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Living With Chronic Fatigue Syndrome: A Reason to Believe

Reviewed by: Dr. Steven Knauf, D.C.

By: Brandi Goodman

Living-With-Chronic-Fatigue-Syndrome-A-Reason-to-Believe

Cher. A name that needs no introduction. She’s been turning heads and turning back time for decades—singing, acting, dancing, and collecting awards like it’s her side hustle. Oscars? Check. Grammys? Of course. Golden Globes? Add them to the cart. But beneath the sequins, sass, and showstopping performances, Cher has faced a battle most fans don’t see. The “Believe” icon has been open about her struggle with chronic fatigue syndrome (CFS), a condition that can leave even a superstar feeling anything but fabulous.

If you’re unfamiliar, chronic fatigue syndrome is more than just being tired after a long day—it’s a relentless exhaustion that lingers for months and doesn’t go away, no matter how much you rest. The kind of fatigue makes “normal” seem like a far-off dream. Cher’s story proves that even the brightest stars can feel dimmed by its effects.

So, what exactly is chronic fatigue syndrome, and why does it hit so hard? More importantly, how can understanding this condition help you reclaim your energy and thrive, even when the struggle feels endless? Let’s dive into the answers—and maybe a little inspiration from Cher along the way.

Chronic fatigue syndrome: More than being tired

Chronic fatigue syndrome (CFS), or myalgic encephalomyelitis (ME), isn’t just about feeling tired after a long day. It’s a profound, unrelenting exhaustion that doesn’t improve with rest. For those living with it, “normal” can feel out of reach.

CFS is a neurological disorder that disrupts the immune and nervous systems. It can take months—or even years—to diagnose, and once it’s present, it often becomes a permanent part of life. Everyday tasks can feel monumental, with energy levels depleting rapidly.

Cher’s story reminds us that while CFS can dim the lights, it doesn’t have to extinguish the flame.

The difference between CFS and CFIDS

CFS is often confused with chronic fatigue immune deficiency syndrome (CFIDS). Both conditions share similar symptoms, but CFIDS emphasizes immune system dysfunction. Those with weakened or abnormal immune systems may be more vulnerable to this variation.

Understanding these nuances can be empowering, offering insights that lead to better management strategies.

How common is chronic fatigue syndrome?

CFS affects an estimated 3.3 million Americans, according to the CDC. While it’s most common in women in their 40s and 50s, it doesn’t discriminate—children and men can also experience its effects. For 1 in 4 people with CFS, the symptoms are severe enough to significantly disrupt daily life. Yet, as Cher has shown, living with CFS doesn’t mean giving up on your dreams.

What causes chronic fatigue syndrome?

Though its precise cause remains unclear, CFS is believed to stem from biological, genetic, and environmental factors. Certain risk factors, such as family history, viral infections, and stress, can increase the likelihood of developing it.

For women—who are two to four times more likely to have CFS—hormonal imbalances and immune irregularities may also play a role.

Possible biological, environmental, and lifestyle causes

Many causes can bring about CFS. Any immune system abnormalities, hormonal imbalances, or viral infections can bring it on, as well as repeated stress or exposure to toxins. Some who have CFS experienced various causes, but only one is necessary for it to present itself.

Common risk factors and triggers for CFS

If others in your family have the disorder, then you are more likely to as well. Though you can manage your symptoms, there is little you can do to prevent yourself from getting it through genetics. Sometimes, however, it will lie dormant. You won’t develop symptoms until exposed to a toxin, have a viral infection, experience significant stress that brings it on or develop a hormonal or immune system imbalance.

Women are two to four times more likely than men to develop CFS. Having a history of complex medical issues, such as postural orthostatic tachycardia syndrome or fibromyalgia, will also put you more at risk.

Symptoms may come and go, which makes CFS difficult to diagnose. Both emotional distress and physical activity can trigger symptoms. Smoking and drinking alcohol should be avoided because they can exacerbate symptoms. If you have felt overly tired for over six months, it’s time to talk with your doctor.

