OpenHealth Q&A

Get answered by medical professionals

Can Vitamin D Deficiency Be Behind My Years of Fatigue and Brain Fog?

3/24/2025, 11:20:23 AMMale25-34

User Profile: 37 years old, 200 lbs, 6 feet tall, residing in the USA For the past four to five years, I have been struggling with significant fatigue and persistent brain fog. In 2023, I was diagnosed with celiac disease along with subclinical Hashimoto’s, though my thyroid levels have remained stable recently. Back in 2018, my vitamin D level was recorded at 28, and since then, it seems to have fluctuated between 30 and 38. During my worst episodes, I find myself confined to bed, utterly drained. It's a peculiar kind of exhaustion—feeling extremely fatigued, yet finding it difficult to fall asleep or even take a nap. I frequently experience a state of being wired yet fatigued, and many of my symptoms are reminiscent of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). I certainly have encountered post-exertional malaise as well. I previously underwent a sleep study; however, I intend to have another one performed soon, as the earlier test was done merely using an oximeter, which is considered less reliable. A CT scan of my brain has come back within normal limits, and other lab tests have also shown normal results. I'm also planning to get tested for allergies soon. Recently, I began supplementing with 10,000 IU of vitamin D, and I've started to notice some improvements. While I'm not completely back to normal, I feel a bit more refreshed overall. In the past, I'd often awaken four to five times during the night or experience a sense of being half-awake within my dreams. Interestingly, I've even felt a sense of fatigue in my dreams, as if I long to take a nap while dreaming. So, I'm curious: could much of my ongoing fatigue and brain fog really be related to my vitamin D levels?

Muscle WeaknessVitamin DeficiencyEndocrinology

Answers (1)

Cony

3/24/2025, 11:20:41 AM

OpenHealth AI

Key Points: Vitamin D deficiency may contribute to fatigue and brain fog, especially given your recent history and symptoms. It's important to address your vitamin D levels, alongside managing any underlying conditions. Improvement has been noted since starting supplementation, so this path seems promising.

Explanation: Vitamin D plays a crucial role in several bodily functions, including immune response, bone health, and even mood regulation. Low levels of vitamin D have been linked to fatigue and cognitive issues, such as brain fog. Your past levels (ranging from 28 to 38 ng/mL) indicate that you were on the lower end of optimal vitamin D status, which typically is considered to be between 40 to 60 ng/mL, depending on individual health factors and guidelines from various health organizations.

Given your diagnosis of celiac disease and Hashimoto's, it's essential to monitor not just vitamin D but also other nutritional status, as malabsorption can occur. Your symptoms and improvement with supplementation suggest that vitamin D might be one piece of a larger puzzle affecting your health.

Next Steps:

  1. Continue Vitamin D Supplementation:

    • Stick with the dosage of 10,000 IU daily for now, but consider re-testing your vitamin D levels after about 3 months of supplementation to ensure you're reaching optimal levels.
  2. Monitor Symptoms:

    • Keep a symptom diary to track your fatigue and brain fog, as well as other symptoms you might experience. Note any changes with your vitamin D intake or fluctuations related to your diet or health status.
  3. Focus on Nutrition:

    • Ensure a diet rich in nutrients that support thyroid function and overall vitality. This includes foods high in selenium and zinc, healthy fats, and foods rich in omega-3 fatty acids.
  4. Improve Sleep Hygiene:

    • Since sleep disruption is a part of your experience, implement good sleep practices like maintaining a regular schedule, creating a restful environment (comfortable bedding, dark room), and limiting screen time before bed.
  5. Stay Hydrated and Manage Stress:

    • Drink plenty of water and incorporate stress-reduction techniques, such as mindfulness or light exercise like walking, which can help ease fatigue.
  6. Follow Up With Healthcare:

    • Ensure you follow through with your upcoming sleep study and allergy testing for a comprehensive view, as these could also provide insights into managing your symptoms.

These steps should help you manage your fatigue and brain fog more effectively while you continue monitoring your health closely. If you have concerns or don’t see improvement, consider discussing with a healthcare provider for further personalized guidance.

Related Questions

Struggling with Fatigue and Low Spirits

I am a 27-year-old male whose first language is not English. A psychologist with two decades of experience in autism has diagnosed me with this condition. I previously took olanzapine, which caused an unusually long sleep of 20 hours during my first dose; however, I’ve stopped using it since then. While I was taking a sublingual form of vitamin B12 (methylcobalamin) at a dosage of 1000 mcg, my serum level registered at 290 pg/mL. This led to an unexpected surge of energy accompanied by feelings of anxiety and restlessness that I couldn't quite articulate, lasting for over six hours. I suspect that I might have a particularly sensitive nervous system. I'm contemplating whether to resume my B12 supplementation, as well as starting vitamin D3 at a dose of 2000 IU. Prior to taking D3, I found my levels to be very low, around 15 pg, though I can't recall the European unit it corresponds to at the moment. Additionally, my TSH level has been measured at 4, and I've been diagnosed with Hashimoto's disease. I’m currently at a loss as to why I continue to experience fatigue and a low mood. Does anyone have suggestions or insights that could help?

