Fatigue Syndromes and Fibromyalgia



Fatigue syndromes usually involve dysfunction in multiple areas of physiology. Fatigue disorders are generally considered to be a chronic, complex illness. Detecting the underlying cause of fatigue requires an all-inclusive, sequential search for causes that may include anemia, nutritional deficiency, hormone imbalance, biotoxin illness, mitochondrial dysfunction, sleep disorders, neurological and psychological problems, heart disease, or metabolic disorders. The underlying causes usually include dysbiosis. small intestinal bacterial overgrowth, intestinal permeability, mitochondrial dysfunction, and immune dysfunction. By this approach, we can treat the underlying causes, reverse the imbalances, and spare patients the “medical detention” of long-term analgesic use.


These disorders are among the most challenging cases we see in functional medicine. Although “cure” is elusive, nearly everyone improves to some degree. This program requires discipline, perseverance, and careful self-observation.