Chronic fatigue.
Tired in a way that sleep doesn't fix. We look at the patterns underneath, not just the symptom.
When rest isn't enough.
Chronic fatigue is more than simply feeling tired. Many people continue to struggle despite being told their routine bloodwork is "normal."
Fatigue rarely has a single cause. We take the time to investigate common contributors, including thyroid health, nutrient status, hormones, digestion, sleep, stress, and other underlying factors, to better understand what's driving your symptoms.
How patients describe it.
- Waking up unrefreshed even after 8+ hours
- Energy crash in the afternoon
- Reliance on caffeine to function
- Brain fog accompanying the fatigue
- Symptoms worse around your cycle
- Slower recovery from exercise or stress
When someone tells me they're exhausted all the time, I don't stop at 'your labs look normal.' I start asking why. Dr. Abbie Siudzinski, ND
How we work through it.
We start with a 90-minute first visit to map your full pattern. When did fatigue start. What makes it worse. What has been tried.
From there, we run testing that targets the most likely drivers. Comprehensive thyroid, salivary cortisol, iron and ferritin, B vitamins, vitamin D, and often a hormone panel.
Once we know what's driving it, the plan is targeted. In Dr. Abbie's experience, many patients begin noticing changes within 4 to 8 weeks. Results vary.
Tests we typically use here.
The specific panels depend on your situation. These are the most common ones for chronic fatigue.
Testing is ordered only after your 90-minute first visit, and only when it will change your plan.
See all testing options →- Comprehensive thyroid panel (including antibodies)
- Salivary cortisol
- Complete Iron panel
- Vitamin D and B12
- Comprehensive bloodwork
- DUTCH hormone panel
Before you book.
- Insurance? Foundations is private pay. HSA and FSA are accepted, and superbills are available on request. See pricing.
- What is the first visit? 90 minutes, in person at Knewtson Health Group in Excelsior. Any testing comes after that visit, with the cost reviewed first.
- Coming from farther away? Only the first visit has to be in person. Follow-ups can be in person or virtual, whichever works for you.
Start with a free 15-minute call.
If this sounds like what you're navigating, the 15-minute call is the right place to start.