This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognizing you when you return to our website and helping our team to understand which sections of the website you find most interesting. We do not share any your subscription information with third parties. It is used solely to send you notifications about site content occasionally.

chronic fatigue syndrome

  • Are you literally running on empty after the holidays? It’s not only all those high-fat, high-salt, high-sugar celebratory over-indulgence meals, it’s most likely dehydration.

    Take the Following Facts to Heart, literally:

    Your body is composed of roughly 69 percent water. When you become even mildly dehydrated (even losing as little as two percent of water) here’s what can happen…

    1. Mood swings unrelated to other extenuating circumstances.
    2. Decreased energy levels and inability to rejuvenate stamina.
    3. Cognitive function decreases (brain-fog for example).

    The following conditions are caused or accelerated by dehydration and most people do not consider the consequences…

    • Diabetics and especially those who are not yet aware they are clinically diabetic. As blood sugar levels rise, your body attempts to eliminate excess glucose through increased urine output—causing more dehydration.
    • That female monthly menstrual cycle influences levels of body fluids, estrogen and progesterone swing up-anddown, making hydration even more important. For women who experience heavy periods, it’s not only blood they lose; it’s water as well.
    • If you must take prescription medications, be sure and check the list of side-effects before taking. Many meds actually have a diuretic effect—increased urine output puts you at higher risk of dehydration.
    • That fight-or-flight response of stress causes your adrenal glands to pump out stress hormones and can lead to chronic adrenal burnout. What most people don’t consider is that the adrenals also produce a hormone called aldosterone, which is responsible in regulating the body’s fluid and electrolyte levels. When chronic adrenal fatigue is present, the body’s production of aldosterone drops—triggering dehydration and low electrolyte levels. Keep in mind that electrolytes are the body’s “electrical system” so it’s no wonder messages get crossed or don’t communicate like in decreased cognitive function (brain-fog).
    • Irritable bowel syndrome (IBS) is a very challenging condition because its symptoms include nausea and chronic diarrhea—causing even more dehydration.

    The Way I See It…
    Hydration is SO easy and readily available…why would you deprive your body of a simple “fuel” to keep it running at optimum health and speed? The old excuse, “I don’t have time to drink all THAT water” is just that, an excuse, not a reason. Trick yourself anyway that works into drinking more water or herbal teas.

    I fill four quart-sized decanters each morning with water and/or herbal teas. I work very long hours and by the end of the day, my decanters are empty. However, the trick for me is to drink out of a “fat” straw. My sipper cup has a fat straw inserted and both are made of BPA-free material—no, bpa-free isn’t the total answer but for now at least not as toxic as the soft plastic varieties. I also have a stainless steel water bottle with built-in straw and water filter to avoid buying water in plastic, especially when traveling. When you drink out of a straw, your body craves twice as much water and you consume it with half the amount of effort—try it—it works! Remember that herbal teas and sparkling waters count as water as long as you don’t add anything like sugar. However, you can sweeten tea with a natural no-calorie alternative like Stevia or Lakanto (aka Monk Fruit).

  • Have chronic fatigue syndrome, fibromyalgia, or even sinusitis or spastic colon? You probably have overgrowth of yeast or Candida. Though poorly understood by most physicians, treating this underlying infection can have profound health benefits!

    There are no definitive tests for yeast overgrowth that will distinguish yeast overgrowth from normal yeast growth in the body. However, if you have ANY of the following conditions you should be treated with anti-fungals:

  • Having had Chronic Fatigue Syndrome (CFS) and Fibromyalgia (FMS), with the medical system having no idea how to help, I understand what you are going through. I also know you can get well!

    I came down with what I call the “Drop Dead Flu” in 1975 while in medical school, which triggered my CFS/FMS. As I was working to pay my own way through school, the illness left me homeless and sleeping in parks in Oklahoma. It is exciting, though, to see how life magically brings us what we need. I met many natural health practitioners while homeless, each of whom taught me bits and pieces of what I needed to learn to get well. And I did!

