OpenHealth Q&A

Get answered by medical professionals

Experiencing Challenges with Cardiovascular Fitness and Energy

7/26/2025, 11:00:56 AMMale25-34

At 35 years old, I've consistently faced challenges with my cardiovascular stamina, energy levels, and recovery, especially in comparison to my teammates and training partners. While I suspect this could simply stem from my genetic makeup, I've often pondered whether there might be a deeper issue at play. During my younger years, I was incredibly active, competing at a high level in football and squash, dedicating the time necessary for training in both sports. My diet was nutritious, and my sleep patterns were healthy—overall, I maintained peak physical condition. However, I found myself to be the first to feel fatigued, faced the most difficulties in recovering, and occasionally struggled with motivation during activities. In fact, there were moments during lengthy rounds of golf when I felt so drained that I had to stop. Although I expressed my concerns, they weren't taken seriously, leading me to avoid bringing it up with my general practitioner. Was it merely a personal issue or just a genetic trait? Someone once suggested it could relate to thyroid dysfunction, but despite never experiencing weight fluctuations, there was also the possibility of exercise-induced asthma, although I’ve never undergone testing for either condition. Now, in my thirties, I still view myself as an active individual, continuing to play squash. However, I still encounter cardiovascular difficulties when compared to others. Oddly enough, even with my active lifestyle, I sometimes find myself sweating excessively and feeling worn out from relatively simple activities. It’s a disconcerting situation. Fortunately, I am in a position where I can pursue medical examinations, particularly through my workplace's private healthcare plan, to investigate whether there are any underlying health concerns. I am seeking guidance—what kind of tests would you recommend for someone in my situation? I hope I'm not simply overreacting to my circumstances…

ExerciseAgingLifestyle Changes

Answers (1)

Cony

7/26/2025, 11:01:35 AM

OpenHealth AI

It's understandable to be concerned about your cardiovascular fitness and energy levels, especially given your active background. The symptoms you’re experiencing—fatigue during activities, challenges with recovery, excessive sweating—warrant a closer look, particularly as they contrast with your previous experiences. While genetics can play a role, it’s essential to explore potential underlying health issues.

Explanation:

Fatigue during exercise and recovery difficulties can arise from various factors, including cardiovascular fitness, metabolic issues, hormonal imbalances (like thyroid function), or even respiratory problems (like exercise-induced asthma). It’s great that you have access to medical examinations through your workplace, as this will allow you to get a clearer idea of what might be happening.

Next Steps:

  1. Request Comprehensive Blood Tests:

    • Thyroid Function Tests: These usually involve measuring TSH, T3, and T4 levels to rule out conditions like hypothyroidism.
    • Complete Blood Count (CBC): This can help assess overall health and detect conditions like anemia, which can lead to fatigue.
    • Metabolic Panel: This checks for electrolyte imbalances and kidney function.
  2. Consider a Cardiopulmonary Exercise Test (CPET):

    • This test measures your heart and lung function during exercise and can identify issues related to cardiovascular performance and any potential exercise-induced asthma.
  3. Discuss Symptoms Related to Stress and Recovery:

    • Talk to your healthcare provider about your recovery challenges, excessive sweating, and fatigue. They might evaluate your stress levels and overall mental well-being, as stress can also affect physical performance.
  4. Stay Active While Evaluating:

    • Engage in low-impact activities to maintain your fitness without overexerting yourself. Gentle activities like walking or swimming can help you stay active while you work through these tests.
  5. Maintain a Symptom Diary:

    • Track your energy levels, recovery times, and any specific situations that trigger fatigue or excessive sweating. This information can provide valuable insights for your healthcare provider.

By taking these steps, you’ll be in a better position to address your concerns and improve your cardiovascular fitness and energy levels. Remember, seeking answers is a wise decision, and it’s important to prioritize your health. If you have any further questions or need more assistance, feel free to ask!

Related Questions

Is an 85-pound Weight Healthy for a Woman Who is 5’1"?

A friend of mine stands at 5 feet 1 inch tall and has a delicate frame, tipping the scales at 85 pounds. At first glance, her weight seemed surprisingly low, but I realized she doesn’t appear overly thin. Naturally, I became a bit worried as I believed her weight might be below the healthy range; however, she insists that she feels perfectly fine. She maintains an active lifestyle, exercising regularly and following a nutritious diet, yet she doesn't overindulge. This leaves me pondering whether her health is indeed in check.

