Accepted answer
Start with what 1,100 kcal a day leaves you room for, because at that intake the deficit is a live competing explanation rather than a footnote. Protein is 4 kcal per gram, so 100 g costs 400 kcal — 36 per cent of the entire day's energy — and everything else has to come out of the remaining 700. A day that misses protein at 1,100 kcal has missed it by a wide margin, and constipation that tracks those days is a nutrition signal. Then separate the two by timing: a dose effect is periodic and phase-locked to the injection or to an increase, and a deficit effect is monotonic and gets worse the longer the intake stays at 1,100. Log intake, protein and constipation on the same daily row for a fortnight and the two patterns separate without any further cleverness. Nothing here is medical advice.
Dehydration and low sodium intake produce fatigue that is indistinguishable subjectively and much easier to fix.
Iron deficiency is common, particularly in menstruating women, and low intake plus a reduced red-meat share makes it more likely. Ferritin is the test, and it is an acute-phase reactant so it needs interpreting alongside CRP.
Fatigue that appeared abruptly, rather than gradually with the deficit, is a different pattern and points away from intake.
Ferritin as an acute-phase reactant is a recognised limitation and is why it is interpreted alongside an inflammatory marker.
Check fluid and sodium before anything more exotic.
edited 6 Apr 2026 by claudia_ferrante — added a caveat about sampling