What are the symptoms of chronic fatigue syndrome?

There are both physical and mental symptoms of chronic fatigue syndrome. Be on the lookout for any changes, monitor your symptoms for a while, and note them in a journal to show evidence of episodes to your physician.

Identifying physical and mental symptoms

Many people with CFS experience extreme exhaustion. Both physical and mental exercise can feel overly tiring, requiring rest afterward. This is called post-exertional malaise (PEM). Symptoms get significantly worse following any type of exercise, no matter how minimal, and can last for days or weeks.

Some also begin to experience memory problems and have trouble with thinking skills. Dizziness tends to occur, which can happen when attempting to sit or stand from lying down or standing up from a sitting position. Muscle and joint pain is also possible, and some may be confused with fibromyalgia. Despite how tired you feel, sleep will do little to help. You will rarely wake up feeling refreshed or any better than before.

Individuals with CFS may develop additional issues. You may also experience headaches, tender lymph nodes in the armpits or neck area, recurring sore throats, and sensitivities to sound, light, certain food, smells, and even medicines. It can truly make your life miserable.

When to seek a diagnosis for chronic fatigue

The condition usually requires at least six full months of symptoms before diagnosis. However, you should always speak to your doctor as soon as you wish to do so. If you’ve started noticing symptoms, start a health journal and let the doctor know so you can work together to keep an eye on things and discover the problem. Many disorders have similar symptoms, and it will require further testing to determine which one you may have, whether it is CFS, CFIDS, or something else.

Is there a cure for chronic fatigue syndrome?

There is currently no cure for chronic fatigue syndrome. Doctors simply work to keep their patients as comfortable as possible, offering advice on lifestyle changes and how to ease symptoms to restore quality of life.

Treatment options for managing CFS

Doctors may offer medication as a treatment option for symptoms to ease pain and aid sleep for sufferers of CFS. Cognitive behavioral therapy (CBT) and graded exercise therapy (GET) are options. Treatment plans can be adjusted over time and are always tailored to the individual and their precise symptoms and requests.

How do different therapies address CFS symptoms

Pain medication can help ease muscle aches and discomfort that you’re feeling, while sleep aids can help provide rest if you’re having trouble sleeping. CBT and GET can lessen fatigue and improve overall physical functioning.

Lifestyle tips for living with chronic fatigue syndrome

When living with myalgic encephalomyelitis (chronic fatigue syndrome), some lifestyle changes can help. Dietary changes, specific exercises, and stress management strategies are among the tips that may ease your symptoms and help restore your quality of life.

Dietary considerations to help manage symptoms

Focus on a healthy diet can help manage CFS. A balanced diet that includes lean protein, whole grains, fruits, and vegetables is best to help improve energy and reduce fatigue. Omega-3 fatty acids are also ideal to help support brain functioning. Avoid inflammatory foods because they can cause symptoms to flare. Refined carbs and processed sugars should be removed from your diet.

Exercise and physical activity recommendations

You should engage in an exercise program tailored to CFS patients. The types of exercise you choose can have a significant effect on you. Some exercises can help with your symptoms, while others can worsen your condition. You should avoid overly demanding exercises and embrace gentle exercises instead. Low-impact activities—stretching, yoga, and walking—are best. You also need to pace yourself. Do not attempt to do too much at once; if you start to feel tired, give it up for the day. You can gradually work up to longer sessions as your symptoms ease. Keep your activities short, and always listen to your body.

Stress management strategies for CFS patients

Stress can exacerbate the symptoms of CFS and make your sleep problems worse. Try engaging in light yoga, meditation, and mindfulness practices. Find other stress relief options that work best for you, whether listening to music, drawing, writing in a journal or anything else that interests you. The goal is to ease your stress to limit inflammation and hopefully avoid triggering symptoms.

