Are these symptoms metabolic?

Feeling tired even after adequate sleep — not just end-of-day tiredness but baseline low energy.

Significant energy drop between 2–4 pm, often requiring caffeine, sugar, or a rest to recover.

Difficulty concentrating, slow cognitive processing, or a general "fuzzy" mental state unrelated to sleep.

Urges for sugar, bread, or starchy foods — especially in the mid-afternoon or after meals.

Returning hunger or dissatisfaction shortly after a full meal, particularly after carbohydrate-heavy meals.

Gaining fat primarily in the abdominal area — particularly visceral (deep belly) fat that has accumulated in the past 2–3 years.

Difficulty falling asleep, frequent waking (especially 2–4 am), or waking unrefreshed despite adequate hours.

Triglycerides above 100 mg/dL on a standard lipid panel, or specifically told your triglycerides are elevated or "borderline."

HDL below 50 (women) or 40 (men) mg/dL on a standard lipid panel.

Unexplained irritability, low mood, or anxiety — particularly in association with hunger or between meals.