The Energy MD Program Step 1 Find Your Causes Checklist

THEENERGYMD PROGRAM

STEP1FINDYOURCAUSES CHECKLIST

EVANH.HIRSCH,MD

Lastupdated09/07/22

WELCOMEANDINTRODUCTION

Helloandwelcometothe EnergyMD Step 1 Find Your Causes checklist!

Pleasereadthiswelcomeletterandthemasterchecklistcompletelybeforegettingstarted.

Thischecklist(&checklist)wascreatedtohelpyouidentifywhichcausesoflowenergy& fatigueYOUhave.

ThesecanbebrokendownintoDeficiencies(thingsthatarenotinthebody,butaresupposed tobe)andToxicities(thingsthatareinthebodythataren’tsupposedtobethere).

Toputthisintocontext,youneedtounderstandthatthischecklistispartofStep1inour4step EnergyMDMethodto increaseyourenergyoverthelongterm. Itconsistsof:

1. Findallofthecausesthatyouhave(Deficiencies andToxicities)

2. ReplacetheDeficienciesthatyouhave

3. Openupyourdetoxificationpathways

4. RemovetheToxicitiesthatyouhave

Inthischecklist,youaregoingtoworkonStep1andfindyourcausesoffatigueandlow energy!

Figuringoutyourcausesisthemostimportantfirststepbecauseitisonlywhenyouknow whichcausesyouhave,thatyoucanactuallyfixtheminSteps2-4.Makesense?

Youwilldeterminewhichcausesyouhavebasedonacombinationofyoursymptoms,history, laboratorydata,andresponsetotreatment.

Interestingly,75%ofthecausesoflowenergy&fatiguecanbedeterminedbyyoursymptoms ALONE.That’sright,75%!

So,bythetimeyoucompletethischecklist(inanhourortwo),youwillknow75%ofyour causesWITHOUTANYLABS.Prettyexciting,right?!

Consequently,IstronglyrecommendthatyougothroughStep1firstbasedonlyonyour symptomsandonlygetlabsdoneAFTERStep2. Thisisbecausemostofthedeficiency causesDONOTREQUIRELABTESTStodetermineiftheyarepresent,andwewantyouto gettheenergyboostthatcomeswithtakingtheStep2supplements this month,not3months fromnowafteryou’vedoneanumberofthesetests.

Unfortunately,toomanypeoplegethungupontesttakinganddon’tmaketheprogressthey want.Additionally,mostofthefunctionallaboratorytestswerecommendtake2monthstoget resultsfromthedateoforderingthem,andwewantyoutofeelbettermuchfasterthanthat.

ToguideyouthroughStep1,IhavecreatedaMasterChecklisttoprovideastep-by-step processthatyoucanfollowtomakethisjourneyabiteasier.Scrolldowntogetstarted!

Withgratitude,

EvanH.Hirsch,MD TheEnergyMD

PS: Asalways,allofthecontentthatIproduceisforeducationalpurposesonlyandisnot meanttodiagnoseortreat.

PPS:Byusingthischecklistandparticipatinginthisprogramyouunderstandthatwedonot haveapatient-physicianrelationship(Iamacoach)andyouhavesignedandagreedtothis CoachingAgreement.

PPPS:Whenyouhavecompletedthischecklist,andifyouwanttocontinuethisjourneywith our1-on-1andgroupguidance,youcanjointheprogramthatfitsyoubest.

MASTERCHECKLIST

Followthischecklistascloselyasyoucanandyouwillbesuccessful.Thisisalmosttheexact processthatyouwillgothroughalongthewaytofindingyourcausesoflowenergyand fatigue.Wheneveryouhaveaquestionabout“whattodonext,”comebacktothissheetandit willguideyou.ThisisanoutcomesbasedprogramwhichmeansthatI’monlygivingyouthe informationthatyouneedtoknowtofindyourcauses.Atanypointinthisprocessifyouhave anon-healthrelatedquestion(i.e.youdon’thaveaccesstosomethingoryouareconfused), pleaseemailusatsupport@fixyourfatigue.com.Now,let’sdivein!Pleasemarkoffeachtask asitiscompleted:

Logistics:

Thischecklistshouldtakeyou1-2hourstocomplete,sobudgetyourtimeaccordingly. Youdonothavetocompleteitallinonesitting,butthesooneryoudo,thesooneryou startfixingthecausesyouhave,andthesooneryoufeelbetter

Intheupperleftcornerof this document,clickon‘File’,then‘Makeacopy’tobeable toeditthisdocumentandtoputitintoyourGoogleDrive. Watchthisvideoifyou’re notsurehowtodothis.Youmayneedagmailaccountifyou’rehavingchallenges copyingthisdocument.Ifyouwanttoprintoutsomeofthechecklist,Irecommendthat youprintoutthisMasterChecklistandtheCausesofFatiguelist,butnotthewhole checklistsincetherearealmost50pages.Clickonalinkinthisdocumentanditwill takeyoutothatlocation.

Whenyouhavecompletedthischecklist,ifyouwanttocontinuethisjourneywithus, youcanjoinoneofourprograms.

Step1:

It’stimetostartfiguringoutwhichcausesyouhave!Proceedtothe CausesofFatigue checklist,andfollowtheseinstructions:

● TheCAUSESOFFATIGUEchecklistshowsyouwhichcausescanbe determinedbyyoursymptomsmainly(+),laboratorydatamainly(-),andwhich areequallydeterminedbysymptomsandlabs(=).Printoutthispagesoyoucan markoffwhichcausesyouhaveasyougothroughthechecklist.Thiswillbe usedlatertomatchupthecausesthatyouhavewiththecorrectsolutionsin Steps2and4.ThecausesaredividedintoDeficiencies(thingsarenotinthe bodyandshouldbe)andToxicities(thingsthatareinthebodyandshouldn’t be).

● Foreachcause,checkofftheSYMPTOMSthatyouhave.Ihaveplacedan asterisk(*)bythosesymptomsthatarethemostsignificantindicatorsofthat particularcause. FOR THE FIRST TIME THROUGH STEP 1, YOU WILL BE DETERMINING YOUR CAUSES BY YOUR SYMPTOMS ALONE.

