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❤️ Fatigue & Low Energy | Internal Medicine Primary Care Geriatrics Doctor Near Georgetown TX

  • Writer: Dr. Mohammad Al Darawsha MD
    Dr. Mohammad Al Darawsha MD
  • Dec 8
  • 5 min read

Feeling tired all the time can be frustrating — especially when it starts to affect your mood, focus, and daily life. 🥱At Wellness Bay Primary Care in Georgetown TX, our Internal Medicine primary care geriatrics doctor takes low energy seriously, with a warm, unrushed approach to find the real cause and help you feel more like yourself again. 💙


🔎 Common Medical Causes of Fatigue & Low Energy

Fatigue can have many causes, including:

Anemia (low red blood cells)Your body doesn’t carry enough oxygen, leading to weakness and tiredness.

Thyroid problems (hypothyroidism)A “slow” thyroid can cause low energy, weight gain, and feeling cold.

Vitamin deficiencies (B12, Vitamin D, folate, iron)Common in adults and seniors — even with normal-looking diets.

Chronic medical conditionsSuch as diabetes, heart failure, COPD, kidney disease, or autoimmune disorders.

Sleep problemsInsomnia, restless legs, sleep apnea, or poor-quality sleep.

MedicationsSome blood pressure meds, antidepressants, or others can cause fatigue.

Post-viral fatigueEnergy may be low for weeks or months after infections (like COVID or flu).

Depression, anxiety, and stressMental health and physical energy are tightly connected.


🌡️ Common Symptoms

Fatigue and low energy can feel like:

  • Feeling tired most of the day

  • Heavy arms or legs

  • Needing daytime naps

  • Trouble focusing or “brain fog”

  • Low motivation to do usual activities

  • Waking up unrefreshed, even after a full night’s sleep

  • Shortness of breath with mild activity

  • Feeling weaker than usual

Many seniors don’t complain of being “sleepy” — they may simply say “I just don’t feel like myself” or “I’m slowing down.”


⚠️ Major Risk Factors

You may be more likely to struggle with fatigue if you have:

  • Diabetes or prediabetes

  • High blood pressure or heart disease

  • Sleep apnea or snoring

  • Obesity or very low activity level

  • Chronic kidney or liver disease

  • Low B12, low iron, or low vitamin D

  • Depression, anxiety, or chronic stress

  • Multiple medications (polypharmacy)

  • Older age (especially 55–60+), common in senior care in Georgetown TX


🧠 Pathophysiology (What’s Happening in the Body) by Internal Medicine Primary Care Geriatrics Doctor Near Georgetown TX

Fatigue often comes from one or more of these issues:

  • The cells aren’t making enough energy (ATP)– from low oxygen, poor blood flow, or mitochondrial slowdown.

  • The hormonal system is off-balance– low thyroid, cortisol changes, testosterone changes, etc.

  • Nutrients are missing– especially B12, iron, protein, or vitamin D.

  • Sleep and circadian rhythm are disrupted– fragmented or shallow sleep reduces restoration.

  • Inflammation or chronic disease– ongoing illness quietly drains energy over time.

Our job as an internal medicine doctor near you is to sort through these possibilities in a logical, evidence-based way — not just say, “You’re getting older.”


🌿 Lifestyle Tips to Support Better Energy

Small daily changes can gently re-energize the body:

  • 🚶‍♂️ Move daily – even 10–20 minutes of walking helps circulation and mood.

  • 🥗 Prioritize protein – lean meats, eggs, Greek yogurt, beans, lentils.

  • 💧 Hydrate – low fluids can cause dizziness and fatigue.

  • 😴 Protect sleep – regular sleep/wake time, limit screens in bed.

  • 🧂 Watch salt and sugar – helps blood pressure and blood sugar control.

  • 😌 Manage stress – breathing exercises, stretching, light yoga, or prayer/meditation.

  • 🚭 Avoid smoking – improves oxygen delivery and long-term stamina.

These are the same foundations we recommend as a family doctor near me style approach—simple, sustainable, and realistic.


💊 Helpful Supplement Support (Available in Our Office)

At Wellness Bay Primary Care, we also offer carefully selected, high-quality supplements that can support energy in a safe, thoughtful way — especially for adults and seniors. 🌟

These do not replace prescription medications and are not meant to cure disease, but they can add meaningful support when used appropriately.

🔹 CoQ10 (Ubiquinone/Ubiquinol)

  • Supports mitochondrial energy production in the heart, muscles, and brain.

