❑ Eat a well-balanced diet of 50 percent raw foods and fresh “live” juices. The diet should consist mostly of fruits, vegetables, and whole grains, plus raw nuts, seeds, skinless turkey, and some deepwater fish. Fatigue Recommendations. These quality foods supply nutrients that renew energy and build immunity.
❑ Add some form of acidophilus to your diet, and regularly consume soured products such as yogurt and kefir. Many people with chronic fatigue syndrome also are infected with candida. Acidophilus helps to keep candida under control.
❑ Consume plenty of water-at least ten 8-ounce glasses a day—plus juices, preferably freshly made vegetable juices. Drink a full glass of water at least every two waking hours. Fatigue Recommendations. Water flushes out toxins and aids in reducing muscle pain.
❑ Do not eat shellfish, fried foods, junk foods, processed foods; stimulants such as coffee, tea, and soft drinks; sugar; and products containing yeasts and/or white flour, such as bread and pasta. You may find this difficult—people with CFS generally have cravings for sugar and carbohydrate products. And could also develop a craving for alcohol—but it is important. Fatigue Recommendations.
❑ Make sure that the bowels move daily, and add fiber to the diet. Give yourself occasional cleansing enemas.
❑ Take chlorophyll in tablet form or obtain it from the liquid of vegetables. Such as a “green drink” from leafy vegetables, wheatgrass, or Kyo-Green from Wakunaga.
❑ Take a protein supplement from a vegetable source—Spiru-tein from Nature’s Plus is a good protein drink to take between meals.
❑ Get plenty of rest, and make sure that you do not overexert yourself. Moderate exercise may be helpful, however. Deep breathing exercises in particular are recommended. Fatigue Recommendations. People with CFS tend to take shallow breaths, which can cause sleeping problems.
❑ Avoid chocolate, soft drinks, caffeine, and highly processed foods. These foods deplete the body of magnesium, which leads to fatigue. Magnesium is important for people with CFS.
❑ Do not smoke, and avoid secondhand smoke. Fatigue Recommendations. This can make symptoms worse.
❑ Do not take aspirin. If a viral infection is present, Reye’s syndrome may result.
❑ Get some exercise, but be careful not to overdo the duration of the activity or the intensity. Doing too much can lead to short-term pain and further fatigue.
❑ In one study, the use of Bo’s abdominal acupuncture daily for two weeks improved general symptoms, espe-cially on lassitude, anorexia, insomnia, amnesia, and general pain.
❑ There are ‘other health problems that can cause symptoms of chronic fatigue, including anemia, cardiovascular disease (especially in women), depression, fibromyalgia, hepatitis, and Lyme disease, among others. Anyone who experiences extreme fatigue that persists for longer than a week or two should consult a health care provider.
❑ In one study, adolescents with chronic fatigue benefited from cognitive behavioral therapy for as long as two years after treatment had finished. Children had increased physical functioning, better school attendance by 10 percent, and were less fatigued.
❑ 1- In one study, adults around age forty to fifty years had less fatigue from a combination of behavioral therapy with or without the drug mirtazapine (15 milligrams).
❑ 2- In one study, patients with chronic fatigue who followed a low-yeast, low-sugar (anti-candida) diet did not experience increased energy.
❑ 3- In 2009, researchers at the Whittemore Peterson Institute in Nevada found that people with CFS were more likely to have the retrovirus XMRV in their blood; 67 percent of patients had the virus compared to only 4 percent in a healthy population. Researchers caution that this is an association, but does not prove that the virus causes chronic fatigue. However, this data is compelling enough to warrant further investigation.
❑ Some researchers believe that CFS may be hormone-related. Pregnenolone is a steroidal hormone that the body can metabolize into a variety of other vital hormones. It is a precursor hormone to DHEA and most of the other steroid hormones, such as progesterone, testosterone, the estrogens, and cortisol. The body naturally produces about 14 milligrams a day, but as we age this production drops. It has been found to be a hundred times more effective for memory enhancement than other steroids or precursors, and has been reported to reduce stress-induced fatigue. While it appears to be safe if the dosage is kept between 10 and 100 mg a day; it is recommended that any therapy involving its use be done under medical supervision with the appropriate pretherapy tests being given to ensure safety.
❑ If you are diagnosed as having chronic fatigue syndrome, it is wise to seek out a health care provider who has specific experience in the management and treatment of this complex condition.
❑ Taking regular cold showers may produce an improvement in CFS symptoms. Many also find improvement with taking hot baths or showers. However, people with heart or circulatory disorders or other serious health problems should not attempt cold or hot water treatment without first consulting their health care providers.
❑ Amino acids may be beneficial. These include tyrosine, leucine, isoleucine, and valine, as well as lysine and taurine.
❑ A study at Johns Hopkins University Hospital in Baltimore identified a link between chronic fatigue and a problem in the body’s mechanisms for regulating blood pressure.
In this study, twenty-two out of twenty-three subjects with chronic fatigue were found to have a syndrome in which the body responds inappropriately to periods of prolonged standing—the heart rate slows and blood pressure drops, resulting in light-headedness, followed by a feeling of weakness and exhaustion that can persist for days after-ward. A significant percentage of those in the study experienced an improvement when they were treated for this blood pressure problem.
❑ Some research points to chemical and/or food sensitivities and hypoglycemia as possible contributors to chronic fatigue. People living in the past fifty years have been exposed to more different chemicals than all of the rest of humankind combined.
❑ Evidence is pointing to exhausted adrenal glands and a disturbance in the hypothalmic-pituitary-adrenal axis. (HPA axis, a complex of biochemical controls that coordinate certain basic metabolic activities) as a possible cause of this disorder.
❑ Parasites are common in people with chronic fatigue. Parasitin from Vaxa International is a supplement designed to rid the body of parasites.
❑ Family members, friends, and coworkers must understand the nature of the disorder and realize that the person suffering from it is not exaggerating or faking symptoms.
❑ Depression can be a major feature of this illness. To combat it, your physician may prescribe an antidepressant.
Antidepressants commonly recommended for people with CFS include the following:
• Doxepin (Sinequan) is a tricyclic antidepressant that may relieve symptoms of general fatigue. Nasal congestion, gastritis, muscle tension and tightness, and insomnia. Other tricyclic antidepressants such as amitriptyline (Elavil) may also be prescribed for people with CFS.
• Fluoxetine (Prozac) increases the amount of serotonin in the brain. Serotonin is a neurotransmitter, a natural chemical that transmits messages from one part of the brain to another. Prozac may help to give people more energy but will not help with sleeplessness.
❑ Gamma-globulin treatment uses a transfusion of a blood product to provide protective antibodies that may be absent in the person suffering from CFS. Some consider this treatment ineffective and in rare instances it may even produce adverse side effects such as anaphylactic shock.
❑ People with CFS often suffer from disturbing side effects from prescription drugs. If this is the case, S-adenosyl-methionine (SAMe) and 5-hydroxy L-tryptophan (5-HTP) both work well as antidepressants, help to relax muscle tension, and prevent insomnia.
❑ The National Institute of Allergy and Infectious Diseases (NIAID), a part of the National Institutes of Health, provides current information on chronic fatigue syndrome.
❑ A large review on CFS published in the Journal of the American Medical Association (JAMA) reported that people have found varying degrees of benefit from magnesium supplements, liver extracts, homeopathy, massage therapy, and having a buddy/mentor.