CIDPUSA.org Autoimmune diseases

Guide: Chronic Fatigue

What laboratory tests are helpful?
There are many specialty tests

  1. Chronic Viral Infections - measured by PCR technology, indicating smoldering infections with HHV6, Cytomegalovirus, Mycoplasma, Chlamydia infections.

    I look for active viral infections, not antibody titers in the laboratory tests

  2. 24-hour urine Amino Acid analysis - can pinpoint specific vitamin, mineral and protein deficiencies.
  3. Abnormal salivary melatonin level - often a CFIDS patient will not secrete melatonin at midnight, but will secrete a quantity of melatonin at 6:00AM. This inhibits sleep, and then creates difficulty in waking.
  4. Other hormone analysis: DHEA, Estrogen, Progesterone, Testosterone and Cortisol imbalances.
  5. IgG level & IgG subclasses  very important test.

Please keep in mind that treatment for each patient is individualized, based on the results of a patient's symptoms, physical exam and laboratory analysis.

Do some CFIDS specialists recommend shots?
Shots may be helpful; :

  • Magnesium + Taurine injections
  • B12 (hydroxy form)  very helpful
  • Glutathione
  • Kutapressin
  • Human Growth Hormone - very low dose
  • Growth Factors
  • IVIg is the magic cure

Does Imunovir (Isoprinosine) Work?
It is a powerful immune modulator that can be very helpful, although not currently available in the U.S. it can be imported utilizing a correct prescription. This is one of the safest, most cost effective and helpful drugs at our disposal. Ongoing studies in Canada and Europe have proven this drug to raise NK cell count and function and correct TH1/TH2 imbalances. It is a non-specific antiviral compound.

Does insurance pay for treatment, laboratory testing, and office visit?
Most insurance covers some of the above. We will  furnishes claim forms and documentation to allow filing with most insurance companies. In addition, we can write a letter of appeal to your insurance carrier if they deny payment which may help coverage benefits.

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