We all have days when we feel tired. A late night, a stressful week or a busy schedule can leave anyone reaching for another cup of coffee.
But if you're waking up exhausted, relying on caffeine to get through the day, or finding your energy levels have been low for weeks or months, it's worth paying attention.
While poor sleep, stress, hormone changes and certain medical conditions are common causes of fatigue, nutrient deficiencies also play a significant role, more so than we think. Your body relies on vitamins and minerals to produce energy, transport oxygen, support your thyroid, maintain healthy muscles and keep your brain functioning at its best (1).
The important thing to remember is that fatigue is a symptom for something that is happening within the body, it’s not a diagnosis, nor is it the body asking for another cup of coffee. Rather than reaching for supplements in the hope they'll fix the problem, it's important to identify the underlying cause and deal with what’s going on beneath the surface.
1. Could I be Iron deficient?
Iron is one of the most common nutrient deficiencies worldwide and a leading nutritional cause of fatigue (10). It’s also the nutrient that we automatically associate with feeling run down, as women, after our cycle.
So why do we think of Iron in fatigue? Iron is essential for producing haemoglobin, the protein in red blood cells that carries oxygen around the body. Without enough iron, your muscles and organs receive less oxygen, which can leave you feeling exhausted and weak (1).
A 2017 meta-analysis found that iron supplementation significantly improved fatigue in people with iron deficiency, even when anaemia was not present, highlighting that low iron stores alone can affect the way we physically feel when it comes to our wellbeing and vitality. (2).
Pairing iron-rich foods with a source of vitamin C, such as citrus fruit, peppers, or berries, can significantly boost how much iron your body absorbs, making it a simple way to get more from your diet.
Before taking supplements: Iron supplements should only be taken if a deficiency has been confirmed by a blood test or advised by your GP or healthcare professional. Too much iron can be harmful, and persistent iron deficiency should always be investigated to identify the underlying cause (8).
2. Vitamin B12
Vitamin B12 helps make red blood cells, keeps your nerves healthy and turns food into energy (1). It's found almost exclusively in animal foods, so it can't be reliably obtained from a vegan diet without fortified foods or a supplement.
The body stores B12, so a deficiency can take months or even years to show up. Symptoms tend to creep in gradually and are easy to miss until levels are already low.
If you notice numbness, tingling or problems with balance, speak to your GP promptly. A simple blood test can check your B12 status, and treatment will depend on what's causing the deficiency (5,6).
3. Folate (Vitamin B9)
Folate works closely with vitamin B12 to produce healthy red blood cells and support DNA production (1).
Low folate can contribute to megaloblastic anaemia which can show up as fatigue, weakness and poor concentration. Folate deficiency should always be assessed alongside vitamin B12 deficiency because both deficiencies can occur together (5).
4. Vitamin D
Vitamin D, the supplement we suddenly forget we’re supposed to be taking in the autumn and winter months. Supporting bone health, muscle function and immune health, it may not directly involved in energy production but low vitamin D status is been associated with fatigue, muscle weakness and reduced wellbeing in some people (7).
Vitamin D also plays a role in regulating mitochondrial function, the process by which cells generate energy, which may help explain why deficiency is so often linked with low energy and heavy limbs rather than a specific, easily named symptom (7).
In the UK, adults are advised to consider taking a daily vitamin D supplement during autumn and winter because sunlight exposure is often insufficient for adequate vitamin D production (7). Skin makes vitamin D from direct sunlight, and between around October and early March, the UK sun sits too low in the sky for this to happen effectively, regardless of how much time is spent outdoors.
Vitamin D3 (cholecalciferol) is the form your skin makes from sunlight, and research shows it raises and maintains blood levels of vitamin D more effectively than D2 (ergocalciferol), the plant-derived form. Because vitamin D is fat-soluble, how you take it matters too. It's absorbed best alongside dietary fat, which is why many formulas pair it with omega-3 or suggest taking it with a meal. It's also often paired with vitamin K2, but for a different reason. K2 doesn't boost absorption. Instead, it activates the proteins that help direct calcium into bones and teeth and away from soft tissues such as arteries (3). Together, they make a smarter, more complete approach to vitamin D.
Some groups are advised to consider a supplement all year round, including those with limited sun exposure, darker skin, or who cover most of their skin when outside (7).
As with iron, it's worth having levels checked via a blood test if fatigue is persistent, since both very low and excessively high vitamin D levels can affect wellbeing, and supplementation should be tailored to what's actually needed.
5. Magnesium
Magnesium is involved in more than 300 enzyme reactions throughout the body, including many involved in converting food into usable energy (ATP) (1).
Although severe magnesium deficiency is uncommon, inadequate intake may contribute to fatigue, muscle cramps and poor sleep. A food-first approach is recommended before considering supplementation unless deficiency is suspected or confirmed (1,9).
Not all forms of magnesium behave the same way in the body, and the right one often depends on what you're using it for:
Magnesium glycinate is gentle on the stomach and well absorbed, and is often favoured for sleep, stress and anxiety support.
Magnesium citrate is also well absorbed but has a natural laxative effect, making it a common choice for occasional constipation as well as general supplementation.
Magnesium malate is easy to digest and is often associated with energy support, since malate itself plays a role in the body's energy-producing pathways.
Magnesium L-threonate is a newer form able to cross the blood-brain barrier, and is being studied for its potential role in memory and cognitive support.
Magnesium taurate is typically used to support heart health and healthy blood pressure.
