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Energy & Fatigue

Low Energy & Fatigue Richmond, BC

Find the cause before treating the tiredness.

Ongoing fatigue has many possible causes, including poor or disrupted sleep, low iron or vitamin B12, thyroid and other hormone changes, low mood, medications and chronic illness. A physician assessment, usually with blood tests, helps sort them out. At RAAC in Richmond, BC, Dr. Jiang's team starts with a history and lab work, and refers you on if something needs specialist care. Results vary.

History First
A full history and symptom review
Lab Work
Blood tests to look for treatable causes
Referral
Specialist care if the assessment points to it
Self-Check

Is This You?

Fatigue shows up in different ways. Check the signs that match you, then share them with a doctor:

If you checked two or more, a physician assessment is worth booking. Persistent fatigue should always be reviewed by a doctor.

The Root Causes

Why Am I So Tired?

Fatigue is rarely just stress or ageing. Several body systems affect energy, and more than one can be involved at once.

1

Hormone Imbalance

Thyroid problems and changes in sex hormones, for example around perimenopause, menopause or low testosterone, can affect energy and mood. Blood tests help show whether they are involved.

2

Nutrient Deficiencies

Low iron, vitamin B12 or vitamin D can contribute to fatigue. These are checked with blood tests rather than guessed.

3

Sleep, Mood & Stress

Poor sleep, sleep apnea, low mood, anxiety and long-term stress are very common causes of tiredness, and they often need their own assessment.

4

Medical Conditions & Medications

Anemia, diabetes, infections, other chronic conditions and some medications can all cause fatigue, which is why a doctor should review persistent tiredness.

Our Solutions

How Is Low Energy Assessed at RAAC?

We start with questions and tests, not supplements or stimulants.

Assess, test, then decide: history, examination and blood tests first, then a plan that may include lifestyle changes, treatment of a cause, or referral.

Why Us

How We Approach Low Energy

29+
Years Clinical Experience
7 Days
Open daily, 9am-6pm
UBC
Clinical Instructor
1

Board-Certified Physician

Dr. Jiang combines conventional medical training with a functional-medicine approach, and begins with a history and examination.

2

Lab Work First

Blood tests are used to look for treatable causes such as iron, vitamin or thyroid issues and hormone changes, so decisions rest on data.

3

Personalized Plans

Your plan is based on your history and results, not a standard package.

4

Referral When Needed

If the assessment suggests something that needs your family doctor or a specialist, we will say so and refer you.

Fatigue FAQ

Common Questions

Common causes include poor or disrupted sleep, low iron or vitamin B12, thyroid or other hormone changes, low mood or anxiety, medications and chronic illness. A doctor can sort these out with a history and blood tests.
Energy can change with age, but exhaustion that is persistent or new is worth checking. Many causes are treatable, so it should not simply be accepted as ageing.
Depending on your symptoms, a physician may check blood count and iron, thyroid function, vitamin B12 and D, blood sugar, and sometimes sex hormones. Your doctor decides which tests are appropriate.
Yes. Thyroid conditions, perimenopause, menopause and low testosterone can all contribute. Lab work helps confirm whether hormones are involved, and treatment is a decision for you and your physician.
It depends on the cause. Treating something like low iron may bring noticeable change within weeks to a few months, while sleep and lifestyle changes build gradually. Results vary.
Seek prompt care for fatigue with chest pain, shortness of breath, fainting, unexplained weight loss, fever, black stools or thoughts of self-harm. Do not wait for an appointment in those cases.
Not without knowing the cause. Supplements help only if you are actually deficient, and too much of some can cause harm. We start with testing rather than guessing.
Often yes, in ways that fit your life: regular sleep, movement, balanced meals and stress management. We give practical suggestions alongside any medical plan.

Ready to Find the Cause of Your Fatigue?

Book an assessment with Dr. Jiang to review your symptoms and decide which tests make sense.

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