel unusually fatigued? reply 7 replies 15 share 5 5 older replies show older replies 1. #### Comment by TT303743. TT TT303743 January 18, 2024 Primary Progressive MS. It’s a ruthless disease reply 1 share report 0 0 older replies show older replies 2. #### Comment by comquest. co comquest December 13, 2023 I have sleep apnea and sleep well for about 7 hours with a modern CPAP machine. However, I am exhausted from the minute I get up until bedtime. What could be happening? reply 12 share report 0 0 older replies show older replies 3. #### Comment by n13412w. n1 n13412w August 29, 2023 You forgot hypothyroidism, which is becoming commonplace. I've been anemic off and on all my life until menopause, but before being diagnosed with low thyroid, that's the most tired I've ever been. I had more symptoms than I could count. Then after several years, found out that I actually had Hashimoto's, which is also becoming somewhat commonplace. My original doctor(s)never fully tested me so they did not address the antibodies, and that is also becoming commonplace. UGH\! reply 1 reply 4 share report 0 0 older replies show older replies - #### Reply by CherD156873. Ch CherD156873 November 30, 2023 Reply to n13412w For a minute there I thought I wrote this but mine was Graves disease (hyperthyroid). I had every symptom since I was a teenager and finally a nurse diagnosed me at 32 years old. Dr's would just look at me when I described my symptoms because my regular blood work was literally perfect. They said "You just don't see these kinds of numbers these days" and would completely ignore what I was saying. Thyroid tests (TSH) are not included in regular checkups and blood work. When I changed doctors their nurse figured it out during my sinus infection appt. My heart rate was so high at that visit they wouldn't let me leave the office until it was under control with meds my symptoms got so bad. Same with Lupus. I was still constantly exhausted and always in pain but they just kept saying the TSH numbers were good and reg. blood work was excellent. I finally got diagnosed in my late 50's with Lupus only because spouse came with me and demanded they do more to help me. He actually raised his voice and he's very laid back normally. Of course the damage is already done at that age and there is no way to reverse it. Isn't healthcare in the USA just fantastic? Esp. the way they ignore patient's medical problems and esp. when you are a female. Read more reply 4 share report 4. #### Comment by 2Papa. 2P 2Papa August 27, 2023 My first course of action when I feel unusually fatigued is to take a nap\! reply 13 share report 0 0 older replies show older replies Load more comments Powered by { "articlePagePath" :"/content/aarpe/en/home/health/conditions-treatments/tiredness-causes", "aarpId" : "8f673fdc63d42c38b3976445d89999ce" "customContainerId" : "" "limit" : "5" "paginationLimit" : "5" "replyLimit" : "2" "paginationReplyLimit" : "5" "sort" : "" "featuredTabActiveThreshold" : "5" } Benefits Recommended For You [See All](https://www.aarp.org/membership/benefits/all-offers-a-z/ "See All") [![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![](https://aarp.widen.net/content/qpzhd8kdfq/jpeg/DBR_AARPRewards_03182026.jpg?anchor=0%2C0&q=80&color=ffffffff&u=w1npqh) Members only Magazines & Resources AARP Rewards Learn, earn and redeem points for rewards with our free loyalty program](https://www.aarp.org/membership/benefits/magazines/aarp-rewards/) [![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![grandfather wearing sunglasses and plaid shirt with hat on and grandson riding in an orange with the number 9 on it go-cart smiling](https://aarp.widen.net/content/yxaibfjzzv/jpeg/1140x641-grandfather-grandson-go-cart-smiling.jpeg?position=c&color=ffffffff&quality=99&u=qgu0ow) Members only Entertainment Theme Park & Attraction Discounts Coupons & offers for golf, movies, theme parks and more activities](https://www.aarp.org/membership/benefits/entertainment/even-more-entertainment-discounts/) [![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![red background, fingerprint made into a human head, the perfect scam in white lettering on black background](https://aarp.widen.net/content/79scmujlpo/jpeg/1140x655-perfect-scam-podcast-head-silhouette-red-background.jpeg?position=c&color=ffffffff&quality=99&u=qgu0ow) Members only Work & Finances The Perfect Scam℠ Podcast Profiling America's biggest scam stories](https://www.aarp.org/membership/benefits/finance/perfect-scam-podcast/) [![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![Man with grey beard and red hat celebrating in the stands at a soccer game he bought tickets for on FEVO](https://aarp.widen.net/content/nmrtesoodf/png/DBR_FEVOCourtesy_04172025.png?anchor=0%2C0&color=ffffffff&u=w1npqh) Members only Entertainment Sports and Live Event Tickets by FEVO 15% off tickets for select live events and Major and Minor League events](https://www.aarp.org/membership/benefits/entertainment/fevo/) [See All](https://www.aarp.org/membership/benefits/all-offers-a-z/ "See All") [HOT DEALS](https://www.aarp.org/membership/benefits/hot-deals/ "See All Hot Deals") SAVE MONEY WITH THESE LIMITED-TIME OFFERS [See All Hot Deals](https://www.aarp.org/membership/benefits/hot-deals/ "See All Hot Deals") AARP is a nonprofit, nonpartisan organization that empowers people to choose how they live as they age. 