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*Fatigue: Acute and Chronic*
*Chronic Fatigue Syndrome*

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Index:
Chronic Fatigue Medical Advice
Fatigue, Different Types, Discussion
Major Causes of Chronic Fatigue
Chronic Fatigue Syndrome (CFS)
Chronic Fatigue and CFS Overview
Ordering Instructions
Disclaimer


Chronic Fatigue
Medical Advice

*R&R&R*

Rest, Relaxation, and Reduce Stress: The American culture is one of wanting immediately, with lots of wants, a lot of push and push until you drop attitude that has been getting worse every few years. A lot of demands are placed upon us from seemingly every possible direction. Time management seminars teach us how to get more hours out of our day. Many of the European cultures are different. These cultures will take a two- or three-hour break in the middle of the day for food and rest. Many of these same cultures consider a six-week vacation per year normal. Many of us, especially in the American culture, will always have stress forced upon us. Just try to recognize and be aware of where your stressors are coming from, and consider if there is any way to either reduce or avoid those stresses that could take away from you, the beauty of life itself.

*Deep Sleep*

5-HTP / L-5-Hydroxytrophan.: Serotonin is a transmitting compound in the brain that is an important initiator of sleep. The synthesis of serotonin within the brain is dependent on the availability of the amino acid Tryptophan. Some time ago in the USA, Tryptophan was sold as pure Tryptophan until about the same time the drug companies were starting to push Prozac. The fact that Tryptophan became illegal to sell at that particular time period is suspicious to many who value natural substances. Tryptophan was a direct competitor to the Prozac market. Tryptophan can only be legally sold now as 5-HTP (L-5-Hydroxytryptophan).
Available from: Center for Environmental Medicine, L.L.C.
Portland, OR, 503-261-0966
5-HTP Supportive Information.

Valerian (Valeriana Officinalis): Valerian extract has been shown to reduce sleep latency significantly and improve sleep quality. It appears to be as effective as small doses of benzodiazepens and barbiturates with one difference: benzodiazepens and barbiturates increase morning sleepiness while valerian actually reduces morning sleepiness. Valerian should be widely available in health food stores. Be careful to buy quality and potent product, otherwise it will not work. It is also available at our clinic.
Available from: Center for Environmental Medicine, L.L.C.
Portland, OR, 503-261-0966

*Nutritional Therapy*

Balanced B Complex: In my practice, many times when a patient suffers from either mental or physical exhaustion, B-Vitamin injections usually bring their energy levels back to normal. The B vitamins serve as important co-factors in hundreds of chemical reactions within the body. B vitamins are critical in energy production as well as maintaining healthy nerve, skin, eyes, hair and muscle and may assist in anxiety and depression. They are important in the functioning of the liver and in energy metabolism. They are necessary for the formation of the red blood cells, numerous hormones, and specific neurotransmitters. B-Vitamins are particularly useful in times of stress.
Available from: www.PowerHealth.org

Dynamic Multi-Plus™: The Ultimate Multiple with Energy Factors, Dynamic Multi-Plus is no ordinary Multi-Vitamin. The powerful revitalizing, energy-giving ingredients allow you to experience a sustaining energy, “The Feeling of Nutritional Well-Being” that will enhance the very quality of your life. Dynamic Multi-Plus provides powerful, health-giving and life-supporting nutrients. Complete nutrition is needed for basic health status. A deficiency of virtually any nutrient can produce symptoms of fatigue and cause the body to become more susceptible to infections.
Available from: www.PowerHealth.org

Ester-C® with Bioflavanoids: Vitamin C performs many vital functions within the body. It increases the strength and integrity of connective tissue, supports the immune system, fights viruses and some bacteria, functions as an important antioxidant and enhances adrenal gland function. Power Health’s Ester-C polyascorbate is a breakthrough in Vitamin C. This esterified form of Vitamin C has been shown to increase white blood cell ascorbate levels four times more than usual forms of Vitamin C. Power Health’s Ester-C also provides bioflavanoids to enhance Vitamin C bioavailability while assisting in maintaining capillary and vein health. Additional Vitamin C is needed during times of stress.
Available from: www.PowerHealth.org

Vitamin E-Plus: Vitamin E Plus includes ALL the naturally occurring forms of Vitamin E, not just the alpha tocopherol form as found in most available brands of Vitamin E. This health fact is extremely important, as the ingredients within Vitamin E Plus have been shown effective in suppressing free radicals that are not controlled by the use of only alpha tocopherol alone. Studies have shown these mixed tocopherols have enhanced immune system benefits, improved antioxidant properties, and improved cardiovascular benefits above and beyond common forms of Vitamin E.
Available from: www.PowerHealth.org

