Stress and Fatigue Management

A New Approach to Chronic Stress and Fatigue

Stress and fatigue are two of the most common—and overlooked—health concerns in modern life. Yet persistent exhaustion, burnout, and adrenal dysfunction are not “normal.” At Patients Medical in New York City, we uncover the root causes of your fatigue using a comprehensive, integrative approach.

Whether you’re experiencing adrenal burnout, chronic fatigue, post-viral syndrome, or stress-induced hormonal imbalances, we provide solutions that support your body’s healing at the cellular level.

What Causes Chronic Fatigue and Burnout?

Fatigue isn’t just about “being tired.” It’s a signal from your body that something deeper is out of balance. Our integrative model identifies the key factors that could be draining your energy:

  • Chronic Stress: Triggers a constant release of cortisol, eventually exhausting your adrenal glands.
  • Nutrient Deficiencies: Especially magnesium, B vitamins, and iron, which are vital for energy production.
  • Hormonal Imbalances: Low thyroid function, low testosterone or estrogen imbalances can cause significant fatigue.
  • Poor Sleep Quality: Insomnia, sleep apnea, and irregular circadian rhythms interrupt your body’s repair cycle.
  • Mitochondrial Dysfunction: The energy factories in your cells stop functioning efficiently.
  • Leaky Gut and Inflammation: Gut health and systemic inflammation play major roles in fatigue.
  • Toxin Overload: Exposure to heavy metals, mold, or environmental toxins can overwhelm your detox pathways.

Symptoms of Stress and Fatigue Disorders

Many patients don’t realize they’re living with chronic stress or adrenal dysfunction until symptoms become debilitating. Common signs include:

Comprehensive Diagnostic Testing

We don’t guess—we test. Our doctors use advanced functional medicine labs to uncover hidden imbalances that conventional medicine often overlooks:

  • Salivary and urinary cortisol curve testing
  • DUTCH hormone panels for adrenal and sex hormone function
  • Thyroid panel (TSH, Free T3, Free T4, Reverse T3, antibodies)
  • Organic acids test for mitochondrial and nutrient status
  • Heavy metal and mold toxicity screens
  • Comprehensive stool analysis for gut microbiome health
  • Nutrient levels (B12, magnesium, iron, CoQ10, vitamin D)

Integrative Treatments for Stress and Fatigue

We develop a tailored treatment plan based on your labs, symptoms, and lifestyle. Our goal: restore energy, balance hormones, support mitochondria, and help you thrive again.

Targeted Nutritional Therapy

We design anti-inflammatory, energy-boosting diets to stabilize blood sugar, reduce adrenal stress, and support detoxification.

  • Elimination diets to remove food sensitivities
  • Blood sugar-stabilizing meals
  • Adaptogenic herbal teas and broths
  • Mediterranean or plant-rich protocols
Stress Fatigue

IV Nutrient Therapy

Replenish depleted nutrients with physician-designed IVs:

  • B-complex for energy metabolism
  • Magnesium for relaxation
  • Glutathione for cellular detox
  • CoQ10 and NAD+ for mitochondrial support

Herbal and Nutraceutical Support

We recommend evidence-based adaptogens and supplements such as:

  • Ashwagandha, Rhodiola, and Holy Basil to balance cortisol
  • Phosphatidylserine for mental focus
  • L-theanine and GABA for calm energy
  • DHEA or pregnenolone (if clinically indicated)

All dosing is supervised by a board-certified physician.

Mind-Body Therapies

We integrate holistic stress reduction techniques into your care plan:

  • Meditation and guided breathwork
  • Acupuncture for adrenal and nervous system regulation
  • Gentle movement like yoga, tai chi, and stretching
  • Cognitive behavioral coaching (CBT)

Hormone Balancing

If hormonal testing reveals thyroid, estrogen, or testosterone imbalances, we offer safe, personalized options:

  • Bioidentical Hormone Replacement Therapy (BHRT)
  • Thyroid support (including T3 if needed)
  • Natural hormone detox pathways

Patient Story: Alex’s Recovery from Burnout

Alex, a 38-year-old entrepreneur, came to us after months of crashing energy, brain fog, and insomnia. He had seen multiple doctors who told him everything was “normal.” Our testing revealed:

  • Flattened cortisol curve (adrenal burnout)
  • Low free testosterone
  • B12 and magnesium deficiency
  • Mild gut dysbiosis

Alex’s customized plan included:

  • Cortisol-regulating adaptogens
  • Nutrient-dense diet with blood sugar balance
  • Weekly IVs with B12 and magnesium
  • Guided meditation sessions
  • Bioidentical testosterone cream (low dose)

After just 8 weeks, Alex reported improved focus, stable energy, and restful sleep for the first time in years.

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

At Patients Medical, we go beyond treating symptoms. Our integrative approach identifies and addresses the root causes of chronic stress and fatigue—whether hormonal, nutritional, or lifestyle-related—using functional medicine, nutrition, hormone balancing, and natural therapies.

Absolutely. Chronic stress elevates cortisol, disrupts sleep, weakens immunity, and contributes to conditions like adrenal fatigue, thyroid dysfunction, and blood sugar imbalances. Managing stress is essential for long-term wellness.

We offer comprehensive testing including cortisol (adrenal function), thyroid panels, hormone levels, nutritional deficiencies, inflammatory markers, gut health panels, and mitochondrial function assessments to pinpoint imbalances.

 Some signs include persistent exhaustion, brain fog, insomnia, weight gain (especially around the abdomen), mood swings, frequent illness, and reduced motivation or productivity.

 Depending on your test results, treatments may include IV vitamin therapy, adaptogenic herbs, hormone optimization, nutritional counseling, acupuncture, detoxification protocols, and stress-reduction techniques like meditation or breathwork.

 Yes. We recognize adrenal dysfunction as a real and often overlooked contributor to fatigue. We support adrenal recovery with personalized herbal protocols, lifestyle changes, and nutrient support.

 Not necessarily. Many of our patients find significant improvement through natural, lifestyle-based strategies. If needed, we may consider bioidentical hormones or work alongside your primary physician if medication is involved.

Yes. A leaky gut or gut microbiome imbalance can lead to inflammation, poor nutrient absorption, and fatigue. We conduct stool testing and recommend gut-healing protocols when needed.

While some patients feel better within a few weeks, lasting transformation often takes 2–3 months as we address deeper imbalances. We monitor progress regularly and adjust your plan accordingly.

We are an out-of-network provider, but we offer superbills you can submit for potential reimbursement. Some labs and diagnostic tests may be partially covered by your insurance provider.

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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