To want to know why I feel so tired/ill all the time!!

Just a quick follow up, that feroglobin capsule is unlikely to have any effect I'm afraid, the dose is a maintenance dose and you need a topping up dose.
Try Amazon for iron bisglycinate plus vit C, its absorption rate is much higher than ferrous fumarate so you will get more benefit. Take it every other day.

The Feroglobin capsules will can see online have B12 added, but you B12 level is already too high, so take care that you don't overdose.

Regarding diet, I too have had success with ChatGPT. I started working out more and my cortisol levels started going through the roof and I was gaining inches around my middle. I used the advice from ChatGPT to totally what and when I was eating and I felt so much better and have lost the bloat and am losing weight.

Could you anxiety meds be at play here do you think?
can you afford to go private if you’re having no joy with your gp?
whatever the cause, it’s affecting your quality of life so needs addressing x

So that 1 energy drink looks like its 180 calories of sugar which honestly is completely empty calories and it also has 500% of your daily b12 from what I understand. So cutting this out will do nothing but good.

Just my tuppence worth.

Low ferritin is awful, mine as been at 8 and I was fobbed off by the doctor, ended up pushing it and got an iron infusion which helped no end. So do follow that up.

Four litres of water is WAAAY too much, you are likely diluting lots of minerals out of your system. This came up for me in my last blood test, my Sodium levels were too low, so I am being retested this week for that. Low sodium causes you to feel unwell and tired.

The WLI, they unfortunately have the side effect of affecting your pancreas. Perhaps get your pancreas function checked, your Lipase and Amylase levels aswell as your CRP, your inflammation levels.

I got my ferritin from 2.8 to around 30 by taking 200mg ferrous sulphate with dissolvable vitamin C tablets from boots (only the orange flavour, all the other flavours are gross). It took about 6 months.
If your GP won't give you them you can buy a month's worth from boots for a couple of pound, they're really cheap. You're a long way off high levels so you can definitely take them for a couple of months and just see if it helps. They might upset your stomach a bit but I feel so much better it's unreal. I'm still taking them to get it a bit higher.

Edit to add you do have to ask for the ferrous sulphate, they are behind the counter but I'm sure they will give them to you. I didn't have a problem.

Im sure lots of others have said but Ferritin of 19 will make you feel awful. Clinically they are way behind with how debilitating it can be.

What difference would hypermobility make? Are you thinking EDS? As my adult Daughter is hypermobile and has awful fatigue, we are waiting to see a connective tissue specialist as honestly the NHS seem ill equipped to do anything, rheumatology refuse to see her, the GP doesnt know enough to diagnose even with the GP toolkit so our only option to get any help and advice is private. But my joints are hypermobile too, just not to the degree hers is at all (she is a clear 9/9 on the beighton score whereas im 4 or 5).

Which energy drinks do you have? Loadsmofnthem are fortified with B12 and other vits, this way they can make on-pack claims for ... energy.

Have you tried a food intolerance test? I did one through York Laboratories. Turns out I’m I tolerant to the protein in dairy and because my body can’t process it properly I was so tired. Might be worth a try. I couldn’t understand why I was so tired as I did all the right things as well.

Absolutely this. I also had a ferritin level of 5 and it only ever raised to around 22/23 after months on oral iron. Had been cycling like this periodically since I was in my 20s (so 14 years). I eventually paid for an iron infusion (NHS refused this as my hemoglobin levels were normal) and my ferritin level raised to 73. I feel so much better.

I’ll be keeping an eye on it though to check it doesn’t suddenly drop as then I think we need to check for anything like celiac disease…

Also worth noting I am hypermobile which a previous poster also mentioned researching!

In a nutshell:

• check thyroid
• check ferritin
• check hypermobility

NHS baselines/support for all of those are SHOCKING. I hope you feel better soon OP.

19 is v low for ferritin. That may be your answer. Anemia makes your exhausted

I have been having fatigue issues along with a whole bunch of other health issues and it is really hard.

Your ferritin is low as others have said, iron will help, im not sure what ones you have bought but if you can post the brands people will be able to help or honestly ask chat gpt for a good recommendation.

With your diet, I found a good protein powder that isnt UPF called protein + fibre. It foes taste like sunflower seeds but I like it, I have that for breakfast with Greek yoghurt and fruit or made up over shredded wheat. Lunch I have salads with tuna or egg and I found a good minimally processed salad dressing. Dinner is usually meat and veg or salmon, something like that. Its worth trying to cut out UPF for a while as honestly its been amazing how much ive had to cut out to avoid it. If you like fizzy as a treat have an appletizer.

In terms of perimenopause, my periods got heavier so that isnt true at all. Again if you want help with this it may be worth looking privately, I went to menopause care, they did an online appointment and went through everything as my GP did bloods and because out of 3 sets, 1 showed normal range, she told me it wasnt peri, but it very much was. I will say though that so far the hrt hasnt helped with my energy levels but its helped with other things.

Fatigue is hard to get to the bottom of but I will also say you do a LOT, I am being investigated as I have poor health and I have high fatigue from walking from one room to another. If I did what you do in a day, especially on low sleep, I would be shattered even before my health went downhill. So it could simply be a high activity level, low sleep and hormone changes are catching up along with low iron stores. Hopefully a good iron too up will help.

There is a big difference between menopause and perimenopause.

An early menopause means your periods have stopped, and you've gone at least 12 months without one, by age 45.

Perimenopause can last for up to 10 years and symptoms (similar to what OP describes) can absolutely start in your early 40s. That's not unusual at all.

As for that doctor, she'll find out when she experiences it herself. It's actually very common for periods to get heavier and for cycles to get shorter in peri.

It's absolutely fine. Under 1 is a very low score, says you have probably not got any ongoing infection or systemic inflammation.

The painkillers may be causing the constipation.

I get these iron tablets in case helpful: https://www.amazon.co.uk/gp/product/B0CCYXVMWB/ref=ox_sc_saved_image_5?smid=A2JFIHON374393&psc=1 I have them twice a week

My bad, i didn't see this before I sent my previous message

I see you eat eggs and I'm thinking

1 whole egg including yolk, 3 egg whites, 1 slice of toast, 2 whole grilled tomatoes + a sugar free redbull (311 calories total)

You would burn half those calories on your way to work with a 25min brisk walk.

Add a handful of almonds on your way to work your at (422 calories total)

if you want some milk in your scrambled eggs we can make it 450.

Or you could have 20 egg whites + a full sugar redbull for 450.

I'm putting toast as 150 calories in that by the way.

Your tiredness is not going to be tied to your protein intake, but it bugs me that you think you need proiten powder and wli at the same time. Save yourself the cash and buy some private blood tests to get to the issue.

And also, 'I am just a cleaner' is a terrible statement.