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Readable Markdown	![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![tired low energy woman hunched over with a battery in her back plugged into a wall outlet](https://cdn.aarp.net/content/dam/aarpe/en/home/health/conditions-treatments/tiredness-causes/_jcr_content/root/container_main/container_body_main/container_body1/container_body_cf/container_image/articlecontentfragment/cfimage.coreimg.50.932.jpeg/content/dam/aarp/health/conditions_treatments/2023/08/1140-running-low-on-energy.jpg) Getty Images Burnt out and constantly depleted of energy? It’s not a good feeling, but know that you’re not alone. Research suggests that fatigue (or anergia, in medical lingo) runs as high as 50 percent in people 65 and older, compared with rates in the general population that range from 10 to 25 percent. It’s even more prevalent among adults living with health conditions that become more common with age, such as heart disease. As many as 74 percent of older adults with a chronic illness experience fatigue, [a review of studies](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7935454/ "read the research on chronic illness causing fatigue") published in 2021 suggests. Yet “fatigue is not a natural consequence of aging,” says Barbara Resnick, codirector of the Biology and Behavior Across the Lifespan Organized Research Center at the University of Maryland School of Nursing. “It’s more related to the changes that occur due to age and commonly associated diseases.” Fatigue is common when you’re fighting any kind of illness — from infections, like [flu or COVID-19](https://www.aarp.org/health/conditions-treatments/tripledemic-flu-rsv-covid-vaccines/ "learn about vaccines to avoid the tripledemic"), to autoimmune disorders. It’s also a side effect of some treatments, such as chemotherapy. Beyond that, “all of us feel tired some of the time,” says Suzanne Salamon, M.D., assistant professor of geriatric medicine and primary care at Beth Israel Deaconess Medical Center in Boston. “Usually, it goes away, either with sleep or time.” But if unexplained fatigue continues for more than a few weeks, it’s time to figure out what’s causing it. Here are some of the likely suspects (keep in mind, though, that more than one culprit may be responsible). ### 1\. Your medications are sapping your energy “Older adults take [a lot of medications](https://www.aarp.org/health/drugs-supplements/medication-overload/ "know the signs of medication overload"), and a lot of those medications tend to make people feel tired,” says Brenda Windemuth, director of the Adult Gerontology Primary Care Nurse Practitioner Program at the University of Maryland School of Nursing. Chief among these: certain antidepressants, antianxiety drugs, sedatives, antihistamines, steroids, and blood pressure and cholesterol medications. Antipsychotics, pain meds, seizure drugs and chemotherapy also stir up trouble. Others, like diuretics, contribute to exhaustion by [disturbing your sleep](https://www.aarp.org/health/drugs-supplements/medications-that-can-cause-insomnia/ "medications that can cause insomnia"). “Not all drugs cause the same effects in all people,” Salamon says. “If a person has started a new medicine and they notice fatigue, they should report this to the doctor. Sometimes just moving the drug to the evening or lowering the dose can help, but sometimes you need to change to a different medicine.” She recommends always bringing all your medicines — prescription and over-the-counter — to your office visits so your doctor can check doses and duplicates. ### 2\. Your sleep hygiene may need improvement Many of us simply aren’t getting [enough slumber](https://www.aarp.org/health/healthy-living/sleep-hygiene/ "better sleep hygiene tips") — more than one-third of adults, to be exact, according to the Centers for Disease Control and Prevention. Poor [sleep habits](https://www.aarp.org/health/healthy-living/how-to-sleep-through-the-night/ "strategies to help you sleep through the night") are often to blame. If you’re lying in bed and can’t fall asleep, Resnick advises, get up and do something until you feel tired, and then go back and try again. “The other really big mistake people make is that they expect to lie around all day and then be able to sleep at night,” she says. “You only want to spend time in bed when it’s sleep time. Some people like to control the world from their bed.” Other advice: Maintain a regular sleep pattern, and avoid alcohol at night. Consider keeping a sleep diary to help you identify factors — foods, drinks, medicines — that may be keeping you from solid slumber. Keep in mind that as you get older you may not require the seven to nine hours you used to, Windemuth says. Obstructive sleep apnea is another culprit. Patients experience as many as 30 awakenings an hour when the soft tissues of the throat relax and obstruct the airway during sleep; as a result, they feel exhausted the next day. [Loud snoring](https://www.aarp.org/health/conditions-treatments/causes-of-snoring/ "common causes of snoring and what to do") is a clue. Spending