I feel tired all the time, pressure/tiredness in eyes, sluggishness. Home sleep test/thyroid/blood tests all ok. Been going on for years. Any ideas?

Home sleep study . Out sleep apnea. You may still have a sleep disorder or a psychiatric disorder. Recommend a sleep medicine consult and a psychiatry consult. Your best bet if possible would be to find a psychiatrist also certified in sleep medicine so you can kill two birds with one stone. Best wishes.
See doctor. The first thing that came to my mind would be depression especially if you wake up feeling tired after a full -night sleep. Are you exercising regularly? If not, try it and see if this helps.

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