Your blood tests are normal. Your sleep is adequate. You're still exhausted. This is the most common presentation I see in clinic and the answer is almost never found on a Increased Glucose TransportPhosphorylation and Muscle Glycogen Synthesis after Exercise Training in Insulin Resistant Subjects New England Journal of Medicine JCDR Alcoholic liver disease, Gamma Glutamyl Transferase (GGT), Malondialdehyde (MDA), Glutathione (GSH), Oxidative stress Shop Better Through Biology