Chronic fatigue can be caused by viral infections such as Epstein Bar Virus, Cytomegalovirus, Herpes Simplex 6 Virus, Food Sensitivities, Hormone Imbalance, and Heavy Metal Toxicity. A conventional physician may easily tell you it’s all in your head and start you on an antidepressant. A Functional Medicine doctor will investigate gut function to insure optimal absorption of nutrients. An allergy elimination diet is recommended to rule out food sensitivities. A 6 hour urine toxicity screen is performed to ensure heavy metals are not the culprit. If high levels of heavy metals are detected, IV chelation therapy is recommended and almost always fatigue is resolved once the body is clear of heavy metals. High dose IV vitamin C, Myers’ cocktail, and a Glutathione IV is also prescribed to boost immunity. As a last resort physiologic doses of hydrocortisone may be prescribed to enhance adrenal function.
Despite normal thyroid blood tests, subclinical hypothyroidism may also be the underlying cause of chronic fatigue. Patients may have high levels of reverse T3 which is a protein that competes with active thyroid hormone (T3). A combination of T3 and T4 prescription such as Naturthroid may also be very helpful in resolving chronic fatigue. Nexavir injections have been used in treatment of chronic fatigue syndrome for the past seventy years. It has anti-inflammatory effects and it inhibits viruses such as HSV-6 and EBV.