This is lengthy 17 pages if you print it out, but interesting from the natural cures website. Chronic Fatigue Syndrome Overview Practitioners of natural medicine recognized chronic fatigue syndrome, or CFS (also known as chronic fatigue immune dysfunction syndrome, or CFIDS), as a valid disease many years prior to CFS being accepted by practitioners of conventional medicine as an actual medical condition. Not surprisingly, alternative health care practitioners have also achieved a much higher success rate in treating and reversing CFS, compared to conventional doctors, whose success is usually much more limited. CFS, which is characterized by severe, debilitating fatigue and muscle pain, was once considered to be a condition that most commonly affected Caucasians their 30s and 40s, is now recognized as an illness that can affect men and women of all ages and ethnic backgrounds, although the National Institutes of Health (NIH) still maintains that CFS predominantly affects white, middle-class people, more than two-thirds of whom are women. It is estimated that 3 million Americans suffer from CFS and as many as 90 million people worldwide. Diagnosing Chronic Fatigue Syndrome Compounding the difficulties in treating CFS is the fact that no standard medical tests exist to detect it. This leads to CFS often being undiagnosed mistaken as other health conditions. Adding further to the problem is that other types of fatigue syndrome can also be mistaken for chronic fatigue syndrome. These include fatigue that is caused by diminished adrenal gland function, allergies (both food and environmental), anemia, candidiasis, chronic ill health, depression, diabetes, headaches, hypoglycemia, hyperthyroidism, hypothyroidism, infections, nutritional imbalances, obesity, premenstrual syndrome (PMS), sleep problems, and toxicity in the body's various organs. To properly screen for CFS, holistic health practitioners employ a detailed medical history and physical examination, along with laboratory tests for various infection agents, especially viruses. Hormone tests can also be used, especially to test cortisol levels, which tend to be chronically low in CFS patients and to also decline after physical activity and exercise, unlike in healthy people. Monitoring brain circulation after exercise and physical activity is another test health care practitioners use, because brain circulation diminishes in CFS patients following such activities, again unlike what occurs when healthy people are physically active. Crimson Crescents: Thanks to a discovery by Burke A. Cunha, M.D., Chief of the Infectious Disease Division of Winthrop-University Hospital, in Mineola, New York, health care practitioners now know that arch-shaped, bright red marks in the back of the mouth, shaped in the form of what Dr. Cunha calls "crimson crescents," can be a strong indicator of chronic fatigue syndrome. Usually the markings occur near the back molars, and they tend to deepen in color as CFS becomes more severe. According to Dr. Cunha, the crescents are present in a high percentage of all CFS patients, only appearing in less than five percent of non-CFS patients with sore throats, and not at all in cases of mononucleosis or strep throat. For this reason, Dr. Cunha and other regard the red markings as a tell-tale sign of CFS. An Immunological Test for CFS: An immunological test developed by Jay Levy, M.D., of the Division of Hematology and Oncology at the University of California at San Francisco, can also help health care practitioners determine if their patients suffer from CFS as opposed to conditions with similar symptoms, including lupus, depression, acute viral illnesses, depression, lupus, and prolonged fatigue that doesn't match other CFS criteria. Although the test is incapable of making a definitive diagnosis of CFS, according to Dr. Levy, it can serve as a useful tool to identify patients who most likely have CFS so that they can then receive additional tests. When conducting the test, physicians examine whether or not their patients' immune system are in a constant state of over-activity of the immune system's CD8 cells, with a corresponding reduction in the activity of CD8 suppressor cells. According to Dr. Levy, this is a sign of chronic fatigue syndrome 90 percent of the time. Other Tests for CFS: Holistic health practitioners employ a variety of other tests to screen for CFS. These include darkfield microscopy and electrodermal screening (EDS), both of which are typically not used by conventional doctors. Darkfield microscopy involves the use of a darkfield microscope. Unlike traditional microscopes, a darkfield microscope is specially adapted to be able to examine live blood cells that are then magnified onto a video screen. This allows physicians trained in this diagnostic technique to detect evidence of illness via distortions in the walls of the blood cells, and to spot harmful microorganisms, including bacteria, fungi, and viruses in the bloodstream, where they do not belong. Such microorganisms are commonly found in the bloodstream of CFS