Fatigue after 60: a simple checklist for common causes
Topic: Health Basics
Reading time: 3 min
“I’m tired all the time” can be caused by many things—and often it’s a few things stacking up. This checklist helps you narrow it down without spiraling.
Start with the basics (because they’re fixable)
- Sleep: Are you getting enough hours? Is sleep broken by pain, urination, or snoring?
- Protein: Do you get a protein source at breakfast and lunch?
- Movement: Are you moving most days, even gently?
- Hydration: Many adults drink less to avoid bathroom trips.
Two-week experiment: Keep the same wake time + add a 10-minute walk most days. Many people notice a real difference in energy.
Medication and supplement check
- Did fatigue start after a new medication or dose change?
- Do you feel groggy or “hungover” in the morning?
- Any over-the-counter sleep aids or allergy meds? (Some can affect alertness.)
When it’s worth getting checked
- Fatigue is new, persistent, or clearly worsening
- You’re short of breath with mild activity
- You have unintentional weight loss
- Sleepiness is dangerous (dozing while driving)
Common medical contributors clinicians may consider
- Anemia
- Thyroid problems
- Vitamin deficiencies (depending on diet/absorption)
- Sleep apnea
- Depression/anxiety
Want the symptom-first version? See Fatigue & low energy.
Ask your clinician (starter questions)
- “What’s the most likely explanation in my case?”
- “What serious causes are we ruling out?”
- “Could any medications or supplements contribute?”
- “What’s the simplest next step?”
- “What should make me call you sooner or seek urgent care?”
If you want to prepare for a visit, try the Doctor Visit Checklist. For general support, browse Topics or Common Issues.