Chronic Fatigue

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Introduction: Why Chronic Fatigue Needs a New Approach

Chronic fatigue is more than just being tired. It is a debilitating condition that affects millions of Americans—disrupting work, relationships, and quality of life. At Patients Medical in New York City, we take an integrative, root-cause approach to chronic fatigue that goes far beyond conventional care.
Our functional medicine experts work to identify the underlying imbalances contributing to fatigue—so we can treat the whole person, not just the exhaustion.

What Is Chronic Fatigue Syndrome (CFS)?

Chronic Fatigue Syndrome (also called Myalgic Encephalomyelitis or ME/CFS) is a complex, long-term illness characterized by profound tiredness that doesn’t improve with rest and worsens with physical or mental activity.

Core Symptoms May Include:

  • Persistent fatigue lasting 6 months or longer
  • Post-exertional malaise (crash after activity)
  • Unrefreshing sleep
  • Brain fog or difficulty concentrating
  • Dizziness or lightheadedness
  • Muscle and joint pain
  • Headaches
  • Digestive issues
  • Depression or mood swings

Why Are You Always Tired? Root Causes We Investigate

Fatigue is not a diagnosis—it’s a symptom of something deeper. We use functional medicine to uncover the “why” behind your low energy.

Common Root Causes of Chronic Fatigue Include:

Advanced Testing to Find the Root Cause

At Patients Medical, we use cutting-edge diagnostic tools to understand what’s driving your chronic fatigue.

✅ Adrenal saliva hormone panels (cortisol, DHEA)
✅ Comprehensive thyroid testing (Free T3, T4, Reverse T3, antibodies)
✅ Mitochondrial markers and organic acid testing
✅ Epstein-Barr Virus, Lyme, and co-infections panel
✅ Nutrient & mineral testing (iron, B12, CoQ10, magnesium, etc.)
✅ GI stool analysis for microbiome and inflammation
✅ Mold and mycotoxin testing
✅ Heavy metal toxicity testing
✅ Food sensitivity & leaky gut panels
✅ Sleep and circadian rhythm assessments

Integrative Treatment Options for Chronic Fatigue

Fatigue is not a diagnosis—it’s a symptom of something deeper. We use functional medicine to uncover the “why” behind your low energy.

Nutritional Therapy

  • Anti-inflammatory, energy-rich meal plans
  • Food sensitivity elimination diets
  • Gut-healing and microbiome repair programs
  • Mitochondrial-supporting nutrients like CoQ10 and L-carnitine

IV Vitamin Therapy

  • Energy-boosting drips with B-complex, magnesium, vitamin C, NAD+, and glutathione
  • Detox support and immune strengthening protocols

Adrenal and Hormonal Support

  • Adaptogenic herbs (ashwagandha, rhodiola, holy basil)
  • Bioidentical hormone therapy when appropriate
  • Thyroid optimization based on full panel results

Detoxification Programs

  • Targeted support for heavy metals, mold toxins, and environmental exposures
  • Infrared sauna and lymphatic drainage therapies

Mind-Body Interventions

  • Acupuncture
  • Guided meditation and mindfulness techniques
  • Functional psychotherapy and trauma healing modalities

Real Patient Story: David’s Breakthrough

David, a 39-year-old professional, came to us after suffering from extreme fatigue, brain fog, and insomnia for over a year. His regular blood tests showed “nothing wrong,” but he felt like a shell of his former self.
Our testing revealed low cortisol, Epstein-Barr reactivation, nutrient depletion, and gut dysbiosis.

 We designed a 90-day integrative protocol that included:

  • Mitochondrial repair supplements
  • IV nutrient therapy
  • Gut-healing diet and probiotics
  • Stress reduction and adrenal support herbs
  • Sleep optimization techniques

Within 3 months, David’s energy returned, his sleep normalized, and he was back to full productivity.

Testimonials

Frequently Asked Questions

 While there’s no “one cure,” many patients see full or significant recovery with a personalized, root-cause approach.

 Chronic fatigue persists for more than 6 months, is not relieved by rest, and often includes additional symptoms like brain fog and body pain.

 Yes. We frequently work with patients dealing with EBV, Lyme, or long COVID-related fatigue.

 Absolutely. Cortisol, thyroid, estrogen, and testosterone imbalances are major contributors to fatigue.

 We are out-of-network but provide superbills. Some lab tests may be reimbursable.

Begin Your Journey with Patients Medical

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.

Request your consultation today!

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

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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