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Precision & regenerative medicine · Online consultations

Fatigue that will not lift.
Let’s investigate what is behind it.

When fatigue leaves little energy for work, family or the things you enjoy, your symptoms deserve attention. We bring your history, previous results and everyday experience together to plan a focused assessment, with consultations and follow-up online in English.

Free initial consultation · 45 minutes

Time to understand your situation

You do not need to choose a test before contacting us. The first conversation is about your symptoms and what you would like to be able to do in daily life.

We listen to the whole story

When fatigue began, sleep, pain, brain fog and what happens after activity. Previous investigations and medicines are part of the picture.

We identify the next question

The doctor considers what has already been investigated and which findings or symptoms need follow-up. Any further assessment has a defined purpose.

We make the next step clear

If a programme is appropriate, we explain its content, cost and follow-up. Goals reflect what matters to you and what is manageable in your situation.

What happens after assessment?

Treatment follows the assessment. Depending on the findings, the next step may concern sleep, an identified deficiency, medicines or another condition that needs care. We agree what improvement would mean for you and when to review the plan.

Fatigue, stress-related exhaustion and ME/CFS are not interchangeable diagnoses. If physical or mental activity causes a delayed worsening, tell us before planning activity changes. A plan should take your limits into account.

The first consultation is free and lasts 45 minutes. Further visits and tests depend on the proposed plan; you receive a cost explanation before deciding. See appointments and prices.

What could be affecting your energy?

Persistent fatigue can have several explanations that need to be considered together. We use your history, clinical findings and targeted investigations to explore the relevant possibilities.

Sleep and recovery

Sleep quality, daily rhythm and recovery help explain the symptom pattern. Snoring, waking at night and daytime sleepiness may call for further assessment.

Blood tests, nutrition and metabolism

We review existing results first. Anaemia, iron or B12 deficiency and thyroid disease are examples of questions that may need investigation based on your history.

Symptoms after exertion

A worsening after physical or mental activity needs careful description. When ME/CFS is suspected, this is an important part of assessment and care planning.

Other symptoms and current treatment

Pain, gut symptoms, infections, mental health and medicines can affect energy and function. We consider them in the context of your overall history.

GCR: what needs attention first?

The Global Constraint Rule is MediBalans’ clinical working model, developed by Dr Mario Anthis. It helps organise the questions: what could be limiting your recovery, what can be investigated and which step should come first?

We agree on goals that can be followed in daily life, such as sleep, concentration or managing an activity. At follow-up, your experience and relevant measurements inform the next adjustment to the plan.

Read about the Global Constraint Rule →

Targeted analyses that may be considered

Additional analyses are selected for a specific clinical question. The individual test pages explain what each method examines and how findings are used in the assessment. Sampling arrangements are confirmed for your location before ordering.

Questions before your first consultation

No. You can book directly. Have previous test results, investigation reports and a current medication list ready.
Yes. International patients can meet us by video in English. We confirm any testing or sampling arrangements for your location before ordering. Appointments at the Stockholm clinic are also available.
We review what was investigated and how your symptoms have developed. The doctor then considers whether further investigation, a different approach or follow-up would be useful.
They are different conditions that need individual assessment. ME/CFS includes a worsening of symptoms after exertion, often delayed. Your symptoms, previous investigations and other possible explanations guide further care.
We agree on what you would like to be able to do and which symptoms or measurements to follow. At review appointments, we discuss changes and adapt the plan. The timing of follow-up is agreed for your situation.
Next step

Investigate
your fatigue

Book a free online consultation. We review your symptoms and previous investigations, then discuss what the next step could look like for you.

Read about MediBalans care for persistent fatigue.

Care area · Fatigue & energy

Further reading: persistent fatigue, exhaustion and ME/CFS

These pages belong to the same care area: symptom guides explain what the fatigue can be caused by, test pages describe the tools, and the booking page is the entrance to a first assessment with a doctor.

Keep reading. Explore symptom guides, clinical notes, assessments and diagnostics in our knowledge base.

Visit the knowledge base →

Keep reading. Explore symptom guides, clinical notes, assessments and diagnostics in our knowledge base.

Visit the knowledge base →

MediBalans + Meet Mario

Your plan continues between visits

For patients following a MediBalans protocol, Meet Mario can make the plan easier to follow between visits, with a meal plan, educational explanations and a separate channel to the care team.

See how Meet Mario supports your plan
Meet Mario patient view showing today's personal plan

Explore the topic before your assessment