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b'Fatigue and feeling tired is such a big topic. \\xa0This episode is the second part of our podcast of \\u2018Why Am I so Tired All The Time.\\u2019 As we discussed, there are many reasons causing fatigue ranging from medication to having too much caffeine. \\xa0Below is a list that with many (not all) of the causes of fatigue. \\xa0\\n\\n\\nMedications: such as antidepressant meds, anti-anxiety, heart meds. \\nLiver \\u2013 sugar, alcohol and overall number of medications\\nExcessive amounts of Caffeine \\nAnemia/low blood iron\\nInsomnia/lack of sleep\\nStress: adrenal and thyroid \\nBlood sugar/insulin imbalance\\nDepression / Anxiety\\nStress / Cortisol\\nThyroid \\u2013hypothyroid, Hashimoto\\u2019s, \\n\\nOf course, fatigue is not just as simple as a list. \\xa0We believe that fatigue is the interaction between the pancreas, liver, thyroid, adrenal glands, brain and reproductive organs. \\xa0\\nThis interaction can also help explain adrenal fatigue or adrenal-dysfunction, which is such a vague term or concept. When you consider the interactions between the adrenals, pancreas, liver, and brain from outside factors, you can get some SERIOUS FATIGUE. \\xa0\\nFatigue is one of the most common reasons why people visit the doctor. \\xa0\\xa0However, most of the time your conventional doctor cannot help you because the interactions of the organs/glands do not typically show up on a routine blood test.\\nThe stressful American Diet and lifestyle can make these glands and hormones react in a way that can eventually lead you to be tired. \\xa0But in most cases, you do not have a disease. \\xa0Because these organs are healthy, but behaving in a way that makes you tired. \\nIt is a complicated process to explain. \\xa0To keep it simple here is a short list to explain how it works. \\xa0\\nAdrenals:\\nHigh stress will cause an increase in cortisol, catecholamines (epinephrine and norepinephrine: aka adrenaline). \\xa0This will cause ups and downs in energy, cravings for sugar and belly fat. \\xa0Caffeine from coffee and black tea will also falsely increases cortisol and catecholamines (adrenaline) initially but will fall off over time. \\xa0\\nPancreas:\\nHigh glycemic foods and high levels of cortisol will raise your insulin. \\xa0Insulin is the only fat storing hormone. Hence, causing weight gain and ups and downs in blood sugar. \\xa0Ups and downs in blood sugar cause your energy to crash. \\n\\nLiver:\\nThe mitochondria in the liver become overwhelmed with high carbohydrate/sugar ingestion. \\xa0This high carbohydrate/sugar will cause insulin elevation. Then you will not work as efficiently. \\xa0That means the more sugar you eat, the more congested your liver is. \\xa0The more congested your liver is, the less efficient it can work. \\xa0An overburdened, congested liver will cause a drop in energy. \\xa0Leaving you mentally and physically fatigued.'