
Fatigue (lack of energy; overall tiredness or weariness) is the number one complaint that GPs hear from their patients.
Contributing causes
- Poor nutrition
- Sleep problems
- Pain
- Depression/ melancholy moods
- Low thyroid function
- Adrenal gland dysfunction
- Chronic low-grade infection (teeth, hepatitis, glandular fever) o
- Allergy
- Low iron (anaemia) and iron stores (ferritin)
- Anaemia due to B12/ folic acid deficiency
- Systemic candida
- Blood sugar imbalances (diabetes, hypoglycaemia)
- Heart or lung problems
- Stress and/ or anxiety
- Drugs (caffeine, alcohol, antihistamines, sedatives)
Testing
- Questionnaires (adrenal, thyroid symptom list, candida)
- Basal body temperature charting- persistent low body temperatures first thing upon waking often indicates low thyroid function.
- Saliva testing for cortisol and DHEA levels (adrenal function)
- Blood tests to rule in/ out…
- anaemia
- thyroid problems
- diabetes
- infection
- nutrient deficiencies
Treatment considerations
- Adrenal fatigue: adrenal glandulars, licorice, rhodiola, Siberian ginseng, vitamin C, B vitamins, magnesium, Celtic sea salt, DHEA
- *Hypothyroidism: thyroid hormone, iodine, L-tyrosine, zinc, selenium, magnesium vitamin D, iron (if deficient) *Thyroid Patient Advocacy UK website is a GOLDMINE for information on hypothyroidism
- Candida: low sugar diet, herbal antifungals (Oregon grape root, oregano oil, grapefruit seed extract, garlic, caprylic acid), probiotic
- Anaemia: ferrous sulphate or gluconate iron taken with vitamin C (iron deficiency anaemia); B12 in form of methylcobalmin and folic acid (pernicious anaemia)
- Blood sugar imbalances: Low GL diet; protein with every meal; chromium; cinnamon
- Poor nutrition: whole foods diet (whole grains, organic dairy/ live yogurt, meats/ fish or beans, eggs, fruits, vegetables, non-processed, non-packaged foods, nuts and seeds, fresh juicing); bitter foods/herbs to stimulate digestive juices
- Sleep disturbance: passionflower, valerian, wild lettuce, GABA, melatonin, 5- HTP, magnesium, avoid caffeine, balance female, adrenal and/or thyroid hormones,
- Infection: use antiviral/ antibacterial herbs or prescription antimicrobials when necessary, antioxidants (vitamins A, C, E, zinc, selenium), avoid sugar
- Pain: natural anti-inflammatories like ginger, bromelain, and turmeric; bromelain, MSM; long-term, need to deal with source of pain, rather than just covering up the symptom
- Stress: herbal nervines (wild lettuce, passionflower, motherwort), magnesium, B complex, exercise, good sleep routine
Resources
- Adrenal Fatigue by James L. Wilson, ND; copyright 2001
- From Fatigued to Fantastic by Jacob Teitelbaum, MD; copyright 2001
- Overcoming Thyroid Disorders by David Brownstein, MD; 2nd ed. Copyright 2008
- Your Thyroid and How to keep it Healthy by Dr. Barry Durrant-Peatfield; copyright 2006

