NYC’s Leading Integrative Health Care Center

Anti-Aging and Longevity Treatments Remember when you were in college and stayed up all night drinking beer, eating pizza, and partying; yet you still were able to attend class in the morning? How many of you could do that now?
Chronic fatigue and burnout are often caused by hormonal imbalance, chronic stress, cortisol dysfunction, thyroid issues, insulin resistance, inflammation, and nervous system overload, when stress, inflammation, hormonal imbalance, and mitochondrial dysfunction overwhelm the body’s ability to recover. Unlike ordinary tiredness, these conditions do not resolve with rest alone and often persist despite normal lab results
In NYC, many professionals experience chronic exhaustion despite normal lab results. Physician-led, integrative care focuses on identifying root biological causes, not just managing symptoms or dismissing symptoms as stress or depression.
If you feel constantly exhausted, mentally foggy, or unable to recover from stress—even after sleeping, resting, or taking time off—you are not alone.
Many patients who come to Patients Medical describe being told:
Yet weeks, months, or even years later, the exhaustion remains.
That’s because chronic fatigue and burnout are not character flaws or lifestyle failures. They are signs of biological system overload—and they require proper medical evaluation.
At Patients Medical in NYC, Dr. Rashmi Gulati and Dr. Stuart Weg evaluate fatigue as a medical condition, not a psychological label.
Many high-functioning professionals, caregivers, and athletes develop chronic fatigue precisely because they have pushed through for too long.
Burnout frequently progresses into chronic fatigue when recovery systems fail.
Understanding this distinction prevents misdiagnosis—and mistreatment.
These symptoms point to system-wide dysfunction, not isolated stress.
Rest fails when fatigue is driven by internal signaling problems, not lack of downtime.
Key systems commonly involved include:
Until these systems are addressed, recovery remains incomplete.
Leads to:
Includes:
Causes:
Low progesterone, estrogen imbalance, or low testosterone reduce:
Disrupts:
Limits the body’s ability to produce ATP—the currency of energy.
Fatigue is frequently overlooked because:
As a result, patients are often misdiagnosed with:
Without addressing why energy systems collapsed, symptoms persist.
At Patients Medical, fatigue is treated as a systems-level medical issue.
Physician Evaluation Includes:
Advanced Testing May Include:
Advanced Testing: Cortisol & Mitochondrial Testing
Test results are interpreted together, not in isolation.
Treatment is individualized and may include:
Nervous system regulation
Sleep restoration strategies
Blood sugar stabilization
Anti-inflammatory approaches
Hormonal optimization when appropriate
Nutrient repletion
Gradual, structured activity reintroduction
Recovery is progressive, not overnight.
Patient: 45-year-old Manhattan professional
Symptoms: Burnout, brain fog, daily exhaustion
Previous Care: Told to “reduce stress”
Outcome:
With physician-led integrative care, energy improved steadily, cognitive clarity returned, and stress resilience increased over several months.
“I finally understood why rest didn’t work.”
— NYC patient
“This was the first explanation that made sense.”
— Brooklyn patient
“I stopped blaming myself.”
— Manhattan patient
If you’re struggling with chronic fatigue or burnout and want physician-led, root-cause evaluation, Patients Medical offers comprehensive integrative consultations for patients seeking real recovery.
Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.
To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you
Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128
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All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. Patients Medical.