Persistent, unexplained fatigue is one of the most common reasons people end up in our office after standard workups have come back “normal.” Fatigue like this rarely has a single cause — it usually reflects several interconnected systems under strain at once: adrenal signaling, thyroid conversion, mitochondrial energy production, gut health, and the nervous system’s ability to rest and recover.
Rather than chasing one lab value, our approach looks across this whole terrain, so nothing contributing to how you feel is left unexamined.
The testing below is what allows us to tailor which of the areas above need the most attention for you specifically, and in what order, before you ever arrive.
Required Testing Prior to Arrival
A comprehensive cortisol/hormone rhythm assessment (such as the DUTCH test) — required
Highly Suggested Testing
Two Clinical Days, Three Days Total
If you are considering this program, please reach out to schedule an initial conversation. We can discuss your history and whether this approach is the right fit.
Dr. Tamara Santa Ana, DC • drtsanta@protonmail.com • (540) 462-7750