Conditions · Fatigue

Chronic Fatigue Syndrome

Chronic Fatigue Syndrome is complex, leaving most doctors and patients puzzled when it comes to treating it. Dr. Kellman specializes in complex, unexplained symptoms, getting down to the root of the condition.

More than being tired

The exhaustion of CFS is not resolved by rest and is frequently worsened by exertion. It arrives with unrefreshing sleep, cognitive impairment, pain, and orthostatic symptoms.

Because no single test confirms it, patients are often told nothing is wrong. Many arrive at the Raphael Kellman, MD after years of that.

The Kellman approach

Dr. Kellman treats CFS as a problem of cellular energy production and chronic immune activation rather than a diagnosis of exclusion.

Testing examines mitochondrial function, inflammatory markers, the microbiome, thyroid status, persistent infection, and toxic burden. Treatment addresses the specific drivers found, often combining IV therapy, targeted nutrients, and microbiome repair.

Common questions

Is chronic fatigue syndrome psychological?

No. It has measurable physiological correlates — mitochondrial dysfunction, immune activation, and microbiome disruption among them. Dr. Kellman's workup looks for those drivers directly.

What tests are actually useful for CFS?

Beyond standard bloodwork: mitochondrial and metabolic markers, inflammatory markers, precise thyroid testing, microbiome analysis, screening for persistent infection, and toxic exposure assessment. The pattern across them is what directs treatment.

Get to the cause of the exhaustion.

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