At our center, we try and find out the root cause of the fatigue by studying the patient’s history and by carrying out a comprehensive evaluation involving the following tests: 1. Hidden inhalant and food allergies Fatigue can be caused by food to which you are allergic to. Foods can cause fatigue as far out as 48 to 72 hours after eating, but many patients will notice tiredness 30-60 minutes after eating an allergic food.   2. Hidden Low Thyroid  At times people with “normal” thyroid test results can still suffer from low thyroid functions. Tests like T-3, T-4, and Autoimmune Antibodies are useful. We look at these results and also listen to what the patient has to say and then treat accordingly.   3. Hypoglycemia Studies have proven that about 30 percent of Americans have metabolic syndrome and many suffer from fatigue from glucose dysfunction. Tests to find out the glucose/ sugar levels are carried out if needed.   4. Hyperadrenalism This includes a saliva hormone test to find out the damage of the adrenal gland if any. This damage results in non-refreshing sleep, often causing a person to struggle through the day, be fatigued, have cravings for sugar, salt, coffee, or tea to stimulate him/ herself, and dizziness when getting out of bed or chair. 5. Tests for Vitamin B12 levels, amino acid deficiency, testosterone deficiency, candida yeast levels, etc. 6. Medication Side-effects A common cause of fatigue, is the intake of multiple medications.   Above are the multiple possible reasons for fatigue and that is the reason we believe that these comprehensive evaluations are key for a treatment to start. We evaluate each patient closely and unleash the hidden imbalances causing CFS. Chronic Fatigue Syndrome- Yes there is hope! For more information, contact us today or book an appointment online. We are conveniently located at 7510 North Forest Drive North Charleston, SC 29420. We serve patients from Charleston, Mt. Pleasant, Summerville, all of South Carolina, Nationally, and Internationally. Patients routinely fly into Charleston to be evaluated by COEM and to enjoy this beautiful city which is a Condé Nast and Travel and Leisure Top Domestic and International Tourist Destination.