Chronic Fatigue Syndrome

Chronic fatigue and CFS are more common in women than men. Chronic fatigue is a common complaint seen in primary care offices. One study revealed that 24% of patients identified fatigue has a “major problem.” CFS is not as common but may affect up to 2.6% of patients.¹ Fatigue in the workplace costs employers $130 billion annually in health-related lost productive time.²

Chronic fatigue syndrome is defined as persistent fatigue for more than six months that is not caused by exertion, does not improve with rest, and is not attributable to other medical conditions. It is accompanied by four or more of the following symptoms:

• Sore throat
• Tender lymph nodes in the neck or armpit
• Headaches
• Joint pains
• Muscle pains
• Impairment of short-term memory or concentration
• Poor sleep quality
• Post-exertion fatigue lasting more than 24 hours

Chronic fatigue is often accompanied by other diseases. It is associated with or can be caused by:

• Poor nutrition lacking in micronutrients
• Sedentary lifestyle
• Stress
• Mood disorders such as depression or anxiety
• Medications such as antidepressants or antihypertensives
• Chronic diseases such as diabetes, hypothyroidism, liver or kidney disease, COPD or heart failure
• Anemia
• Cancers
• Infections such as mononucleosis, HIV
• Auto-immune diseases such as rheumatoid arthritis
• Allergies
• Sleep apnea
• Fibromyalgia
• Chronic fatigue syndrome

Chronic fatigue syndrome is a diagnosis of exclusion when the cause of fatigue cannot be determined. Although likely due to multiple causes, such as chronic infections and immune dysfunction, one of the major contributors to CFS is poor nutrition. Lack of sufficient micronutrients, which inhibits the body’s ability to detoxify ingested toxins, contributes to the development of CFS. A Nutritarian diet has relieved many patients’ CFS symptoms.

Diet

• A Nutritarian diet will supply adequate micronutrients to build up vitamin, mineral, and phytochemical stores and aid in the detoxification of toxins. Toxins are either ingested or inhaled from the environment or made by the body as by-products of metabolism. Nutrients are needed to drive detoxification reactions that help rid the body of these toxins. Leafy greens, colored vegetables, beans, fruits, nuts, and seeds will provide the micronutrients needed for detox. Attention to adequate plant protein and a high plant protein to animal protein ratio is helpful to aid detoxification. Hemp seeds, sunflower seeds, Mediterranean pine nuts, and the liberal use of beans and greens have been helpful for many patients.
• Food sensitivities may contribute to fatigue. An elimination diet may be necessary to see if symptoms improve with avoidance of the most allergenic foods (e.g. gluten, dairy, corn, soy, peanuts)

Exercise

Graded-exercise therapy can aid in recovery from CFS. Home exercises can be performed five times a week, starting with a 5 minute session. This can gradually be increased as tolerated.¹

Vitamin D

Low vitamin D levels may be associated with CFS and should be supplemented to bring blood levels to 30 ng/ml. Blood work to check ferritin, iron, B12, MMA (methylmalonic acid), and Vitamin D 25 hydroxy can be helpful.² Omega-3 levels should be optimized with DHA/EPA supplementation, and zinc supplementation can also be helpful for some patients, as increased zinc requirement is common in chronic fatigue.³