Fatigue Treatment Specialist

Fatigue Treatment Specialist

Fatigue Treatment Specialist – Causes, Functional Testing & Integrative Treatment

Exhausted of Feeling Exhausted?

Persistent fatigue isn’t just “tiredness”—it’s a sign your body is struggling to recover, regulate, or detox. At Patients Medical, our award-winning fatigue treatment team uses functional medicine to uncover hidden sources—from hormonal imbalance and mitochondrial dysfunction to gut health and stress. We create personalized, multi-level protocols to restore energy, resilience, and vitality—so you can get back to living fully.

What Is Dysfunctional Fatigue?

Fatigue that persists despite good sleep, nutrition, or rest may be rooted in:

  • Adrenal fatigue & HPA axis dysregulation
  • Thyroid disorders (hypo- or subclinical hypothyroidism)
  • Mitochondrial dysfunction and B-vitamin deficiency
  • Post-viral syndromes (Mono, EBV, Long COVID)
  • Poor gut health or chronic inflammation
  • Hidden infections or Lyme disease
  • Autoimmune activity
  • Sleep disorders (apnea, insomnia)
  • Chronic stress and burnout

Common Signs of Pathological Fatigue

Root Causes: Why You’re Still Fatigued

We look beyond generic advice to identify:

Comprehensive Testing We Use

Full adrenal cortisol curve + DHEA

Thyroid panel: TSH, Free T3/T4, Reverse T3, antibodies

Mitochondrial health and oxidative stress markers

CBC, vitamin D/B12/ferritin, magnesium

Inflammatory markers: CRP, homocysteine, cytokines

Viral panels: EBV, CMV, Lyme, tick-borne pathogens

Sleep study or wearables review

Psychological and lifestyle assessment

Integrative Fatigue Treatment Protocols

Nutritional Support

Each patient receives a targeted nutrition plan built on whole foods, anti-inflammatory fats, and micronutrient-dense vegetables. We include gut-healing superfoods, amino acids for neurotransmitter support, and intermittent meal timing for mitochondrial regeneration. Food sensitivity elimination and digestive enzyme support ensure nutrient absorption. Coffee/sugar triggers and micronutrient deficiencies are addressed. Dietary coaching helps implement lifelong changes to rebuild stamina, mitochondrial strength, and digestive resilience—without deprivation

Nutritional-Support
IV-Nutrient-Therapy-for-Hormonal-Health

IV Vitamin Therapy

Our clinic provides IV nutrient blends designed to jumpstart cellular energy. Infusions include high-dose B-complex, magnesium, glutathione, vitamin C, coenzyme Q10, D-ribose, malic acid, and amino acids tailored to your labs. These IVs rapidly boost ATP production, reduce oxidative stress, and support detoxification pathways. Weekly or bi-weekly infusions jumpstart recovery while improving brain function, muscle repair, and immune balance safely and efficiently.

Hormonal & Adrenal Rehabilitation

 When cortisol dysregulation or inadequate sex hormones contribute to fatigue, we design personalized endocrine rehab plans. This may include bioidentical cortisol-balancing herbs (ashwagandha, rhodiola), low-dose pregnenolone or DHEA, and thyroid optimization. All treatments are guided by comprehensive lab panels and symptom diaries. The goal is to restore adrenal resilience, stabilize energy output, support thyroid function, and reduce nervous system burnout—supporting sustained vitality.

Infection & Immune Reset

For chronic viral or bacterial triggers, we deploy a phased “immune reset” strategy—starting with botanical antivirals, antimicrobial botanicals, targeted probiotics, and immune-stimulating nutrients. This may be followed by low-dose immunomodulatory support if needed. Functional tests guide therapy to reduce viral reactivation, bacterial overgrowth, and post-infectious fatigue. These interventions are gentle yet effective in reducing lab-confirmed immune activation and clearing persistent infection drivers.

Mind-Body Stress Restoration

 Stress management is a pillar of fatigue healing. We offer biofeedback, breathwork, guided meditation, mindfulness training, gentle yoga, and acupuncture. These tools decrease allostatic load on the nervous system. Patients also have access to cognitive-behavioral therapy (CBT) for stress patterns or trauma. Combined with lifestyle coaching to optimize sleep, movement, and digital hygiene, this supports a sanctified reset of circadian rhythm and nervous system strength.

Lifestyle Reset & Fitness Integration

 We develop personalized fitness programs appropriate for each healing stage—focusing first on restorative movement like walking, tai chi, or beginner resistance training. As mitochondrial function improves, we gradually shift into structured strength and cardiovascular building, tailored for chronic fatigue. Sleep coaching, environment audits, circadian entrainment, and pacing strategies (activity tracking, energy budgeting) help maintain a sustainable roadmap to full function—without relapse or crash.

Case Study: Maria’s Return from Burnout

Maria, 38, came to us unable to work full days after viral mononucleosis. Labs revealed low cortisol, low vitamin D, gut dysbiosis, and EBV reactivation. Over 16 weeks, she followed an adaptive nutrition plan, weekly mitochondrial IVs, adrenal support herbs, sleep therapy, gut repair supplements, and mild resistance training. Her energy normalized, brain fog dissipated, digestive symptoms resolved, and she resumed work full-time—without prescription stimulants or antimicrobials.

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

 Our fatigue protocols are deeply personalized—based on lab data, symptoms, lifestyle, and stress history. There’s no cookie-cutter plan—each heal is individual.

Some patients feel energy boosts within 2–3 weeks. Full recovery typically takes 8–16 weeks depending on underlying causes and individual resilience.

 Yes—infusions use pharmaceutical-grade nutrients in clean IV settings. They’re carefully dosed to restore energy, reduce oxidative damage, and support immune balance.

 Absolutely. Our clinic has helped hundreds recover from post-COVID fatigue using immune reset, mitochondrial support, and neuro-regenerative tools.

 Not at all. We’ll review all medications and coordinate with your providers. Most fatigue protocols complement ongoing treatments safely.

Diagnostic testing may be reimbursable via superbill. Treatment itself—especially IVs and supplements—is out-of-network but often fully worth it.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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