Chronic Fatigue Syndrome

Restoring Energy at the Cellular Level

Chronic Fatigue Syndrome is not psychological. It is a biological disease involving mitochondrial dysfunction, immune dysregulation, and nervous system impairment. We investigate the root causes and treat them directly.

Understanding CFS/ME

A Disease That Deserves Better Medicine

Chronic Fatigue Syndrome (CFS), also known as Myalgic Encephalomyelitis (ME), affects an estimated 17-24 million people worldwide. Despite this, the average patient sees multiple doctors over several years before receiving a diagnosis — and many are told their symptoms are psychological.

At St. George Hospital, we take CFS/ME seriously as a biological disease. Research has identified clear abnormalities in mitochondrial energy production, immune function, autonomic regulation, and brain inflammation in CFS patients. Our diagnostic approach investigates these systems in depth, and our treatment program targets the specific dysfunctions identified in each patient.

Our experience treating Lyme disease and Post-COVID has given us deep expertise in the overlapping mechanisms of chronic fatigue, immune dysfunction, and post-infectious illness. Treatment protocols at St. George Hospital are developed by Dr. Julian Douwes, our Chief Medical Officer, with protocols supervised by Dr. Martin Rößner, drawing on decades of combined clinical experience in functional and integrative medicine.

Doctor consultation at St. George Hospital Bad Aibling Germany
Explore Our CFS Program

Learn More

Understanding CFS

What chronic fatigue syndrome really is, how it differs from ordinary tiredness, and why it remains misunderstood.

Our Diagnostic Approach

Advanced testing for mitochondrial function, immune status, infections, hormone levels, and autonomic health.

Treatment Program

Our multi-modal treatment protocol targeting mitochondrial repair, immune modulation, and nervous system restoration.

Mitochondrial Dysfunction

The central role of cellular energy failure in CFS and how targeted mitochondrial therapy can restore function.

Core Symptoms

Hallmarks of CFS/ME

Post-Exertional Malaise

The defining symptom: disproportionate worsening of all symptoms after physical or cognitive exertion, often delayed by 24-72 hours and lasting days or weeks.

Unrefreshing Sleep

Despite sleeping adequate hours, patients wake feeling unrestored. Sleep architecture is disrupted, and deep restorative sleep phases are often reduced or absent.

Cognitive Impairment

Difficulty concentrating, word-finding problems, impaired short-term memory, and slowed processing speed -- often described as "brain fog."

Orthostatic Intolerance

Dizziness, lightheadedness, or worsening symptoms when standing. Many CFS patients meet criteria for POTS or neurally mediated hypotension.

Immune Dysfunction

Recurring sore throats, swollen lymph nodes, new sensitivities, and susceptibility to infections. Laboratory testing often reveals impaired natural killer cell function.

Pain

Widespread muscle and joint pain, headaches, and sensitivity to touch, light, sound, and temperature. Pain often fluctuates without clear mechanical cause.

People Affected Worldwide
0 M+
Years Average Time to Diagnosis
0 +
Unable to Work Full-Time
0 %
Housebound or Bedbound
0 %
RELATED THERAPIES

Treatments Used in This Program

IHHT Oxygen Therapy

Intermittent hypoxia-hyperoxia training stimulates mitochondrial regeneration, a core target in chronic fatigue recovery.

NAD+ IV Therapy

Intravenous NAD+ restores cellular energy metabolism and supports mitochondrial repair in CFS patients.

Hyperbaric Oxygen (HBOT)

Pressurized oxygen therapy reduces neuroinflammation and improves oxygen delivery to fatigued tissues.

H.E.L.P. Apheresis

Blood filtration therapy removes inflammatory proteins and microclots that contribute to chronic fatigue symptoms.

Immune Therapy

Targeted immune modulation addresses the immune dysfunction frequently identified in CFS/ME patients.

FREQUENTLY ASKED QUESTIONS

Common Questions About CFS Treatment

Unlike conventional approaches that diagnose CFS primarily by ruling out other conditions, we perform comprehensive testing including mitochondrial function assessment, detailed immune panels, hormone evaluation, autonomic nervous system testing, and screening for underlying infections. This allows us to identify the specific biological dysfunctions driving your fatigue and design targeted treatment.

Our CFS treatment program includes IHHT (Intermittent Hypoxia-Hyperoxia Training) for mitochondrial regeneration, NAD+ IV therapy for cellular energy restoration, hyperbaric oxygen therapy (HBOT), immune modulation, hormone optimization, and targeted detoxification. The specific combination is individualized based on your diagnostic findings.
Some patients notice changes in energy levels and cognitive function within the first weeks of treatment. However, full recovery from CFS is typically a gradual process that unfolds over 3-6 months as mitochondrial function improves, the immune system rebalances, and the nervous system stabilizes. We provide remote follow-up to support your continued recovery.
No. While burnout and CFS can share symptoms like fatigue and cognitive difficulty, CFS involves measurable immune dysfunction, mitochondrial impairment, and neurological abnormalities that are not present in burnout. CFS patients experience post-exertional malaise — a defining feature where symptoms worsen significantly after minimal physical or cognitive effort — which distinguishes it from other fatigue-related conditions.
Yes. Our protocols specifically address the pathophysiology of ME/CFS, including mitochondrial dysfunction, immune dysregulation, neuroinflammation, and autonomic impairment. We recognize ME/CFS as a serious biological disease and our treatment approach reflects the latest clinical understanding of its underlying mechanisms.

Begin Your Healing Journey

You are not imagining your symptoms. Let our team help you find the biological causes and build a path toward recovery.