● ReadtheEDUCATIONsectiontohelpdetermineifyouhavethatcause.

● IntheCONCLUSIONsection,markoffifyoubelieveyouhavethatcause basedonwhatyoulearnedintheEDUCATIONsection.Thencheckoffthat causeonthe CAUSESOFFATIGUElisttokeeptrackofallofthecausesthat youhave.Dothisforallofthecauseswitha(+)nexttothecause.

OnceyoucompleteStep1byfillingouttheCausesofFatiguelist(usingonlyyour symptomsatthispointintheprogram),youcanthenstarttofixthemby joiningoneof ourprogramsandstarttakingthesupplementsyouneedtoremedythecausesthatyou have.

After you introduce the supplements you need from Step 2, then order the following lab tests (unlessyou’vehadthemdoneinthelast6-12months)toassesstheother25%of thecausesthatcan’tbedeterminedbysymptomsalone.Theseincludethefollowing:

● ERMI(DNAtestformoldinyourhome-Orderfrom www.mycometrics.com)

● ThefollowingtestsyoucangetshippedtoyourhomefromourUSlabstoreor UK/EUlabstore(servesUK,EU,Africa,Asia,but notRussia&China): Toxicmetals(urinetestformetalswithDMSAprovocation)

GPL-TOX(urinetestforchemicals)

GPL-MYCOTOX(urinetestformycotoxins)

GIMAP(stooltestforgastrointestinalinfections)

CyrexArray12(infections)PathogenAssociatedImmuneReactivity Screen™bloodtest

FixYourFatigueBloodPanel(forhormonesandvitamins/minerals-US only).Afterpurchase,thelabordergetsemailedtoyou.Ifyouwant yourlocaldoctortoorderthesetests(forpotentialinsurancecoverage), hereisthelistoftests.Ifyoudonothaveaccesstoablooddrawor don’twanttogetyourblooddrawn,thenordertheZRTfemaleormale bloodspottest.Thisisafingerpokethatgivesyouthehormoneswe’re lookingfor,justnotthevitamins/minerals.

*Please note:

● All blood tests need to be fasting on water only (nothing to eat or supplements after midnight) and done first thing in the morning (ideally). Please drink lots of water

● Please contact the store you purchased the labs from with any non-health related questions (e.g. shipping, emails, ordering, tracking, etc).

● On repeat testing you may notice that some markers will get worse. This is normal and because you are increasing your excretion of toxins.

That’s

Asthoselabscomeback,decideifyouhavethosecausesbyusingther thissheetfor thebloodtestingoptimalUSrangesandthischecklist.Addinanyremaining supplementsrecommendedforStep2.Forinternationalclients,this laboratory conversiontablewillbehelpful.

it!Goassessyourcauses!

THECAUSESOFFATIGUE

DEFICIENCIES

✓ Adrenals+

✓ Mitochondrial+

❏ Thyroid+

❏ Estrogen+

❏ Progesterone+

❏ Testosterone+

❏ VitaminB12--

❏ Folate--

❏ VitaminD--

❏ Iron--

❏ Magnesium=

❏ Neurotransmitters+

❏ Sleep+

❏ Water+

❏ GoodFood(healthy,non-toxic)+

❏ Movement/Exercise+

TOXICITIES

❏ Constipation+

❏ Molds--

❏ HeavyMetals--

❏ Chemicals--

❏ Borrelia species +

❏ Ehrlichia or Anaplasma -

❏ Babesia species +

❏ Bartonella species +

❏ TheViruses (EBV, CMV, HHV6)=

❏ COVID-19 (SARS-CoV-2)+

❏ Sinusinfections+

❏ IntestinalInfections(bacteria,yeast &parasites)=

❏ Dentalinfections=

❏ FoodAllergies+

❏ InhaledAllergies=

❏ NegativeEmotionalPatterns+

❏ ElectromagneticFields(EMF)+

+Assessmentbasedmainlyonsignsandsymptoms(andconfirmedwithlabs)

--Assessmentbasedmainlyonlaboratorytests(andconfirmedwithsymptoms)

=Assessmentbasedonbothequally

DEFICIENCIES

SYMPTOMS:

ADRENALDYSFUNCTION(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Difficultybeingoutofbedformorethanafewhoursadaybecauseoffatigue

❏ Feelingtiredregardlessofthelengthoftimeonesleeps

❏ Feelingunusuallytiredinthemorningandtheafternoonaround3p.m.

❏ Youneedacupofcoffeetogetmovinginthemorning

❏ Lowbloodpressure(topnumberlessthan110)

❏ Orthostatichypotension(dizziness/lightheadednesswhenmovingfromlyingtostanding)

❏ Cravingsforsweets/sugarand/orsalt(potatochips!)

❏ Sleepproblems(hardtimefallingasleepand/orstayingasleep)

❏ Lackofinterestinsex

❏ Poormemoryor“brainfog”

❏ Increasedinflammation(andpain)

❏ Weightgain,especiallyaroundthemiddle

❏ Yougeteverycoldandflubuggoingaround

❏ Afeelingofoverwhelmfortasksthatyouusedtobeabletohandleeasily

❏ Animprovementinyoursymptomswhenonvacation

❏ Asecondwindifyoustayupafter10p.m.

❏ Post-exertionmalaise(fatigueafterexertingoneself).

OPTIONALLABORATORYTESTSTODO:

❏ FYFBloodPanel(blood)OR

❏ Male/FemaleHormonePanel(bloodspot)

LABORATORYGUIDE:

❏ Cortisollevel<15ug/dl

❏ DHEA-S<300ug/dl(men)or<150ug/dl(women)

❏ Elevatedbloodsugars(hemoglobinA1c>5.5orfastingbloodglucose>100)

EDUCATION:

In my experience, it is verylikelythatsomeonehasadrenaldysfunctioniftheyhave5ormore of the above symptoms. This can be corroboratedbyacortisollevellessthan15andDHEA-S level of less than 150 in women or 300 in men. These levels may be falsely elevated during times of stress or if other hormones are deficient (they mayappearbetterthantheyare).Since cortisol manages insulin, elevated blood sugar levels may also be seen. In general, I have found that everyone with fatigue requires adrenal support.

