The Evaluation and Treatment of Chronic Fatigue Syndrome
The Whole Psychiatry evaluation of chronic fatigue syndrome will involve a careful history, physical and a wide variety of tests, (determined by the history and physical exam), ranging from genetic tests (to determine for example susceptibility to biotoxins, methylation pathways, detoxification pathways), tests of immune function and infection (e.g., NK cell activity, cytokines, CBC, tick borne diseases, viruses), tests of the environment (e.g., mold, chemical exposure), tests of digestive, liver, nutritional and hormonal status, tests of mitochondrial function, neurological tests (e.g., MRI, SPECT, sleep studies, EEG). Based on these test results a treatment plan is initiated.
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