Chronic Fatigue & Low Energy
About This Condition
Chronic fatigue is one of the most common chief complaints in primary care and one of the most poorly addressed. It encompasses a spectrum from persistent tiredness that impacts daily function to the debilitating post-exertional malaise of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Conventional medicine frequently dismisses these symptoms once basic labs return normal, leaving patients with lifestyle advice and no answers. The actual differential is broad: thyroid dysfunction, iron deficiency (with or without anemia), sleep disorders, adrenal insufficiency, mitochondrial dysfunction, viral reactivation (EBV, HHV-6), mood disorders, and nutritional deficiencies (B12, folate, vitamin D, iron, ferritin).
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