CONCLUSION:

✓ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

MITOCHONDRIALDYSFUNCTION(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Lossofmotorcontrol,balance,andcoordination

❏ Muscleaches,weakness,andpains

❏ Digestiveproblemsandgastrointestinaldisorders

❏ Cardiovascularproblemsandheartdisease

❏ Bloodsugarirregularities

❏ Hormonaldisorders(adrenals,thyroid,sexhormones)

❏ Visionlossandothervisualproblems

❏ Highersusceptibilitytoinfections

OPTIONALLABORATORYTESTTODO:

❏ OptimalNutritionEvaluation(O.N.E)urine

OPTIONALLABORATORYGUIDE:

❏ Lowglutathionelevelsbylabrange

❏ LowCoQ10levelsbylabrange

❏ Highlevelsoflipidperoxidesbylabrange

❏ Highlevelsof8-OH-dG(8-hydroxy-2’-deoxyguanosine)bylabrange

EDUCATION:

In my experience, it is very likely that someone has mitochondrial dysfunction if they have 2 or more of the above symptoms. This can be corroborated by the laboratory data listed, butis not required. In general, I have found that everyone with fatigue requires mitochondrial support.

CONCLUSION:

✓ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

If you find that you'd like some hand-holding through the process (and access to our full program), you can schedule a call with us.

SYMPTOMS:

THYROIDDEFICIENCY(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Coldextremities(handsandfeet)*

❏ Memoryloss

❏ Hairloss*

❏ Lowerlegswelling

❏ Constipation

❏ Dryskinandhair*

❏ Brittlenails*

❏ Weightgainordifficultylosingweight*

❏ Elevatedbloodsugarordiabetes

❏ Elevatedcholesterol

❏ Elevatedbloodpressure

❏ Depression,anxiety

❏ Heartpalpitationsorarrhythmias

❏ Poorcognition(“brainfog”)

OPTIONALLABORATORYTESTTODO:

❏ FYFBloodPanel(blood)OR

❏ Male/FemaleHormonePanel(bloodspot)

LABORATORYGUIDE:

❏ TSHlevel>1.5ulU/ml

❏ FreeT4<1.2ng/dl

❏ FreeT3<3.0pg/ml

❏ Thyroidantibodieselevatedperlabreferencerange

❏ Elevatedcholesterol(>200)andLDL(>120)

❏ Elevatedbloodsugars(hemoglobinA1c>5.5orfastingbloodsugar>100)

❏ Elevatedheartstrainmarkersonbloodtesting(proBNP,BNP,NTproBNPorGalectin-3)

❏ Elevatedinflammatoryandcardiovascularmarkersonbloodtesting(CRP,hsCRP, fibrinogen,PLA2ormyeloperoxidase)

EDUCATION:

In my experience, it is very likely that someone has thyroid deficiency if they have 3ormore of the above symptoms. This can be corroborated by a high TSH and lowfreeT4andfreeT3 levels. The other laboratory tests are confirmatory, but not required. Symptoms are more importantfactorsthanlaboratorytests.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

ESTROGENDEFICIENCY(WOMENONLY)(+)

SYMPTOMS:

Thesesymptomsaretypicallyfoundinwomenwhoarepost-menopausal.Usuallythese symptomsgotworseaftermenopause.Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Hotflashes*

❏ Vaginaldryness*

❏ Problemsstayingasleep*

❏ Painwithintercourse

❏ Hairloss

❏ Memoryloss

❏ Recurrentbladderinfections

❏ Depression

❏ Jointstiffness

❏ Lightorabsentmenses

❏ Weightgain

OPTIONALLABORATORYTESTTODO:

❏ FemaleHormonePanel(bloodspot)OR

❏ DUTCHSexHormoneProfile(urine)–dothistestespeciallyifyouaretakingsex hormonereplacementtherapyorbirthcontrolpills

LABORATORYGUIDE:

❏ Lowestrogenonbloodorurinelaboratoryvalue

EDUCATION:

In my experience, it is very likely that a post-menopausal woman has estrogen deficiency if she has 3 or more of the above symptoms including one of thesymptomswithanasterisk(*). This can be corroborated by low estrogen levels in blood or urine, but is not necessary if symptomsaresignificant.Urinetestingismoreaccuratethanblood.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

PROGESTERONEDEFICIENCY(WOMENONLY)(+)

SYMPTOMS:

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

Post-menopausalwomen:

❏ Hardtimefallingasleep*

❏ Depression

❏ Anxiety

Pre-menopausalwomen:

Symptomsaroundyourmensessuchas:

❏ Headaches&migraines(especiallyduringmenses)

❏ Depression

❏ Anxiety

OPTIONALLABORATORYTESTTODO:

❏ FYFBloodPanel(blood)OR

❏ FemaleHormonePanel(bloodspot)OR

❏ DUTCHSexHormoneProfile(urine)–dothistestespeciallyifyouaretakingsex hormonereplacementtherapyorbirthcontrolpills

LABORATORYGUIDE:

❏ Lowprogesteroneonbloodorurine

EDUCATION:

In my experience, it is very likely that someone has progesterone deficiency if they are pre-menopausal (still having their menses) and they have 1 ormoreoftheabovesymptomsor if they are post-menopausal and have 1 or more of the above symptoms includingahardtime falling asleep. This can be corroborated by low progesterone levels in urine and blood, but is notnecessaryifsymptomsaresignificant.Urinetestingismoreaccuratethanblood.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

TESTOSTERONEDEFICIENCY(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Decreasedlibido*

❏ Erectiledysfunction

❏ Hardtimeclimaxing/ejaculating

❏ Hardtimebuildingmuscles

❏ Poordecision-makingability

❏ Diminishedphysicalperformance

❏ Lackofphysicalendurance/stamina

❏ Depression(inmen)

❏ Anxiety(inmen)

OPTIONALLABORATORYTESTTODO:

❏ FYFBloodPanel(blood)OR

❏ Male/FemaleHormonePanel(bloodspot)OR

❏ DUTCHSexHormoneProfile(urine)–dothistestespeciallyifyouaretakingtestosterone replacementtherapy

