Life through the chronic fatigue syndrome

Fatigue is a common experience, but Chronic Fatigue Syndrome (CFS) is different. It’s a complex condition where profound tiredness persists for at least six months, making daily life challenging.

Around 2.5 million Americans are believed to be affected by CFS, with women aged 40 to 50 being most affected.

The exact cause of CFS remains uncertain, but leading theories point to factors like psychological stress, viral infection, and inflammation.

Diagnosing CFS is difficult because there is no known cause and other conditions can produce similar fatigue symptoms. Doctors strive to rule out alternative causes before confirming a CFS diagnosis.

Untreated CFS leads to decreased stamina, concentration, emotional distress, and strained relationships.

Want to know more? Keep reading for information on symptoms, risk factors, and treatment options for this chronic illness.

What are chronic fatigue syndrome symptoms?

The most obvious symptom of this disorder is fatigue – not moderate fatigue, but severe enough to interfere with daily life. For a diagnosis of Chronic Fatigue Syndrome, patients must show a significantly reduced capacity to complete normal tasks due to fatigue which is not improved upon by rest. This must last for at least six months [1].

People with CFS experience extreme tiredness especially after physical or mental activities. This is called post-exertional malaise and can last more than 24 hours after the activity [1,2].

Additional physical symptoms

  • Muscle pain
  • Enlarged or swollen lymph nodes
  • Frequent headaches
  • Joint pain, but without redness or swelling.

Chronic Fatigue Syndrome also typically involves sleep issues

  • Chronic insomnia
  • Feeling unrested despite sleeping
  • Night sweats

Other symptoms may include:

  • Poor concentration
  • Difficulty remembering things
  • Orthostatic intolerance (feeling light-headed, dizzy, or faint when moving from seated to standing positions)

People who suffer from CFS also tend to experience frequent alterations in levels of irritability, mood swings, panic attacks, anxiety, and depression.
The emotional and mental side effects of CFS are significant, making integrative mind-body treatment essential.

Causes of chronic fatigue syndrome?

While the cause of Chronic Fatigue Syndrome remains unknown, certain risk factors have been identified:

Age: CFS is commonly diagnosed in individuals in their 40s and 50s [1,2].

Sex: Women are two to four times more likely to experience CFS than men [1].

Genetics: CFS has been observed in family members, suggesting a potential role of both genes and environment, although further research is needed [2].

Stress: Many CFS patients report the onset of symptoms following periods of extreme emotional or physical stress, which affects the hypothalamic-pituitary-adrenal axis (HPA axis) responsible for stress response and regulating various body processes.

Immune System: Some researchers speculate that CFS may be linked to how a person’s immune system responds to stress or infection, exhibiting similarities to autoimmune disorders where the immune system attacks healthy tissues [3].

Gut/Nutritional Imbalances: Studies suggest a possible connection between CFS and conditions like celiac disease, food sensitivities, or allergies, with digestive issues commonly reported by CFS patients [4].

Although some risk factors like age and sex are beyond control, individuals can still take steps to support a healthy immune system, reduce stress levels, and maintain a balanced diet. These measures not only help protect against CFS but also contribute to overall well-being and prevention of various health problems.

Managing chronic fatigue syndrome: tips for overcoming the condition

While there is no definitive cure or universal treatment for Chronic Fatigue Syndrome due to its unknown cause, the focus is on symptom reduction.
As a Naturopathic Doctors, I am here to provide the assistance, including chronic fatigue syndrome test.

Conventional approaches typically involve the use of sleep aids for fatigue and antidepressants for mood management. However, these medications often come with side effects that can exacerbate the condition.

Instead, Naturopathic Medicine advocates for lifestyle modifications, nutraceuticals, and natural therapies to alleviate symptoms and support holistic healing of the mind and body.

As yours Naturopathic Doctor, I can provide comprehensive support and personalized chronic fatigue syndrome treatment strategies for individuals with CFS. Here are some ways in which I can assist:

  • Holistic Assessment:
    Naturopathic Doctor take a thorough approach to understand the unique factors contributing to a patient’s CFS. By considering the individual’s medical history, lifestyle, stress levels, dietary habits, and other relevant factors to identify underlying imbalances, we create an Individualized Treatment Plan.
  • Individualized Treatment Plan: The personalized treatment plan tailored to the specific needs of each patient and may include a combination of natural therapies, lifestyle modifications, and targeted supplementation.
  • Lifestyle Modifications: Naturopathic Doctor emphasizes the importance of lifestyle adjustments to manage CFS. My recommendations may include the optimizing sleep patterns, stress reduction techniques, gentle exercise, and relaxation strategies to improve energy levels and overall well-being.
  • Dietary Guidance: Nutritional support is vital in CFS management. I can provide dietary recommendations that focus on nourishing the body, reducing inflammation, and supporting optimal energy production.
  • Natural Therapies: By employing various natural therapies I will do my best to alleviate symptoms and enhance the body’s healing response. These may include herbal medicine, nutritional supplementation, acupuncture, hydrotherapy, and mind-body techniques.
  • Emotional Support: Dealing with CFS can be emotionally challenging. Naturopathic Doctor provides compassionate support, guidance, and counseling to address the emotional aspects of the condition, helping patients cope with stress, anxiety, and depression.
  • Collaborative Care: As your Naturopathic Doctor, I often work in collaboration with other healthcare providers to ensure comprehensive and integrative care for patients with CFS. We may coordinate with medical doctors, psychologists, and other specialists to optimize treatment outcomes.

