Full Hormonal Assessment
Every hormonal and metabolic driver evaluated before concluding the cause.
Energy & Fatigue
Hormonal Fatigue — Finding the Root Cause in Denver
Persistent fatigue that doesn't resolve with rest or sleep has a cause. Dr. Bruice systematically evaluates all hormonal and metabolic drivers — rather than attributing fatigue to stress or age.
Book Appointment →Common Signs & Symptoms
- !Fatigue on waking despite adequate sleep
- !Energy that doesn't improve with caffeine
- !Afternoon energy crashes
- !Post-exertional fatigue disproportionate to effort
- !Mental and physical fatigue combined
What Causes This?
- •Low testosterone or estrogen
- •Hypothyroidism — the most common reversible cause
- •Cortisol dysregulation — either too high or too low
- •Anemia (iron or B12 deficiency)
- •Insulin resistance impairing cellular energy use
- •Mitochondrial dysfunction (addressed with NAD+)
Treatment Approaches
Thyroid Optimization
Correcting even subclinical hypothyroidism often produces dramatic fatigue improvement.
Mitochondrial Support
NAD+, CoQ10, and B-vitamin support address cellular energy production directly.
Frequently Asked Questions
My doctor says my labs are normal but I'm exhausted. Can you help?▾
"Normal" and "optimal" are different. Dr. Bruice evaluates ranges for function, not just absence of disease.
Related Topics
Think This Could Be Your Issue?
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