Hi, thanks for using healthcare magic

Excess fatigue can be related to anemia, infections, heart disease because of decreased energy, hormonal abnormalities such as a low thyroid levels, depression, side effect of medication or a sleep disorder.
The iron would be needed if you have iron deficiency anemia which would be diagnosed with a full blood count.
You may want to consider visiting your general doctor first who will first take comprehensive history to determine any additional symptoms that may point to a specific cause.This may include screening questions for sleep disorders or any psychological problems like depression. This would be followed by examination and investigations such as the full blood count mentioned.

If your doctor thinks that you need to see a sleep specialist, he or she will refer you.

I hope this helps

Hello Danielle,

Thanks for posting on HCM,
You said it all yourself, you work from 7pm to 3:30am, what you can understand with nature is that you can not cheat it. An average human being is suppose to sleep for about 6 hours daily (so you can be up for 18hrs doing anything else besides sleeping). If you sleep more at times when you were suppose to be sleeping as nature made it in such a way that night condition favor our sleep area (on the brain) to be activated so that we can want to sleep especially if we went through daily activities, we should normally sleep too at night. But now that you have reversed the cycle, your brain has now adopted the new condition and it is now permitting you to sleep over in the day and wake up at night to work. You sleep more in the day simply because besides you staying up at night, the day can get you very tired when sleeping during the day ( reason why you always feel so tired after sleeping).
If you continue having the same night works and sleeping in the day, your entire body system will be so use to that, that one day when you will have a reversed work schedule you will find lots of difficulties.
Well I would not be the one to tell you when to work as that is strictly your private life and you need to earn to live.
After reading what I have to say, you should decide on your own what you have to do next.

Wish you nothing but the best.
Dr Nsah

Hi there,

Thanks for asking. it could be related to low iron level since it may cause restless leg syndrome (f you have it). Most probably it backs to melatonin secretion problem in your body. It happens in shift workers frequently. They can wear a yellow glass which can filter the light at night and it cause a better sleep when they come home. Some shift workers find apnea if they are obese so you should take care of your weight as well. Chronic sleep problem can cause many problems so you should be careful about it. I wish you a good health.