    After returning to medical school, I have spent the last 30 plus years researching and treating chronic fatigue and chronic pain (especially CFS and fibromyalgia). Our published research shows 91 percent improve using our “S.H.I.N.E. Protocol,” and hundreds of thousands have been helped.

    You can be one of them!
    Let's do it now.

    Ready to Get Well?

    Our study titled “Effective Treatment of CFS and Fibromyalgia” (published in Journal of CFS) showed that 91 percent of patients improved with treatment, with an average improvement in quality of life of 90 percent. Many patients no longer even qualified for the diagnosis of CFS or fibromyalgia after treatment! In support of our work, an editorial in the Journal of the American Academy of Pain Management (the largest multidisciplinary society of pain specialists in the United States) noted, “the comprehensive and aggressive metabolic approaches to treatment detailed in the Teitelbaum study are highly successful approaches and make fibromyalgia a very treatment responsive disorder. The study by Dr. Teitelbaum et al., and years of clinical experience make this approach an excellent and powerfully effective part of the standard of practice for treatment of people who suffer from fibromyalgia and myofascial pain syndrome.” These same principles work wonderfully for optimizing energy in those with day-to-day fatigue.

    What is Causing These Syndromes?
    CFS/FMS acts as a “circuit breaker,” with the hypothalamus decreasing its function to protect the individual in the face of what is perceived to be an overwhelming stress (just like blowing a fuse or circuit breaker in a house). This center controls sleep, hormones, temperature, blood flow, blood pressure and sweating. In addition, if your muscles do not have enough energy, they will get stuck in the shortened position and you’ll be in pain (think rigor mortis). This “energy crisis” can be caused by any of a number of infections, stresses or injuries.

    Five Main Categories of Problems Need to Be Treated—Think “S.H.I.N.E.!”
    These are the five key areas that need to be treated for your “circuit breaker to turn back on” and for fatigue and pain to resolve:

    1. Sleep. Because the hypothalamic “circuit breaker” that is offline controls sleep, most patients need a mix of natural and prescription sleep treatments. For you to get well and pain free, it is critical that you take enough of the correct natural and prescription sleep treatments to get eight to nine hours sleep at night! I recommend starting with natural therapies and supplements.
    2. Hormonal deficiencies.The hypothalamus is the main control center, via the pituitary, for most of the glands in the body. Most of the normal ranges for our blood tests were not developed in the context of hypothalamic suppression or these syndromes. Because of this (and for a number of other reasons) it is usually necessary to treat with natural thyroid, adrenal, and ovarian and testicular hormones — despite normal blood tests! These hormones have been found to be reasonably safe when used in low doses. Low thyroid, which reflects as fatigue, weight gain, cold intolerance and even unexplained infertility, is especially common, and the majority of those who benefit from thyroid have normal lab tests, so treatment trial should be given (using natural thyroid hormones) if symptoms are suggestive.
    3. Infections. Many studies have shown immune system dysfunction in CFS/FMS, which can result in many unusual infections. These include many different viral infections (the recently reported XMRV virus is one of many), parasites and other bowel infections, antibiotic sensitive infections, and, most importantly, fungal/Candida infections.
    4. Nutritional supplementation. Widespread nutritional deficiencies are common, and require dozens of nutrients. I recommend a good daily multivitamin. Ribose supplementation should also be taken as it can powerfully jump-start your energy. In our initial study, ribose increased energy an average of 45 percent in just three weeks. A second, larger study conducted by 81 physicians (currently being prepared for publication) showed an average of over 59 percent increase in energy in those with chronic fatigue and fibromyalgia.
    5. Exercise as able. Do not push to the point of crashing the next day. Start by walking as long as you comfortably can (even if that is only two minutes). After 10 weeks on treatment, start to increase your walks by up to one minute more each day as able. When you are up to an hour of walking, you can increase intensity.
  • Feel Like You Could Use More Energy?
    One of the consequences of our stressful modern life is an increased need for energy. With less sleep and the depletion of nutrients in our food supply, however, it is getting harder and harder for our bodies to keep up.

