Do persistent fatigue and declining performance indicate overtraining syndrome?

Doctor’s answer

Persistent fatigue, reduced performance, sleep or mood changes, an unusual resting heart rate, and recurrent illness can occur when training load and recovery are out of balance. Anaemia, infection, thyroid disease, and low energy availability should also be excluded. Management centres on reducing load, improving sleep and nutrition, and returning gradually.

This content is for education. Diagnosis, treatment, and rehabilitation require an individual assessment by a sports medicine specialist.