Preventive measures and risk reduction for chronic fatigue syndrome

To reduce your risk of developing CFS—and to have any hope of preventing its onset in the first place—you should lead a life that’s as healthy as possible. You have a better chance of avoiding the disorder with a boosted immune system and stress reduction.

Can chronic fatigue syndrome be prevented?

Because there is no one cause of chronic fatigue syndrome, it’s difficult to say how to prevent it. However, doing what you can to manage stress, limiting your exercise to gentle movements, and eating healthy may help.

Tips for reducing CFS risk factors

To reduce your risk for CFS, do what you can to boost your immune system. Eat a healthy diet, exercise safely, take vitamin supplements (such as Vitamin C), and keep your stress levels to a minimum. The healthier you are overall, the better your chance of reducing your risk or minimizing your symptoms.

FAQS about chronic fatigue syndrome

Myalgic encephalomyelitis (chronic fatigue syndrome) is a complicated disorder. Understanding some FAQs about the condition can help you cope with it.

Are there any famous people with chronic fatigue syndrome?

Several famous faces have shared details about their life with chronic fatigue syndrome. The two most prominent people living with the disorder are Cher and Laura Hillenbrand, author of the book Seabiscuit. They have each worked to bring awareness to the condition in an attempt to bring visibility to its associated challenges and help others with CFS know that they are not alone.

Other celebrities with similar conditions, such as fibromyalgia, CFIDS, or ME, include Lady Gaga, Stevie Nicks, filmmaker Paul Atherton, former Olympic soccer player Michelle Akers, off-road motorcycle legend (and former NASCAR driver) Ricky Carmichael, entertainer Michael Crawford known for “Phantom of the Opera,” Michael Balzary (Flea from the Red Hot Chili Peppers), and Christian rapper Trip Lee. Florence Nightingale was even suspected of suffering from the condition.

What should I expect from living with CFS in the long term?

When living with CFS long-term, know that your symptoms don’t have to take over your life. You can work with your doctor to tailor a plan that is best for you. With some lifestyle changes and guidance, you can find a way to live with CFS and still enjoy life. Also, note that you don’t tend to have symptoms forever or every day. There are often bad phases when you experience discomfort and poor sleep and then periods of remission when you feel much more like yourself. Learning how to tell when one or the other is beginning is helpful.

If you realize you’re about to have a bad phase, you can attempt to rest, recover, and limit your activities. You can be a little less careful if you’re in a good phase. Remember to never push yourself too hard or too far, even during good days. They’ll catch up to you eventually.

Are there support groups for chronic fatigue syndrome?

Knowing you are not alone is a significant comfort, and you must realize that you are not alone in this journey. In addition to the famous faces previously mentioned, the Centers for Disease Control estimates chronic fatigue syndrome affects up to 3.3 million people in the United States. Support groups provide a forum to speak with others who have the disorder. You can find a group through the American Myalgic Encephalomyelitis and Chronic Fatigue Syndrome Society or look at places like Facebook for awareness and support.

Seek chiropractic care for CFS relief

Whether you’re dealing with myalgic encephalomyelitis, chronic fatigue syndrome (ME, CFS), or chronic fatigue immune deficiency syndrome (CFIDS), finding ways to reduce your risk factors and symptoms can help make your life easier and more comfortable. Although chiropractic care is not a cure for these diseases, it may relieve symptoms, ease discomfort, and help you achieve better rest.

Doctors at The Joint Chiropractic are your healthcare partners and want to assist in your journey to good health. Get an adjustment and see how it benefits your body. With joint restrictions corrected and pain minimized, you may have a better chance of getting adequate or better rest.

With other lifestyle changes and tips from your doctor, you can help maintain your quality of life. The Joint Chiropractic encourages you to engage in as many healthy habits as possible to improve your well-being.

You may not be able to turn back time, but you may have a reason to believe in life after CFS.

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