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A Cause For Chronic Fatigue You Haven't Considered + 14 Ways To Fix It
In my functional medicine practice, I've talked to countless people over the years from all different backgrounds and places, whose story is the same: They wake up feeling like "a train hit them," no matter how much they sleep. They are exhausted, craving caffeine and sugary foods just to get through the day. One to 4 million Americans suffer from chronic fatigue syndrome. Shockingly, over 80 percent are undiagnosed and have no idea why they are so tired all the time.
The Viral-Fatigue Connection
I have written in the past about how microbiome problems such as leaky gut syndrome, toxins,poor diet, and stress can be pieces of the puzzle of chronic health issues. I haven't directly addressed another piece of the puzzle until now: the viral connection.
Viruses are often the underlying missing link in triggering many health conditions. Chronic viral infections can wreak havoc on your health months or years later in life.
The viral infections that I see most are actually part of the same family: the herpes family. When most people hear the word herpes they think of the sexually transmitted disease (STD) or cold sores.
There are actually eight identified members of the human herpes virus family so far. This is also the group of viruses that cause chickenpox and shingles! Herpes is one rough family. The member of the herpes family that I see being an underlying factor to chronic fatigue is the Epstein-Barr virus (EBV).
EBV & Mono
Epstein-Barr is the cause of "mono" (mononucleosis), known as the "kissing disease," which causes extreme exhaustion in millions of teenagers and young adults. The name herpes comes from the Greek word herpein or "to creep" and that's exactly what EBV can do. They can stay dormant for years until an opportunity to strike occurs. A stressful life event like a divorce or loss of a loved one, leaky gut syndrome, candida overgrowth, adrenal fatigue, or Lyme disease can all be the perfect time for the sleeping, latent viral infection to rise up and trigger chronic fatigue.
EBV & Chronic Fatigue
A small-scale study1 published in the medical journal PLoS One explored the link between antibodies against Epstein-Barr and chronic fatigue syndrome.
Another 2015 Polish study2 looked at the ability of EBV to "hide" in the thyroid and, once reactivated, stimulate the immune system to attack the thyroid, triggering autoimmune thyroid problems or Hashimoto's disease, which is another common cause of fatigue.
The Mono & Chronic Fatigue Survival Guide
Most of us have these viruses living dormant in our body; the variable is our own genetic tolerance to them and the number of other stressors our body is experiencing. We are all unique with different tolerance to viruses and the other factors I mentioned.
If you are going through mono right now, or chronic fatigue, here are my top tips to reboot your immune system and start the healing process:
1. Run viral labs.
I suggest getting a full viral screen if you have these or other unexplained health problems. Labs are able to tell if there is an active or past infection.
2. Support methylation.
Methylation is a big biochemical superhighway that makes for a strong immune system. Studies have shown the EBV messes up methylation, so those of us who have genetic changes such as MTHFR mutations and other methylation impairments can't necessarily handle as much as someone who doesn't.
Support methylation with activated B vitamins and foods rich in B vitamins such as green leafy vegetables, onions, garlic, and grass-fed beef and liver.
3. Take quality fish oil.
Research shows that the healthy fats3 EPA and DHA from fish oil decreased EBV from being reactivated.
4. Increase your vitamin D intake.
5. Get your astragalus on.
This root herb is used in traditional Chinese medicine5 to fight off viral infections.
6. Heal your gut.
You can't talk about the immune system without covering where the majority of your immune system resides: your microbiome. A study published in the Journal of Nuclear Medicine found an increase in symptoms of fatigue and depression6 with an increase in bacterial endotoxins found in leaky gut syndrome.
I recommend having labs done to evaluate your gut health in the context of chronic fatigue. Endotoxins will raise immune labs, such as white blood cell count and inflammatory proteins such as C-reactive protein and IL-6.
7. Make your life a detox.
Bring detoxing foods into your daily diet. Garlic, cilantro, parsley, spirulina, and sage are some of my favorites. You can use them in smoothies, on salads, or with your meals. Try rotating these foods throughout your week for comprehensive detox support.
8. Calm stress levels and increase rejuvenating sleep.
Emotional suppression, psychological stress, and a lack of sleep are linked in the medical literature to a reactivation of EBV.
Start and end your day with mindfulness meditations—apps such as Headspace and Calm are great tools to try.
9. Address any nutrient deficiencies.
Get labs to check your nutrient levels. If you don't already, focus on eating a clean diet with a wide variety of nutrient-dense whole foods such as vegetables, fruits, organic meats, and healthy fats.
10. Try olive leaf to fight viral infection.
The extract from olive leaf11 has been shown to have antiviral capabilities.
11. Consider ashwagandha.
Research published in the Journal of Ethnopharmacology saw this adaptogenic herb12 increased helpful immune cells. Cortisol spikes have been shown to trigger a reactivation of EBV, and ashwagandha also has a balancing effect on the main stress hormone.
12. Boost up your C.
13. Give your immune system some TLC with larrea tridentata.
Try to say larrea tridentata three times fast! This traditional Native American medicine is known as the ancient antiviral antidote of the desert.
14. Get a functional medicine perspective on your case.
Navigating viral chronic fatigue can be overwhelming. Finding a qualified functional medicine practitioner to put the pieces of your health journey together can be invaluable to your health and well-being—it often takes more than one shot to get to the root of it, but a functional medicine doctor will look at your lifestyle holistically rather than simply your symptoms.
Will Cole, IFMCP, DNM, D.C., is a leading functional medicine expert who consults people around the globe, starting one of the first functional medicine telehealth centers in the world. Named one of the top 50 functional and integrative doctors in the nation, Dr. Will Cole provides a functional medicine approach for thyroid issues, autoimmune conditions, hormonal imbalances, digestive disorders, and brain problems. He is the host of the popular The Art Of Being Well podcast and the New York Times bestselling author of Intuitive Fasting, Ketotarian,The Inflammation Spectrum, and Gut Feelings.
More from the author:
Functional Nutrition Training
Check out Functional Nutrition Coaching
A cutting-edge nutrition deep dive taught by 20+ top health & wellness experts
Learn moreMore from the author:
Functional Nutrition Training
Check out Functional Nutrition Coaching
A cutting-edge nutrition deep dive taught by 20+ top health & wellness experts
Learn moreWill Cole, IFMCP, DNM, D.C., is a leading functional medicine expert who consults people around the globe, starting one of the first functional medicine telehealth centers in the world. Named one of the top 50 functional and integrative doctors in the nation, Dr. Will Cole provides a functional medicine approach for thyroid issues, autoimmune conditions, hormonal imbalances, digestive disorders, and brain problems. He is the host of the popular The Art Of Being Well podcast and the New York Times bestselling author of Intuitive Fasting, Ketotarian,The Inflammation Spectrum, and Gut Feelings.
13 Sources
- https://www.ncbi.nlm.nih.gov/pubmed/23155374
- https://www.ncbi.nlm.nih.gov/pubmed/25931043
- https://www.ncbi.nlm.nih.gov/pubmed/15036655
- https://www.ncbi.nlm.nih.gov/pubmed/27325604
- https://www.ncbi.nlm.nih.gov/pubmed/22077226
- https://www.ncbi.nlm.nih.gov/pubmed/22414635
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3705282/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481032/
- https://www.ncbi.nlm.nih.gov/pubmed/21735448
- https://www.ncbi.nlm.nih.gov/pubmed/23846901
- https://www.ncbi.nlm.nih.gov/pubmed/15869811
- https://www.ncbi.nlm.nih.gov/pubmed/16603328
- https://www.ncbi.nlm.nih.gov/pubmed/24793092
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