Understanding the Root Causes of Chronic Fatigue and Myalgic encephalomyelitis (CFS/ME): A Functional Perspective
Overview of Chronic Fatigue and Myalgic encephalomyelitis
As a health coach, one of the most common—and complex—concerns I hear from clients is persistent exhaustion. Chronic fatigue or Myalgic encephalomyelitis (CFS/ME) isn’t just “feeling tired.” It’s a deep, unrelenting energy drain that no amount of sleep seems to fix. From a functional health perspective, this kind of fatigue is often a sign that the body’s energy production system is under strain.
At the core of this issue are the mitochondria—the tiny powerhouses in our cells responsible for generating energy. When these mitochondria are compromised by factors such as poor nutrition, toxin exposure, chronic infections, or long-term stress, energy production suffers. Add in issues like poor sleep quality, nutrient deficiencies (like magnesium, B12, or CoQ10), sluggish thyroid function, or unresolved viral and bacterial infections, and the body simply can't keep up.
In this blog series, we’ll explore how to identify the underlying causes of fatigue and begin restoring energy naturally—by supporting mitochondrial health, reducing toxic load, and rebalancing the body’s core systems, step by step.
Symptoms
As a health coach, I work with many clients experiencing chronic fatigue that goes far beyond everyday tiredness. It’s a complex condition with a wide range of symptoms that affect both body and mind. Understanding these symptoms is the first step. Then, we focus on gentle, practical strategies to support energy, resilience, and daily life.
Common Symptoms of Chronic Fatigue Syndrome
Persistent, unexplained fatigue that doesn’t improve with rest
Unrefreshing sleep, no matter how many hours are slept
Post-exertional malaise (PEM) – worsening of symptoms after activity
Cognitive issues ("brain fog") – poor memory, concentration, and focus
Orthostatic intolerance – dizziness or lightheadedness when standing
Muscle and joint pain without visible inflammation
Headaches that are new, more frequent, or more severe
Sore throat or tender lymph nodes, often without infection
Digestive issues, such as bloating, nausea, or IBS-like symptoms
Sensitivity to light, sound, temperature, or smell
Coaching Support and Solutions
When I work with clients facing chronic fatigue, my goal isn’t to push them harder—it’s to help them listen more closely to what their bodies are telling them. I know how discouraging it can feel to be exhausted all the time, especially when it seems like no one understands. That’s why I focus on gentle, practical strategies that meet you where you are—supporting your energy, easing symptoms, and helping you build a life that feels more manageable and hopeful, one small step at a time.
Pacing and energy management to prevent crashes and flare-ups
Sleep routine support, including wind-down strategies and environment optimization
Gentle movement plans tailored to energy levels
Hydration and blood pressure support for orthostatic symptoms
Mind-body tools to manage stress and reduce nervous system overload
Simple nutrition tweaks to support mitochondrial and gut health
Goal setting and motivation, broken into achievable, flexible steps
Tracking symptoms and patterns to increase body awareness
Emotional support and validation, so clients feel heard and less alone