Bone Support: Your Essential Calcium & Magnesium Supplement: When taking Calcium it is imperative to incorporate Magnesium also in order for proper calcium absorption to occur. Calcium assists the body in maintaining bones and teeth, helps prevent progressive bone loss and osteoporosis, aids the heart and muscle contractions, nerve impulses, and blood clotting. Calcium has also been shown to assist in lowering blood pressure in people with hypertension, and is known to assist in easing heartburn. Magnesium helps protect against heart disease and irregular heartbeat, eases fibromyalgia symptoms, assists in lowering blood pressure, and may reduce the severity of asthma attacks. Magnesium also improves symptoms of premenstrual syndrome and has shown to aid in reducing complications of diabetes. Calcium is needed to contract the heart muscle. Magnesium is needed to allow the heart muscle to relax between contractions. Magnesium is needed to process calcium before it can be used in the body. Most of my patients are magnesium deficient. In some cases additional magnesium may be needed. Contact our clinic for Magnesium supplementation sold separately.
Available from: www.PowerHealth.org

Adrenal Charge: If you suspect your adrenal glands are getting exhausted, then consider this natural adrenal support. The Adrenal Glands produce important hormones that assist in regulating various body functions. The nutrients and herbs within Adrenal Charge assist in maintaining appropriate balances of these critical hormones and thus enhance endocrine health. Adrenal Charge is excellent for individuals suffering energy loss and stress from the day-to-day pressures of modern living.
Available from: www.PowerHealth.org

Liver Detox and Support: This formula contains a unique blend of herbs from the South American Rainforest and established western herbs to nourish, cleanse, and nutritionally support healthy liver function. Liver Detox and Support is an important supplement for providing maximum liver detoxification processes as well as protecting the liver from harmful environmental and microbial damage.
Available from: www.PowerHealth.org

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Fatigue, Different Types,
Discussion

There is a difference between: (1) Fatigue; (2) Chronic Fatigue; and (3) Chronic Fatigue Syndrome.

“Fatigue” is just as it sounds: physical or mental weariness resulting from over-exertion. Unusually heavy exertion of the physical body, demands on the brain, and / or trauma to your emotional health, all contribute to varying degrees of fatigue. If the demands are not too terribly involved, recovery should be rapid, within a few days. Otherwise it could turn into Chronic Fatigue.

“Chronic Fatigue” is also as it sounds: A continuous, or long term, or chronic stressing of your physical body and / or your mental / emotional health. Recovery may never fully occur unless steps are taken. Also, chronic fatigue usually leaves your immune system more vulnerable to infections, particularly from viral infections. If the viral infection you acquire is from either the Mononucleosis or Epstein Barr Viruses, then you could acquire what is known as “Chronic Fatigue Syndrome.” Other virus are also thought to cause CFS.

“Chronic Fatigue Syndrome” is a newly established name for a syndrome that causes the body to become severely fatigued, and remain so for a long time. It is a compounded health problem that takes normal fatigue, and then adds in a viral infection to greatly multiply the already stressful chronic fatigue problem. What is actually fatigued is the immune system. Examples of the culprit viruses are Mononucleosis or a Chronic Epstein-Barr Virus infection. This is called a syndrome instead of a disease because medically an absolute and conclusive cause cannot be identified.

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Major Causes of Chronic Fatigue,
listed in order of most causative to least.

Preexisting physical conditions:

  • Diabetes
  • Heart disease
  • Lung disease
  • Rheumatoid arthritis
  • Chronic inflammation
  • Cancer
  • Liver Disease
  • Multiple sclerosis

Prescription Drugs:

  • Anti-hypertensive drugs
  • Anti-inflammatory drugs
  • Birth control pills
  • Anti-histamines
  • Corticosteroids

Tranquilizers and Sedatives
Depression
Stress
Low Adrenal function
Impaired Liver function
Environmental illnesses
Impaired Immune System (*1)
Food Allergies
Hypothyroidism
Hypoglycemia
Anemia
Nutritional deficiencies
Sleep disturbances

(1) Questionnaire for Recognition of a Weakened Immune System

a) Do you get more than two colds per year?
b) When you catch a cold, does it take longer than 5 – 7 days to get rid it?
c) Did you ever have mononucleosis?
d) Do you have herpes?
e) Do you have any chronic infections of any kind?

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Chronic Fatigue Syndrome

Symptoms of Chronic Fatigue Syndrome can include the following:

  • Mild fever
  • Recurrent sore throat
  • Painful lymph nodes
  • Muscle weakness
  • Prolonged fatigue after exercise
  • Recurrent headaches
  • Migratory joint pain
  • Depression
  • Sleep disturbances (excessive sleep requirements or insomnia)

Diagnosis: Since the cause(s), as well as the exact characteristics, of Chronic Fatigue Syndrome are still unclear, diagnosis is difficult and often made by the exclusion of other diseases. The presence of elevated antibodies to the Epstein-Barr virus is probably the best way to confirm diagnosis. Diagnosis is also made according to a symptom pattern, which your doctor can go over with you.

