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Chronic fatigue is very prevalent in modern day society. The aim of this module is to explore the numerous causes of fatigue and incorporate an Integrative approach to manage the root causes that may be underlying. The case studies have specifically been chosen to cover various causes of fatigue and to facilitate an easy learning process of the functional medicine model approach.

  • Some of the underlying causes of chronic fatigue explored in the module include:
  • Mitochondrial issues with poor ATP output
  • Yeast overgrowth
  • Dysbiosis and leaky gut
  • Adrenal stress with or without fatigue
  • Hormonal issues including thyroid hormone issues, menopause and andropause
  • Chronic stress
  • Environmental toxicity with hormonal, neurological and endocrine disruption
  • Chronic infective disorders such as Ebstein barr and coxsackie viral infections, Lyme disease and other chronic infestations including paracytic, viral and chronic atypical bacterial infections
  • Impaired detoxification
  • Emotional stress


  • Know the difference between hypothyroidism, functional hypothyroidism and functional hypometabolism
  • Realize the importance of optimum vitamin D3 and ferritin levels to ensure T3 hormone transport from
  • cell membrane to nuclear receptor site
  • Differentiate between hypothyroidism and adrenal stress/fatigue
  • Know the factors that affect T4 to T3 conversion
  • Know how to manage a patient with normal TSH and t4 and t3 yet still hypothyroid due to high reverse t3
  • Understand the nutrients and treatments of mitochondrial fatigue including ribose, magnesium, coq10 and L-carnitine
  • Understand the interplay of free radicals and antioxidants
  • Understand the integrative approach to adrenal stress with its associated exhaustion and burnout pictures
  • Know the laboratory approach to a fatigue patient
  • Understanding an Integrative therapeutic approach to the fatigue patient 


  • Ziyaad Lahri, MD

    “I wish to thank you and your team for presenting an excellent course. I have managed to work through all ten modules of the certification Read More
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Chiropractors' Association of Australia - Approved for 200 FLA Units

Approved for up to 70 CE units in California

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.


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The delivery of integrative, holistic, or alternative medicine (sometimes referred to as "Complimentary Alternative Medicine or "CAM") may unintentionally include the delivery of services covered by health care plans (notably, by Medicare due to the age or condition of patients triggering coverage). Since CAM practices are largely cash or private fee practices, practitioners must cautiously and carefully ensure that their services do not collect patient payments for what Medicare covers. With the Accountable Care Act being implemented on a national level, more preventative health care services are now covered by Medicare. Coverage of certain preventative care services is now enhanced or expanded. Care must be taken, therefore, since some CAM services delivered by practitioners may constitute preventative medical services mandated as covered by Medicare with no co-pay or deductible owed. HMO plans prohibit the delivery of medical services covered by the plan for patient compensation in excess of plan reimbursement, and require advance patient consent for voluntary non-medical amenities triggering additional patient payment obligations. Additionally, HIPAA/HITECH implements important patient privacy protections and may be triggered by the storage or handling of any electronic patient information. Federal law mandates patients have access to electronic health records, therefore, care must be taken to avoid charging fees for electronic health records access that is mandated by federal law, or for charges in excess of federal guidelines. Various states often have privacy and medical records access laws similar to federal laws. CAM practices often, but not always, engage in electronic communication with patients and involve family members or significant others with CAM consultations, so care must be taken regarding HIPAA/HITECH compliance with respect to privacy and records access. HIPAA/HITECH requires separate personal health information (PHI) written consent by patients, along with updated notices of privacy practices (NPPs) toward HIPAA/HITECH compliance. Due to the complexities of reimbursement and privacy laws, CAM practitioners are strongly advised to seek competent legal counsel to achieve compliance, and should not rely on IFIM presentations. Materials and information presented by IFIM are necessarily general, non-specific, and do not constitute or replace legal advice. The IFIM specifically disclaims that it is providing legal compliance guidelines, representations, warranties or assurances.