EnergyMD Podcast

The 3 Levels of Chronic Fatigue (ME:CFS:LC) Treatment with Evan H. Hirsch, MD

Jan 7, 2026
Dive into the world of chronic fatigue treatment! Discover the three levels of addressing fatigue, from simple lifestyle changes to tackling deep-rooted issues. Learn how factors like adrenal and thyroid deficiencies can impact your energy. Evan reveals the 'Toxic Five' culprits behind chronic fatigue and discusses a structured four-step method for recovery. Plus, he shares insights on managing expectations and personal experiences with the condition. It's an enlightening journey toward reclaiming your vitality!
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ADVICE

Optimize Four Core Lifestyle Habits

  • Do optimize four lifestyle habits: sleep, movement, diet, and hydration with electrolytes.
  • Find your Goldilocks dose of movement and prioritize sleep timing, darkness, and minimal stimulants.
ADVICE

Concrete Sleep And Hydration Steps

  • Try simple sleep hygiene: sleep 7–9 hours, go to bed earlier, keep the room cool, dark, and quiet to improve recovery.
  • Increase water gradually to 2–3 liters with some sea salt to support adrenal function and hydration.
ADVICE

Use Elimination Diets To Reduce Symptoms

  • Avoid foods that commonly trigger symptoms by trying gluten-free, dairy-free, and sugar-free eating, plus skip alcohol and processed foods.
  • Use diet as a diagnostic and therapeutic tool to reduce inflammation and support energy.
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