Elevated levels of antibodies to Epstein-Barr virus (EBV), is suggestive of either a Chronic Mononucleosis infection, or a recurrent EBV infection. These antibody titers have also been found in a number of other conditions. Most of these conditions are related to immunologically stressed and or immunocompromised conditions. These can also be found in otherwise healthy people. The relationship of EBV antibodies to these diseases raises questions about the involvement of EBV in developmental stages. It is unclear whether EBV is either a causative agent creating depressed immunity, or whether its reactivation is a manifestation of a previously existing malfunction of the immune system. Your doctor will have to work with you.

Other organisms proposed as causative agents in CFS:

  • Epstein-Barr Virus
  • Human Herpes Virus-6
  • Inoue-Melnich Virus
  • Brucella
  • Barrelia Bugdorferi
  • Giardia Lamblia
  • Cytomegalovirus
  • Enterovirus
  • Retrovirus

The treatment should involve a comprehensive approach. Every attempt is made to enhance resistance of the immune system by optimizing overall health. The first therapeutic approach should be based on Hahnemann’s principle of “first and foremost, remove all obstacles to cure.” Hahnemann (*1) was one of the forefathers of homeopathy, a basic technique in Naturopathic Medicine. Benedict Lust (*2), who was a pioneer of Naturopathic Medicine, stated: “eliminate the poisonous products in the system, and so raise the vitality of the patient.” Both of these healers are emphasizing detoxification. The primary organs to detoxify in Chronic Fatigue are the Liver, Spleen, and Lymphatic system.

(1) Hahnemann discovered the principles of homeopathy in the late 1840s and became a major figure in the development of homeopathic medicine as it is used today. Homeopathy is one of the natural cure sciences employed in Naturopathic Medicine and is very widely used by both Naturopathic Doctors and Homeopathic Practitioners throughout the United States, Europe, and India.

(2) Benedict Lust arrived in the United States in the 1890s and began using the term “naturopathy” to describe the eclectic combination of natural healing doctrines. In 1902, Lust founded the first U.S. College of Naturopathic Medicine in New York City. That college taught a system of medicine that included the best of what was then known about nutritional therapy, natural diet, herbal medicine, homeopathy, hydrotherapy, electrotherapy, stress reduction and other natural therapies.

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Chronic Fatigue and Chronic Fatigue Syndrome (CFS) Overview

A weakened immune system is a major cause in CFS.

Fibromyalgia and “multiple chemical sensitivities” have symptoms similar to CFS.

Chronic Fatigue can be caused by many other physical and psychological factors besides CFS.

The interplay or relationship between the “internal focus of the mind” and the physical health of the person, are the two primary factors determining the person’s energy level and emotional state.

The mind and attitude play a major role in the status of the immune system and energy levels.

Candida Albicans, commonly called yeast, is one of the most common findings in individuals with impaired immune system function. A Candida infection (severe overgrowth) can involve the large intestine, and / or it can get into and spread throughout the entire body. This is called a Polysystemic Candidiasis Infection. (“Poly” meaning many.)

Food Allergies: Chronic Fatigue was recognized as a major cause of food allergies way back in the 1930s.

Nutrients are very important and some are used in up to 300 different biochemical pathways in the human body. A deficiency of virtually any nutrient can produce symptoms of fatigue and cause the body to become more susceptible to infections.

Stress is with most of use everyday. Proper breathing, concentrating on allowing your stomach to enlarge (using your diaphragm); good posture; and bodywork; all help to relieve the effects of daily stress.

The herb Siberian Ginseng is an “Adaptogen.” It helps us adapt to our environment.

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Amino Acid Tryptophan, Vitamin B6 and Magnesium
Supportive Information

Tryptophan is available as “5-HTP” or “L-5-Hydroxytryptophan.”

Serotonin is a transmitting compound in the brain that is an important initiator of sleep. The synthesis of serotonin within the brain is dependent on the availability of the amino acid Tryptophan. Tryptophan administration is indicated more for cases of sleep-onset insomnia, rather than for sleep maintenance insomnia. The mechanism of serotonin appears to shorten the time required to go to sleep. However Tryptophan administration at bedtime (3-5 grams) has also been reported to increase total sleep time and decrease awakening in numerous double-blind studies.

Since Vitamin B6 and Magnesium are important cofactors that ensure the conversion of Tryptophan to serotonin, adequate amounts must be consumed.

Other amino acids will compete with Tryptophan for transport across the blood-brain barrier into the CNS (central nervous system IE the brain and spinal cord). Therefore a full protein source should be avoided at bedtime if taking Tryptophan. Also, since insulin increases blood-brain barrier activity, consuming carbohydrates such as fruit or fruit juice should accompany Tryptophan administration.

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DISCLAIMER This information is provided for Educational Purposes Only and has NOT been designed to diagnose, treat or cure any health conditions. Please consult a qualified Health Care Professional with Nutritional Training to diagnose your health conditions and avoid self-diagnosis. The U.S. Food and Drug Administration have not evaluated statements about these health topics or any suggested product compositions.