LABORATORYGUIDE:

❏ Freetestosterone<2ng/dl(women)or<8ng/dl(men)

❏ Totaltestosterone<82ng/dl(women)or<600ng/dl(men)

❏ Elevatedcholesterollevelsbylabreferencerange

❏ Elevatedbloodsugarlevelsbylabreferencerange

EDUCATION:

In my experience, it is very likely that someone has testosterone deficiency if they have 2 of theabovesymptomsordecreasedlibido.Thiscanbecorroboratedbylowtestosteronelevelsin urine and blood, but is not necessary if symptoms are significant. Urine and blood testing is equivalent in usefulness, but urine is always used when the individual is taking testosterone replacementtherapy.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

NUTRIENTDEFICIENCIES

In my experience, I have found that nutrient deficiencies are best identifiedinlaboratorytests sincethereisalotofoverlapwithsymptoms.

VITAMINB12DEFICIENCY(--)

SYMPTOMS:

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Depression

❏ Anxiety

❏ Insomnia*

❏ Neuropathy(nervepainordysfunction)

❏ Cognitiveissues

❏ Brainfog

❏ Memoryloss

LABORATORYTESTTODO:

❏ FYFBloodPanel(blood)OR

❏ OptimalNutritionEvaluation(O.N.E)(urine)

LABORATORYGUIDE:

❏ VitaminB12<1500-2000pg/ml

❏ Homocysteine>7umol/L

❏ MeanCorpuscularVolume(MCV)>96fL

❏ MTHFRheteroorhomozygousforoneorbothcopies(A1298CandC677T)(optional)

❏ Borderlineorhighneedb12ontheO.N.Eurinetestbylabreferencerange

EDUCATION:

In my experience, it is very likely that someone has vitamin b12 deficiency if they have 1 or more of the above symptoms and low b12, high homocysteine and high MCV on blood or urine testing. If someone has the MTHFR gene or other genes associated with methylation, they should receive supplemental b12 as well. However,noteveryonewithlowb12levelscan tolerate supplementation because of genetics and fungalissues(sinceBvitaminsaregrownon yeast).

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

CopyrightEnergyMD AllRightsReserved.

SYMPTOMS:

FOLATE(VITAMINB9)DEFICIENCY(--)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Memoryloss

❏ Headaches

❏ Decreasedlibido

❏ Detoxificationproblems

❏ Neuropathy(nervepain/dysfunction)

❏ Chemicalsensitivity

❏ Poorimmunefunction

❏ Frequentlygettingsick

❏ Constipation

❏ Bloating

❏ Developmentalproblemsduringpregnancyandinfancy

❏ Anemia

❏ Cankersoresinthemouth

❏ Swollentongue

❏ Irritability

❏ Prematurehairgraying

❏ Paleskin

OPTIONALLABORATORYTESTTODO:

❏ FYFBloodPanel(blood)OR

❏ OptimalNutritionEvaluation(O.N.E)(urine)

❏ 23andme(optional)orothergenetictestlookingatMTHFR

LABORATORYGUIDE:

❏ RBCfolateinblood<1500ng/ml

❏ Homocysteine>7umol/L

❏ MeanCorpuscularVolume(MCV)>96fL

❏ MTHFRheteroorhomozygousforoneorbothcopies(A1298CandC677T)(optional)

❏ BorderlineorhighneedfolateontheO.N.Eurinetestbylabreferencerange

EDUCATION:

In my experience, it is very likely that someone has a folate deficiency iftheyhave2ormore of the abovesymptomsorlowfolateonabloodorurinetest.IfsomeonehastheMTHFRgene or other genes associated with methylation and folate metabolism, they should receive supplementalfolateaswell.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

VITAMINDDEFICIENCY(--)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Anxietyanddepression

❏ Seasonalmoodchanges(SeasonalAffectiveDisorder)

❏ Chronicpainandfibromyalgia

❏ Autoimmunity

LABORATORYTESTTODO:

❏ FYFBloodPanel(blood)

LABORATORYGUIDE:

❏ 25-hydroxyvitaminDinblood<60ng/ml

EDUCATION:

Inmyexperience,itisverylikelythatsomeonehasvitaminddeficiencyiftheyhave1ormore oftheabovesymptomsandlowvitamindonbloodlabtesting.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

MAGNESIUMDEFICIENCY(=)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Constipation

❏ Musclepain

❏ Musclespasms

❏ Musclecramping

❏ Muscletightness

❏ Insomnia

❏ Adrenalglanddysfunction

OPTIONALLABORATORYTESTTODO:

❏ FYFBloodPanel(blood)OR

❏ OptimalNutritionEvaluation(O.N.E)(urine)

LABORATORYGUIDE:

❏ Magnesiuminblood<2.3mg/dl

❏ BorderlineorhighneedformagnesiumonurineO.N.Etest

EDUCATION:

In my experience, it is very likely that someone has a magnesium deficiency iftheyhave2or more oftheabovesymptoms.Symptomsareequallyasimportantasalowmagnesiumlevelon abloodorurinetest. Most people with fatigue require magnesium supplementation.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

IRONDEFICIENCY(--)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Anemia

❏ Paleoryellowingskin

❏ Shortnessofbreath

❏ Heartpalpitations

❏ Muscleweakness

❏ Appetitechanges

❏ Sleepproblems

❏ Cough

❏ Memoryandcognitiveimpairment

❏ Moodchanges

LABORATORYTESTTODO:

❏ FYFBloodPanel(blood)

LABORATORYGUIDE:

❏ Totalironbindingcapacity(TIBC)>350ug/dl

❏ Ferritin<40ng/ml

❏ MeanCorpuscularVolume(MCV)<90fL

EDUCATION:

In my experience, it is very likely that someone has an iron deficiency if they have 2ormore of the above symptoms AND two of the following: low ferritin, low MCV, high TIBC on a blood test. That said, be careful taking iron for it can feed infections. Pay no attention to all otherironmarkers.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

NEUROTRANSMITTERDEFICIENCY(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Depression

❏ Sleepproblems

❏ Lackofinterestinthingsyouoncefoundpleasurable

❏ Lackofappetite

❏ Suicidalthoughts

❏ Anxiety

❏ Memoryloss

❏ Focusissues

❏ Hardtimemanagingstress

❏ Lowself-esteem

❏ Easilyself-criticalandguilty

❏ Perfectionist

❏ Easilyirritable

❏ Shyorfearful

❏ Exercisehelpsyourmood

OPTIONALLABORATORYTESTTODO:

❏ UrineNeurotransmittertest

LABORATORYGUIDE:

❏ Lowserotonin,GABA,glutamateordopamineonurinetestbylabrange

EDUCATION:

Inmyexperience,itisverylikelythatsomeonehasaneurotransmitterdeficiencyiftheyhave 2ormoreoftheabovesymptomsANDlowlevelsoftheneurotransmitterontheurinetest.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

CopyrightEnergyMD AllRightsReserved.

