Maladaptive avoidance can complicate and perpetuate many post-viral states. Management CBT plus graded activity. Characteristics Unexplained fatigue, pain, and various other symptoms. Associations Depends on primary diagnosis, e.g. fibromyalgia patients will report more pain than other CFS patients. Individuals with SD or their relatives may admit to 'gains' associated with ill health.
Management Depends on primary diagnosis.
Vitamin D deficiency Definition Symptoms which are caused by vitamin D deficiency and which are alleviated when taking the appropriate supplements. Intolerance to alcohol. Food sensitivities Definition Symptoms which disappear while avoiding certain foods. Nutritional deficiencies and stress, hence may be secondary to any of the above. Having one of the above does not make an individual immune to other fatigue states.