So you have been suffering from chronic fatigue, you can’t seem to concentrate lately to the point of brain fog, you see your doctor but your blood tests are all “Normal” Sounds familiar ? 

You are not alone !

Chronic Fatigue is one of the most common conditions Dr. Levy sees in his practice !

What can cause Chronic Fatigue ?

There are many causes for chronic fatigue, some are potentially serious as in the case of cancer in addition to heart or lung condition(s) (congestive heart failure, pulmonary fibrosis) viral or bacterial infections as in the case of mono or even lyme disease. Others are due to nutritional deficiencies (iron deficiency, Vitamin D3 or B12). Furthermore, Hormonal imbalances as in the case of hypothyroidism, adrenal dysfunction or even low testosterone in males. Nevertheless, In many instances we see patients that have more than one contributing factor for their chronic fatigue. 

Dr. Levy will review your symptoms in detail and after a complete physical examination will recommend a detailed panel that will help assess the root cause(s) of your chronic fatigue. 

What is Adrenal Dysfunction ?


How do I know if my Thyroid is working well ?

Most doctors will request the “TSH” lab test also known as the “Thyroid Stimulating Hormone” produced by the pituitary gland. This is a very good sensitive test and we recommend the range to be 0.5-4.0 for most patients. However, in many cases the TSH could be normal and the patient will continue to have symptoms due to thyroid dysfunction, due to poor FT4 to FT3 conversion, elevated antibodies, specific nutritional deficiencies (Iodine, Selenium etc..) toxic load or other issues.

In order to better address Thyroid issues Dr. Levy recommends the following initial Thyroid panel:

  1. TSH
  2. FT4 (Inactive), FT3 (active)
  3. Anti-TPO, Anti-TBG (Antibodies)
  4. rT3 (Reverse T3)
  5. Essential and Toxic Elements