SYMPTOMS:

SLEEPDEFICIENCY(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Youhaveahardtimefallingasleep(takeyoumorethan30minutes)

❏ Youhaveahardtimestayingasleep(youwakeupduringthenightandare/arenotableto fallbackasleep)

❏ Youarenotgetting8ormorehoursofuninterruptedsleeppernight

❏ Yousnoreorstopsleepingatsomepointwhilesleeping

❏ Youarenappingduringtheday

❏ Youusetechnologyfor1hourpriortobedtime(TV,computer,phoneortablet)

❏ You’renotusingabluelightblockeronyourphone,computerortablet

❏ Youdon’tfeelrestedinthemorning

LABORATORYTESTTODO:

❏ FYFBloodPanel(blood)OR

❏ Male/FemaleHormonePanel(bloodspot)ANDtheOptimalNutritionEvaluation(O.N.E) (urine)

LABORATORYGUIDE:

❏ SeeVitaminB12deficiency

❏ SeeThyroiddeficiency

❏ SeeAdrenaldeficiency

❏ SeeIrondeficiency

❏ Abnormalsleepstudy

EDUCATION:

In my experience, it is very likely that someone has a sleep deficiency if they have 2 ormore of the above symptoms. Sleep deficiencies are mainly the cause of a circadian rhythm issue. Fixing the laboratory abnormalities associated with these other deficiencies will often remedy thesleepdeficiency.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

WATERDEFICIENCY(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Idonotdrinkhalfofmybodyweight(inpounds)inounces.(Forexample,ifyouweigh 120lbs(55kg),youarenotdrinking60ouncesofwaterperday)

❏ WhenIurinate,myurineisalwaysyellowevenafterdrinkingcopiousamountsofwater

OPTIONALLABORATORYTESTTODO:

❏ FYFBloodPanel(blood)

LABORATORYGUIDE:

❏ ABloodUreaNitrogen(BUN)toCreatinineratioof>20:1

EDUCATION:

In my experience, it is very likely that someone has a water deficiency if theyhave1ormore oftheabovesymptoms.Thelaboratorydataisconfirmatory,butnotnecessary.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

If you find that you'd like some hand-holding through the process (and access to our full program), you can schedule a call with us.

SIGNS:

GOODFOODDEFICIENCY(+)

Pleasemarkallofthefollowingthataretrueforyou besides fatigue:

❏ Idonotconsumewholefruitsandvegetables

❏ Iconsumelotsofgrainsandprocessedfood

❏ Lessthan80%ofthefoodIconsumeisorganic

❏ Iconsumegluten,dairy,corn,sugaroralcoholevery1-2days

OPTIONALLABORATORYTESTTODO:

❏ GPL-TOX(urinetestforchemicaltoxicitiesincludingpesticides).Avoidglutathioneand anybinder(Detox2,GIdetoxplus,ToxeaseBind,ActivatedCharcoal)for72hourspriorto collectionandfastovernight.

❏ GPL-GLYPHOSATE(urinetestforglyphosate(pesticide)toxicity).Avoidglutathioneand anybinder(Detox2,GIdetoxplus,ToxeaseBind,ActivatedCharcoal)for72hourspriorto collectionandfastovernight.

LABORATORYGUIDE:

Urinetestthatshowspesticidesgreaterthan75th percentile

EDUCATION:

In my experience, it is very likely that someone has a good food deficiency if they have 2 or moreoftheabovesymptoms.Thisiscorroboratedbypesticidesfoundintheirurine.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

MOVEMENT/EXERCISEDEFICIENCY(+)

Pleasemarkallofthefollowingthataretrue besides fatigue:

❏ ThemainmovementIgetisfromwalkingaroundmyhouse,tomycarandaroundwork

OPTIONALLABORATORYTESTTODO:

None

LABORATORYGUIDE:

None

EDUCATION:

Inmyexperience,itisverylikelythatsomeonehasanexercisedeficiencyiftheyhavethe abovesymptom.However,ifyourfatigueiscausingyourlackofexercise,thendonotstart exercisinguntilyourenergyimprovesuptoa6/10.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

TOXICITIES

SYMPTOMS:

CONSTIPATION(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Nodailybowelmovement*

❏ Painfulbowelmovements

❏ Hemorrhoids

❏ Pebble-like,hardstools

❏ Strainingonthetoilet

❏ Abdominalbloating

❏ Foul-smellinggas

❏ Earlysatiety–lackofappetiteduetoafeelingoffullness

OPTIONALLABORATORYTESTTODO:

None,basedonsymptomsonly

LABORATORYGUIDE:

None,basedonsymptomsonly

EDUCATION:

In my experience, it is very likely that someone has constipation if theyhave2ormoreofthe abovesymptomsincludingthelackofbowelmovementperday

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

If you find that you'd like some hand-holding through the process (and access to our full program), you can schedule a call with us.