Magnesium oxide is poorly absorbed relative to other forms and is generally used for short-term constipation relief rather than for correcting a deficiency.
As a general rule, if fatigue or sleep is the main concern, glycinate or malate tend to be better suited than oxide, which is absorbed far less efficiently by the body. It’s also the combination we have formulated into Essential Magnesium. With many of us utilising our Magnesium stores quite quickly in our fast paced, active lifestyles, glycinate and malate are the two that we often burn through the quickest.
6. Iodine
Iodine is essential for producing thyroid hormones, which regulate metabolism and energy production (9). It has been correlated that, those who live in midland areas are more prone to deficiency as they are not in as close proximity to the sea – so yes, it’s true when they say sea air is good for you.
Low iodine intake may contribute to hypothyroidism, causing symptoms such as fatigue, weight gain, constipation, dry skin and feeling unusually cold.
Because both iodine deficiency and excess iodine can affect thyroid function, supplementation should only be considered when clinically appropriate (9).
7. Coenzyme Q10 (CoQ10)
Coenzyme Q10 is an antioxidant your body makes itself, and it plays a key role in producing energy inside your cells (1). Levels fall naturally as we age, and they can also drop in people taking statins.
When it comes to tiredness, the evidence is promising but nuanced. A 2022 review of the research found that CoQ10 led to a small but meaningful drop in fatigue compared with a placebo. The biggest benefits were seen in people with specific health conditions, not in healthy adults, so it isn't something everyone needs (3).
CoQ10's antioxidant power also works at skin level, helping to protect skin cells from everyday oxidative stress. That's one of the many reasons we chose it for our Skin Clinic formulation.
When Fatigue Needs Investigating
Although nutrient deficiencies are common, they're only one possible cause of persistent tiredness.
If fatigue lasts for more than four weeks, affects your daily life, or is accompanied by symptoms such as breathlessness, unexplained weight loss, numbness, heavy periods or changes in bowel habits, it's important to seek medical advice (5,6,8).
Your GP may recommend blood tests to investigate possible causes, including:
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Full blood count
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Ferritin (iron stores)
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Vitamin B12
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Folate
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Vitamin D (where appropriate)
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Thyroid function
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Blood glucose or HbA1c
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Markers of inflammation
Feeling tired all the time isn't something you should simply accept as normal.
Iron, vitamin B12, folate, vitamin D, magnesium, iodine and, in some situations, CoQ10 all contribute to the body's ability to function efficiently (1). However, persistent fatigue deserves proper investigation rather than guesswork (5).
Understanding the root cause of your symptoms is the first step towards restoring your energy and improving your long-term health.
Disclaimer: The information presented in this article is for educational purposes only and is not intended to diagnose, prevent, or treat any medical or psychological conditions. The information is not intended as medical advice, nor should it replace the advice from a doctor or qualified healthcare professional. Please do not stop, adjust, or modify your dose of any prescribed medications without the direct supervision of your healthcare practitioner.
References
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Kennedy DO. Vitamins and Minerals for Energy, Fatigue and Cognition: A Narrative Review of the Biochemical and Clinical Evidence. Nutrients. 2020;12(1):228.
https://doi.org/10.3390/nu12010228
A comprehensive review explaining how B vitamins, iron, magnesium and other micronutrients contribute to energy metabolism and how deficiencies may affect fatigue.
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Yokoi K, Konomi A. Iron deficiency without anaemia is a potential cause of fatigue: meta-analyses of randomised controlled trials and cross-sectional studies. British Journal of Nutrition. 2017;117(10):1422–1431.
https://doi.org/10.1017/S0007114517001349
Demonstrated that treating iron deficiency without anaemia can improve fatigue in some individuals.
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Huang YC, et al. Effectiveness of Coenzyme Q10 Supplementation for Reducing Fatigue: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Frontiers in Pharmacology. 2022;13.
https://doi.org/10.3389/fphar.2022.883251
Found a modest but statistically significant reduction in fatigue scores with CoQ10 supplementation, although benefits varied between populations.
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Joustra ML, Minovic I, Janssens KAS, et al. Vitamin and mineral status in chronic fatigue syndrome and fibromyalgia syndrome: A systematic review and meta-analysis. PLoS One. 2017;12:e0176631.
Highlights the mixed evidence linking micronutrient deficiencies to chronic fatigue syndromes, reinforcing the need for appropriate assessment rather than assuming deficiency.
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National Institute for Health and Care Excellence (NICE). Vitamin B12 deficiency in over 16s: diagnosis and management.
Provides evidence-based recommendations for investigating suspected vitamin B12 deficiency and appropriate treatment pathways.
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National Institute for Health and Care Excellence (NICE). Suspected neurological conditions: recognition and referral.
Guidance on recognising symptoms such as numbness, tingling and gait disturbance that may warrant urgent investigation.
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NHS. Vitamin D.
Current UK guidance recommends that adults consider a daily vitamin D supplement during autumn and winter, with year-round supplementation for some higher-risk groups.
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NHS. Iron Deficiency Anaemia.
Clinical guidance on diagnosis, investigation and treatment of iron deficiency and iron deficiency anaemia.
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British Dietetic Association (BDA). Food Fact Sheets.
Evidence-based dietary advice on iron, vitamin B12, folate, iodine and vitamin D food sources and dietary management.
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World Health Organization (WHO). Anaemia.
Global overview of iron deficiency and anaemia as major public health concerns contributing to fatigue and reduced physical performance.

