According to Michael E. Rosenbaum, M.D., "Because of its inherent variability, it is unrealistic to create a rigid standardized treatment protocol for CFS. Although symptoms frequently overlap among CFS patients, each CFS patient is different and manifests a unique symptom blueprint. In the treatment chapter of my book, four steps were proposed as part of a general treatment approach:
tep 1: Treat mixed infections especially those that are readily apparent and treatable as bacterial and/or fungal sinusitis or enteritis.
Step 2: Treat allied mixed conditions which often occur in CFS patients. These include food and inhalant allergies and sensitivities, mold exposure, heavy metal toxicity; adrenal, thyroid and sex hormone endocrinopathies.
Step 3: A) Inactivate the core intracellular microbes that may cause the disease including herpes family viruses, enteroviruses, mycoplasma species and Chlamydia pneumonia. B) Normalize the immune dysregulation that appears to characterize CFS, including abnormally high T-cell activation and a shift in the predominant immune response from T helper-2 which emphasizes antibody responses to allergens and autoimmune reactions to a T helper-1 mode, which emphasizes the eradication of intracellular viruses and bacteria.
Step 4: Heal nervous system problems involving mental alertness, cognition and mood disorders." (Source: www.ImmuneSupport.com. To read the complete interview online, click on the following link: Michael E. Rosenbaum, M.D., on Treating Chronic Fatigue Syndrome and Fibromyalgia .)