Why High-Functioning Women Feel Exhausted All the Time | Acupuncturist Explains

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Why are so many high-functioning women exhausted, even when they’re doing everything right?

What if your exhaustion, hormone symptoms, anxiety, bloating, or fertility struggles aren’t proof that your body is broken, but signs that it has been trying to protect you all along? In this episode of The Inner Script, Stephanie Baubie, NP sits down with Dr. Nikki Cerone-Fancher, a Doctor of Traditional Chinese Medicine and licensed acupuncturist, for a grounding conversation about why so many high-functioning women feel tired, wired, and stuck in survival mode, and what it really takes to help the nervous system rest and heal.

Together, they break down what Chinese medicine and acupuncture actually are (it’s so much more than needles), why women who overfunction tend to burn out, and what yin depletion looks like in everyday life. Dr. Nikki also shares how unprocessed emotions can show up as physical symptoms, why so many women carry stress in the pelvic region, and how chronic stress and survival physiology may affect hormones, circulation, and fertility.

From burnout vs. fatigue to Chinese herbs, progesterone, and simple nervous system regulation practices like legs up the wall and longer exhales, this conversation is a reminder that rest isn’t a reward. It’s biological repair your body needs to function. If you’re tired of pushing through, this one is for you.

This episode is for you if…

  • You feel exhausted even when you’re “doing everything right,” and you’re wondering why your body still feels off.

  • You’re navigating burnout, anxiety, restless sleep, hormone imbalance, or fertility challenges and want to understand the role your nervous system plays.

  • You’re ready to stop pushing through and want simple, realistic ways to rest, regulate, and feel safe in your body again.


Episode Timestamps

00:00 Introduction
04:31 What Acupuncture Actually Is
10:42 Why Women Burn Out
18:27 Yin Depletion and Rest
25:08 Emotions Stored in the Body
33:15 Stress in the Pelvic Region
39:12 Fertility and Nervous System Safety
47:30 Chinese Herbs and Progesterone
55:11 Burnout vs. Fatigue
01:02:20 Daily Nervous System Tools


Resources & Mentions

Curious about a supplement Steph has mentioned in the episode?

If you’re looking for products Steph personally recommends in practice, you can browse her dispensary here: Stephanie’s Fullscript dispensary

Please consult your healthcare provider before starting any new supplement. Food, lifestyle, and nervous system support always come first.


Free Download: The Survival Mode Reset

This gentle one-page checklist helps you spot the signs your nervous system may be stuck in survival mode and gives you Dr. Nikki’s simple reset tools, from legs up the wall to longer exhales, so you can start feeling safe in your body again. Download it here: Patreon companion resource

You can also join Steph’s free Patreon community here:
The Inner Script Patreon


Meet Dr. Nikki Cerone-Fancher

Dr. Nikki Cerone-Fancher is a Doctor of Traditional Chinese Medicine and licensed acupuncturist based in San Francisco. She specializes in women's health and the role of nervous system regulation in healing, supporting women through fertility, pregnancy, postpartum recovery, and midlife hormonal transitions. Known for her warm, collaborative style, she practices at New Mission Acupuncture in Mission Dolores and offers Collective Rest, a communal ear acupuncture circle designed to help the body shift out of stress mode and into deep rest. Website: https://www.newmissionacupuncture.com
Instagram: https://www.instagram.com/newmissionacupuncture

New Mission Acupuncture Website & Instagram


Stephanie Baubie, NP, smiling sitting on a dark green couch. She's wearing an Oura ring, a simple gold necklace, and her blond hair is long and straight.

Meet Your Host

Stephanie Baubie, NP is an integrative nurse practitioner and the host of The Inner Script Podcast, where she explores the deeper stories behind health, healing, identity, and transformation. Through a blend of functional medicine, nervous system awareness, emotional insight, and honest conversation, Stephanie helps women better understand their bodies while questioning the narratives they’ve inherited about wellness, worth, and what it means to truly feel well.

On The Inner Script, Stephanie sits down with physicians, founders, thought leaders, and experts in women’s health, while also sharing solo reflections on the transitions and inner shifts that shape our lives.

Follow Steph on Instagram.


FAQs

Why do high-functioning women feel exhausted all the time?

In this episode of The Inner Script, Dr. Nikki Cerone-Fancher explains that many women learn to find their value in accomplishments and in keeping everyone around them happy, so they keep pushing past their capacity. Over time, that chronic overfunctioning can wear the body down, and the body eventually “votes” through burnout, hormone imbalance, digestive issues, or other symptoms. She and Stephanie Baubie discuss why stopping when you’re tired is one of the most powerful (and most overlooked) forms of self-care.

What does acupuncture do for the nervous system?

Dr. Nikki describes acupuncture as placing very fine, solid needles at specific points to access the nervous system and connective tissue, helping the body shift out of fight-or-flight and into rest-and-digest. She explains that it isn’t adding something to the body. It’s asking the body to return to its natural state of balance. Clients who are new to acupuncture, or who have been living in adrenaline for a long time, may feel sleepy for 12 to 36 hours afterward as the body gets the message that it’s safe to rest.

What is yin depletion in Chinese medicine?

On The Inner Script, Dr. Nikki explains that yin is the material, nourishing, restorative side of the body, and she compares it to a bank account. Overriding exhaustion, poor sleep, and constant “doing” are withdrawals, while rest, quality sleep, and easy-to-digest, nourishing foods are deposits. She also shares why even a practice like yin yoga may still count as “doing” when what the body needs most is true rest.

Can stress and nervous system dysregulation affect fertility?

Dr. Nikki explains that when the body is in survival mode, blood flow is redirected away from areas like the uterus and ovaries, and reproduction naturally becomes less of a priority. She is clear that this is not about blame, since babies are born under stress every day, and she encourages women to make friends with their bodies, learn their baseline hormone markers earlier rather than later, and build nervous system regulation into their routines. She also discusses how acupuncture and Chinese herbs are used to support circulation and reproductive health.

Can unprocessed emotions show up as physical symptoms?

In Chinese medicine, emotions and organ systems are deeply connected, and Dr. Nikki explains that emotions we stuff down don’t disappear. They go somewhere. She describes how stagnation, or a lack of flow, can show up on physical, emotional, and spiritual levels at the same time, and why many women tend to hold stress in the pelvic region. Stephanie shares what she sees in her own patients, from digestive issues to irregular periods and pelvic pain.

What is the difference between fatigue and burnout?

Dr. Nikki thinks of fatigue as a signal, almost like a stop sign, telling you something needs to change. In her experience, burnout carries a layer of panic, while fatigue carries more of an uneasy, drained feeling. Together, she and Stephanie discuss why listening to these signals early, before the body forces you to stop, matters so much for long-term health.

What are simple ways to regulate your nervous system at home?

Dr. Nikki shares a handful of easy practices you can start today: legs up the wall for about 10 minutes (even on your bed), breathing with a longer exhale than inhale, and a short guided meditation. She also encourages listeners to stop overriding exhaustion, eat before they’re starving, and rest before burnout forces them to. You can find these tools in the free Survival Mode Reset on Patreon.

Disclaimer

Everything shared in this episode is for educational purposes and personal reflection only. It is not medical advice. Always work with your own healthcare provider for individual care.

We sometimes include links to products and services we find interesting. These may or may not be affiliate links. Thanks for your support.

Podcast production by Jamie Brooke.

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Why Healthcare Feels Broken | The Truth About Provider Burnout, Patient Frustration, and the System No One Talks About