Hidden Causes of Fatigue That Go Beyond Lack of Sleep
33. Shift Work Disorder: Beyond Circadian Disruption

This specific sleep disorder affects individuals working nights, early mornings, or rotating shifts. It's more severe than general circadian rhythm issues (item 27), characterized by excessive sleepiness during wake times and insomnia during sleep times, leading to persistent, profound fatigue and impaired functioning. The constant fight against the body's natural sleep-wake cycle is exceptionally draining. Managing it requires strict sleep hygiene, strategic napping, potential use of light therapy or melatonin (with guidance), and sometimes workplace accommodations.
34. Restless Legs Syndrome (RLS): The Sleep Saboteur

If you experience an overwhelming urge to move your legs, especially at rest or night, often with creepy-crawly sensations, you might have RLS. This neurological condition severely fragments sleep, even if you're unaware of frequent movements. The poor sleep quality, despite adequate time in bed, leads directly to significant daytime fatigue, brain fog, and irritability. Identifying triggers (like low iron) and seeking medical advice for management (medications, lifestyle changes) is key to restoring sleep quality and alleviating this disruptive fatigue.