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About the Episode

Recover your vitality no matter the cause with world-renowned fatigue & Long Haulers expert, Dr. Evan H. Hirsch.

Listen to this episode where he discusses the underlying causes and how you can start feeling better faster!

What We Discuss

Long Haulers & Chronic Fatigue Syndrome

Long Haulers is the persistence of symptoms three months after getting the Covid-19 virus. With so many different symptoms associated with the virus because it lives in the bloodstream, it can cause inflammation anywhere in the body. So the key to feeling better is to treat the live, active virus.

Many people getting Long Haulers are people becoming active too soon after feeling better. They go back to business-as-usual even though their bodies are still recovering, and that added stressor tips them into feeling sick again. Most Chronic Fatigue and Long Haulers sufferers have 20+ causes for their symptoms, and can only take this one last cause to act as the trigger.

Risk Factors

Because there are so many causes of Chronic Fatigue and Long Haulers, it’s challenging to know the risk factors for setting an individual over the edge. Those who never get sick might actually have underperforming immune systems. As a result, the body cannot mount a full enough assault on the virus to eliminate it completely, which is why symptoms linger or return.

The first step is to assess all the causes. Within the 33 possible causes of Long Haulers, 75% can be determined by looking at the symptoms alone. The second step is repleting the deficiencies, focusing on the adrenals, mitochondria, and thyroid. It’s also critical to change lifestyle habits such as sleep, diet, and exercise. The third step opens up the detoxification pathways such as urination, defecation, sweating, and breathing.

Heavy Metal, Infection, and Other Exposures

Finally, the fourth step is removing the toxicities. The most significant source of mercury exposure is from water, including swimming and the fish we eat. Plastics, chemicals, mold, and lead are often significant exposures people aren’t aware of. Mold plus an inflection is one of the biggest reasons physicians see patients with ME/CFS. Infections like Lyme, Barilla, Thyroid issues, and more can contribute to fatigue symptoms.

Because so many factors play into Chronic Fatigue Syndrome, pinpointing what exposures and infections specifically impact you is key to feeling better.

Start battling Chronic Fatigue Syndrome now with this episode of the Five Journeys Podcast!

Guest Bio

Dr. Evan H. Hirsch is a world-renowned fatigue & Long Haulers expert and Founder & CEO of the International Center for Fatigue. Through his best-selling book, podcast, and international online programs, he has helped thousands of people worldwide resolve their ME/CFS & Long Haulers symptoms naturally. Dr. Hirsch is on a mission to help 1 million more. He has been featured on television, podcasts, and summits, and when he’s not at the office, you can find him singing musicals, dancing, and playing basketball with his family.

Links

Social Media

http://www.youtube.com/c/EvanHHirschMD
http://www.instagram.com/thefatiguedoc/

Programs

The Fix Your Fatigue Program: https://www.fixyourfatigue.com/
The Long Haulers Program: https://longhaulersprogram.com/

Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test is comprehensive testing for Lyme disease and other tick-borne illnesses, helping clinicians accurately diagnose and treat these complex infections. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Blood, Urine, or Ticks

COST

may have a $200 copay

INSURANCE

Covered by most insurance.

Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

Galleri® is a multi-cancer early detection test, a blood test that screens for many of the deadliest cancers before they become symptomatic,1,2,3 including those with no recommended screening tests today. Click here for more information.

LOCATION PERFORMED

At home or in lab.

SPECIMEN TYPE

Blood

COST

$999

INSURANCE

Depending on insurance coverage.

Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This DNA test analyzes a person’s genetic markers to provide insights into their health and wellness price. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Swab

COST

$299

INSURANCE

Depending on insurance coverage.

Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test is a key tool for assessing the impact of long-term exposure to environmental chemicals. By quantitatively measuring 14 select metabolites, this test helps determine an individual’s toxic burden, offering essential data to guide targeted nutritional and detoxification interventions for improved health outcomes. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$129

INSURANCE

Depending on insurance coverage.

Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

The Hormone and Urinary Metabolites Assessment Profile (HuMapTM) provides a comprehensive overview of steroid hormones, their metabolites, and the efficiency of the enzymes that metabolize these hormones. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$199

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This is a dried urine test for comprehensive hormones to help providers solve complex patient cases. DUTCH is a group of validated tests that provide a complete evaluation of sex and adrenal hormones, including metabolites. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$300

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This is a comprehensive stool test that relies on quantitative polymerase chain
reaction (qPCR) technology to detect parasites, bacteria, H. pylori, fungi, and more by targeting the specific DNA of the organisms tested. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Stool

COST

$399

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This is a comprehensive test that uses blood and urine to evaluate over 125 biomarkers. It provides recommendations for vitamins, minerals, amino acids, fatty acids, and digestive support. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Blood and Urine

COST

$179 – $439

INSURANCE

Depending on insurance coverage.

