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For exhausted women over 40

Your blood tests came back “normal.”
So why are you still exhausted?

For women over 40 who are always tired, yet keep being told their blood tests look fine.

You’re sleeping as best you can. Eating well. Trying to keep up with work, family, hormones, responsibilities, and everything else life keeps asking of you.

And still, you wake up tired.

By mid afternoon, your concentration has gone. By evening, there’s nothing left.

Your GP has run the tests and told you everything looks normal. But there is a huge difference between not having a diagnosable disease and genuinely feeling well.

That gap between what the blood tests show and how you feel day to day is exactly where I work.

There isn’t just one kind of tired. Before you can change it, you need to understand what’s causing it.

Take the free quiz to find out whether your fatigue pattern is Tired but Wired, Bone Deep, Soul Tired, or Crash and Burn.

Toki, Birch Health and Wellness

“Normal” doesn’t always mean well.

Standard blood tests are designed to rule out serious illness. That’s an important distinction, but they don’t always explain why you feel like you have to drag your body around, always exhausted, waking around 3am, or feeling like your body has lost the memo on what you want from it.

You get on with it anyway, because that’s what you do. You push through with caffeine, run out of steam by 2pm, and find yourself reading the same email three times without taking it in.

“Your results are normal” and “nothing’s wrong” aren’t the same thing.

Instead of only asking, “Is there disease?”, functional medicine asks, “Where’s the imbalance making your body work harder than it should?”

The way out of tired but wired fatigue is different from the way out of an afternoon slump. Bone deep depletion needs a different approach from stress driven burnout. And if your blood sugar, nervous system, hormones, sleep, and nutrition are all feeding on each other, guessing what to do rarely helps.

We start with the foundations first, because advanced testing is only useful when your body has the basics it needs to respond appropriately. If you’re still experiencing symptoms after that, we choose the right test or combination of tests as deemed necessary, which may include blood, stool, urine, hair or DNA testing.

That’s why I created the Fatigue Pattern Quiz. Once you know which tiredness pattern applies to you, you have somewhere specific to start, rather than trying everything at once and wondering why nothing you’ve tried has helped.

Toki Birch
About Toki

Hi, I’m Toki. I’m a Functional Medicine Practitioner, Nutritionist, and Health Coach specialising in fatigue that doesn’t always show up on standard blood tests.

I came to this work after my own experience of feeling completely shattered while being told, again and again, that everything looked fine.

Now I work with women over 40 who are still showing up for everyone else, but privately wondering how much longer they can keep going like this. My approach starts with the foundations: nutrition, sleep, blood sugar, and the nervous system. If symptoms need a closer look after that, I use the right test for the right question, without turning your health into a shopping list of labs.

Read My Story

Where to start when you’re tired of guessing

Not sure where to start? Begin with the quiz. Once you know your fatigue pattern, these are the next ways I can help.

£14

The Exhaustion Decoder

Best if you want a clear first step.
Identify the patterns most likely contributing to your fatigue and learn what to look at first.

Start With the Decoder From £147

The FUEL Method

Best if you want to rebuild your foundations.
A foundations first programme covering nutrition, blood sugar, nervous system support, and the more complex reasons fatigue keeps returning.

Explore the FUEL Method £97

Behind the Numbers

Best if your blood tests came back “normal,” but you still have questions.
A plain English review of your results with a video walkthrough so you can understand what the numbers may be showing.

Book a Blood Test Review
Application Only

The Energy Restore Programme

Best if you’re ready for deeper one to one support.
Six months of personalised support for complex fatigue, with labs when useful and unlimited async support.

Apply for 1:1 Support

Women who felt exhausted and dismissed started having more energy again.

“Toki didn’t just help me figure out what was wrong, she got to the core of it. I’m now excited about waking up in the morning again. Brain fog is gone.”

Jenn, fatigue and brain fog

“At just 50, I was hardly able to walk more than 100 yards. I am now at an amazing stage of my recovery. Toki listened to everything.”