    There is a lot out there about how competitive athletes can up their energy. Although the approach we’ll discuss below is also excellent for athletes, it was developed, and is outstanding, for the rest of us. Whether you are a mom trying to juggle a fast paced hectic life, a student on a fast food diet, or just trying to optimize your day to day energy, here’s how to get from being fatigued to feeling fantastic!

    Having spent the last 30 plus years specializing in treating chronic fatigue and chronic pain, we have learned about the keys to energy production. As an unexpected fringe benefit, these treatments have also offered enormous benefits to those suffering from heart disease.

    Optimize energy production with the “SHINE Protocol” Ribose (and our overall approach to treating fatigue) has been highlighted by Dr. Oz, “America’s Doctor” on Oprah, in his wonderful new book YOU: Being Beautiful—The Owner’s Manual to Inner and Outer Beauty.

    In addition, our research has shown that severely fatigued people with Chronic Fatigue Syndrome (CFS) and Fibromyalgia can increase their energy by an average of 90 percent (see the published study at www.Vitality101.com) by treating with “SHINE”: Sleep, Hormonal support, Infections, Nutrition and Exercise. For mild fatigue, the physical keys to optimizing energy are Nutrition, Sleep and Exercise, while the emotional key is to start paying attention to what feels good—while letting go of things that don’t.

    How Do I Start?
    Given my hectic schedule as an educator and physician, people often ask me what I do to keep my energy turbo charged. I like to keep it simple, so here is what I do personally. All of the vitamins, minerals and other essential nutrients are important to health, and the American diet is so highly processed that people have widespread deficiencies. Because of this, I like to use vitamins that make supplementation simple.

    Why Ribose—And What Is Ribose?
    Ribose, also called D-Ribose, is the key to your body’s energy production. Ribose is a special, five-carbon sugar (known as a pentose by biochemists) that is found naturally in our bodies. But ribose is not like any other sugar. Sugars we are all familiar with, such as table sugar (sucrose), corn sugar (glucose), milk sugar (lactose), honey (predominantly fructose), and others are used by the body as fuel. These sugars are consumed and, with the help of the oxygen we breathe, are “burned” by the body to recycle energy. Because they are used excessively, they become toxic— acting as energy loan sharks.

    Ribose, on the other hand, is special. When we consume ribose, the body recognizes it is different from other sugars and preserves it for the vital work of actually making the special “energy molecules” (called ATP, NADH, and FADH) that power our hearts, muscles, brains, and every other tissue in the body. These represent the energy currency in your body, and are like the paper that money is printed on. You can have all the fuel you want, but if it cannot be converted to these molecules, it is useless. For years, I talked about the importance of B vitamins, which are a key component of these molecules. These helped improve energy to a degree, but it was clear that a key component was missing. In looking at the biochemistry of these energy molecules, they are also made of two other key components-adenine and ribose. Adenine is plentiful in the body and supplementing with adenine did not help energy production. We then turned our attention to Ribose.

    Ribose is made in your body in a slow, laborious process and cannot be found in food. We knew that severe fatigue and stress causes your body to dump other key energy molecules like acetyl-L-carnitine. We then found that the body did the same with Ribose, making it hard to get your energy furnaces working again even after the other problems were treated.

