Our Treatment Program

CFS Treatment at St. George Hospital

Our CFS treatment program targets the root causes of chronic fatigue — mitochondrial dysfunction, immune dysregulation, chronic infections, and autonomic imbalance — through an intensive, personalized inpatient protocol.

Our Approach

Treating the Biology, Not the Label

There is no single drug that treats CFS/ME because CFS/ME is not a single-cause disease. It is a syndrome resulting from multiple interacting biological dysfunctions. Effective treatment must address all of these dysfunctions simultaneously.

Our treatment program is built around the specific diagnostic findings for each patient. If we find mitochondrial impairment, we target mitochondrial repair. If we find viral reactivation, we address the infection. If we find immune dysregulation, we modulate the immune response. Most patients have several overlapping issues that require a comprehensive, multi-modal protocol.

The typical program runs 2-3 weeks as an inpatient stay, with daily treatments carefully paced to avoid triggering post-exertional malaise. We understand that CFS patients are fragile — our protocols are designed with this reality in mind.

Chronic fatigue syndrome treatment at St. George Hospital Germany
Therapeutic Modalities

Core Treatments for CFS

Mitochondrial Repair Therapy

High-dose IV micronutrient infusions including NAD+, CoQ10, alpha-lipoic acid, B vitamins (especially B1, B2, B3, B12), magnesium, and glutathione target specific blocks in the mitochondrial electron transport chain. These nutrients support ATP production and reduce oxidative stress at the cellular level.

Immune Modulation

Thymus peptides, low-dose immunotherapy, microimmunotherapy, and natural killer cell support restore immune balance. For patients with viral reactivation, targeted antiviral protocols and immune-stimulating therapies are employed.

H.E.L.P. Apheresis

Blood filtration removes inflammatory proteins, autoantibodies, and circulating immune complexes that perpetuate chronic inflammation. Many CFS patients report rapid improvement in brain fog and energy following apheresis sessions.

Mild Hyperthermia

Gentle whole-body hyperthermia at lower temperatures (38.5-39.5 degrees C) stimulates immune function, improves circulation, and may help clear chronic intracellular infections without overstressing the system. Sessions are carefully calibrated for CFS patients.

Detoxification

Liver support, lymphatic drainage, targeted chelation (when indicated by heavy metal testing), and gut decontamination protocols help reduce the toxic burden that impairs mitochondrial function and sustains inflammation.

Gut Restoration

Microbiome-guided probiotic therapy, intestinal permeability repair, anti-inflammatory nutrition, and antimicrobial protocols for gut pathogens address the gut-immune-brain axis disruption common in CFS patients.

Supporting Therapies

Additional Treatment Components

IV infusion therapy at St. George Hospital Germany
Office of Dr. Julian Douwes, Chief Medical Officer, St. George Hospital

“We design our CFS protocols with one essential principle: do not trigger post-exertional malaise. Every therapy, every schedule, every rehabilitation step is calibrated to support recovery without overwhelming the patient’s limited energy reserves.”

Medical Team, St. George Hospital
Practical Information

What to Expect

Program Duration

Typically 2-3 weeks for the initial intensive program. Some patients with severe CFS benefit from longer stays. Follow-up programs can be arranged for maintenance therapy.

Daily Schedule

2-3 treatments daily with generous rest periods between sessions. The schedule is flexible and adjusted based on your energy levels and treatment response each day.

After Discharge

You leave with a detailed home protocol including supplements, dietary guidance, pacing strategies, and follow-up lab schedules. Remote consultations ensure continuity of care.

RELATED THERAPIES

Therapies Used in Our CFS Program

IHHT Oxygen Therapy

Stimulates mitochondrial regeneration and improves cellular energy production -- a cornerstone of our CFS treatment protocol.

NAD+ IV Therapy

Restores cellular energy metabolism by replenishing NAD+, a critical coenzyme depleted in chronic fatigue patients.

H.E.L.P. Apheresis

Blood filtration removes inflammatory mediators and microclots that impair circulation and worsen CFS symptoms.

Immune Therapy

Targeted immune modulation corrects the NK cell dysfunction and immune dysregulation characteristic of CFS/ME.

Hormone Therapy

Bioidentical hormone optimization corrects thyroid, adrenal, and sex hormone deficiencies that compound fatigue.

Begin Your Healing Journey

Our CFS program is designed for patients who have tried everything else. Let us help you find a different path forward.