Health & Wellness

Why Am I Always Tired and Have No Energy: Fatigue in Females

5:09 PM

Quick answer: Why Do Women Feel tired all the time?

Intense daily workouts during midlife can trigger cortisol spikes that lead to exhaustion and weight gain. As women approach perimenopause, pushing too hard at the gym while managing daily stress causes the body to panic and store belly fat. 

Integrative medicine expert Dr. Amy Shah suggests that resetting your nervous system, rather than pushing through extreme diets or grueling cardio, is the key to balancing hormones, shedding stubborn fat, and reclaiming your energy.

  • Manage Cortisol Levels: Avoid overtraining to prevent stress hormones from storing midsection fat and disrupting your sleep.
  • Change Your Routine: Adopt a 4-3-2-1 movement framework that balances strength training with proper recovery instead of daily intense cardio.
  • Improve Gut Health: Eat fiber and fermented foods to build a strong foundation for sustainable estrogen balance.
  • Prioritize Sleep: Use restful sleep as your primary anti-aging tool to naturally stabilize cortisol and reduce chronic fatigue.

Exhausted, wired, and gaining weight? Doctor reveals why your intense daily workouts may be backfiring.

Millions of women are hitting the gym harder than ever, eating right, and still waking up at 3 a.m. feeling completely wired and exhausted. 

If you are wondering why the health formula that worked in your 20s and 30s is suddenly failing, you are not alone.

Double board-certified MD and integrative medicine doctor Dr. Amy Shah recently sat down for an interview on the A Really Good Cry podcast to explain why so many women feel dismissed by modern healthcare. 

The hidden culprit behind that stubborn belly fat and chronic fatigue might not be a lack of willpower, but rather an overload of the stress hormone cortisol.

Cortisol Hormones Make You Tired

As women approach midlife and perimenopause, intense daily workouts can actually send their bodies into a state of panic. Pushing yourself to the limit when you are already stressed from work or family life can trigger massive cortisol spikes.

This hormonal response tells the body to store fat, particularly around the midsection, and often leads to those frustrating middle-of-the-night wake-ups.

There is no single "magic fix" for balancing hormones, but supporting your nervous system is the critical first step. In her newly released book, Hormone Havoc, Dr. Shah breaks down exactly how stress shapes our daily health and what we can do to fix it without extreme diets or punishing trends.

​3 Simple Changes to Reclaim Your Energy

To help women reclaim their energy and independence, Dr. Shah recommends a practical reset that works with your body's changing needs.

  • Adopt the 4-3-2-1 movement framework: Shift away from daily intense cardio that backfires on your metabolism. Dr. Shah suggests a strategic weekly mix of strength and recovery to build resilience and longevity rather than constantly fighting your body.
    • 4 days of movement that you like
    • 3 days of weight training
    • 2 heat therapy (heated yoga, sauna, etc.)
    • 1 sprint
  • Focus on gut health: Gut health and nutrition play a major role in hormone balance. Nourishing your gut with fiber and fermented foods provides a foundation for sustainable estrogen balance.
  • Prioritize sleep: Ultimately, getting proper sleep remains the most underrated anti-aging tool available. When combined with managing your daily stress load, restful sleep naturally stabilizes cortisol levels.

Listening to your body and questioning what you have been taught to tolerate will provide a much more sustainable path to feeling vibrant as you age.

Watch the full episode to understand how cortisol affects your energy levels and explore some simple remedies below:

Dr. Amy Shah On Hormones, Cortisol & Why You’re So Tired

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2 comments

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  1. That was very informative. I always thought it was because women work 10 times harder than me do.

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  2. A lot of great information here! I think people miss that they need fiber in their diet when there's such a push for protein and no carbs. Complex carbs are important for our diet and fiber is often overlooked. I try to incorporate both.

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