MOLD(--)

SYMPTOMS:

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Muscleweaknessorcramps

❏ Jointpainandstiffness

❏ Sinus*:Postnasaldrip,nosebleeds,sinuscongestion,chronicsinusitis

❏ Chroniccough

❏ Headaches,includingmigraines

❏ Ear:Tinnitus,itchyears*,eardrainage,hearingloss

❏ Gastrointestinal:Bloating,irritablebowel,diarrhea,gastroparesis

❏ Urinary:Painwithurination,increasedurination,excessivethirst

❏ Vaginalyeastinfections*

❏ Neurologic*:dizziness,disorientation,tremors,paralysis,numbness,tingling

❏ Moodswings*

❏ Brainfog*,problemswithattention,learning,andmemory

❏ Vertigo

❏ Metallictaste

❏ Moldsensitivity(reactingnegativelytomoldyplaces)*

❏ Theabilitytosmellmolduponenteringaspace*

LABORATORYTESTTODO:

❏ GPL-MYCOTOX(urinemycotoxintest).Avoidglutathioneandanybinder(Detox2,GI detoxplus,ToxeaseBind,ActivatedCharcoal)for72hourspriortocollectionandfast overnight.

❏ EnvironmentalRelativeMoldinessIndex(ERMI)testtotestyourenvironmentformold.

❏ ImmunolyticsMoldtestplatestohelpdeterminelocationofthemoldonceERMIisdone

LABORATORYGUIDE:

❏ Elevatedlevelsofmycotoxinsinurine

❏ ERMI>2

❏ Moldtestplatespositiveformorethan5colonies

EDUCATION:

In my experience, it is very likely that someone has mold toxicity in their bodyiftheyhave2 or more of the above symptoms and the elevated levels of urinarymycotoxins.Theasterisked symptoms are especially indicative of mold toxicity Sometimes the urine mycotoxin test is normal even if someone has mold toxicity This occurs if their detoxification pathways are clogged.Inthesesituations,treatingbasedonsymptomsisadvised.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

HEAVYMETALS(--)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Headache

❏ Neuropathy(numbness,tinglingornervepain)

❏ Musclepain

❏ Jointpain

❏ Brainfog

❏ Memoryloss

❏ Anosmia(lossofsmell)

❏ Depression

❏ Highbloodpressure

❏ Historyofmercury/silveramalgams(stillinyourmouthorsinceremoved)

❏ Historyofplayingwithmercuryasachild

LABORATORYTESTTODO:

❏ DoctorsDataToxicMetalsurinetest.Afteryourfirstmorningurination,takeDMSA10mg perpoundofweight(i.e.a150lbpersonwillneed1500mgofDMSA)andthencollect yoururinefor6hours.OrdertheDMSA100mgcapsulesfromlivingsupplements.com. OrderthelabHERE.

LABORATORYGUIDE:

❏ HeavymetalsexcretedinurinewithaDMSAprovocationthatistentimesthebaseline levelsorelevatedbylaboratoryvalues.

EDUCATION:

In myexperience,itisverylikelythatsomeonehasheavymetaltoxicityiftheyhave2ormore oftheabovesymptomsandtheelevationsonurinelaboratorytesting.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

CHEMICALS(--)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Headache

❏ Neuropathy(numbness,tinglingornervepain)

❏ Musclepain

❏ Jointpain

❏ Brainfog

❏ Memoryloss

❏ Anosmia(lossofsmell)

❏ Depression

❏ Diabetestype2

LABORATORYTESTTODO:

❏ GPL-TOX chemical urine test. Avoid glutathione and any binder (Detox2, GI detox plus, ToxeaseBind,ActivatedCharcoal)for72hourspriortocollectionandfastovernight.

❏ GPL-GLYPHOSATE(urinetestforglyphosate(pesticide)toxicity).Avoidglutathioneand anybinder(Detox2,GIdetoxplus,ToxeaseBind,ActivatedCharcoal)for72hourspriorto collectionandfastovernight.

LABORATORYGUIDE:

❏ Elevatedlevelsofchemicalsexcretedinurine.

EDUCATION:

In my experience, itisverylikelythatsomeonehaschemicaltoxicityiftheyhave2ormoreof theabovesymptomsandtheelevationsonprovokedurinelaboratorytesting.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

BORRELIABURGDORFERI(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Symptomscomeandgo(gooddaysandbaddays)*

❏ Symptomsthatmovearoundthebody(jointpain,musclepain,nervepain)*

❏ Rash

❏ Getsworsearoundyourmenses

OPTIONALLABORATORYTESTTODO:

❏ DNAconnexions.comLymePanel(urinePCRtest)withprovocationoflymphmassageor 30minutesofexercisejustpriortocollection.

LABORATORYGUIDE:

❏ Positive(thepresenceof)BorreliaonurinePCRtesting.

EDUCATION:

Inmyexperience,itisverylikelythatsomeonehasaBorreliainfectioniftheyhavebothofthe asterisked symptoms above. This can be confirmed with the urine PCRtest,butisnotentirely necessary.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata

If you find that you'd like some hand-holding through the process (and access to our full program), you can schedule a call with us.

SYMPTOMS:

EHRLICHIAorANAPLASMA(-)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Highfever

❏ Headache

❏ Musculoskeletalpain

OPTIONALLABORATORYTESTTODO:

❏ FYFbloodpanel(blood)AND

❏ DNAconnexions.comLymePanel(urinePCRtest)withprovocationoflymphmassageor 30minutesofexercisejustpriortocollection.

LABORATORYGUIDE:

❏ Leukopenia(lowwhitecellcount)<4

❏ Thrombocytopenia(lowplateletcount)<150

❏ Elevatedliverfunctions(transaminitis)

❏ AST>40U/L

❏ ALT>50U/L

❏ Positive(thepresenceof) Ehrlichia or Anaplasma onurinePCRtesting.

EDUCATION:

In my experience, it is very likely that someone has an Ehrlichia or Anaplasma infection if theyhave2ofthesymptomsaboveANDallofthelaboratorydata.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata

SYMPTOMS:

BABESIAMICROTI (+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Daysweats(andperson“runshot”)*

❏ Nightsweats

❏ Chills

❏ Lungissueslike:*

❏ Airhungerorshortnessofbreath(can’tcatchyourbreath)

❏ Acoughthatcannotbeexplained

❏ AbdominalPain

❏ Diarrhea

❏ Anxietyandpanicattacks

❏ Depressionandsuicidalthoughts

❏ Awfulinsomnia

OPTIONALLABORATORYTESTTODO:

❏ DNAconnexions.comLymePanel(urinePCRtest)withprovocationoflymphmassageor 30minutesofexercisejustpriortocollection.