patients. Electrodermal screening (EDS) is a noninvasive diagnostic technique that measures the electrical output of specific points on the hands, face, or feet that correlate to acupuncture meridian points at the beginning or end of energy meridians. The electrical signals given off at these points provides information about the health status of the body's organs and organ systems, and can also be used to detect the presence of toxins, energy and hormonal imbalances, and harmful microorganisms. In the hands of a highly skilled EDS practitioner, EDS can often detect evidence of CFS, even when other sophisticated testing methods fail to do so because of the fact that both health and disease are first and foremost the results of balanced or imbalanced energy. Other tests that can be used to screen for CFS include digestive function tests, stool and urine analyses, immune system tests (T and B Cell Panel, NK Cell Function, Sedimentation Rate), thyroid function tests, tests that screen for nutritional deficiencies or toxins, and stress tests. Symptoms of Chronic Fatigue Syndrome The most common symptom of chronic fatigue syndrome is a constant state of pronounced fatigue that does not improve with rest or sleep, and which is made worse by even minor activity. This is usually accompanied by muscle or joint pain, and muscle weakness. Additional symptoms of CFS can include allergic reactions, anxiety attacks, breathing problems, depression, digestion problems, dizziness, headache, heightened sensitivity to cold and heat as well as light and sound, irregular heartbeat, low grade fever, memory problems, night sweats, rash, recurring infections, and swollen lymph glands. According to the Center for Disease Control and Prevention (CDC), for a person to be diagnosed with CFS, he or she must exhibit new, unexplained, and persistent fatigue that is not due to physical activity, does not improve with rest or sleep, and significantly reduces his or her normal daily activities. In addition, he or she must also exhibit four or more of the following symptoms for a minimum of six months: concentration and memory problems, fatigue after physical activity that lasts 24 hours or more, headache, muscle pain, multiple joint pain, sore throat, and/or swollen or tender lymph nodes in the neck or armpits. The severity of CFS symptoms can fluctuate from day to day or from week to week. In addition, symptoms can be intermittent, with the person feeling reasonably healthy for a short period between lapses of extreme fatigue. Causes of Chronic Fatigue Syndrome There is no single cause for chronic fatigue syndrome. Holistic health practitioners believe that CFS has multiple causes that can be interrelated, such as more than one viral infection acting together to depress immune function. Bacterial infections, fungal and yeast overgrowth, such as candidiasis and parasites can also be factors in CFS, as can various other factors. The most common factors include: addictions to alcohol, drugs, and/or smoking; chemical and environmental toxin exposure or overload; chronic low-grade hyperventilation and/or muscle tension; poor diet and nutritional imbalances; lifestyle factors, such as lack of exercise and sleep; hereditary factors; and hormonal dysfunctions, particularly of the adrenal and/or thyroid glands. Therefore, to seek out a single cause of CFS, which is the typical approach taken by conventional physicians is misguided. Among the most significant and often overlooked causes of CFS are: Dental Factors: CFS can often be caused and exacerbated by mercury amalgam fillings in the teeth, which can result in mercury being leeched from the fillings in the form of vapors that then settle in and negatively impact various organs in the body. The end result is mercury poisoning. Common symptoms of mercury poisoning from dental amalgams include anxiety, confusion, depression, difficulties in concentrating, and irritability, all of which are also associated with CFS. Lyme Disease: Lyme disease, which is caused by Borrelia burgdorferi, a highly infectious microorganism known as a spirochete, can cause many debilitating health symptoms, including chronic fatigue. Although commonly thought to initially manifest as a "bull's eye" shaped skin rash, more than 50 percent of people who are infected by Lyme disease never exhibit such a rash, and therefore may not realize that they are suffering from the disease. Symptoms of Lyme disease range from skin lesions or rashes, flu-like symptoms, sleeping problems, muscle pains and weakness, to headaches, back pain, fever, chills, nausea, vomiting, facial paralysis, and enlarged lymph glands or spleen. Other symptoms including heart arrhythmia, seizures, blurry vision, mood swings, memory loss, dementia, and joint pains and inflammation. Another common symptom is ongoing fatigue that is not relieved by rest. All of these symptoms are also common to CFS. Therefore it is quite common for both conditions to be mistaken for each other, making accurate diagnosis of either condition more problematic. If, after undergoing a comprehensive treatment