Symptoms To Resolve - Fatigue

Feeling the low energy of fatigue is challenging to contend with. When we feel low on energy it can be very difficult to be our best selves in multiple ways. It can be difficult to perform our best at work or in school, difficult to engage with our family and friends, and difficult to reach our truest potential in every aspect of life.

Going through life with fatigue must not be thought to be normal – it is certainly not! There are many reasons a person may feel fatigued. Fortunately with a thorough history taking and assessment, the causes can be found and remedied.

Fatigue may manifest in a number of ways. It may be:
• general feeling of tiredness
• physical fatigue (lack of physical energy, weak or heavy limbs, difficulty engaging in physical activities)
• mental fatigue (fogginess, and lack of clarity of thought)
• low motivation to participate in activities
• inability to perform at ones expected level
Following a typical medical work up including a detailed history with an appropriate physical exam and standard blood work and imaging as indicated, we will look at a variety of factors that have been implicated in the origin of fatigue . This includes, but is not limited to the investigation of:
• insomnia and sleep quality
• thyroid function
• nutrient depletion – iron, B12, and more
• mental health challenges – stress, anxiety, depression
• diet and food sensitivities
• physical activity, and other lifestyle routines
More in-depth investigation may sometimes be necessary. In instances of un-resolving fatigue or fatigue that is bordering on exhaustion, we are likely to investigate:
• Lyme disease and common co-infections
• Chronic viral infections (EBV, CMV, HHV, etc.)
• Environmental factors (toxicity, medications, etc.)
• Chronic fatigue syndrome
• Fibromyalgia
• Metabolic and mitochondrial health
• and more…
Treatment plans are based upon a thorough assessment and the exact strategy is determined in consultation with each patient. Different options may be presented to provide choice as to the exact nature of the undertaken program.
• We will aim to have markers of progress to follow, including self-reported symptom levels, fatigue questionnaires and measurable biomarkers to quantify your progress.
• The recommended therapies will depend on our assessment and our discussion as to the most appropriate strategy for you, but may include any of the following:
– Sleep support recommendations
– Diet and nutrient recommendations
– Appropriate adrenal support recommendations
– Hormone supporting recommendations
– Intravenous therapies, as appropriate