Comprehensive Hormonal Workup
Rule out all treatable hormonal contributors before accepting a chronic fatigue diagnosis.
Energy & Fatigue
Chronic Fatigue Syndrome — Hormonal Evaluation in Denver
CFS and ME are complex conditions, but many patients labeled with CFS have identifiable and treatable hormonal and metabolic deficiencies. Dr. Bruice evaluates the full picture before accepting a CFS diagnosis.
Book Appointment →Common Signs & Symptoms
- !Profound fatigue lasting 6+ months
- !Post-exertional malaise
- !Unrefreshing sleep
- !Cognitive impairment
- !Orthostatic intolerance
- !Widespread pain
What Causes This?
- •Post-viral immune dysregulation (including long COVID)
- •Mitochondrial dysfunction
- •HPA axis dysregulation
- •Thyroid and adrenal dysfunction frequently coexist
- •NAD+ depletion
Treatment Approaches
NAD+ Therapy
Growing evidence for NAD+ in post-viral fatigue and mitochondrial dysfunction.
LDN (Low-Dose Naltrexone)
Immune modulation with excellent safety profile — used off-label in CFS/ME.
Frequently Asked Questions
Is CFS a real medical condition?▾
Yes — ME/CFS is a recognized condition with measurable immune and metabolic abnormalities. Dr. Bruice takes it seriously while also ensuring treatable causes aren't missed.
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Think This Could Be Your Issue?
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