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If "tired" is your automatic answer to "How are you?"—even when you've slept—this episode is for you. We're talking about the bone-deep exhaustion that won't go away, no matter how much coffee you drink or how many hours you sleep. The Reality: Research shows that about one in five adults worldwide experiences general fatigue (lasting less than 6 months or unspecified duration), and it's reported more often by women than men. A March 2025 study in the journal Menopause found that heavy or prolonged bleeding during the menopause transition was linked with higher fatigue—even after adjusting for sleep problems and depression. In the SWAN study, about 1 in 3 participants reported episodes of abnormal bleeding during perimenopause. You're not being dramatic. You're not weak. This is real, it's common, and it deserves your attention. ⏱️ TIMESTAMPS: 0:00 - Intro: If "tired" is your automatic response 1:00 - The research on fatigue prevalence in women 2:30 - My personal story: overextended vs. medical exhaustion 4:00 - What the latest research says (2024-2025 studies) 5:30 - Scripture: When your flesh and heart fail (Psalm 73:26) 6:30 - Your Next Best Step 8:30 - Important medical boundaries & when to see your doctor 9:30 - Science Spotlight preview & wrap-up 📋 WHAT YOU'LL LEARN: ✅ Why about 10-20% of primary care consultations involve fatigue ✅ The connection between perimenopause bleeding and chronic exhaustion ✅ How to track energy patterns that reveal what's really going on ✅ The exact script to use when talking to your doctor about fatigue ✅ Physical, hormonal, life load, and emotional factors that contribute to tiredness ✅ How to know when fatigue needs medical investigation 🔬 RESEARCH REFERENCED: • 2023 systematic review in Frontiers in Public Health (global fatigue prevalence) • March 2025 study from Menopause journal (Study of Women's Health Across the Nation - SWAN) • December 2024 research from British Journal of General Practice • 2024 qualitative study on midlife women, work, and exhaustion • Clinical guidelines from Mayo Clinic and ACOG on iron deficiency • Evidence-based reviews on fatigue in primary care 📖 SCRIPTURE: Psalm 73:26 - "My flesh and my heart may fail, but God is the strength of my heart and my portion forever." Your body might be failing you. That doesn't mean God has. 📬 DEEPER DIVE: Science Spotlight #6 releases Thursday with comprehensive research on hormonal factors, nutritional deficiencies, sleep architecture changes, and more specific contributors to midlife fatigue. Get on the email list at YourNextBestStep.com (grab the free 5-Minute Daily Reset). 🎙️ ABOUT YOUR NEXT, BEST STEP: Weekly podcast for Christian women ages 45-60 navigating midlife wellness. No 5am wake-ups. No perfectionism. Just practical, research-backed strategies combined with biblical wisdom. New episodes every Monday, Wednesday & Friday. Host: Janet Jaecksch (Coach Janet J) - Certified integrative wellness coach, NLP practitioner, Christian coach 🔗 RELATED EPISODES: • Ep. 30: Post-Holiday Letdown & Recovery • Ep. 21: Holiday Energy Audit • Ep. 24: Energy Management Strategies 📱 CONNECT WITH COACH JANET J: 🌐 Website: YourNextBestStep.com 📸 Instagram: @janetjjaecks 📘 Facebook: @CoachJanetJ Free Resource: Download the 5-Minute Daily Reset at YourNextBestStep.com #MidlifeFatigue #ChronicExhaustion #PerimenopauseFatigue #WomenOver45 #ChristianWellness #IntegrativeHealth #FatigueHelp #YourNextBestStep #MidlifeWomen #PersistentTiredness #WomensHealth #PerimenopauseSupport #HealthPodcast #ChristianPodcast #WellnessCoach #CoachJanetJ #ListenToYourBody #BodyWisdom #MidlifeHealth