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

Why are you on weight loss jabs yet taking protein powder for breakfast with waffles?

It seems backwards to be trying to consume extra calories whilst taking WLI medications.

Just have eggs ?

You are doing low cardio cleaning but that is movement regardless so don't focus on how many steps you've done, that's not a requirement to eat more or less - are you working slowly because you need to work slowly, or working slowly because you are tired?

My results for ferritin was 19

That is your problem right there and you need to focus on raising it. NHS guidelines regarding ferritin are abysmal and doctors are very dismissive of women's symptoms regarding it. No idea why as Europe would treat this so can only assume it's penny pinching rather than health.

To put this in perspective your level should be 70 for healthy hair growth, and around 100 for optimal health. 19 is very low. Make sure you take any iron supplements with Vitamin C, and no caffeine for one hour either side as it inhibits absorption. This means no coffee, tea, cola, chocolate OR energy drinks. It is buyable from Boots, pharmacies and most supermarkets.

Jeez. Getting up at 4am isn't going to be helping!

Jeez she’s going to find out pretty sharp that is NOT true, whatever her 50 year old textbook says!!!
Every woman I know well enough to discuss this with, including me, had horrendous heavy periods in the run up to menopause!

I'm just recovering from this, and in my case I had Epstein-Barr Virus (glandular fever) along with severe anaemia. I've run two marathons this year, but suddenly I got tired walking round Tesco! I hope you get some answers soon too.

Just wondering - do you mean cocodamol? If you're taking codeine, it will make you tired and mess up your digestion... And if you're taking ibuprofen it can damage your gut lining and cause a bleed/anaemia...

I agree with the advice to get a printout of your results and take it from there.

Good luck, I know how demoralising it can be to be constantly tired - don't beat up on yourself for not living exactly right and 'doing all the right things'! 🤗

2 things I’d check for extreme fatigue - Obstructive Sleep Apnoea and Thyroid function.

Google the Epworth Sleepiness score. Complete it and take the results to your GP if you get a high score or if you snore badly. Obstructive Sleep Apnoea is relatively easy to treat with CPAP but is a high health risk if untreated.

Thyroid disease is much more common in women so largely under diagnosed and poorly treated. Thyroid regulates your metabolism and affects everything. Underactive thyroid causes everything in your body to slow down and so extreme fatigue.

Drs now only test one Thyroid hormone typically but this tells you nothing. They test TSH and this tells you how much demand there is for Thyroid hormones. But your demand (TSH) level can be normal even if your body isn’t making the right Thyroid hormones it needs.
You have to test the actual Thyroid hormone levels themselves - both Free T4 (storage) and Free T3 (active). Both of these need to be at a good level for your body to function well. Private test companies and discount codes listed on the Thyroid UK charity website.

i had a normal TSH level but my FT4 and FT3 were far too low and my underactive Thyroid (Hypothyroidism) had progressed into Autoimmune Thyroiditis (Hashimoto’s). I had a Thyroid antibody level 13 times above the top of the normal range - my immune system was destroying my Thyroid gland. I’d never have known this without private testing. Turns out I have a DIO2 gene variation and cannot metabolise Levothyroxine. There is a UK pressure group supported by all the UK Thyroid charities to get access to NHS prescription T3 - Liothyronine for those who need it; ITT - Improve Thyroid Treatment.
Ive had to go on to NDT via private Endocrinologist prescription.

Just some thoughts to consider which may or may not make a difference, I think it’s likely to be a matter of trial and error!
cut the energy drink
eat more whole foods
Iron tablets
try 9 hours sleep
limit screens before bed
limit/cut out caffeine consumption
what do you do to relax?

I don’t know much about these things but as non medic it sounds like your body has gone through a lot with two types of weight loss drugs.

good luck x

Food, diet and GLp1’s are totally overwhelming. I haven’t used GLPs but i did get ChatGPT to help me build a low upf, high protein and fibre food plan.

You can tell it your budget and where you shop, as well as everything you’ve told us here. Then tell it to act as a qualified and registered dietician and give a list of foods to focus your meals on, snacks and meal ideas.

if you have tried ChatGPT before, you just need to download the app. You can write loads in the prompt box and then keep asking it questions or clarify anything you’re not clear about.

Honestly, I was over complicating it so much and it really helped me work out what to eat, what to have in moderation and how to speak to the GP about perimenopause so I was listened to and helped.

Are you eating veg/ fruit/fibre to go with all that protein?

I buy mine from Amazon. https://amzn.eu/d/01sqbkA6

I find it interesting that you keep referring to them as a treat - what is that you like so much about them? There's absolutely nothing beneficial about them (diet wise) and I'm not surprised you feel like shit if you drink one everyday.

Start by dropping an energy drink for breakfast everyday!!! That will put you out of whack from the start.

Get your protein via natural sources, not waffles and powder. The rest of your diet sounds fine so why not do something similar for breakfast? I would do full-fat greek yoghurt with fruit and granola, instead, for example.

And no energy drinks. They are so bad for you - yes, they give you a boost but they will then cause a massive slump which you can only recover from by having more energy drinks.