Chronic FatigueVitamin DeficiencyThyroid Problems
Male25-34
1 hour ago

Significant Bloating Following General Anesthesia

It has been just over a day since I underwent general anesthesia, and I currently feel as if I’m six months along in pregnancy. Despite only having a little food during this period, I am experiencing considerable discomfort, akin to having indulged in three feast meals! As a healthy 47-year-old woman who is not on any other medications, I underwent a dental implant procedure that was free of complications and did not require any pain relief medication afterwards. Could this sensation be attributed to gas, and if so, what could be causing it? How long might this discomfort persist? I have come across suggestions that using heat, peppermint, and engaging in walking or stretching may alleviate the situation. Are there any additional remedies or strategies that could provide relief?

DehydrationInternal MedicineEndocrinology
Male25-34
4 hours ago

Chronic Leg Discomfort Since Childhood

I am a 14-year-old female who has experienced persistent discomfort in my legs for as long as I can recall, and the cause remains unclear. The maximum duration I can manage to walk without feeling faint is around 10 minutes, while I can only walk for about 5 minutes without needing to pause. Even when I’m at rest, I feel a dull ache in my legs, despite the rest of my body feeling relaxed. This discomfort predominantly occurs around my joints, particularly my knees and ankles, although my calves also become tender with minimal exertion. My feet tend to be perpetually cold, rarely warming up even when the rest of my body does. During my menstrual periods, I find it extremely difficult to walk, often having to hold onto walls just to navigate short distances. I've always maintained a healthy weight and I don't consider myself unhealthy overall. The only medical condition I’ve been officially diagnosed with is autism, although I'm unsure if this has any relevance to my symptoms.

Chronic FatigueMuscle WeaknessDehydration
Male25-34
5 hours ago

Seeking Help for My 5-Year-Old Son with Autism and Constipation Issues

Hello, I am reaching out regarding my 5-year-old son who is non-verbal and has autism. He also shows signs of ADHD, although this has not yet been officially diagnosed. Typically, he is very energetic, cheerful, and expressive. He thrives in his school environment, where he is supported by a wonderful team of special education teachers. He doesn’t take any regular medications, except for melatonin to assist with his sleep. Recently, on December 19th, he developed a rash while at school, which resembled hives on his neck, face, and feet, with accompanying swelling in his hands. By the time we went to urgent care, the rash had disappeared, and he was given Benadryl. Unfortunately, the rash recurred a couple of times at home, though we only administered Benadryl on two occasions. Following this, during Christmas break, I noticed he became increasingly emotional, crying daily, appearing more fatigued, and having less energy overall, although he was usually still able to be comforted. I visited the pediatrician twice during this period, and lab tests came back normal, except for a positive COVID-19 result. The doctor prescribed guanfacine and clonidine for him (I apologize if I spelled those incorrectly), but I chose not to give him these medications since they weren't intended for behavioral issues. When school resumed, for the most part, he seemed to manage well until last week when he experienced another rash episode at school, occurring twice. I decided to try a non-drowsy allergy medication for him, but his emotional state deteriorated again, leading him to cry throughout the school day. His teachers expressed concern, stating that he appeared to be in discomfort, which they confirmed is not related to behavioral issues. At home, he has been very upset and inconsolable. As a result, I took him to the hospital yesterday. They sedated him for a head CT and abdominal ultrasound, both of which showed no abnormalities. They prescribed Miralax and suggested looking into ABA therapy since his autism diagnosis may automatically point to behavioral factors, which frustrated me. Today, he has spent the entire day crying and has remained in bed, clearly exhausted. I am administering the Miralax, and he seems visibly uncomfortable, but he hasn't had a bowel movement yet. His last stool was two days ago, and only a tiny amount has come out since then. I’m uncertain if the rash and his current symptoms are related to constipation or if I am missing a more serious issue entirely. This is very distressing. We have a dental appointment scheduled for Tuesday to rule out any dental issues, our fourth visit with the pediatrician on Wednesday, and a phone consultation with an allergist also on Wednesday. I would greatly appreciate any insights or questions I should bring up during our pediatrician visit, as well as any tips or suggestions. I'm feeling quite desperate for help. Thank you!

Chronic FatigueMuscle WeaknessBurnout
Male25-34
6 hours ago

Unexplained Discomfort

I’m a 45-year-old woman, a non-smoker, weighing 245 pounds. My only medical concerns include acid reflux, allergies, and De Quervain’s syndrome affecting my right wrist. Currently, I’m focused on losing weight and have successfully shed 30 pounds so far. I take a daily regimen of Omeprazole and Zyrtec. I’m attempting to articulate the nature of my discomfort, which has been somewhat challenging. The sensation tends to appear in random areas of my body. At the moment, I feel it in my left arm, but I've also experienced it in my thighs, legs, and hands. This odd sensation occurs irregularly for one to two days, then recedes for a month or even longer before reappearing. The discomfort resembles a mild burning feeling under the skin—a persistent yet not intensely painful sensation. It’s more bothersome than painful, as I am acutely aware of it when it arises. During these episodes, I find it uncomfortable for clothing to touch the affected area, and I often prefer cooler temperatures, which seem to alleviate the sensation. This has been an ongoing issue for about a year now. Has anyone else gone through something similar? I’ve refrained from consulting a physician as it’s difficult to describe, and the discomfort isn't severe or constant enough to warrant medical attention.

Chronic FatigueMuscle WeaknessDehydration
Male25-34
10 hours ago