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In this video, we dive into the essential tests and evaluations you should consider if you're dealing with Chronic Fatigue Syndrome (CFS). We'll explore the various diagnostic tools and medical exams that can help identify underlying issues and rule out other conditions.

When diagnosing Chronic Fatigue Syndrome (CFS), it is important to rule out other potential illnesses that may have similar symptoms. Here are some basic tests that healthcare professionals commonly recommend to rule out other major illnesses, alongside a few additional tests that may be considered based on individual cases:

1. Complete Blood Count (CBC)
Purpose: To check for infections, anemia, or immune system issues.
Why: Fatigue can be caused by low red blood cells (anemia) or abnormal white blood cell counts (infection).
2. Thyroid Function Tests (TFTs)
Purpose: To evaluate the levels of thyroid hormones.
Why: Hypothyroidism or hyperthyroidism can cause fatigue, weight changes, and other symptoms similar to CFS.
3. Liver Function Tests (LFTs)
Purpose: To assess the health of the liver.
Why: Liver diseases can cause fatigue and other systemic issues.
4. Kidney Function Tests (e.g., Blood Urea Nitrogen (BUN), Creatinine)
Purpose: To assess how well the kidneys are working.
Why: Kidney dysfunction can result in fatigue and other systemic symptoms.
5. Electrolyte Panel
Purpose: To measure levels of sodium, potassium, calcium, and other key minerals.
Why: Imbalances can cause symptoms like fatigue, weakness, and confusion.
6. Blood Glucose Test
Purpose: To check blood sugar levels.
Why: Diabetes or hypoglycemia can cause fatigue, weakness, and other symptoms that overlap with CFS.
7. Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP)
Purpose: To check for inflammation or infection.
Why: These tests can help rule out autoimmune conditions, infections, or other inflammatory diseases.
8. Vitamin B12 and Folate Levels
Purpose: To check for vitamin deficiencies.
Why: Deficiencies in B12 or folate can cause severe fatigue, neurological symptoms, and cognitive issues.
9. Iron Studies (Ferritin, Transferrin, Iron levels)
Purpose: To check for iron deficiency or iron overload.
Why: Iron deficiency can cause anemia, leading to chronic fatigue.
10. Vitamin D Levels
Purpose: To evaluate vitamin D levels.
Why: Low vitamin D is associated with fatigue and muscle weakness.
15. Adrenal Function Tests (e.g., Cortisol, ACTH Stimulation Test)
Purpose: To check for adrenal insufficiency (Addison’s disease) or adrenal fatigue.
Why: Low cortisol levels can cause fatigue and weakness.
16. Infection Screening
Tests: Epstein-Barr Virus (EBV), Cytomegalovirus (CMV), HIV, Hepatitis panel.
Purpose: To rule out infectious causes of chronic fatigue.
Why: Viral infections, especially post-viral syndromes, are common in cases of unexplained fatigue.
17. Cardiac Testing (e.g., ECG, Echocardiogram)
Purpose: To assess heart function.
Why: Cardiovascular conditions like heart failure or arrhythmias can cause fatigue and should be ruled out.
18. Neurological Examination (e.g., MRI, EEG)
Purpose: To check for neurological conditions like multiple sclerosis.
Why: Neurological diseases can cause fatigue, cognitive impairment, and motor dysfunction.
19. Hormonal Panel
Tests: Sex hormones (e.g., estrogen, testosterone), Cortisol, DHEA.
Purpose: To evaluate hormone imbalances.
Why: Hormonal issues can cause symptoms like fatigue, depression, and muscle weakness.
20. Allergy Tests
Purpose: To rule out food or environmental allergies causing fatigue.
Why: Chronic allergies can drain energy and mimic CFS-like symptoms.

Typically you will do most (not all) of these at a hospital / emergency room visit.

If you’re seeking clarity on the best steps to take for accurate diagnosis and effective management of your symptoms, this video is a must-watch.



0:00 Introduction: The Problem with Long COVID Clinics
3:45 Why Graded Exercise Therapy Often Backfires
7:20 The Importance of Testing and Ruling Out Other Health Issues
12:00 Recognizing a Hypersensitive Nervous System Issue
15:00 Finding the Right Recovery Approach



Tags:
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