Fatigue & Systemic Conditions

Common Conditions Supported:

Long COVID, Nutrient Deficiencies (i.e. Iron, Vitamin B12, Vitamin D), Postural Orthostatic Tachycardia (POTS), Mast Cell Activation Syndrome (MCAS), Ehlers-Danlos Syndrome/Hypermobility, Chronic Lyme or Post-Infectious Syndromes (Post-Viral Thyroiditis), Chronic Fatigue Syndrome (ME-CFS), Post-Viral Fatigue

Naturopathic Approach To Fatigue & Systemic Conditions

Comprehensive Intake and Assessment

A naturopathic approach to fatigue and systemic conditions begins with a thorough, compassionate, and highly individualized intake. These conditions are often multifactorial, fluctuating, and misunderstood, requiring careful listening and pattern recognition. This intake prioritizes validation, safety, pacing and long term support, recognizing that overexertion and overly aggressive interventions can worsen symptoms. Care is designed to help patients rebuild stability, confidence, and quality of life at a sustainable pace.

Key areas assessed include:

  • Primary symptoms and severity, such as fatigue, post-exertional malaise, dizziness, palpitations, pain, brain fog, memory loss, shortness of breath, temperature intolerance, or allergic-type reactions
  • Symptom onset and timeline, particularly following infections (e.g., COVID-19, EBV, Lyme exposure), trauma, or major life stressors
  • Energy patterns and exertional tolerance, including crash patterns and recovery time
  • Autonomic symptoms, such as orthostatic intolerance, heart rate changes, syncope, or gastrointestinal motility issues
  • Immune and inflammatory symptoms, including recurrent infections, histamine reactions, rashes, or flares
  • Connective tissue symptoms, such as joint hypermobility, frequent injuries, or chronic pain
  • Nutritional intake and absorption, with attention to iron, B12, vitamin D, and other fatigue-related deficiencies
  • Sleep quality and circadian rhythm
  • Stress load, trauma history, and nervous system regulation
  • Medication and supplement history, including previous treatments and sensitivities
  • Functional impact on daily life, work, relationships, and mental health

Comprehensive Functional Testing

When clinically appropriate, functional and conventional testing is used to clarify contributors to fatigue and systemic dysfunction. Testing is selected conservatively and strategically, with patient tolerance in mind.    Common areas evaluated may include:
  • Nutrient status, particularly iron studies, vitamin B12, folate, vitamin D, magnesium, and trace minerals
  • Thyroid function, including markers of post-viral or autoimmune thyroid dysfunction
  • Inflammatory and immune markers, to assess ongoing immune activation
  • Autonomic and cardiovascular markers, when POTS or orthostatic intolerance is suspected
  • Mast cell or histamine-related markers, when MCAS-type symptoms are present
  • Metabolic and mitochondrial support markers, when chronic fatigue and energy systems are suboptimal
  • Infectious or post-infectious markers
  • Stool testing, when absorption, inflammation, or immune interactions are suspected

Individualized Treatment Plan

Treatment plans are highly individualized, slow-paced, and responsive, prioritizing stabilization before optimization. The focus is on supporting regulation rather than pushing recovery.   Treatment plans may include:
  • Individualized nutrition strategies, supporting blood sugar stability, anti-inflammatory balance, and mast cell tolerance when needed
  • Foundational nutriceutical support, addressing deficiencies with carefully dosed, well-tolerated supplementation
  • Autonomic nervous system support, including hydration, electrolytes, compression strategies, and gentle conditioning (when appropriate)
  • Immune and inflammatory modulation, using cautiously selected nutrients and botanicals
  • Mast cell stabilization strategies, including trigger identification, dietary adjustments, and supportive nutrients
  • Connective tissue and joint support, when hypermobility or Ehlers-Danlos is present
  • Pacing and energy management education, including post-exertional malaise prevention
  • Sleep and circadian rhythm support
  • Trauma-informed stress and nervous system regulation, such as breathwork, gentle somatic practices, or mindfulness-based approaches
  • Collaborative care, working alongside primary care providers, specialists, and allied health professionals
  • Ongoing reassessment and micro-adjustments, respecting fluctuating symptom patterns and individual tolerance
  Getting Started Book a complimentary 15-minute consultation