Emma W., energy and recovery

“She not only helped my diet but my personal wellness too. I feel back in control, I have more energy and less brain fog. She changed my life.”

Sarah, energy and wellness
Fatigue Quiz Mockup
Which Type of Tired Are You?

Your fatigue pattern can tell you where to start.

Take the free quiz to find out which fatigue pattern may be draining your energy, and what your next step should be.

Seven quick questions. Find out if you’re Tired but Wired, Bone Deep, Soul Tired, or Crash and Burn.

Find My Fatigue Pattern

  • Toki is a wonderfully knowledgeable lady.

    I had been gradually becoming more poorly over several years and was told that there was nothing wrong with me by GP’s. I went to Toki as a last resort in desperation that I knew something wasn’t right.
    The testing was very thorough and my treatment was incredibly successful, I now feel I have my life back. I would not hesitate to contact Toki and her team again or recommend her to other people
    Emma

  • Such a pleasure to deal with such lovely, kind lady.

    I received lots of professional, helpful advice at a time when I felt my GP surgery was failing, due to long waiting lists to be seen and left to wait and suffer in pain.
    Within 3 weeks after following the advice given I was no longer in pain. This lady goes over and above to help. I totally appreciate all the good advice.
    Rachel

  • Professional, friendly and trusting approach

    I was recommended Toki and went to see her to find out what was causing my chronic stomach aches and bloating. She had a professional, friendly and trusting approach, that not only aided my diet but my personal wellness too. Toki saw me at regular intervals which supported me throughout. She changed my life for the better, I feel back in control, I don’t worry the same and I have more energy and less brain fog!
    Sarah

  • I want to do a lot of things in my lifetime and need my health to do them!

    I chose to work with Toki because she offers extensive lab testing way beyond what the NHS offers. 
    I learned about the deficiencies I have, the toxicities I’ve built up, my genetic blueprint and understood specifically what I should eat, the lifestyle strategies I should implement, what type of micronutrients my body needed so I can be in top form. 
    Working with Toki enables me to do everything that I’ve got in my mind that I want to accomplish. Because I want to do a lot of things in my lifetime and need my health to do them!
    Melissa

  • Best investments of my time and resources that I’ve ever made

    A little over a year ago I noticed I was really struggling. I felt like I was getting close to burnout, I wasn’t sleeping well, my energy levels were very low. My lack of health and performance was affecting my personal and business life. Luckily I found Toki Birch. She not only upped my energy, she improved my sleep patterns, and not just uncover what was wrong… but get to the core of it and upgrade my brain and body to high performance. 
    I’m now excited about waking up in the morning again, knowing that I’m going to have all-day-energy, that I am going to be able to create in my business with excellence, and that my brain fog is gone. 
    This was one of the best investments of my time and resources that I’ve ever made. I am very thankful that I turned to Toki.
    If you want to reach out to them to find out how they can improve your health, performance and productivity through a consultation program like I did, which transformed my health and life, you won’t regret it!
    Jenn

  • I am now at an amazing stage of my recovery

    I initially contacted Toki when I hit breaking point in my health. At just 50 I was hardly able to walk for more than 100yds, I had pain constantly when eating, I had chronic fatigue, my thyroid condition had absolutely no control despite being medicated, i had escalated menopause symptoms and I felt I wasn’t being listened to about my symptoms by my GP as they weren’t medically equipped with knowledge to deal with my autoimmune and hormonal issues.
    Toki most importantly listened to everything I was struggling with and allowed me to offload all my concerns and worries, and she still does. She is an amazing listener. 
    I am now at an amazing stage of my recovery. I am 4 stone lighter than I was and working towards my weight loss goal. I can now enjoy so many things again with my family that I had been unable to for such a long time. 
    Toki has given me my health and my life back. I have recommended her to many of my own clients as well as friends and family and would always highly recommend her. Thank you Toki.
    Emma W.
    Sports Therapist