plan for CFS, you still have not found relief of your symptoms, the possibility that you have Lyme disease should be seriously considered. Pharmaceutical Drug Use: According to the Physicians' Desk Reference, the following drugs can cause symptoms that are common to CFS: Accutane Capsules, Actimmune, Anafranil Capsules, Aredia for Injection, Cardura Tablets, Cartrol Tablets, Centrax Capsules, Cordarone Tablets, Dantrium Capsules, Depo-Provera Contraceptive Injection, Epogen for Injection, Fludara for Injection, Foscavir Injection, Hylorel Tablets, Hytrin Tablets, Intron A, Lariam Tablets, Leucovorin Calcium for Injection, Lopressor, Lozol Tablets, Marplan Tablets, Mesnex Injection, NebuPent for Inhalation Solution, Neupogen for Injection, Nipent for Injection, Normodyne, Norpace Capsules, Parlodel,, Procardia XL Extended Release Tablets, Procrit for Injection, Proleukin for Injection, Prozac, Roferon-A Injection, Sectral Capsules, Seldane Tablets, Supprelin Injection, Tambocor Tablets, Tegison Capsules, Tenex Tablets, Tenoretic Tablets, Tenormin Tablets and I.V. Injection, Toprol XL Tablets, Trandate Injection, Valrelease Capsules, Wellbutrin, Xanax, and Zoloft. Psychological Factors: Unresolved emotions, such as anxiety, depression, fear, and sorrow, as well as prolonged stress, can also play a role in chronic fatigue syndrome. Such psychological factors diminish immune function, making it easier for invading microorganisms to take hold in the body and cause fatigue. In addition, having CFS can cause a spiral of negative emotions because of how CFS interferes with people's abilities to engage in normal daily activities due to lack of energy. This can set a vicious cycle in motion where CFS causing immune-lowering emotions which in turn increase levels of fatigue. Helping CFS patients cope with such unresolved emotions and stress is an important aspect of a comprehensive treatment program for CFS. Thyroid Imbalances: A significant and often undiagnosed cause of CFS is an under-active thyroid gland, or hypothyroidism. The thyroid gland is part of your body's endocrine system, and it plays an important role in regulating your body's cells, organs, and tissues, including keeping them supplied with sufficient energy. Proper thyroid function is also essential for a healthy immune system, as well as for many other functions performed by your body. When thyroid function becomes imbalanced, it can potentially affect the health of every part of your body, resulting in a progressive increase in fatigue, as well as many of the other symptoms common to CFS. Supplementing with natural thyroid hormones and improving the diet can usually quickly and safely alleviate this problem. Unfortunately, this is a frequently overlooked issue and conventional physicians may not take the time to assess their patient's thyroid health, and even when they do, they often rely on blood tests that fail to accurately determine the true status of thyroid activity. To determine if your thyroid is under-active, you can perform this simple home test. Before you go to bed, set out a thermometer beside your bed. When you awake the next morning, before you get out of bed or engage in any activity, place the thermometer under your left armpit for ten minutes, and then note your body's temperature. Do this four consecutive days. If your body temperature is consistently below 97.8 degrees Fahrenheit during this time, it is a strong indicator that you suffer from hypothyroidism. Electro dermal testing, Live blood cell testing as well as some of the newer blood and urine tests now available can be utilized to confirm the temperature testing if this is a strong indicator. Viral and Other Infections: Though no single virus or other pathogen is known to be the sole cause of CFS, there is no question that viral overload and/or infections from other microorganisms plays a central role in its development. Among the most frequent viruses found in CFS patients are the herpes family of viruses, which, in addition to the oral and genital herpes strains, also includes human herpes virus-6 (HHV6) and the Epstein-Barr virus (EBV); cytomegalovirus (CMV); retroviruses, including HIV; and the enteroviruses, such as Coxsackie. Other infectious microorganisms commonly associated with CFS include fungi, especially Candida albicans, the fungal yeast that causes candidiasis, parasitic infections, and bacterial infections, such Lyme disease and bacteria that spread throughout the body due to abscesses in the jaw or teeth, and from chronic conditions such as gastritis, prostatitis, and sinusitis. The key to effectively dealing with such infections lies is improving overall immune function, which is a central element of the comprehensive CFS treatments employed by holistic physicians. -------------------------------------------------------------------------------- Natural Cures Proper treatment of CFS requires an ongoing, comprehensive treatment program that addresses all possible underlying causes of the disease. This is in stark contrast to the approach taken by conventional