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Home » Blog Page » anemia » Why am i so tired?

Why am i so tired?

August 8, 2016 By joanna

Why am I so tired?

It seems to be a common question I get from new and potential clients.  Challenge is, there are a multitude of reasons for why someone can be tired.

Fatigue can be a result of poor sleep, stress, chronic stress, poorly balanced meals, eating the wrong foods, eating too much sugar, too much coffee, too much exercise, needing an easy week in your training cycle, over-training, dehydration and more.  For mom’s or busy entreprenuers, it can be a result of a busy schedule and trying to keep the whole family and workplace together.

Does your health professional ask the questions to find out what the answer is? If they do not, you may be asked to take a prescription (when you don’t want to) and msleeping athleteay never suggest any lifestyle or nutrition modifications.

Just last week, I had 2 clients come in asking “Why am I so tired?”

Client 1 – Is training for an Ironman.  Just starting to increase the mileage on the bike and run, yet tired when they getting close to 60 miles.
They asked a friend for advice as this friend has done 11 Ironman races.  (I have completed 2, raced in 3).   This friend’s advice ‘You have to increase your calories per hour.”  And that may be correct.

They asked me for advice, and I proceeded to ask questions about when the symptoms are occurring, the meals the day before, the conditions/ weather, fueling on the bike as well as asking about how they felt after wards.  This way I would know better what the cause of the fatigue was, and not just make an assumption and guess at the solution.

Ok, so a friend is not a professional in most cases on nutrition, but they can offer suggestions based on their own experience.  But it is their experience and what they know about how their bodies work.  That may not work for you….

I have found that each person is different.  I can better understand what your body needs, recommendations are based on me knowing what the cause of the symptoms are.  I can take the experince with other clients to find the cause and appropriate solution.

I asked about the training cycle, and when the last easy week or day off was as too many training weeks on can cause fatigue.  How are they sleeping?  Any new stresses – work, home, training, emotional, etc?  After a few more questions, I was getting a clear picture of the cause and why they were so tired.

With this client, we are changing the daily eating to ameliorate the training, and boost his body’s ability to use fat for fuel (which means he will need less calories per hour from carbohydrates – this is the Metabolic Efficiency principle I often use).  Has his body adjusted in a week?  Probably not, but their diet was not that terribly off so it may respond sooner than later.

I asked more questions, and we found the first step to the solution – in changing one thing, we can isolate the changes.  We modified the drink mix concentration and solid food option to meet the hourly needs as well as meeting the need of ‘not being messy’.

My next session with this client will involve Nutrition Response Testing (NRT) so we can identify which grains and foods may be contributing to this fatigue.  If you don’t test, you don’t know definitively whether a food is depleting you or providing energy.  For example, if wheat were a poor energy choice, then eating Crustables may deplete energy after 2-4 hours rather than provide more as needed. Even if taking in calories, it may be the wrong calories.   Check out the video on my personal NRT on grains.  It can confirm the apprpriqte foods for you.

Client 2 – Has been experiencing fatigue for almost a year but doesn’t seem to be getting better.  Doctors reviewed blood work and said ‘everything looks normal’.
Upon asking questions of the client, I got a better idea of what was or is causing the fatigue.
“When did the fatigue start?”
“Have your changed your diet in any way before that?  Did you add a supplement, new food or medication?
“Was there some stress or traumatic event about that time or leading up to it?”
“What have you done thus far to correct it?”
“Does it affect your training?  Work? etc?”

I also reviewed details of the blood work and found some borderline highs and lows, and certain combinations, this can be the answer to finding the cause of the fatigue.

This client I know is eating healthy.  They changed to a vegan diet almost 5 years ago and was feeling great until about a year ago.
We also reviewed blood work which ruled out dehydration or cholesterol being the issue.
Based on numerous responses to the questions and actual review of certain blood results in combination to each other, I found the potential cause – b-12 anemia mainly as a result of them going vegan several years ago.  This is a common issue for vegans.  Vegetarians can often become B12 deficient so need a supplement unless they decide to add back red meat which most are not willing to do.  They had been using a spray B12 which was working minimally – which mean a.) they are really depleted so they need more or b.) they need an intrinsic factor to help the body absorb the B12.   I used this supplement for over 12 years after my adrenal exhaustion!

We reviewed food options and supplements, I muscle testing (NRT by phone) and we have a program to get the client back to vibrancy.  sprint start out of blocks male

In both instances, I asked the questions to find the cause of the fatigue. I then used my expertise of 14+ years to come up with a solution using real food and realistic options to get them feeling like their former energetic selves.

If your health professional is not asking the right questions, like I do, then you may never get an answer to “Why am I so tired?”.

