Chronic Fatigue

Chronic Fatigue Specialist
Chronic fatigue syndrome (CFS) is a complex illness that can interfere with every aspect of your life. The physicians at The Ash Center for Comprehensive Medicine, located in the Upper East Side of New York City, are integrative medicine specialists who use a comprehensive treatment approach to effectively manage your symptoms and treat the underlying causes of chronic fatigue. For answers to your chronic fatigue questions, call the office or schedule your appointment through their online service.

Chronic Fatigue Q&A

The Ash Center for Comprehensive Medicine

What is CFS?

Chronic fatigue syndrome is a relatively common illness characterized by extreme fatigue that may worsen with physical activity but not improve with rest. Mental activity such as studying for an upcoming exam can also trigger symptoms of CFS. It can affect individuals of all ages but is most common in people over the age of 40 and more often reported by women than men.

What are the symptoms of CFS?

Along with excessive fatigue or exhaustion that can make it impossible to accomplish your daily goals, CFS can also cause:

  • Memory loss or difficulty concentrating
  • Sore throat
  • Enlarged lymph nodes in your neck and armpits
  • Unexplained muscle pain
  • Joint pain in various locations with no accompanying swelling or redness


The symptoms associated with CFS may cause secondary issues such as:

  • Depression and anxiety
  • Lifestyle restrictions eventually leading to social isolation
  • Difficulty accomplishing tasks at work and home

What causes CFS?

Researchers believe that several factors may lead to CFS, including:

  • Complications after viral infections
  • Problems with the immune system
  • Hormonal imbalances
  • Increased stress


There are other factors that may also contribute to CFS, such as:

  • Environmental toxins
  • Gastrointestinal issues
  • Inflammation

How do you diagnose CFS?

Diagnosing CFS includes ruling out certain medical conditions that can cause fatigue, such as diabetes and anemia. Depression may be a symptom of chronic fatigue, but it’s also known to cause fatigue, and your physician may consider that as an underlying cause of your CFS-like symptoms. You can also expect your physician to ask questions about your nutritional habits, activity levels, and social relationships to help identify possible reasons for your fatigue.

Along with a careful and detailed review of your medical history, various blood tests and other diagnostic studies can help determine if your fatigue is a result of another medical condition or actually CFS. The results of these diagnostic studies also help your doctor determine what treatment is most effective for CFS, which often requires a multi-pronged approach.  

What is the treatment for CFS?

CFS requires a patient-centered, integrative treatment plan that emphasizes overall health and may include:

  • Changes in diet
  • Increased physical activity
  • Addressing digestive and immunologic health
  • Stress reduction
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