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Survival With Chronic Fatigue Syndrome (CFS)

A majority of our population suffers from fatigue at some time in their lives. Is your fatigue continuously overwhelming? Do you suffer from chronic muscle aches (fibromyalgia), excessive joint stiffness, loss of concentration, erratic sleep patterns, depression? These are some of the many symptoms that can present as chronic fatigue syndrome.

In order to arrive at a diagnosis of chronic fatigue syndrome, I find it extremely important to conduct a thorough history and physical during the first office visit. Carefully listening to my patients often supplies me with the details I need to provide the patient with a speedy recovery. It's not uncommon to hear patients report a bad flu that never went away, or relate a traumatic event or significant loss that left them overly fatigued. Additionally, laboratory studies, psychological and nutritional profiles complete the examination process.

To get a basic understanding, let us briefly look at the pathology and history of the disease. Chronic fatigue syndrome has been given a variety of names. A few include chronic mononucleosis, myalgia, encephalomyelitis (ME), or chronic Epstein Barr Virus syndrome. The cause is not totally known; however, some believe that the Epstein Barr Virus is the culprit. The Epstein Barr Virus is a member of the Herpes group of viruses. Unfortunately, this virus has the ability to be long lasting and latent at times. The virus finds a home in the B-lymphocytes. It was not until the mid 1980's that many physicians believed in chronic fatigue syndrome. Some still are under the opinion that "it is all in your head."

Treatment options include: (1) Vitamin C to bowel tolerance; (2) Colostrum to increase immune function; (3) Licorice Root Syrup, 3 teaspoons daily; (4) Omega 3 and 6 Oils to help with the immune pathways; (5) a prescription for Cortisol (if indicated); (6) intravenous vitamins may help speed recovery; and most importantly, (7) decrease your stress levels and try to get a solid 8 hours of sleep.