Filed Under: sports nutrition Tagged With: anemia, athletes, getting to the cause, ironman, metabolic efficiency, NRT, Nutrition Response Testing, tired

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I began working with Joanna a year or so ago after a stay in the hospital for kidney stones and an E Coli infection. I was concerned about what would best serve my nutritional needs and keep my kidneys healthy. In addition, my a 1 c was elevated indicating borderline diabetes. It is a condition that runs in the family so I wanted to be proactive. Simultaneously, the pandemic necessitated quarantine so our monthly sessions were an anchor to some sense of normalcy in an abnormal time.  I'm not someone who responds well to 'You have to..." Joanna's style is guidance and suggestion, without absolutes. As a result of our time together, my a1c lowered to within normal range and I lost 20 lbs.  Some of our sessions were spent exploring long-standing attitudes and behavioral patterns that didn't serve me and I was able to see my way clear of many of them. Joanna is a body-mind-spirit professional whose services can be offered either in person or online. With her supportive coaching, you will experience positive life changes too.
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  I really enjoyed being a part of the Body Balance class!   - I became aware of how much joy was lacking in my eating. Now I am able to change habits around my meals to enjoy food more! - I found peace in deleting food tracking apps - calorie counting was not helping me. It was just making eating more tedious. - I gained clarity in what was really important to me and what steps I need to take moving forward.   I would recommend the Be Whole program to anyone struggling with food issues and losing weight! JD
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HH Aug 2015

My girl Joanna Chodorowska is the quintessential iron woman ASTERISK *with a hip replacement!!!!! who consults with athletes for sports needs. OK I'm NOT a tri-athlete, but have ongoing issues from a couple of recent fractures that have affected my body/energy/wellness/psyche and Joanna has been there for me!!!! Her knowledge and recommendations for healing have been invaluable! I am basically focusing on healing and anti inflammatory issues and she is a veritable compendium of knowledge with some love and understanding. If your VESSEL isn't right call her at Nutrition In Motion LLC. HH
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"It has been less than a week [on the Detox Plan], but I’ve found so much comfort in the lessons about food you’ve taught me through the years and have been amazed at how quickly I’m dropping the weight!! I’m not starving, I have energy, the highs and lows from sugar have stopped, I am no longer craving carbs and, most importantly, my clothes are starting to fit again!!"  DH
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She made sure to individualize my nutrition plan to fit my exact needs. I completed another Ironman earlier this month and PR'd by over an hour and placed 3rd in my AG and 8th OA female not including pros. My marathon is at a 3:05 but hope to get sub 3 very soon and am confident that with my new race day nutrition, I will!

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- Stephanie , January 2013

In 2012 I was new in the world of triathlons and had completed an Ironman. While it was a great experience, I had major cramping and had poor nutrition throughout the race. I also found myself cramping up in marathons and with a goal of a sub 3 marathon, I knew I couldn't achieved that if race day nutrition wasn't fixed. I found Joanna through various friends that had used her and recommended her services. We had phone sessions because live quite a distance from her office, but it worked out great. She made sure to individualize my nutrition plan to fit my exact needs. I completed another Ironman earlier this month and PR'd by over an hour and placed 3rd in my AG and 8th OA female not including pros. My marathon is at a 3:05 but hope to get sub 3 very soon and am confident that with my new race day nutrition, I will!
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Pre-race was a sweet potato and half avocado with some sea salt, cup of coffee - 20 min before race had 4 dates - no tummy issues at all!" -Mindy S

Nutrition in Motion PA - personal life, nutrition & eating disorder recovery coach
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"I ran a trail race - 5 miler - and my nutrition was spot on thanks to you! Pre-race was a sweet potato and half avocado with some sea salt, cup of coffee - 20 min before race had 4 dates - no tummy issues at all!" -Mindy S
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I really appreciate your expertise here and can't wait to Saturday's race!" Marita M

Nutrition in Motion PA - personal life, nutrition & eating disorder recovery coach
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"Thank you for all your awesome advice!!!! ..[Race Day] Nutrition is tough because it can really derail you, but it is hard to practice. I really appreciate your description of symptoms because it is easy to know that there is something wrong, but hard to know the cause and how to fix it. I really appreciate your expertise here and can't wait to Saturday's race!" Marita M
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" I followed Coach Joanna's [nutrition] plan to perfection.  I weighed in yesterday at 148 with 7% body fat...

At 52 ...maybe for the first time in my life...I can say..I am ripped...and ready...I usually race at 159 and usually weigh 169."