physicians, who rely solely on the use of pharmaceutical drugs to treat chronic fatigue syndrome. Not only are such drugs rarely effective for CFS, they suppress the immune system, are very expensive and frequently cause serious side effects, including the very symptoms of CFS that are being treated. In order to most effectively treat CFS, holistic health care practitioners seek to create a treatment program that most effectively matches their patients' unique needs in order that they can be sure they are addressing the causes specific to each patient's condition. In doing so, they will most commonly employ the following natural cures. Acupuncture and Traditional Chinese Medicine (TCM): Acupuncture is very useful for treating CFS because of its ability to stimulate the immune system and bring your body's other organ systems into balance so that they work together more effectively. Acupuncture can also dramatically improve your body's ability to manufacture adenosine triphosphate (ATP), which act as the cell's energy factories and are essential for healthy immune response. Acupuncturists accomplish this by removing blockages in the body's energetic pathways, known as meridians, so that qi, a form of vital energy, can freely flow throughout all of the body's organ systems to restore imbalances and enhance overall productivity by the cells and organs. In addition to acupuncture treatments alone, traditional Chinese herbs such as ginseng, which is a known immune stimulant, and astragalus, an adaptogenic herb that helps bring organs systems into balance, might also be employed to achieve quicker and longer-lasting results. In addition to improving immune function, such herbs, when used in appropriate combinations, create a synergistic effect that normalizes and then regulates the body. According to acupuncture therapy, acupuncture acts to reprogram the body to function the way that nature intended, and herbs ensure that the reprogramming is properly maintained. Ayurvedic Medicine: Ayurvedic practitioners treat CFS by seeking to improve a patient's overall digestion while simultaneously reducing the body's toxic load and eliminating allergies. To improve digestive health, the herbs amla, ashwagandha, bala, lomatium, and triphala are commonly used, in addition to dietary recommendations based on the patient's specific dosha, an Ayurvedic concept that closely corresponds to the Western concept of metabolic typing. According to Ayruvedic physicians, people whose body type is known as vata are most susceptible to CFS. Vata types tend to be thin, have prominent features, and cool, dry skin, and are usually creative and imaginative, as well as hyperactive and, at times, moody. Ayurvedic physicians help their patients detoxify through a detoxification and purification program known as panchakarma, which is not only highly effective in reducing toxins in the body, but also for eliminating unhealthy yeast and other types of fungus. Panchakarma programs also greatly reduce a person's tendency towards allergic reactions while improving overall health. Note: Panchakarma programs, which entail dietary modification in conjunction with detoxifying measures, should only be undertaken under the supervision of a qualified Ayurvedic practitioner. Detoxification: Detoxification therapies are also often employed by other holistic physicians in order to reduce the toxic burden of their CFS patients. Detoxification strategies can range from water and juice fasts, colonics, enemas, saunas, and steam baths. For more information about how to detoxify your body, see Cleansing and Detoxification. Diet: Proper diet is essential for effectively dealing with CFS. This means eating only foods that support your immune system, and avoiding all foods that tax your energy and impair healthy digestion. Emphasize fresh, organic fruits and vegetables, especially dark, leafy greens, and select servings of healthy protein in the form of organic, free-range meats and poultry and wild caught fish that are low in mercury. Avoid all farm-raised fish, because they are high in antibiotics and dyes, and shellfish, which have a higher concentration of mercury and other toxins than other types of fish. For sustained energy, also include complex carbohydrates in the form of whole grains, legumes, red potatoes, squash, and yams, but limit your overall carbohydrate intake to 30 percent of the foods you eat at each meal. Also be sure to consume adequate amounts of foods that are rich in essential fatty acids, such as sardines, and healthy oils, such extra virgin olive oil, flaxseed, and especially coconut butter/oil, which is also the best choice for stabilizing the thyroid gland. In addition, drink at least half an ounce of pure, filtered water for every pound you weight. Avoid all foods to which you are allergic or sensitive. Suspect allergy-causing foods include milk and dairy products, chocolate, corn, and wheat and wheat products. In addition, eliminate all "junk" and commercially processed foods, sodas, commercially prepared juices, all sugars and simple, refined carbohydrates, and