Why do you always look tired ?

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I think people will look tired just because of a few reasons : 1. They do have enough sleep ? 2. They are sick ? 3. They are on medication ? 4. They are very unhappy about something in life ? 5. They work too hard ? 6. They do too much exercise or sports ? 7. They are always under stress or other psychological reasons ? That's all I can think of . I look tired when I don't have 10 hours of sleep because I need to sleep for long hours to have enough strength for the day. I can still do things if I don't have enough sleep but will always feel sleepy and look tired. How about you ?