FAQ: Learn More about What to Take for Fatigue

By: Michael Lam, MD, MPH

Water is often overlooked but purified water can help the body maintain good health, so consider it when thinking of what to take for fatigueQ:What type of water provides the best hydration and overall benefit for the body? I have read that name brand waters such as Dasani, Smartwater, etc. have added ingredients, this makes it difficult to understand what to take for fatigue. When choosing a water type, which one is the most beneficial – distilled, purified, or mineral? What ingredients should I avoid or look for in my water?

A:Spring water, reverse osmosis water, filtered water, and purified water are all good. The important thing is to make sure the water is pure and does not contain toxic metabolites that can stress your body and cause a reaction. If you want to embark in a short period of detoxification, distilled water would be good.

Q:How do I know what to take for fatigue and when my body has had enough supplements? Why would my body reject supplements that are supposed to be good for me?

A:There are subtle signs that the body will show you, such as being sensitive to supplements that you never had problems with, having paradoxical reactions to supplements, feeling anxious, having brain fog, or feeling bloated. In general, the body cannot deal with the byproducts of metabolizing supplements or medications, and your body’s reactions are a result of overloading the threshold of toxic materials your body can handle. However, the specific reason behind any particular sensitivity or paradoxical reaction you may experience is tied to your body’s unique neuroendometabolic stress response which can be very different from person to person. You have to look at the big picture, as many of these symptoms and signs can occur independently. It takes a lot of clinical experience to be able to spot it.

Q:How do I know what to take for fatigue when supplements cause my mouth and sinuses to dry out?

A:If your body is sensitive to certain ingredients in the supplements, it may cause sinuses or mouth to dry out. If your supplements has some ingredients that are anti-histamines, it may also cause some dryness.

It takes extensive knowledge and experience with the condition of Adrenal Fatigue to do better than trial and error when it comes to picking the right supplements. Thus, while cases of Adrenal Fatigue in the early stages of the condition can be self-navigated to recovery, it is not realistic to try to do the same once the body has gotten into more advanced stages. The body is usually in a sensitive state that experiences adverse and paradoxical reactions to many adrenal supplements. In such advanced cases, it is important to find and consult an experienced health professional who can help build a proper plan for optimal recovery, including figure out which supplements to use.

Additional Questions on What to Take for Fatigue

Depending on if your baldness is hormone related, you may be able to change its progression when asking what to take for fatigueQ:Is there anything that can be done to reverse hair loss naturally?

A:It depends if your hair loss is related to hormonal balance or genetically male balding. If it is related to hormonal balance, once your hormones are balanced, then hair loss would resolve.

Q:When suffering from Adrenal Fatigue, what can I take to help clear out the liver?

A:Detoxification (colonics, massages, foot reflexology, acupuncture, liver cleanses or chelation) is a good practice, but the results vary greatly depending on the intensity, frequency and timing of the detox. If the body is weak, aggressive detoxification may lead to excessive release of toxins. Unless the toxins can be promptly metabolized and cleared out of the body, they may accumulate. This can lead to a detoxification reaction that will weaken the body further. Care must be exercised, as it can also trigger an adrenal crash.

Q:Once someone has stabilized from Adrenal Fatigue, do they still need to continue with supplements?

A:In today’s imperfect world, everyone experiences some sort of stress on an ongoing basis. The supplements Dr. Lam recommends are great for building and maintaining the body’s day to day stress response functions. So once you are stabilized, you can reduce the dosage to health maintenance for anti-aging purposes.

Vitamin D has many affects that are the reverse of melatonin, but when pondering what to take for fatigue it may be considered as it can help stabilize moodQ:Why is it beneficial to take vitamin D at night?

A:Vitamin D is inversely related to melatonin, your sleep hormone, so usually it is recommended to take it during the day. With advanced Adrenal Fatigue Syndrome, however, the clinical picture is often the opposite. Vitamin D is a weak steroid, and it can stabilize mood to allow better sleep.

Water is often overlooked but purified water can help the body maintain good health, so consider it when thinking of what to take for fatigue


  • Robin D. says:

    I am now 60, however when I was 38 I had a benign ganglioneuroma tumor removed from my right side and they had to also remove my right adrenal gland (adrenalectomy). I have been having severe brain fog, headaches, fatigue and can’t concentrate, cold feet, some hair loss etc. I have read a lot of information but have never encountered someone who has had an adrenal gland removed to see if my symptoms are from fatigue. I do not feel depressed, but not feeling well and this brain fog is terrible. Where do I turn? I went to a psychiatrist and she put me on Lexapro antidepressant however it made me I’ll with headaches and nausea so stopped it after one week. Presently I am on Klonazipam for anxiety and other vitamins but I need to turn to a professional who is well versed in adrenals. Are you able to help me?

    • Dr.Lam says:

      you can call my office and request a telephone appointment to talk. I need a lot more history and will be able to tell you on the spot whether I can help you or not, and if not, your options. you situation is not unusual.

      Dr Lam

  • Amy Reissner says:

    It appears that I am also having gut issues in addition to adrenal issues. I am also on a low histamine diet due to increased sensitivities. A doctor I have seen is suggesting I do a SIBO test, as she is suspecting a methane gas issue from the bacterial overgrowth. My intention is to use botanical antimicrobials and a natural approach. My chi is low but better then in the fall. I do not want to go on motility enhancing pharmaceuticals, but again approach the issue in a holistic and gentle fashion. What are your thoughts? Do I need to take the SIBO test if my approach will be holistic and the clinical picture is rather clear?

    • Dr.Lam says:

      The gut, immune and liver are interrelated. Inflammation is the common pathway. SIBO is useful if you have intention to be agressively employing anti-microbials. If you are doing holistic,then SIBO test is often academic.

      Dr Lam