minimize your intake of alcohol and caffeine. If you have CFS and also suffer from candiasis, follow the dietary recommendations for candidiasis, including avoiding all fruits, except berries, green apples and grapefruit. Consider trying the Whole Foods Diet. Herbs: Rather than self diagnose, we strongly urge you to see a qualified herbalist who will design a customized herbal program for you. Often times alternative medical doctors will work in conjunction with an herbalist, communicating key points in your case to help the entire program synergize with a diet and supplement plan. This list highlights some of the key herbs used in healing CFS. For improved adrenal function: ginseng, licorice, and wild yam. To help relieve allergic responses: chamomile and milk thistle. To cope with anxiety and depression: chamomile, hops, oatstraw, passionflower, St. John's wort, and valerian root. To improve digestion: astragalus, cayenne, chamomile, dandelion, ginger, goldenseal, and licorice. For increased energy levels: oatstraw, Panax ginseng, Siberian ginseng, and suma. To help combat infection: Echinacea, garlic, goldenseal, grapefruit seed extract, licorice, myrrh, olive leaf extract, St. John's wort, and yarrow root. To boost immune function: aloe vera, astragalus, Echinacea, ginger, larch tree extract, maitake mushroom, nettle, noni, and Panax ginseng. Alleviate joint and muscle pain: cayenne, chamomile, nettle, and valerian root. Improvement of mental function: ginkgo biloba, Panax ginseng, and periwinkle. To improve sleep: chamomile, hops, passionflower, St. John's wort, skullcap, and valerian root. Note: While herbal remedies can often help to significantly improve CFS symptoms in as little as four to six weeks, response time can vary depending on the severity of the condition and whether other health complications are present, sometimes causing treatment to span 12-36 months. Hydrotherapy: Hydrotherapy is the application of water, ice, steam and hot and cold temperatures to maintain and restore health. Treatments include full body immersion, steam baths, saunas, sitz baths, colonic irrigation and the application of hot and/or cold compresses. Hydrotherapy is effective for treating a wide range of conditions and can easily be used in the home as part of a self-care program. Many Naturopathic Physicians, Physical Therapists and Day Spas use Hydrotherapy as part of treatment. We suggest several at-home hydrotherapy treatments. Please seek the advice of your alternative health care practitioner before undergoing these procedures to make sure they are appropriate for you. Hyperthermia: Hyperthermia involves artificially creating fever in the body for the purpose of boosting immune function. Hyperthermia can be a highly effective method of eliminating toxins and heavy metals, as well as infectious bacteria and viruses that cannot survive in elevated body temperatures. We suggest several at-home hyperthermia treatments. Please seek the advice of your alternative health care practitioner before undergoing these sweat-inducing procedures to make sure they are appropriate for you. *Purified water is essential for any hydrotherapy and hyperthermia treatment. The section Remedies for Treating Chlorinated Bath Water offers clear instructions and recommendations. Improving Thyroid Function: If your condition is caused or exacerbated by low thyroid function, thyroid gland extracts or natural hormone replacement therapy can help to quickly reverse hypothyroidism. Eating foods rich in iodine, especially seaweed, can also be helpful. Juice Therapy: Wheatgrass juice can help boost immune function and improve overall energy levels. Nutritional Supplementation: Nutritional supplements are essential for recovery from CFS. At a minimum, you should take a daily multivitamin/mineral supplement that is food-based and which contains all essential trace minerals. Food-based supplements are far more absorbable by the human body, compared to synthetic brands. Specific nutrients for CFS include beta carotene, B complex vitamins plus vitamin B12 and pantothenic acid, vitamin C, coenzyme Q10 (CoQ10), magnesium, potassium, and zinc. Two other useful nutrients are germanium and nicotinamide adenine dinucleotide (NADH). Germanium improves the ability of oxygen delivery to the cells and stimulates production of proteins created by white blood cells known as interferons, which can significantly inhibit the spread and negative health effectives of viruses. NADH is contained in foods. When taken as a supplement, it improves the cells' ability to food and other nutrients into energy. Essential fatty acids (EFAs) are also important for dealing with CFS because of their ability to help your body regulate functions such as digestion and immunity. EFAs are also vital for cardiovascular health and for the health of the reproductive organs. Excellent sources of EFAs include fish oils, flaxseed oil, and evening primrose oil. In addition to the above nutrients, to further enhance you energy levels, consider supplementing with adrenal, thymus, and thyroid extracts, taking