JY

Nutrition in Motion PA - personal life, nutrition & eating disorder recovery coach
2015-02-12T20:30:53+00:00
" I followed Coach Joanna's [nutrition] plan to perfection.  I weighed in yesterday at 148 with 7% body fat... At 52 ...maybe for the first time in my life...I can say..I am ripped...and ready...I usually race at 159 and usually weigh 169." JY
https://nutrition-in-motion.net/testimonials/i-am-ripped-and-ready

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"That was a WONDERFUL [Path] session! I really felt better after talking with you!" DM
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my body is thanking me!

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Nutrition in Motion PA - personal life, nutrition & eating disorder recovery coach
2015-02-08T22:00:23+00:00
"Overall, I feel better (physically and mentally) [on the Detox Plan For Athletes].  I am not eating all that junk, and my body is thanking me too :)" DG
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now I am living

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2015-02-08T21:59:24+00:00
"I have incorporated my detox plan for athletes into my everyday food and now I am living.  Just wanted to thank you for changing my way of eating and now I am having fun."  DG
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huge impact

'Just want to thank you for introducing me a your 2 week detox diet.

It has made a huge impact on my life. ... This "diet" really worked because it was really easy.

I did find myself a few pounds down. ...because of the diet, my normal way of eating has permanently changed. ... I was introduced to a variety of foods that I normally never ate. .... Job well done Joanna.'  - DG

Nutrition in Motion PA - personal life, nutrition & eating disorder recovery coach
2015-02-08T21:58:00+00:00
'Just want to thank you for introducing me a your 2 week detox diet. It has made a huge impact on my life. ... This "diet" really worked because it was really easy. I did find myself a few pounds down. ...because of the diet, my normal way of eating has permanently changed. ... I was introduced to a variety of foods that I normally never ate. .... Job well done Joanna.'  - DG
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a real person detox!

"I like the [detox] plan because all the food sounds good and you feel like a “real” person that doesn’t stop her life for a detox.

I don’t feel like I have to eat at home for 2 weeks, life can go on.

I am really looking forward to this and the cooking." BO

Nutrition in Motion PA - personal life, nutrition & eating disorder recovery coach
2015-02-08T21:51:11+00:00
"I like the [detox] plan because all the food sounds good and you feel like a “real” person that doesn’t stop her life for a detox. I don’t feel like I have to eat at home for 2 weeks, life can go on. I am really looking forward to this and the cooking." BO
https://nutrition-in-motion.net/testimonials/1912

Feeling a lot stronger

Thank you again SO much for all this awesome info. I am honestly feeling a lot stronger in my training lately and the heat isn't bothering me at all. 

I am also cramping less in my runs lately, and really attribute a lot of this to our fixing my constant state of dehydration and I'm just more aware of my fueling during the day since our first session. Just feeling really grateful!  - Sara C

Nutrition in Motion PA - personal life, nutrition & eating disorder recovery coach
2015-02-06T20:01:24+00:00
Thank you again SO much for all this awesome info. I am honestly feeling a lot stronger in my training lately and the heat isn't bothering me at all.  I am also cramping less in my runs lately, and really attribute a lot of this to our fixing my constant state of dehydration and I'm just more aware of my fueling during the day since our first session. Just feeling really grateful!  - Sara C
https://nutrition-in-motion.net/testimonials/feeling-a-lot-stronger

Conquering my demons

“I am conquering my demons, and The Path To Heal is the only thing that changed” AR 2014
Nutrition in Motion PA - personal life, nutrition & eating disorder recovery coach
2015-02-06T19:59:02+00:00
“I am conquering my demons, and The Path To Heal is the only thing that changed” AR 2014
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I followed the plan to perfection

"I followed Coach Joanna's plan to perfection.
I weighed in yesterday at 148 with 7% body fat..  At 52 ...maybe for the first time in
my life...I can say..I am ripped...and ready...I usually race at 159 and usually weigh 169."  -  John Y 2013
Nutrition in Motion PA - personal life, nutrition & eating disorder recovery coach
2015-02-06T19:51:36+00:00
"I followed Coach Joanna's plan to perfection. I weighed in yesterday at 148 with 7% body fat..  At 52 ...maybe for the first time in my life...I can say..I am ripped...and ready...I usually race at 159 and usually weigh 169."  -  John Y 2013
https://nutrition-in-motion.net/testimonials/i-followed-the-plan-to-perfection

Burden was lifted!

"I feel like a burden has lifted by the Path To Heal session.

I feel empowered now to go eat healthy and stop this self sabotage' - LJ

Nutrition in Motion PA - personal life, nutrition & eating disorder recovery coach
2015-02-05T16:47:49+00:00
"I feel like a burden has lifted by the Path To Heal session. I feel empowered now to go eat healthy and stop this self sabotage' - LJ
https://nutrition-in-motion.net/testimonials/released-blocks
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