757. Why You Still Feel Exhausted - Even With a Clean Diet and Great Sleep
The Female Health Solution Podcast
Release Date: 11/10/2025
The Female Health Solution Podcast
Have you ever been told your labs are “normal,” but you still feel exhausted, foggy, wired, or not like yourself? I'm Dr. Jenny, one of the docs on the team with Dr. Beth Westie. In this episode of The Female Health Solution Podcast, I share my clinical perspective after working with hundreds of women inside Dr. Beth Westie’s practice. We dive into why normal blood work doesn’t always mean your hormones are functioning well and how deeper testing helps us uncover what’s really happening behind the scenes. I also show the difference between blood work and the DUTCH Test, why cortisol...
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If you are exhausted all the time and can’t figure out why, this episode is for you. Today I’m breaking down the real truth about adrenal health, cortisol, and fatigue, and why so many women feel stuck, dismissed, or confused when it comes to their energy. Fatigue is not one thing. It is not always just stress, and it is definitely not something you should be told to “just push through.” One of the most frustrating things about fatigue is that so many symptoms overlap. Low energy can come from nutrient deficiencies, blood sugar instability, thyroid dysfunction, estrogen or progesterone...
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The wired-but-tired feeling is incredibly common, especially for women, and it’s one of the most frustrating places to be. You want energy during the day. You want sleep at night. But instead, it feels like your body is doing the exact opposite of what it should. In this episode, I’m breaking down what’s actually happening behind the scenes when you feel wired but tired and why pushing harder, drinking more coffee, or just “trying to relax” usually makes things worse. When I see this pattern, it almost always points back to dysfunction in the HPA axis, which controls your adrenal...
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Have you ever noticed that your energy is not consistent throughout the month? Some weeks you feel sharp, motivated, and on top of everything, and other weeks you feel exhausted, anxious, foggy, or completely wiped out. That is not random. That is hormones. In this episode, I walk you through how estrogen and progesterone impact your energy across your entire cycle and why understanding this changes everything. Once you see it, you cannot unsee it. I break down what a typical 28 day cycle looks like and what your hormones are supposed to be doing at each phase. What we cover in this episode:...
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How do you know if it’s really your cortisol causing symptoms like exhaustion, burnout, low mood, or low libido? How do you know if it’s adrenal insufficiency, adrenal dysfunction, or something else entirely? In this episode, I break down exactly how to tell the difference between low cortisol and high cortisol, why symptoms overlap with thyroid issues and other hormone imbalances, and why guessing or treating blindly can actually make things worse. What I Cover in This Episode • The difference between adrenal function vs cortisol output • Why blood, saliva, and urine cortisol...
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In this episode, I break down why you can feel exhausted all day but suddenly wired the moment you try to sleep. We talk about how cortisol, melatonin, blood sugar, and perimenopause all play a role, and what you can actually do to get real rest. What we cover: 1. Cortisol and melatonin basics Your circadian rhythm depends on high cortisol in the morning and low cortisol at night. If cortisol spikes in the evening, you will feel “tired but wired.” Taking melatonin will not help if melatonin is normal and cortisol is the real problem. 2. How DUTCH testing reveals the root cause A...
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In this episode of the Female Health Solution Podcast, I break down one of the biggest frustrations women face: Your labs come back “normal,” yet you still feel exhausted, inflamed, moody, or nothing like yourself, and no one can explain why. Here’s what we cover: Why basic blood work misses the real problem Regular labs look for disease, not dysfunction. A standard CBC or hormone panel can’t show how your hormones are produced, processed, or eliminated. Blood tests catch crises, not the early warning signs of perimenopause, adrenal burnout, or estrogen dominance. What DUTCH...
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Your hormones are not separate from your life. They’re responding to it. And nothing reveals that more clearly than the holiday season. Every year, women take on more—more planning, more emotional labor, more mental load, more pressure to make everything magical. And we tell ourselves it’s “just busy,” but physiologically, there’s so much more happening beneath the surface. When your schedule gets unpredictable, your meals get irregular, or your sleep gets pushed aside, your cortisol rises. When cortisol rises, progesterone dips. And when progesterone dips, you feel it: heavier...
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Today is a little different...I'm pulling back the curtain on what’s really happening inside your body during this stage of life—and what most women are never told. If you’re in your 40s (or even your late 30s) and you’ve wondered, “Is this perimenopause… or is something actually wrong with me?” this conversation is for you. As I’ve moved into my forties myself, and having worked with hundreds of women in this phase, I’ve become even more aware of how much confusion and noise surrounds this transition. Perimenopause has almost become a buzzword, but very few women understand...
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In this episode, I’m breaking down exactly how specific herbs in our cycle-based tinctures support your hormones in a real, clinical way—not just “woo” or wishful thinking. We talk through five key herbs you’ll find in my Estrogen support and progesterone-support tinctures—red clover, angelica, white peony, Vitex, and red raspberry leaf—and what they actually do in the body: How red clover helps your estrogen receptors work properly (without “adding more estrogen”) so you can calm brain fog, mood swings, and night sweats. Why angelica and white peony are powerful...
info_outlineLet's break down why so many women feel drained even when they’re following a healthy lifestyle. The truth is, if your body is functioning in a state of dysfunction, surface-level changes aren’t enough. I explain how stress, life events, and hormone imbalances quietly build up over time until your system hits a tipping point—what I call the “overflowing bucket effect.”
If you’ve ever been told your labs are “normal” but you still feel far from normal, you’ll understand exactly why that happens and what to do next.
In this episode, we cover:
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How chronic stress and small imbalances accumulate over time and lead to exhaustion
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Why a clean diet and good sleep aren’t enough when your body is already in overload mode
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Subtle signs that your system is in dysfunction, even when your labs look fine
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How major life events—grief, transitions, illness, caretaking—physically affect your hormones
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Why you need to look beyond basic labs to find the real cause of fatigue
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How to start supporting your biology instead of fighting against it
You’re not doing the wrong things—you’re just missing the bigger picture. Your system has likely been in and out of crisis mode for years. The first step to real healing is understanding what your hormones are trying to tell you and how to work with them, not against them.
If you’re ready to stop guessing and start uncovering what’s really driving your fatigue, I invite you to join the waitlist for The 12 Week Female Hormone Solution.
Inside the program, we use advanced hormone testing and personalized protocols to help you finally understand what your body needs—so you can get your energy, metabolism, and confidence back.
Join the waitlist here: https://drbethwestie.com/waitlist/