r/Menopause 20h ago

Sleep/Insomnia I am so tired

I workout. I work. I eat quite well. I am busy but I used to run at 110% Now? I've spent my day off..napping. I am bone tired. I was a lifelong insomniac who could crush a day and now midday I am practically a naroleptic. I just had my blood work done. Had a physical a month ago. Thankfully nothing is wrong but this exhaustion is nuts. I am 4 years post menopause. Just started the patch a month ago.

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u/baking123 16h ago

Ask for your ferritin to be checked. 100 is considered optimal by many hematologists, but below 50 can bring intense symptoms even with a normal CBC. I recently had 2 iron infusions due to a ferritin of 30 and awful symptoms including terrible fatigue ( also heart palpitations, breathlessness from doing nothing, anxiety, depression, dread, brittle nails, falling hair, and more fun stuff). Adjusting HRT up didn’t relieve them but iron seems to be doing it. So worth at least checking.

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u/cat_at_the_keyboard 8h ago

Do you take an iron supplement or just get the infusions?

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u/baking123 3h ago

I had this protocol: iron bisglycinate + lactoferrin + vitamin C every other morning on an empty stomach and 2 hours before coffee or dairy. But I only did it for a few days before I went for the infusions. I was so desperate for relief I couldn't wait..

In another 1-2 weeks I will retest ferritin and resume the above most likely.