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Life without Fatigue and the Afternoon Slump

Fighting to stay awake during the early evening hours?

Struggling to find the energy to complete activities of daily living?

You may be suffering from fatigue. This common condition is often a byproduct of stress, hormonal imbalance, illness, or a chronic lack of sleep. The key to fighting fatigue’s lasting effects is in understanding its cause.

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*Due to federal regulations, some restrictions may apply. Services may be covered by your insurance.

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Fatigue is one of the most common symptoms of hormone imbalance that both men and women can experience.

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Experience decrease in both progesterone and estrogen beginning at age 35.


Experience decrease in testosterone of up to 1% a year beginning at age 30.


Experience decrease in both progesterone and estrogen beginning at age 35.


Experience decrease in testosterone of up to 1% a year beginning at age 30.

Bioidentical Hormone Replacement Therapy

For symptoms of hormonal imbalance, including fatigue, there is no treatment as effective as bioidentical hormone replacement therapy (BHRT).

Made from plant-based ingredients that most closely mirror the body’s natural hormone production, BHRT is fully customizable to meet the needs of every person, in every circumstance. Best of all, they require a full hormone workup before prescribing to ensure the right combination of hormones, at the right dosages, are compounded.

Most people experiencing hormone imbalance-related fatigue experience relief after a single dose, with results improving over time.

If you are ready to kick fatigue to the curb, find out if BHRT is right for you.


Don’t take our word for it.

Hear from some of our patients:

She helped me through a “burnout” period, she reviewed my bloodwork, gave me a personalized regimen to get my energy and motivation back. Within two weeks I felt like myself again! Dr Amanda’s knowledge of health including hormones, allergies, and ways to push yourself to optimal health is very valuable. She is my primary care go to and would happily refer anyone to her and her team!

Chantelle K.

Jill, Amanda & the entire staff at Sandstone have been amazing on my health journey.


Dr. Amanda and the staff are all incredibly sweet, welcoming and willing to listen and help you in any way they can.

Ashley L.

Dr. Amanda Rosales and her whole staff are absolutely amazing! From the time a walked in the door, it was top-notch care. Everyone was very friendly and caring. If you want the best possible care go see Dr. Amanda and her staff. Thank you for giving me and my family such wonderful care!

Emily B.

Dr. Amanda Rosales took the time to listen to my fears and concerns and is willing to help me get my health issues back on track.

Lisa L.

They’re great! Awesome staff, very friendly and genuinely caring. Dr. Amanda is very knowledgeable and does what she can to help you with whatever your issues are.

Ruby R.

The Sandstone Way:

  • We listen to you.
  • We design a plan that is tailored to your needs.
  • We explain things in a way that makes sense and is free of medical jargon.
  • We respect your time.

What is fatigue?

The term “fatigue” is often used as another way of describing exhaustion. However, fatigue is a little different from simply being tired. (We’ll talk more about that in a minute.) Fatigue is lingering tiredness characterized as being constant and limiting. It is possible to be physically fatigued, emotionally fatigued or both, with one condition often leading to another.

Fatigue is often caused by Hormonal Changes or Imbalances

In Women:  After the age of 35, women begin to experience a decrease in the amount of estrogen they produce. However, this is not the only hormone that takes a hit as they age. Progesterone, the hormone that prepares the lining of the uterus for implantation of an egg, and testosterone, the hormone that contributes to energy and libido also begin to decline. This steady decrease in hormone levels has been linked to increasing levels of fatigue as women approach menopause.

In Men:  Women have not cornered the market on hormonal changes. Men’s testosterone levels naturally decline as they age. But if this decline is more rapid than it should be, men are likely to experience fatigue as a result of hormonal imbalances, just like women.