Chronic Fatigue & Fibromyalgia
Comprehensive treatment addressing the root causes of CFS/ME and fibromyalgia
Understanding Chronic Fatigue Syndrome & Fibromyalgia
Chronic Fatigue Syndrome (CFS/ME) and Fibromyalgia are complex, multisystem conditions that cause profound fatigue, widespread pain, and a constellation of other debilitating symptoms. These conditions are often triggered or exacerbated by infections.
At Arizona Integrative Medical Center, we recognize that CFS and fibromyalgia are not "all in your head" - they are real, physiological conditions with identifiable causes. Our comprehensive approach investigates and addresses the underlying factors contributing to your illness.
The Post-Infectious Connection
Many cases of CFS/ME and fibromyalgia begin after an infection - whether viral (EBV, COVID-19, influenza), bacterial (Lyme disease), or other pathogens. Understanding this connection is often key to successful treatment.
Symptoms We Address
CFS/ME and fibromyalgia present with overlapping but distinct symptom patterns:
Chronic Fatigue Syndrome
- Profound, unrelenting fatigue
- Post-exertional malaise (PEM)
- Unrefreshing sleep
- Cognitive dysfunction ("brain fog")
- Orthostatic intolerance
- Flu-like symptoms
Fibromyalgia
- Widespread muscle pain
- Tender points throughout body
- Morning stiffness
- Sleep disturbances
- Fatigue and exhaustion
- Sensitivity to touch, light, sound
Root Causes We Investigate
Rather than simply managing symptoms, we identify and treat the underlying causes:
Chronic Infections
EBV, HHV-6, Lyme disease, mycoplasma, and other stealth pathogens that trigger and perpetuate illness.
Mitochondrial Dysfunction
Impaired cellular energy production that causes fatigue and exercise intolerance.
Immune Dysregulation
Overactive or underactive immune responses that perpetuate inflammation and symptoms.
Hormonal Imbalances
Adrenal dysfunction, thyroid problems, and sex hormone imbalances common in CFS/FM.
Nervous System Dysregulation
Autonomic dysfunction, central sensitization, and HPA axis abnormalities.
Toxin Accumulation
Heavy metals, mold toxins, and environmental chemicals that burden the system.
Our Diagnostic Approach
We perform comprehensive testing to identify your specific contributing factors:
- Chronic infection panels: EBV, HHV-6, CMV, Lyme, mycoplasma, and other pathogens
- Immune function testing: NK cell activity, cytokines, and inflammatory markers
- Metabolic assessment: Organic acids, amino acids, and nutrient status
- Hormonal evaluation: Complete thyroid, adrenal, and sex hormone panels
- Mitochondrial markers: CoQ10, carnitine, and energy production assessment
- Toxin testing: Heavy metals, mycotoxins, and environmental chemicals
- Genetic testing: MTHFR and other relevant SNPs affecting detoxification
Our Treatment Protocol
Your personalized treatment plan may include:
1. IV Therapy
Myers' Cocktail Plus
Enhanced nutrient IV with magnesium, B vitamins, and vitamin C for energy and immune support.
NAD+ Therapy
Powerful mitochondrial support that enhances cellular energy production and mental clarity.
Glutathione IV
Master antioxidant for detoxification and reducing oxidative stress.
Ozone Therapy
Improves oxygen utilization, fights infections, and modulates immune function.
2. Mitochondrial Support
- CoQ10 (ubiquinol) for electron transport chain function
- D-Ribose for ATP synthesis
- PQQ for mitochondrial biogenesis
- L-carnitine for fatty acid transport into mitochondria
- B-vitamin optimization (especially B1, B2, B3)
3. Infection Treatment
- Antiviral herbs and supplements for chronic viral infections
- Antimicrobial protocols for bacterial infections
- Immune modulation with LDI or peptide therapies
- Biofilm disruption when appropriate
4. Hormonal Optimization
- Thyroid optimization (beyond standard TSH-only testing)
- Adrenal support and adaptogens
- Bioidentical hormone replacement when indicated
- Cortisol rhythm restoration
5. Nervous System Regulation
- Vagal nerve support and exercises
- DNRS and limbic system retraining guidance
- Sleep optimization protocols
- Stress reduction techniques
6. Detoxification Support
- Binders for toxin removal (when appropriate)
- Liver and kidney support
- Lymphatic drainage support
- Infrared sauna therapy
Pacing is Essential
We understand that post-exertional malaise is a hallmark of CFS/ME. Our treatment approach respects your energy limits while working to expand your capacity over time. We'll never push you beyond what your body can handle.
Long COVID / Post-COVID Syndrome
Many of our CFS/fibromyalgia treatment protocols are highly effective for Long COVID, which shares many similar mechanisms:
- Persistent fatigue and post-exertional malaise
- Brain fog and cognitive dysfunction
- Autonomic dysfunction (POTS-like symptoms)
- Ongoing inflammation and immune dysregulation
Ready to Reclaim Your Energy?
If chronic fatigue or fibromyalgia has stolen your quality of life, we're here to help you find answers and effective treatment. Our comprehensive approach addresses the root causes of your illness.
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