INSTRUCTIONS

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Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

Genova’s SIBO Profiles are non-invasive breath tests which capture exhaled hydrogen (H2) and methane (CH4) gases following patient ingestion of a lactulose solution to evaluate bacterial overgrowth of the small intestine

LOCATION PERFORMED

At home

SPECIMEN TYPE

Breath

COLLECTION INSTRUCTIONS

COST

$85-$225 depending on insurance coverage. 

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Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test evaluates the presence of harmful mycotoxins (toxins produced by molds).

LOCATION PERFORMED

At Home

SPECIMEN TYPE

Urine

COLLECTION INSTRUCTIONS

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$699

INSURANCE

Fully covered by Medicare. Repeat test prices $249

Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test evaluates the genetic profile for multiple health indicators. Click here for more information.

LOCATION PERFORMED

At home

SPECIMEN TYPE

Blood Spot

COST

$319

INSURANCE

No insurance accepted

COLLECTION INSTRUCTIONS

Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This company can test for lyme, babesia, bartonella and additional tick-borne illnesses. Click here for more information.

LOCATION PERFORMED

In office

SPECIMEN TYPE

Blood

COST

around $1600 (depends on panel selected)

INSURANCE

Fully covered by Medicare. May be reimbursed with PPO plans.
Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test evaluates the presence of harmful mycotoxins (toxins produced by molds).

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$310

INSURANCE

No insurance accepted
Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test evaluates a wide range of environmental toxins that may be leading to harmful health effects.

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$199

INSURANCE

No insurance accepted $30 discount given if done with mycotoxins.
Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

Blood work for blood count, urinalysis and vitamin levels.

LOCATION PERFORMED

BLOOD FLUID

Blood

NOTES

You often have to fast for these tests-please check your providers notes.

COST

Depending on the test, deductible or copay may apply.

INSURANCE

Depends on insurance coverage, deductible or copay may apply.
Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

Glyphosate (“Round Up”) is a pesticide that is widely used and this test indicates the body’s levels.

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

SPECIAL INSTRUCTIONS

Glutathione for 1 week, then bath or sauna.

COST

$99 ($69 if performed with mycotoxins or environmental toxins).

INSURANCE

No insurance accepted $30 discount given if done with mycotoxins or GPL Tox.
Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test evaluates many measures including micronutrients, antioxidants, minerals, detox, overview of gut function, omegas and toxic exposure. Click here for more information.

LOCATION PERFORMED

At home.

SPECIMEN TYPE

Urine

COST

$150 – $329

INSURANCE

Depending on insurance coverage. Fully covered by Medicare.

INSTRUCTIONS

Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test evaluates the gut function and indicates microbiome balance, overgrowth, infection, inflammation, parasites and digestive efficacy. Click here for more information.

LOCATION PERFORMED

At home

SPECIMEN TYPE

Stool

COST

$179-$439 depending on insurance coverage.

INSURANCE

Depending on insurance coverage. Fully covered by Medicare.

SPECIAL INSTRUCTIONS

No probiotics for one week.

VIDEO INSTRUCTIONS

Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test evaluates the full menstrual cycle, female hormones, and adrenal profile.

LOCATION PERFORMED

At home

BLOOD FLUID

Urine

COST

$160-$329

INSURANCE

Depending on insurance coverage. Fully covered by Medicare.

NOTES

Must be off hormones in order to do the testing.
Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test is specifically for a tick-borne illness called “Bartonella”.

LOCATION PERFORMED

In office

BLOOD FLUID

Blood

COST

$260

INSURANCE

No insurance accepted
Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test evaluates the presence of potentially harmful heavy metals stored in the body.  Click here for more information.

LOCATION PERFORMED

At home

SPECIMEN TYPE

Urine

COST

Testing: $79 x2 paid to Doctor’s Data
DMSA: $38 paid to Johnson’s Compounding Pharmacy

INSURANCE

Not covered by Insurance
Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test measures saliva cortisol testing throughout the course of one day and informs us where there might be an adrenal imbalance.

LOCATION PERFORMED

At home

BLOOD FLUID

Saliva

COST

$80

INSURANCE

No insurance coverage

Re-energize from Chronic Fatigue & Long Haulers
Re-energize from Chronic Fatigue & Long Haulers

WHY DO WE DO THIS TEST?

This test is designed to look at food sensitivities (IgG immune responses). It is available in both a 99 or 184 panel. Click here for more information.

LOCATION PERFORMED

In office

SPECIMEN TYPE

Blood

COST

$129-238

INSURANCE

No insurance accepted