If fatigue persists even after rest, the cause may be hormonal.
Common hormonal causes:
- Hypothyroidism - reduced metabolism
- Adrenal insufficiency (hypocortisolism) - reduced cortisol production in the adrenal glands
- Vitamin D deficiency
- Insulin resistance - lack of energy in cells
- Low testosterone (for men)
Dr Caunes' approach:
- Detailed medical history (how long the fatigue lasted, what affected it)
- Complex of hormonal examinations
- Differentiation from other diseases (anaemia, depression)
- Individual treatment plan
The time it takes to improve is individual, depending on the cause and the type of treatment; significant results are usually seen within several weeks to months.