the night in a sleep lab can confirm the diagnosis. The standard treatment, a continuous positive air pressure (CPAP) machine, involves wearing a mask over the nose to force air into the throat and keep the airways open. ### 3\. You’re missing key nutrients People over 50 are more likely to experience [nutrient deficiencies](https://www.aarp.org/health/conditions-treatments/nutrient-vitamin-deficiency-symptoms/ "common nutrient and vitamin deficiency symptoms") — especially vitamins B12 and D, iron and folic acid — that cause fatigue. If your doctor suspects a deficiency, they’ll send you for a blood test, and you [may need a supplement](https://www.aarp.org/health/drugs-supplements/supplements-after-50/ "supplements you may need after 50"). ### 4\. You’re anemic This means that your blood has too few red cells or those cells have too little hemoglobin, which transports oxygen through the bloodstream. The result: fatigue. A simple blood test provides a diagnosis, after which your physician will investigate possible reasons for the anemia and may put you on iron pills. There are three main reasons older adults become anemic. Kidney disease is one. If your kidneys are not working properly, they may not be able to help your body make the red blood cells it needs. “It can also be due to blood loss from somewhere, usually along the gastrointestinal tract,” Resnick says, “or it’s in the bone marrow, which could be due to a malignancy.” ### 5\. You have a heart or pulmonary problem Cardiac issues — including heart failure, coronary artery disease, valvular heart disease, asthma and [chronic obstructive pulmonary disease](https://www.aarp.org/health/conditions-treatments/copd-and-other-lung-disease-warning-signs/ "symptoms of COPD and other lung diseases") (COPD) — are among the most common causes of fatigue in older people. [Heart disease](https://www.aarp.org/health/conditions-treatments/sneaky-signs-heart-disease/ "sneaky signs of heart disease") can cause the heart to pump blood less efficiently and fluid to build up in the lungs. This, in turn, results in shortness of breath and less oxygen supply to the heart and lungs. So be sure to follow doctor’s orders when it comes to treatment. ### 6\. You’re anxious or depressed “Depression, [being alone](https://www.aarp.org/health/conditions-treatments/diseases-linked-to-loneliness/ "diseases linked to loneliness") and other psychosocial issues are a huge factor in older people,” Windemuth says. “People are losing friends and spouses. They’re being uprooted from their homes or going into assisted living. That can lead to fatigue.” Antidepressant medications are sometimes the answer. “We also encourage people to go out, become more involved and find things that they really enjoy doing,” Windemuth adds. Paradoxically, [exercise can make a huge difference](https://www.aarp.org/health/healthy-living/exercise-and-mental-health/ "the link between exercise and better mental health"). “The best thing for fatigue is physical activity — no matter what the underlying problem,” Resnick says. “The goal should be 30 minutes daily of moderate-level activity.” ### 7\. COVID could be the culprit When COVID-19 symptoms linger long after a person’s initial illness, fatigue is the most common complaint. “Estimates of the prevalence are variable but some sources suggest that more than 50 percent of all COVID survivors are affected by persistent fatigue,” says John Baratta, M.D., founder and codirector of the UNC COVID Recovery Clinic at UNC Health in Chapel Hill, North Carolina. “In our [long COVID](https://www.aarp.org/health/conditions-treatments/long-covid-symptoms/ "common symptoms of long COVID") clinic, over 90 percent are troubled by this symptom.” Before treating the fatigue, doctors first investigate other potential factors that may be contributing to extreme tiredness, such as sleep apnea, depression and chronic pain, says Benjamin Abramoff, M.D., head of the Post-COVID Assessment and Recovery Clinic at Penn Medicine in Philadelphia. Then you may be prescribed physical therapy or a graded exercise program, where the duration and intensity of activity are gradually increased. Both can improve stamina, but it’s important to pace yourself to avoid exacerbating symptoms or risking relapse, Baratta says. “We have also found benefits from certain medications, such as antidepressants and stimulants, in certain situations,” Baratta adds. These include certain antidepressants in the SSRI (selective serotonin reuptake inhibitor) class and stimulants like those used to treat attention deficit disorder. If you’re suffering from fatigue related to long COVID, ask your doctor about such strategies or consider making an appointment at a post-COVID clinic. These programs typically take a multidisciplinary approach to treating the disease’s lasting symptoms, fatigue included. Editor’s note: This story, first published June 23, 2020, has been updated to reflect new information. Beth Howard is a North Carolina–based health and lifestyle writer. She has written for dozens of publications, including U.S. News & World Report, The Wall Street Journal, The Washington Post, Prevention, Better Homes & Gardens and Reader’s Digest.
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