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A member asked:

What lab work should be done before a diagnosis of chronic fatigue syndrome is given? lupus, lyme disease, heptatitis, anything else?

3 doctor answers4 doctors weighed in
Dr. Stephen Lorino
Internal Medicine 27 years experience
The basics: Rule out anemia, diabetes, thyroid, vitamin b12, kidney and liver issues.
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Dr. Douglas Mund
Rheumatology 47 years experience
Varied: There are many different reasons for a person to suffer from fatigue: anemia, hypothyroidism, and many of the autoimmubne diseases. It is generally a diagnosis of exclusion. So lab work should include routine studies such as blood counts, liver and renal function and thyroid function studies. Only if all of these are normal would i pursue further studies.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Tedde Rinker
A Verified Doctoranswered
44 years experience
Those are a start: You definitely want to rule out conditions which can be more quicly targeted and treated. Your list so far is good. Add to that ruling out adrenal fatigue, hypothyroidism, and other viral & bacterial infections. Food allergies and metal toxicity can also cause fatigue and multi systems symptoms.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Dec 24, 2014

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