LABORATORYGUIDE:

❏ Positive(thepresenceof)BabesiaonurinePCRtesting.

EDUCATION:

In my experience,itisverylikelythatsomeonehasaBabesiainfectioniftheyhavebothofthe asterisked symptoms above.TheothersymptomscanbeconfirmatoryaswellastheurinePCR test.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata

SYMPTOMS:

BARTONELLAHENSELAE (+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Coldhandsand/orfeet

❏ Fever(occasional)

❏ Soreness,sharppainsordiscomfortonthesolesofthefeet*

❏ Sharp,shooting,knife-likeheadaches

❏ Jointpain(singlejointandsmalljointsinhandsandfeet)

❏ MusclePain(severe);Neckpain,LowBackPain

❏ Insomnia

❏ Rash(stretch-marks)

❏ Musclecramps(typicallyinthecalvesatnight)*

❏ HypothyroidismandHashimoto’s

❏ Anxiety

❏ Depression

❏ HighBloodPressure

❏ Raynaud’ssyndrome

OPTIONALLABORATORYTESTTODO:

❏ DNAconnexions.comLymePanel(urinePCRtest)withprovocationoflymphmassageor 30minutesofexercisejustpriortocollection.

LABORATORYGUIDE:

❏ Positive(thepresenceof) Bartonella onurinePCRtesting.

EDUCATION:

In my experience, it is very likely thatsomeonehasa Bartonella infectioniftheyhavebothof the asterisked symptoms above. The other symptoms will be confirmatory aswellastheurine PCRtest.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata

SYMPTOMS:

THEVIRUSES:EBV,CMV,HHV-6(=)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Fever

❏ Swollenlymphnodes*

❏ Memoryloss

❏ Brainfog

❏ Sorethroat

OPTIONALLABORATORYTESTTODO:

❏ FYFbloodtest(blood)

❏ MultiplePathogenImmunoglobulinTest(blood)

LABORATORYGUIDE:

❏ HighWBCduringacutephase(WBC>10)

❏ LowWBCduringchronicinfection(WBC<4)

❏ Highlymphocytesandmonocytesinchronicinfection(sometimeswithlowneutrophils)

❏ High(positive)IgGandIgMtitersonbloodserologytest(MultiplePathogen ImmunoglobulinTest)

❏ SpecificsforEBV:

EDUCATION:

In my experience, it is very likely that someone has an Epstein Barr virus (or CMV, HHV-6) infection if they have swollen lymph nodes with one of the other symptoms. The blood serology testing is confirmatory If fatigue persists without any other defining symptoms, that canbeachronicviralinfectionaswell.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata

SYMPTOMS:

COVID-19(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Intermittentfever

❏ Brainfog

❏ Lossofsmell*

❏ Lossoftaste*

❏ Neuropathies*(nervepain/weirdsymptoms)

❏ Shortnessofbreathorcough*

❏ Bloodclots

❏ Jointpain

❏ Musclepain

❏ Chestpain

❏ Heartpalpitations(fast-beatingorpoundingheart)

❏ Depressionoranxiety

❏ Headache

OPTIONALLABORATORYTESTTODO:

❏ COVID-19IgM,IgG,PCR(sinus/blood)

LABORATORYGUIDE:

❏ PositiveIgM,IgGorPCR

EDUCATION:

In my experience, it is very likely that someone has a COVID-19 chronic infection (Long Haulers) if they had at any point (orhave)atleastoneoftheasterisked(*)symptomsand2of the other symptoms, and their symptoms are new since November 2019. The testing is confirmatory,butnotnecessary.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata

SYMPTOMS:

SINUSINFECTIONS(+)

PleasemarkalloftheSYMPTOMSthatyouhave besides fatigue:

❏ Runnynose

❏ Sinuscongestion

❏ Postnasaldrip

❏ Earcongestion

❏ Lossofsmell

❏ Sinusheadaches*

❏ Facialpainfromsinuspressure*

OPTIONALLABORATORYTESTTODO:

❏ MARCoNSnasalswabtest

LABORATORYGUIDE:

❏ PositiveMARCoNSnasalswabtest

EDUCATION:

In my experience, it is very likely that someone has a chronicsinusinfectioniftheyhave2or more of the above symptoms including 1 of the asterisk symptoms. The MARCoNS nasal swabtestisconfirmatoryandespeciallyhelpfulifinitialrecommendationswereunsuccessful.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata

SYMPTOMS:

INTESTINALINFECTIONS(=)

PleasemarkalloftheSYMPTOMSthatyouhave besides fatigue:

❏ Constipation

❏ Diarrhea

❏ Reflux

❏ Bloating

❏ Flatulence

❏ Abdominalpain

❏ Hemorrhoids

❏ Skinrashes

❏ Chronicitching(specificallyinoraroundtheanus,intheears,orskin)

❏ Sugarcravings(andsymptomsworseningwithsugarconsumption)

❏ Jointandbodypain

❏ Sinuscongestion

❏ Brainfog

LABORATORYTESTTODO:

❏ GI-MAPstooltest

LABORATORYGUIDE:

❏ Positivebacteria,yeastorparasitesonstooltest(GI-MAP)

EDUCATION:

In my experience, itisverylikelythatsomeonehasachronicintestinalinfectioniftheyhave3 or more of the above symptoms andpositivelaboratorystooltesting.Thatsaid,parasitesdon’t showupregularlyinstooltests,sorecommendationsaretypicallybasedonsymptoms.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

DENTALINFECTIONS(=)

PleasemarkalloftheSYMPTOMSthatyouhave besides fatigue:

❏ Historyofarootcanal(evenifrepaired)

❏ Painingums

❏ Periodontaldisease

❏ Historyofabrokentooth

❏ Historyofadentalcavitation

❏ Historyofawisdomtoothextraction

OPTIONALLABORATORYTESTTODO:

❏ Dentalthermogram

❏ 3DdentalCTScan

LABORATORYGUIDE:

❏ Positivecavitationondentalthermogram

EDUCATION:

In my experience, it is verylikelythatsomeonehasachronicdentalinfectioniftheyhave2or more oftheabovesymptomsandpositivedentalthermogram.Thatsaid,youmayhavenoneof the above symptoms exceptfatigueandapossiblethermogramandprophylacticanti-microbial toothpastecanbehelpful.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

FOODALLERGIES(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Constipation

❏ Diarrhea

❏ Reflux

❏ Bloating

❏ Flatulence

❏ Abdominalpain

❏ Skinrashes

❏ Itching

❏ Jointandbodypain

❏ Sinuscongestion

❏ Brainfog

OBJECTIVETESTTODO:

❏ FoodEliminationDietfor3weekswithreintroductionof1newfoodevery4days

OPTIONALLABORATORYTESTTODO:

❏ IgGFoodAllergyTest(bloodspot)(optional)

OBJECTIVEDATA:

❏ Reactiontofooduponreintroduction

EDUCATION:

Inmyexperience,itisverylikelythatsomeonehasafoodallergyiftheyeliminatethefoodfor 3 weeks and then reintroduce it and experience negative symptoms. This is the gold standard forfoodallergytesting.Bloodtestingiscomplementary,butnotveryaccurate.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

INHALED(ENVIRONMENTAL)ALLERGIES(=)

SYMPTOMS&SIGNS:

Pleasemarkallofthesignsandsymptomsthatyouhave besides fatigue:

❏ Sinuscongestion

❏ Headaches

❏ Migraines

❏ Skinrashes

❏ Itching

❏ Jointandbodypain

❏ Brainfog

❏ Symptomsworsenaccordingtotheseason(pollens)*

❏ Symptomsimprovewhentakinganti-histaminesandotherallergymedicationsor supplements*

❏ Symptomsimproveindifferentpartsofthecountry(pollens)*

❏ Symptomsimproveoutsidethehome(animaldander,molds)*

OPTIONALLABORATORYTESTTODO:

❏ RASTIgEbloodtest(fromyourlocalorallergydoctor)

❏ Skinpricktest(fromyourlocalorallergydoctor)

LABORATORYGUIDE:

❏ PositivereactiontoRASTandskinpricktest

EDUCATION:

In my experience, it is very likely that someone has an inhaled allergy if they have 2 of the asteriskedsignsaboveand2othersymptoms.Laboratorytestingisconfirmatory

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

SYMPTOMS:

NEGATIVEEMOTIONS(+)

Pleasemarkallofthesymptomsthatyouhave besides fatigue:

❏ Negativeself-talk

❏ Self-criticism

❏ Notlivinginalignmentwithone’sbeliefs

❏ Feelingtrappedinone’slife

❏ Inabilitytoforgive

❏ Perfectionistictendencies

❏ Majorlossinyourlifeatayoungage

❏ Traumaatayoungage

❏ Separationfromparentatayoungage

❏ Difficultysleeping,insomnia

❏ Physicalsymptomswithnoapparentcause

❏ Angerthatisdifficulttocontrol

❏ Difficultyquietingthemind

❏ Obsessive-compulsivebehaviors

❏ Lossofsexualdesire

❏ Difficultymakingdecisions

❏ Brainfogormemoryissues

❏ Difficultytoleratingsocialactivity,theneedtoavoidothers

❏ Erraticbehaviors,easilyagitated,moodswings

❏ Feelingoverwhelmed,ontheedge,orhopeless

❏ Racingthoughts

❏ Engaginginriskybehaviorstorelievestressornumb

❏ Withdrawalorisolationfromotherpeople

❏ Increaseinnegativeordifficultemotions

OPTIONALLABORATORYTESTTODO:

❏ AdverseChildhoodEvents(ACE)questionnaire

LABORATORYGUIDE:

❏ ElevatedACE

EDUCATION:

In my experience, it is very likely that someone has negative emotions contributing to their fatigue if they have 2 or more of the above symptoms. ACE testing is supportive, but not necessary

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

ELECTROMAGNETICFREQUENCIES(EMF)(+)

SIGNS&SYMPTOMS:

Pleasemarkallofthesignsandsymptomsthatyouhave besides fatigue:

❏ Headaches

❏ Brainfog

❏ Memoryloss

❏ Sleepdisturbances

❏ Depressionandanxiety

❏ Chronicpain

❏ Chronicinfections

❏ Symptomsworsenwhenusingtechnology*

❏ SymptomsworsenwhenusingWi-Fi,Bluetoothormobiledata*

❏ Symptomsworsewithproximitytopowerplants*

OPTIONALLABORATORYTESTTODO:

None

LABORATORYGUIDE:

None

EDUCATION:

In my experience, it is very likely that someone has EMF toxicitycontributingtotheirfatigue iftheyhave2ormoreoftheabovesymptomsand1oftheasterisksigns.

CONCLUSION:

❏ Yes, I believe I have this cause of fatigue based on the above symptoms and laboratory data.(NowaddthiscausetoTHECAUSESOFFATIGUEpage)

❏ No, I DO NOT believe that I have this cause of fatigue based ontheabovesymptomsand laboratorydata.

NEXTSTEPS

Congratulations!Nowthatyou’vefoundmostofyourcauses,it’stimetomoveintoStep2and startresolvingthem!

Weofferlotsofhands-on,1-on-1andgroupsupporttohelpyoureachyourgoals.Youcan learnmoreaboutourprogramsheretodeterminewhichoneisthebestfitforyou.

Whetheryouchooseusoranotherprogramtohelpyouonyourhealthjourney,Irecommend thatyoumakesureit’swithamentorwithwhomyouresonate,asystemthathasbeenproven toworkwithalotoftestimonials,andtheabilitytogetyourquestionsansweredalongtheway I’mproudtosaythatwehavehadlotsofsuccesshelpingpeople.Youcanseesomeofour resultshere.

Thankyoufortrustingustoguideyouthroughyourhealthchallenges.Itisagreathonorforus tobepartofyourjourney.

Withgratitude,

EvanH.Hirsch,MD TheEnergyMD CreatoroftheEnergyMDMethod