By Dr. Tracy Tranchitella
Each person who is being evaluated for chronic fatigue should have a standard work-up for common problems known to cause fatigue such as thyroid disorder, anemia, hormone deficiencies, immune deficiency, cancer screen, and acute infections, i.e. mononucleosis. Most family physicians and general practitioners are well versed in this basic work-up. However, for many individuals with Chronic Fatigue Syndrome (CFS) and Fibromyalgia Syndrome (FMS) these basic tests are normal or inconclusive, but the problem still persists.
As Dr. Woeller explained in his article “Are You Fatigued…” for the vast majority of individuals suffering with CFS and FMS the problem is more complex and involves a number of things that contribute to the problem, including:
- Acute viral infection
- Chronic infections – viral, bacterial, parasitic and/or yeast
- Emotional/mental stress
- Years of poor sleep
- Years of poor diet
- Hormonal imbalances such as adrenal insufficiency, thyroid dysfunction, sex hormone deficiency
- Poor detoxification and mitochondria function
ALL of which lead to:
- Hypothalamus-Adrenal Axis (HPA) Dysfunction – which affects all hormones in the body, as well as sleep.
- Problems of thyroid metabolism.
- Immune imbalances leading to persistent infections and susceptibility to new infections
- Poor detoxification increasing susceptibility to environmental toxins such as chemicals, i.e. pesticides, solvents and heavy metals.
- Poor digestion
Proper Testing Necessary:
Salivary adrenal testing is one of the best tools I have found to explain why so many people are fatigued. The adrenal glands function to support all of the various organs in the body and when stressed often lead to poor cortisol production. Evaluating cortisol levels throughout the day is critical for proper adrenal gland function. Without good cortisol output we are prone to blood sugar imbalance, chronic inflammation, and weakened immunity. Also, poor adrenal function will alter other hormones as well, including estrogen, progesterone, testosterone and thyroid.
If you are fatigued I would recommend getting start with NT Energy Factor by Researched Nutritionals (www.researchednutritionals.com) as explained in Dr. Woeller’s article. The product is CRN 101 and the purchase code = WOELL with the following dosage recommendations:
- Months 1 and 2: 2 tablets with each meal or 6 tablets daily
- Month 3 and Beyond: 1 tablet with each meal or 3 tablets daily
In addition, I would also recommend Salivary Adrenal Testing as well. If you are interested in help with your fatigue, hormone evaluation and/or overall health I offering a special initial consultation through the end of October to evaluate these issues. This consult is $150. Please contact my office at firstname.lastname@example.org or 951-461-4800 for more information.