By taking the holistic approach, Naturopathic Medicine aim to address the underlying factors contributing to CFS and support the body’s natural healing processes, ultimately helping individuals manage symptoms, improve energy levels, and enhance their overall quality of life.

Diet and supplemental support for CFS

One approach of assisting with Chronic Fatigue Syndrome is through diet. Since there appears to be a link between digestive issues and CFS, it is important to eliminate potential food sensitivities, allergens, and intolerances that may be inflaming the body and leading to fatigue [4]. If any nutritional deficiencies are found, dietary changes or supplementation may be recommended by a healthcare professional.

Dietary interventions for treating chronic fatigue include:

  • Reduction of refined sugars, carbohydrates, alcohol, caffeine, and saturated fats. Instead, enjoy protein-rich foods, fresh vegetables, whole grains, and legumes. Eating a healthy and well-balanced diet helps improve overall energy levels [4].
  • A Candida Cleanse Diet can be helpful in treating CFS. Research indicates that overgrowth of Candida and the bacteria H. Pylori are contributors to chronic fatigue. Working with a healthcare practitioner to rule out any potential bacterial imbalances is recommended [5].

Nutritional Supplementation:

There are many vitamins and minerals linked to energy levels that may be helpful in treating CFS. Of course, not all supplements are right for every patient, so be sure to speak with a health practitioner before starting any of the following.

  • Vitamin B12 has been shown to improve energy in people who are deficient. It is a critical nutrient that supports the methylation cycle (responsible for immune function, energy production, and mood) and can help stimulate the mood with more energy and better cognitive function.
  • Omega-3 fatty acids, such as those found in fish oil, may also help reduce fatigue. Studies have shown that people with CFS have lower levels of omega-3 fatty acids [6].
  • Magnesium has also been shown in studies to be lacking for chronic fatigue sufferers. Patients were found to have low magnesium levels that accounted for a low red blood cell count. After being treated with magnesium supplements, they reported improved energy and more balanced emotions [7].

Mental health support

Along with proper diet, treating the mental aspect of chronic fatigue syndrome is also highly important.

  • Relaxation techniques like deep breathing, meditation, and yoga will help you to relax and manage stress. Stress tends to worsen CFS, so adding these into your daily routine is crucial.
  • Graded aerobic exercise, when introduced gradually and under close supervision, may offer benefits for individuals with chronic fatigue syndrome (CFS). This approach involves starting with low-intensity exercises and gradually increasing the duration and intensity over time. By carefully monitoring and adjusting the exercise program, it can help improve physical stamina, reduce fatigue, and enhance overall well-being. However, it is essential to work closely with a healthcare professional or experienced therapist who specializes in CFS to ensure the exercise program is tailored to the individual’s specific needs and capabilities [8].
  • Establish a sleep hygiene routine. This includes going to bed at a consistent time each night and allowing yourself time to physically and emotionally wind down. Turn off all electronics, and ensure your bedroom is at a comfortable temperature [9].
  • Talking with a professional therapist or counselor can help individuals to cope with the impacts of their CFS on their daily life and relationships.

Dealing with Chronic Fatigue Syndrome can present physical and mental challenges, but there are several natural approaches to alleviate symptoms and enhance energy levels. Prioritizing stress reduction and adopting a nourishing diet are key factors. Additionally, collaborating closely with a knowledgeable Naturopathic Doctor can also bring significant benefits.

For those living with CFS, it is crucial not to hesitate to seek support in developing a personalized treatment plan tailored to your specific needs. Now is the perfect time to rejuvenate your energy levels and regain control of your life!


  1. Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 15 Sept. 2022, 
  2. Avellaneda Fernández A, Pérez Martín A, Izquierdo Martínez M, et al. Chronic fatigue syndrome: aetiology, diagnosis and treatment. BMC Psychiatry. 2009;9 Suppl 1(Suppl 1):S1. Published 2009 Oct 23. doi:10.1186/1471-244X-9-S1-S1 
  3. Sotzny F, Blanco J, Capelli E, et al. Myalgic Encephalomyelitis/Chronic Fatigue Syndrome – Evidence for an autoimmune disease. Autoimmun Rev. 2018;17(6):601-609. doi:10.1016/j.autrev.2018.01.009 
  4. Lakhan SE, Kirchgessner A. Gut inflammation in chronic fatigue syndrome. Nutr Metab (Lond). 2010;7:79. Published 2010 Oct 12. doi:10.1186/1743-7075-7-79 
  5. Cater RE 2nd. Chronic intestinal candidiasis as a possible etiological factor in the chronic fatigue syndrome. Med Hypotheses. 1995;44(6):507-515. doi:10.1016/0306-9877(95)90515-4. 
  6. Maes M, Mihaylova I, Leunis JC. In chronic fatigue syndrome, the decreased levels of omega-3 poly-unsaturated fatty acids are related to lowered serum zinc and defects in T cell activation. Neuro Endocrinol Lett. 2005;26(6):745-751. 
  7. Cox IM, Campbell MJ, Dowson D. Red blood cell magnesium and chronic fatigue syndrome. Lancet. 1991;337(8744):757-760. doi:10.1016/0140-6736(91)91371-z 
  8. Larun L, Brurberg KG, Odgaard-Jensen J, Price JR. Exercise therapy for chronic fatigue syndrome. Cochrane Database Syst Rev. 2017;4(4):CD003200. Published 2017 Apr 25. doi:10.1002/14651858.CD003200.pub7 
  9. Fossey M, Libman E, Bailes S, et al. Sleep quality and psychological adjustment in chronic fatigue syndrome.J Behav Med. 2004;27(6):581-605. doi:10.1007/s10865-004-0004-y 

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