  • Especially helpful in people on statins or with cardiovascular risk.

🔹 Vitamin B12 (methylated form)

  • Essential for red blood cell formation, nerve function, and energy.

  • Many older adults and those on certain medications (like metformin or acid reducers) are low or borderline.

🔹 Acetyl-L-Carnitine

  • Helps shuttle fatty acids into the mitochondria for energy.

  • May support mental clarity and stamina, particularly in older adults.

🔹 Creatine (pharmaceutical-grade)

  • Supports muscle strength, endurance, and even cognitive performance.

  • Increasingly supported by research for safe use in older adults when monitored.

🔹 High-Quality Multivitamin + Magnesium Glycinate

  • Fills common nutrient gaps.

  • Magnesium glycinate can calm the nervous system and support deep, restorative sleep — which boosts daytime energy.

👉 We will help match the right supplement (or combination) to your situation so it feels thoughtful, not overwhelming or salesy.


💊 Medical Evaluation & Treatment Options

As an Internal Medicine primary care geriatrics doctor near Georgetown TX, we typically start with:

  • Detailed history and physical exam

  • Review of medications and supplements

  • Lab testing such as:

    • CBC (anemia)

    • CMP (kidney/liver)

    • Thyroid function (TSH, free T4)

    • B12, folate, iron studies

    • Vitamin D

    • Blood sugar / A1c

  • Screening for depression, anxiety, and sleep disorders

Treatment may include:

  • Correcting vitamin and mineral deficiencies

  • Adjusting medications that cause fatigue when possible

  • Treating thyroid or hormonal issues

  • Managing chronic conditions like diabetes, heart disease, or sleep apnea

  • Recommending targeted supplement support

  • Personalized lifestyle plan, designed to be realistic for your age and health

We aim to function as your family medical center of Georgetown TX, combining traditional internal medicine with practical, integrative support.


💬 Top 10 FAQs About Fatigue & Low Energy

  1. Is it normal to feel tired all the time after age 50

  2. ?No. Common, yes — but not “normal.” Fatigue deserves evaluation.

  3. Can low B12 cause fatigue and brain fog?

  4. Absolutely. Low or even low-normal B12 can affect energy, mood, and nerves.

  5. What blood tests should I get for low energy?

  6. CBC, CMP, thyroid, B12, iron, vitamin D, and A1c are common starting points.

  7. Can stress and anxiety cause physical fatigue?

  8. Yes — chronic stress can quietly drain both your mental and physical energy.

  9. Are energy drinks safe for older adults?

  10. Often not ideal. High caffeine and sugar can worsen heart issues, blood pressure, or sleep.

  11. Can supplements really help my energy?

  12. They can help when used correctly and tailored to your needs, especially B12, CoQ10, creatine, and others — but they should be part of a bigger plan, not the only solution.

  13. What is the best exercise for low energy?

  14. Gentle, consistent walking is one of the best starting points, especially in Georgetown senior care.

  15. How long until I feel better once treated?

  16. Some people feel improvement in days to weeks; others may take longer depending on the cause.

  17. Should I worry that fatigue means something serious?

  18. Sometimes fatigue is simple and fixable; sometimes it points to a deeper issue. That’s why a careful evaluation with a primary care physician is important.

  19. Who should I see for a full fatigue workup?

  20. An Internal medicine doctor near me or primary care physicians near me experienced with adult and senior care — like our team at Wellness Bay Primary Care in Georgetown TX.


👩‍⚕️ When to See a Doctor

You should schedule an appointment if:

  • Fatigue lasts longer than 2–3 weeks

  • You feel too tired to do your usual activities

  • You notice shortness of breath, palpitations, or dizziness

  • You’ve had unintentional weight loss or gain

  • Your mood is low, or you feel “slowed down” mentally

📞 Seek urgent or emergency care (call 911) if fatigue comes with:

  • Chest pain or pressure

  • Severe shortness of breath

  • Sudden confusion or trouble speaking

  • Fainting or near-fainting

At Wellness Bay Primary Care, your Internal Medicine primary care geriatrics doctor near Georgetown TX will take the time to listen, investigate the cause, create a plan, and—when appropriate—recommend in-office supplement options to support your energy safely.

You don’t have to accept feeling tired as your “new normal.” 💙


Internal Medicine Primary Care Geriatrics Doctor Near Georgetown TX

 
 
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