Fatigue & Performance Medicine

Fatigue is one of the most common — and most poorly understood — complaints in medicine. When routine labs come back normal, patients are often left without answers. But "normal labs" does not mean normal physiology.

Our approach uses objective testing to identify where the limitation actually lies. Cardiopulmonary exercise testing reveals whether fatigue is driven by cardiovascular, pulmonary, metabolic, or deconditioning-related factors. Indirect calorimetry measures whether resting metabolic rate is suppressed. Body composition analysis shows whether muscle loss or excess fat mass may be contributing. And detailed labs evaluate hormonal, thyroid, and metabolic function beyond the basics.

We synthesize these results into a clear explanation of what is limiting energy and function — and a treatment plan designed to address those specific findings.