Depends on the cause. Unless you determine what is the cause, no concrete answer can be given about its effects on bone growth.
Many things! Exercise. Most chronic fatigue patients are whoefully deconditioned. It makes no difference: chicken or egg. Exercise has been shown to lessen fatigue. Sleep regular hours, but do not over sleep. Finally, your doctor can prescribed low dose Nuvigil or provigil.
Find & Rx cause. Chronic fatigue syndrome is a multifactorial consequence of hormonal, immune system and nervous system dysfunction resulting from genetic predispositions and dietary and environmental insults. These factors impair the patient's ability to produce energy and they end up chronically fatigued. There are numerous internal & external stressors that can contribute to this syndrome. Find & rx.
Anyone you decide. I believe you are asking who u can tell regarding physicians? As a rheumatologist, we get patients with that diagnosis from referring physicians that have nothing else to label the patient. I understand your reluctance since some physicians do not believe it exsists and I hope you can find one who is willing to listen. Unfortunately family can be worse since they just assume you r lazy. Good luck.
Family doctor. If you have fatigue and mental slowness which do not seem to go away (and there are many other symptoms possible) you should see your family doctor to sort this out. He will rule out other conditions like hypothyroid which can mimic this condition which is a diagnosis of exclusion since there are no positive laboratory tests.
None. There are no tests to diagnosis cfs but there are tests that can diagnose other diseases that can mimic the symptoms of cfs. Have a doctor evaluate your symptoms.
Evaluation. First someone with fatigue should get a complete evaluation to rule out causes for their fatigue. Including tests for anemia, thyroid, infections and autoimmune. An integrative approach addressing lifestyle, diet, exercise and stress. A whole food antinflammatory diet, exercise and stress reducing techinigues are a good place to start. Supplements and medications may also be indicated.
FULL LABS. While joint md's are felt to be on this disorder it is really a super specialization involving thousands of articles. Possible labs not standard would be vegf, il-1b, tnf-a, il-g, vitamin d, Dht hormone, c4a ria, myco pneumonia, cd57/8, high or low eosinophils, ecp, vip, msh, mmp-9 and a two day trial of artesunate as long as ears do not hurt. If response-useful.
As an ID doctor- As an id specialist, we certainly can't help cure cfs. However, we can be helpful by: 1. Ruling out an infection as the cause, 2. Help prevent making a premature diagnosis, when other illnesses can mimick cfs, 3. Avoid the inappropriate use of antibiotics.
Not really. Cfs is about fatigue. When there is significant pain with the fatigue, think about fibromyalgia or other possibilities.
See details. If you have severe unremitting fatifue and all underlying causes have been ruled out.
Evaluate and treat. First of all, you need a medical evaluation and lab work to look for underlying causes of fatigue. The workup often includes a sleep study if nothing is found, there are medications which can often produce good benefit.
Yes. I've treated countless patients with chronic fatigue syndrome. There are many possible reasons to have chronic fatigue. It's typically a combination a low thyroid and/or adrenal function that isn't showing up on blood tests. It's a 'functional' problem with the hormone system. In addition, we treat with vitamins, immune support, detoxification, dietary changes, and test for food sensitivities.
Find & Rx cause. Yes, chronic fatigue syndrome is a multifactorial consequence of hormonal, immune system and nervous system dysfunction resulting from genetic predispositions and dietary and environmental insults. These factors impair the patient's ability to produce energy and they end up chronically fatigued. There are numerous internal & external stressors that can contribute to this syndrome. Find & rx.