i'm sure you have had one of those spells when you constantly feel tired, if not, then you are bound to know someone who always seems exhausted, worn out, and is constantly in need of their bed.

It is not always the most obvious reasons which cause fatigue, yet would seem to have a significant underlying issue on both our health in general and our energy levels.

1. Sleep Apnea - when oxygen blood  levels drop, this in turn leads to disturbed sleep.

2. Restless Leg Syndrome - which sounds like a Monty Python sketch, but is actually a neurological problem, which again leads to poor sleep.

3. Anxiety - there are far more symptoms to this than irrational thoughts (especially at 3am), tiredness of course increases the problems further.

4. Depression - pessimism, the black dog, no point, no interest, no energy, all these things should set the alarm bells ringing, yet poor sleep robs of what energy we do have, so the circle continues.

5. Lifestyle Problems - working hours, substance abuse and weight issues all contribute to further sleep deprivation.

6. Thyroid Problems - an underactive thyroid leaves us exhausted, which in turn can lead to more noticable physical effects (poor skin and constipation), also forgetfulness.

7. Anemia - again a major energy drain, and another with physical symptoms - pale skin, brittle nails and lightheadedness to name a few.

8. Celiac Disease - since the human body is not designed to eat wheat, it is no surprise that those who suffer from this find it very hard gong indeed.  To find sympathy with them, avoid all wheat products for a month, then have a good hearty Cornish Pasty, then you will have a brief  and very mild insight into the world of a celiac.

9. Diabetes - something which most people can identify with, and again a large number of physical effects to be aware of.

10. Glandular Fever  - usually just a short episode, it can linger for months, leaving the host completely exhausted

11. Chronic Fatigue Syndrome - there is never enough sleep to be had, aches, pains, headaches, life is like one long hangover.  At this point, complimentary therapy frequently comes into its own.

So as we can see, there are many issues which can cause us to be constantly tired, exhausted and start to lose any interest in life.  Doctors do not always have the answers, whereas frequently, the alternative or holistic medical environment can help you without the need to be pumped full of drugs.

Fortunately, we have a great network of allies who specialise in all sorts of alternative medicine, from herbal remedies to acupuncture, cranio-sacral therapy to hypnotism, there is a place for everything.

Together we can bring some Serenity to your life