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?
Patients Medical in NYC specializes in identifying and treating the root causes of chronic fatigue, exhaustion, burnout, and unexplained low energy. Our integrative physicians combine advanced diagnostics, holistic therapies, and personalized treatment plans to restore energy, improve metabolic and mitochondrial function, balance hormones, and enhance overall vitality.
This page covers why fatigue occurs, how it’s diagnosed, common triggers, treatment options, recovery timelines, and what to expect during your personalized care journey—helping you regain long-term energy and well-being.
Chronic Fatigue, Adrenal Fatigue, Burnout, Post-Viral Fatigue, Long COVID Fatigue
Functional + Integrative Medicine
New York City (Serving NYC, Manhattan, Queens, Brooklyn, Bronx & surrounding areas)
4–12 weeks depending on severity
Hormone testing, nutritional panels, thyroid function tests, mitochondrial assessment, inflammation markers
IV therapy, hormone balancing, nutritional support, detox protocols, lifestyle optimization
Schedule a Fatigue Evaluation
Learn About Integrative Treatment Options
Request a Personalized Energy Restoration Plan
Patients Medical is a physician-owned integrative and functional medicine clinic in New York City, providing whole-person, root-cause-focused care since 2004. Our medical team specializes in understanding how hormones, thyroid function, inflammation, gut health, mitochondrial performance, toxins, circulation, nutrition, and lifestyle imbalances contribute to persistent fatigue and low energy.
Our focus is simple:
identify what is draining your energy, correct internal imbalances, and restore long-term vitality using evidence-based integrative medicine.
Fatigue Treatment is one of our core specialties, combining advanced diagnostics with personalized therapies to help patients regain stable, consistent energy.
| Key Fact | Details |
|---|---|
| Location | Fifth Avenue @ 96th Street, New York City (NYC) |
| Founded | 2004 |
| Care Model | Physician-led integrative & functional medicine |
| Visit Length | New appointments: 60–90 minutes |
| Specialties | Fatigue, hormonal imbalance, thyroid disorders, mitochondrial dysfunction, detoxification, chronic illness |
| Testing Available | Thyroid panels, hormone testing, adrenal function, mitochondrial panels, inflammation markers, nutrient levels, toxins |
| Telemedicine | Virtual consults available where allowed |
| Ideal Patients | Anyone experiencing chronic fatigue, burnout, brain fog, adrenal issues, post-viral fatigue, or unexplained low energy |
Patients Medical blends traditional medical evaluation with integrative therapies such as nutrition, hormonal balancing, detoxification, mitochondrial support, and lifestyle medicine.
Fatigue treatment is never “one-size-fits-all.”
Your plan is tailored to the specific imbalances draining your energy.
We take a comprehensive, investigative approach to determine why your energy is low.
Diagnostic tools may include:
Depending on your test results and symptoms, your fatigue recovery plan may involve:
Designed for patients with:
Focus areas:
We address fatigue caused by:
Programs include thyroid balancing, bioidentical hormone support, and metabolic optimization.
Supports patients experiencing:
Includes:
For patients whose energy is affected by toxins or inflammation.
May include chelation, liver support, binders, and antioxidant therapy when appropriate.
For individuals with:
Focus:
Persistent fatigue isn’t just “tiredness”—it’s a sign your body is struggling to recover, regulate, or detox. At Patients Medical, our award-winning fatigue treatment team uses functional medicine to uncover hidden sources—from hormonal imbalance and mitochondrial dysfunction to gut health and stress. We create personalized, multi-level protocols to restore energy, resilience, and vitality—so you can get back to living fully.
Fatigue that persists despite good sleep, nutrition, or rest may be rooted in:
We look beyond generic advice to identify:
Each patient receives a targeted nutrition plan built on whole foods, anti-inflammatory fats, and micronutrient-dense vegetables. We include gut-healing superfoods, amino acids for neurotransmitter support, and intermittent meal timing for mitochondrial regeneration. Food sensitivity elimination and digestive enzyme support ensure nutrient absorption. Coffee/sugar triggers and micronutrient deficiencies are addressed. Dietary coaching helps implement lifelong changes to rebuild stamina, mitochondrial strength, and digestive resilience—without deprivation
Our clinic provides IV nutrient blends designed to jumpstart cellular energy. Infusions include high-dose B-complex, magnesium, glutathione, vitamin C, coenzyme Q10, D-ribose, malic acid, and amino acids tailored to your labs. These IVs rapidly boost ATP production, reduce oxidative stress, and support detoxification pathways. Weekly or bi-weekly infusions jumpstart recovery while improving brain function, muscle repair, and immune balance safely and efficiently.
When cortisol dysregulation or inadequate sex hormones contribute to fatigue, we design personalized endocrine rehab plans. This may include bioidentical cortisol-balancing herbs (ashwagandha, rhodiola), low-dose pregnenolone or DHEA, and thyroid optimization. All treatments are guided by comprehensive lab panels and symptom diaries. The goal is to restore adrenal resilience, stabilize energy output, support thyroid function, and reduce nervous system burnout—supporting sustained vitality.
For chronic viral or bacterial triggers, we deploy a phased “immune reset” strategy—starting with botanical antivirals, antimicrobial botanicals, targeted probiotics, and immune-stimulating nutrients. This may be followed by low-dose immunomodulatory support if needed. Functional tests guide therapy to reduce viral reactivation, bacterial overgrowth, and post-infectious fatigue. These interventions are gentle yet effective in reducing lab-confirmed immune activation and clearing persistent infection drivers.
Stress management is a pillar of fatigue healing. We offer biofeedback, breathwork, guided meditation, mindfulness training, gentle yoga, and acupuncture. These tools decrease allostatic load on the nervous system. Patients also have access to cognitive-behavioral therapy (CBT) for stress patterns or trauma. Combined with lifestyle coaching to optimize sleep, movement, and digital hygiene, this supports a sanctified reset of circadian rhythm and nervous system strength.
We develop personalized fitness programs appropriate for each healing stage—focusing first on restorative movement like walking, tai chi, or beginner resistance training. As mitochondrial function improves, we gradually shift into structured strength and cardiovascular building, tailored for chronic fatigue. Sleep coaching, environment audits, circadian entrainment, and pacing strategies (activity tracking, energy budgeting) help maintain a sustainable roadmap to full function—without relapse or crash.
Book online or by phone; telemedicine available.
Share your symptoms, lifestyle patterns, medical history, and energy timeline.
Your doctor listens, evaluates patterns, and creates a diagnostic plan.
Hormone panels, thyroid tests, nutrient levels, inflammation markers, mitochondrial assessments.
Your physician explains results and builds a customized fatigue recovery strategy.
Treatments are safely administered and monitored by our clinical team.
Your plan is refined based on progress, feedback, and updated labs.
Long-term energy stability and prevention strategies are implemented.
Maria, 38, came to us unable to work full days after viral mononucleosis. Labs revealed low cortisol, low vitamin D, gut dysbiosis, and EBV reactivation. Over 16 weeks, she followed an adaptive nutrition plan, weekly mitochondrial IVs, adrenal support herbs, sleep therapy, gut repair supplements, and mild resistance training. Her energy normalized, brain fog dissipated, digestive symptoms resolved, and she resumed work full-time—without prescription stimulants or antimicrobials.