    This was one of those “Eureka!” moments where things came together. Not having Ribose would be like trying to build a fire without kindling—nothing would happen. We wondered if giving Ribose to people with fatigue and even CFS would jumpstart their energy furnaces. The answer was a resounding yes! Our recently published study (see the study abstract at www. Vitality101.com) showed an average 44.7 percent increase in energy after only three weeks (improvement began at 12 days) and an average overall improvement in quality of life of 30 percent. Two-thirds of the study patients felt they had improved. Usually a 10 percent improvement for a single nutrient is considered excellent. A 44.7 percent increase left us amazed, and I am now recommending Ribose for all of my chronic fatigue, chronic pain and fibromyalgia patients, for athletes, and for any one with fatigue or heart problems. Ribose recently became available (over the counter) to physicians, and is one of the few natural products actually starting with physicians and then moving out into supplement companies and health food stores. It is critical to use the proper dose for the first three weeks, which is five grams (5000 mg) three times a day. It can then be dropped to twice a day (and often even once a day in the morning with the vitamin powder to maintain optimized energy for those that are otherwise healthy).

    Normal, healthy heart and muscle tissue has the capacity to make the ribose it needs. But when we are chronically stressed by life or illness, it helps to have extra ribose to help boost energy production.

    The Scientific Link Between Ribose, Energy, And Fatigue
    Clinical and scientific research has repeatedly shown giving ribose to energy deficient hearts and muscles stimulates energy recovery. Research in Ribose and fatigue began with a case study that was published in the prestigious journal Pharmacotherapy in 2004. This case study told the story of a veterinary surgeon diagnosed with fibromyalgia. For months, this dedicated doctor found herself becoming more and more fatigued, with pain becoming so profound she was finally unable to stand during surgery. As a result, she was forced to all but give up the practice she loved.Upon hearing that a clinical study on ribose in congestive heart failure was underway in the university where she worked, she asked if she could try the ribose to see if it might help her overcome the mind-numbing fatigue she experienced from her disease. After three weeks of ribose therapy she was back in the operating room, practicing normally with no muscle pain or stiffness, and without the fatigue that had kept her bedridden for many months. Being a doctor, she was skeptical, not believing that a simple sugar could have such a dramatic effect on her condition. Within two weeks of stopping the ribose therapy, however, she was out of the operating room and back in bed. So, to again test the theory, she began ribose therapy a second time. The result was similar to her first experience, and she was back doing surgery in days. After yet

    Several of the patients participating in the study have contacted me regarding the relief they found with ribose therapy. Most importantly, they speak to the profound joy they feel when they are able to begin living normal, active lives after sometimes years of fatigue, pain, and suffering. Here is a sample of what one patient, Julie (Minnesota), an elementary teacher, wrote: “I had so much pain and fatigue I thought I was going to have to quit teaching. When I take [ribose], I feel like a huge weight is being lifted from my chest, and I’m ready to take on those kids again!” The relief patients feel with ribose therapy is heartwarming, and goes directly to the dramatic impact ribose has on increasing energy, overcoming fatigue, enhancing exercise tolerance, and raising the patient’s quality of life.


    a third round of stopping (with the return of symptoms) and starting (with the reduction of symptoms) the ribose therapy, she was convinced, and has been on ribose therapy since that time. I found this report intriguing and decided to design a larger study in patients with fibromyalgia or chronic fatigue syndrome which I began to discuss earlier. Our study included 41 patients with a diagnosis of fibromyalgia or chronic fatigue syndrome who were given ribose at a dose of five grams three times per day for three weeks. We found the ribose treatment led to significant improvement in energy levels, sleep patterns, mental clarity, pain intensity, and well being. Of the patients participating in the study, 65.7 percent experienced significant improvement while on ribose, with an average increase in energy of 44.7 percent and overall well being of 30 percent- remarkable results from a single nutrient! The only significant side effects were two people felt too energized and hyper/anxious on the ribose. This is simply dealt with by lowering the dose and/or taking it with food.

    The good news is that we now have a wonderful tool to increase energy naturally. Take five grams of ribose three times per day for three weeks, then twice a day (can be mixed with any liquid or food) for two to three weeks, and then one to two times per day to see what it will do for you. You’ll be amazed!