Fatigue

Question 1

What percent of adults complain to their pcp of fatigue?

Answer 1

24%

Question 2

What are the primary reasons for fatigue?

Answer 2

Anemia
Infection
Adrenal dysfunction
Lack of fuel or wrong fuel
Medications
Thyroid disease 
Insomnia
Allergies
Overtraining

Question 3

What are the 2 primary types of anemia to look for?

Answer 3

Iron deficiency

B12 deficiency

Question 4

What are the most common infections that will result in chronic fatigue?

Answer 4

EBV
CMV
Yeast infection
Lyme disease
Intestinal parasites (international travel or sushi)

Question 5

What are common symptoms of yeast infection

Answer 5

Feel sick all over
Often feel spaced out
Muscle aches
Digestive problems
Sugar cravings
Unusually sensitive to tobacco, perfume and other chemicals
Food sensitivities

Question 6

What in a patient’s PMHx would make them susceptible to a yeast infection?

Answer 6

Multiple antibiotics over the years

Question 7

What are common symptoms of yeast infection in women?

Answer 7

Recurrent vaginal yeast infections
Recurrent UTIs
Sexual dysfunction
Dysparenunia
Endometriosis
Interstitial cystitis
Infertility

PMS

Question 8

What is a common age for yeast infections in women?

Answer 8

20-50

Question 9

What are the common symptoms for a yeast infection in men?

Answer 9

Fatigue
Headache
Memory loss
Depression
Muscle and joint pain
G.I. Upset
Sugar craving
Chemical sensitivities
Food sensitivities

Question 10

Common symptoms of yeast infection in infants and young children

Answer 10

Irritability
Sleep problems
Hyperactivity
Attention problems
G.I. Upset
Constant colds
Ear problems
Skin rashes

Question 11

Common symptoms of yeast infection in older children and teenagers

Answer 11

Fatigue
Irritability
Headache
Depression
Irritability
Poor school performance
Food and chemical sensitivities

Question 12

Illnesses in adults that may be yeast related

Answer 12

Crohn's disease
Scleroderma
Lupus erythematosus
Psoriasis
Eczema
Rheumatoid arthritis
Myasthenia gravis
Multiple sclerosis
Sinusitis
Acne
Chronic hives
Asthma

Question 13

Positive fungal cultures were found in the nasal secretions in what percent of 210 chronic rhinosinusitis patient?

Answer 13

96%

Mayo Clinic Proceedings 1999

Question 14

What conditions can increase your risk of developing a yeast infection?

Answer 14

Hormonal changes associated with the normal menstrual cycle
Pregnancy
Birth control pills
Steroids
Diabetes
Genital irritations and abrasions
Reinfection from your sexual partner

Question 15

What nutrients do the mitochondria need to make ATP?

Answer 15

B2 (riboflavin)
B3 (niacin)
B5 (pantothenic acid)
Carnitine
CoQ10
Lipoic acid

Question 16

L-carnitine can be made endogenously via the combination of what amino acids?

Answer 16

L-methionine

Lysine

Question 17

What co-factors are needed to make L-carnitine in the body?

Answer 17

Niacin (B3)
Pyridoxine (B6)
Vitamin C
Iron

Question 18

L-carnitine’s performance in the body is improved by eating a diet rich in what?

Answer 18

Omega 3 FAs

Question 19

What can inhibit optimal carnitine activity in the body?

Answer 19

Insulin

Question 20

What foods have a lot of carnitine?

Answer 20

Red meat and avocados

Question 21

What are some common uses for carnitine?

Answer 21

Cognitive performance
Heart disease
Promotes weight loss (if deficient)
Slows aging process
Athletic performance
Immune system health
Destroys free radicals

Question 22

What disease conditions are associated with low CoQ10 levels?

Answer 22

Post MI
Peyronies disease
Fibromyalgia
Depression
Migraines
Parkinson's disease

Question 23

How does CoQ10 help blood vessels and blood flow?

Answer 23

Nitric oxide preservation
Decreases the damage from LDLox
Reduces plaque buildup

Question 24

What foods contain CoQ10?

Answer 24

Beef, chicken, lamb, turkey
Spinach
Potatoes

Question 25

What medications deplete CoQ10 from the body?

Answer 25

Statins Beta blockers Metformin

Question 26

How does alpha lipoic acid help with estrogen metabolism?

Answer 26

Stimulates production of quinone reductase

Question 27

How does alpha lipoic acid function as an antioxidant?

Answer 27

It supports glutathione levels, regenerates vitamins C & E and helps maintain balance between oxidized and reduced CoQ10

Question 28

Can the body produce its own ALA and what foods can it be found in?

Answer 28

The body can produce its own ALA. It is found in meats and to a lesser degree in fruits and vegetables.

Question 29

What are safe doses of ALA?

Answer 29

300-600 mg per day

Question 30

What does ALA do for diabetic peripheral neuropathy?

Answer 30

Studies show that it decreases neuropathic pain and can improve nerve function

Question 31

What types of foods can result in fatigue?

Answer 31

``` High glycemic index High fat (wrong fats: too much saturated, trans) ```

Question 32

What medications can cause fatigue?

Answer 32

``` Anti-hypertensives Antidepressants Benzodiazepines Narcotics Sleeping Medscape Anti-histamine Antibiotics Diuretics Alcohol ```

Question 33

What are the factors that contribute to insomnia?

Answer 33

``` Diet Illness Hormone abnormalities Medications Lack of exercise Sleep apnea RLS PLMD Blue light Shift work sleep disorder Nutritional deficiencies (which ones?) Chemical exposure (which ones?) ```

Question 34

What is the difference between an IgE and an IgG food reaction?

Answer 34

IgE is an immediate, allergic reaction | IgG is a delayed, hypersensitivity reaction

Question 35

What are the typical symptoms of an IgE reaction?

Answer 35

Anaphylaxis Pruritic lips/tongue/throat Stuffy nose Urticaria

Question 36

What are the typical symptoms of an IgG reaction?

Answer 36

``` Sore throat Stuffy nose Congestion Headaches Stomach aches Constipation Diarrhea Gas Bloating Foggy headed feeling Weight gain Fatigue Joint pain Mood issues Skin issues ```

Question 37

What are the most common allergic foods?

Answer 37

``` Wheat Soy Peanuts Dairy Corn Eggs ```

Question 38

What nutrients are depleted with over exercise?

Answer 38

Mg Chromium CoQ10