Medical Director of Patients Medical

A holistic pain management physician

Consult Dr. Emine Cosar, MD. For Gynecology
Our fatigue protocols are deeply personalized—based on lab data, symptoms, lifestyle, and stress history. There’s no cookie-cutter plan—each heal is individual.
Some patients feel energy boosts within 2–3 weeks. Full recovery typically takes 8–16 weeks depending on underlying causes and individual resilience.
Yes—infusions use pharmaceutical-grade nutrients in clean IV settings. They’re carefully dosed to restore energy, reduce oxidative damage, and support immune balance.
Fatigue can stem from hormone imbalance, thyroid issues, adrenal stress, poor nutrient absorption, toxins, inflammation, or mitochondrial dysfunction.
We use advanced testing—thyroid, hormones, nutrients, adrenal function, mitochondria, inflammation markers—to identify root causes.
Yes. Post-viral inflammation and immune imbalance can greatly reduce energy.
Many patients feel improvement within 4–12 weeks depending on severity and treatment consistency.
Yes, we assess cortisol patterns and offer targeted adrenal support.
Absolutely—thyroid function is central to metabolism and energy.
Low iron, B12, vitamin D, and magnesium commonly contribute to fatigue.
Absolutely. Our clinic has helped hundreds recover from post-COVID fatigue using immune reset, mitochondrial support, and neuro-regenerative tools.
Not at all. We’ll review all medications and coordinate with your providers. Most fatigue protocols complement ongoing treatments safely.
Diagnostic testing may be reimbursable via superbill. Treatment itself—especially IVs and supplements—is out-of-network but often fully worth it.
Yes—IV vitamins (like B12, NAD, magnesium) can support rapid energy restoration.
No; many physical and metabolic factors contribute.
Yes—our approach supports natural, long-term energy.
Yes; detoxification may be included if tests indicate toxin burden.
Patients Medical is out-of-network; labs may have partial reimbursement.
Yes—anti-inflammatory, nutrient-dense plans often boost energy significantly.
Schedule a consultation online or by phone.
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.