one to two tablets of each three times a day. In some cases of CFS, people can be so debilitated that oral supplementation of nutrients alone may not be enough to deal with all of the problems and symptoms CFS can cause. For this reason, holistic health practitioners may choose to administer nutrients intravenously. This is especially true of vitamins and minerals. Gamma globulin and Kutapressin administered intramuscularly can also be effective. Gamma globulin is a blood extract that contains antibodies that fight viral infections, while Kutapressin is derived from the liver and can significantly enhance immune function. Both substances are only available from physicians and must be administered professionally. Transfer Factor: In recent years, holistic health practitioners have begun using substances known as transfer factors to boost immune function. Transfer factors are extremely small proteins that act as messengers within the immune system that ensure that appropriate immune response occurs when your body is being invaded by harmful pathogens. Transfer factors achieve this by "educating" the immune system's white blood cells to recognize and attack harmful foreign substances in your body. They also ensure that the immune system does not attack other body cells, tissues, and organs, which is what happens in cases of autoimmune disease. Transfer factors can be derived from the blood or from colostrums, the substance in breast milk that enhances the immune system of newborn babies, strengthening their resistance to infection and disease. It has been shown to be highly effective in resolving health issues related to Epstein-Barr virus and human herpes virus-6, both of which are frequently involved in CFS. Alternative Professional Care The following therapies can also be effective for dealing with chronic fatigue syndrome: Applied Kinesiology, Biological (Holistic) Dentistry, Bodywork such as Lymphatic massage, Feldenkrais Method, and Therapeutic Touch, Chelation Therapy, Chiropractic, Environmental Medicine, Enzyme Therapy, Flower Essences, Magnetic Field Therapy, Nambudripad Allergy Elimination Technique (NAET), and Oxygen Therapy, which includes Hydrogen peroxide therapy and ozone therapy. (See Glossary for descriptions of these Alternative Therapies.) -------------------------------------------------------------------------------- Quick Action Plan for CFS An essential first step in dealing with CFS is a healthy diet. Emphasize fresh, organic vegetables at every meal, along with organic, free-range meats, poultry, or wild caught fish and complex grains and other carbohydrates, such as legumes, red potatoes, squash or yams. Also be sure to drink plenty of pure, filtered water throughout the day, and to obtain an adequate supply of foods rich in essential fatty acids, such as sardines, raw nuts and seeds and organic flax, virgin coconut and extra virgin olive oils. Have yourself checked for food allergies and avoid all foods to which you are allergic or sensitive. Also eliminate all sugars and simple carbohydrates, as well as all commercially processed foods, and sodas, and minimize you intake of coffee and alcohol. Supplement with a food-based multivitamin/multimineral formula, as well as beta carotene B complex vitamins plus vitamin B12 and pantothenic acid, vitamin C, coenzyme Q10 (CoQ10), magnesium, potassium, and zinc. For additional benefit, also consider essential fatty acid supplements, such as fish oils and evening primrose oil; germanium; NADH; and adrenal, thymus, and thyroid extracts. Herbal remedies can also be helpful. Among the most effective herbs for CFS are aloe vera, astragalus, echinacea, garlic, goldenseal, grapefruit seed extract, larch tree extract, licorice, lomatium, maitake mushroom, myrrh, noni, nettle, oatstraw, olive leaf extract, Panax ginseng, Panax ginseng, Siberian ginseng, St. John's wort, suma, and yarrow root. Hyperthermia, or artificially induced fever, can also provide significant benefits for CFS. To use hyperthermia at home, heat bath water to a high a temperature as you can tolerate, then soak in the bath for five to ten minutes while sipping warm water to which 2,000 mg of vitamin C has been added. As soon as you get out of the bath, dry yourself quickly, then get into bed and cover yourself with blankets. Women should place a hot water bottle below their breasts, while men should place it over the liver, which is located on the right side of the body, just below the rib cage. Remain under the covers for 20 to 30 minutes. Repeat this procedure three times a day. An alternative method is a far-infrared sauna. Once again, this must be in conjunction with a complete healing program, best over seen by an alternative Dr. Remember that CFS is not caused by a single factor, but the end result of multiple causes working in conjunction with each other to severely diminish health. In order to effectively treat and recover from CFS, a comprehensive treatment approach is necessary and should be undertaken under the guidance and supervision of a trained holistic health specialist.