Weight ManagementNutritionExercise
Male25-34
14 minutes ago

Interpretation Request for Recent Spinal NM Bone Scan

Hello, doctors. I'm reaching out for your insights regarding a recent NM bone scan of my spine. I've previously undergone a similar scan in 2022, and I'd like to compare the two. To provide context, I am a 29-year-old female weighing 100 kg, and I've been diagnosed with conditions including endplate sclerosis, spinal stenosis, cervical bone spurs, degenerative disc disease (DDD), and mild scoliosis. My medication regimen consists of several prescriptions. Unfortunately, my next appointment with my general practitioner is still a few weeks away, so I would appreciate your assessments on how the latest scan compares to the previous one. Thank you in advance for your help!

AgingWellnessFamily Medicine
Male25-34
54 minutes ago

Unexpected Eye Issues: Headache and Double Vision Concerns

A 33-year-old female, measuring 1.67 meters in height and weighing 55 kilograms, residing in the Netherlands, experienced a sudden onset of symptoms. Last evening, shortly after dinner, my partner complained of a slight headache localized at the rear of her head. Along with this discomfort, she encountered double vision and noticed her right eye deviating outward. Interestingly, when she shut either eye, the double vision resolved, enabling her to see without distortion. We rushed her to the emergency room later that night. The medical team conducted a variety of assessments, including physical examinations, neurological evaluations, visual tests, and laboratory analyses. Fortunately, all results were normal. However, the doctors found it peculiar that her right eye exhibited normal movement and accurately tracked a pen in all directions when her left eye was closed. The medical opinion suggested that it may be a migraine-related episode, a condition she has experienced previously. Nonetheless, she insists that this feels unlike any migraine she has had in the past. A teleconsultation with a neurologist is scheduled for Monday to arrange an MRI should the symptoms continue. The doctors advised that if her symptoms worsen, we should return to the hospital immediately. Fortunately, after a night's rest, her vision had returned to normal by morning, the headache had subsided, and her right eye was aligned properly. I am understandably concerned, particularly due to her assertion that this does not resemble a typical migraine. Is it possible that this is indeed a migraine, or could it be indicative of another underlying issue? Thank you for your attention to this matter.

AgingWellnessPreventive Medicine
Male25-34
1 hour ago

Intense Pain in Left Thumb

Greetings, I’ve been experiencing a piercing pain at the tip of my left thumb intermittently. This discomfort is situated within the thumb rather than on the outer skin. It primarily affects the underside of the thumb and surrounds the base of the nail. The pain seems to extend only to the first skin fold, specifically around the distal phalanx. When applying pressure, I’ve noticed some red streaks appearing beneath the surface, alongside the white area. I trust this explanation is clear. This issue has persisted for over a year, occurring sporadically but intensifying as time has passed. Could this be a cause for concern? A bit about myself: I am a 25-year-old female with no significant medical issues in my background. I previously smoked cigarettes for three years, transitioned to vaping, and have been vaping for six years now. I maintain an active lifestyle, frequently going to the gym and participating in various sports such as indoor football and pickleball. I don’t have any known allergies.

AgingLifestyle ChangesPreventive Medicine
Male25-34
3 hours ago

Persistent Need to Stretch Legs While Seated

I experience a significant discomfort when seated, particularly when my knees are bent at about a 90-degree angle. This sensation compels me to stretch my legs straight, and if too much time passes without doing so—typically around every five to six minutes—the urge intensifies to an uncomfortable level that’s hard to manage. It’s more than just a desire to fidget; fully extending my legs tends to offer the greatest relief. Adjusting my position provides some comfort, but it doesn’t alleviate the feeling nearly as effectively as a full stretch does. This issue predominantly arises when I remain stationary in a chair. Occasionally, I notice a similar feeling when I’m lying down, but these instances are relatively rare compared to the frequent occurrences while sitting. I consulted a relative who is a medical professional about this discomfort, and they suggested that it doesn’t appear to align with Restless Leg Syndrome. However, since this isn't their specialization, I acknowledge that there may be a chance of error. * What could potentially be causing these sensations? * Does anyone else relate to this experience? * Are there methods available to help manage or diminish this feeling? I would greatly appreciate any advice or insights.

WellnessSupplementsLifestyle Changes
Male25-34
4 hours ago