READ THIS IF YOU ARE ALWAYS TIRED (no matter how much you rest)....

600 - 1,500 mg of thiamine (B1) reduced fatigue severity by ~40%
Multiple studies showing this.
Perhaps the most important nutrient for the mitochondria.
More on that below.

From crushing fatigue, improving digestion and even cancer support -
VITAMIN B1 might just be what you need:
Restricting calories also body drops thyroid hormone and leptin to conserve energy.
You’re not just eating less, you’re telling your body to produce less energy.
More on that below.

LEPTIN: why it’s SO important and how to optimize yours to boost your metabolism and finally stay thin for life.
This leads to excess lactic acid buildup, especially after activity. This is a hallmark of chronic fatigue.

· Anxiety / panic attacks
· Fatigue, especially in muscle
· Shortness of breath
Are all signs of high lactic acid.
It is produced in large amounts when metabolism is impaired (Warburg Effect). This is famous for happening in cancer.
Excess lactic acid also drives:
· Insulin resistance
· Inflammation
· Stress (sympathetic nervous system + HPA axis)
Some things that can lower lactic acid:
· Thyroid hormone
· Methylene blue
· B1, B2, B3, B6, B7
· Anything to lower stress
You can measure it in the blood. It's not all encompassing but it's a good marker.
x.com/Outdoctrinatio…
These fungi can:
◇ Drive chronic inflammation
◇ Suppress the immune system, increasing pathogenic load
Contributing to fatigue pathology.
Anti-fungal interventions can resolve Chronic Fatigue Syndrome.
More on tackling it below.

Here’s how to know if you have it, what causes it and what to do about it:
Lucky for you, I have a guide on how to do just that below:

If you have IBS, bloating, gas, poor bowel movements or brain fog, you NEED to see this.
This is a comprehensive DEEP dive into fixing your digestive health:
⇒ Inhibits mitochondrial enzymes
⇒ Fragments them into inefficient pieces
⇒ Triggers oxidative stress (damages structure + stop energy uptake)
This is why you get tired when you get sick, but you can have chronic inflammation that makes you chronically tired.
CRH activates microglia - immune cells in your brain that drive neuroinflammation, again which is directly tied to fatigue symptoms.
Thus, lowering stress is going to be key.
My guide on doing just that is below.

This is the ULTIMATE GUIDE to STRESS - the signs, the biological mechanisms and what to do about it:
It acts on nearly every possible way to benefit mitochondrial health.
If you're always tired, you're likely low on thyroid (+ should check out this guide to optimizing it):

This is the ULTIMATE AND COMPLETE GUIDE TO THYROID HEALTH so you can optimize it:
➜ High cortisol blocks the conversion of inactive T4 to active T3
➜ Free fatty acids inhibit thyroid signaling at the nuclear level
No thyroid signaling = no mitochondrial activation = no energy.

The thyroid needs carbs.
Here’s why:
This lack of blood flow into the brain can cause fatigue by impairing oxygen delivery, which is needed for energy production.
One primary factor for improving oxygen delivery + blood flow is CARBON DIOXIDE.
I explain why below.

Not a waste product or a villain in global warming, but an enhancer for your metabolism.
THREAD:
Many folks report increased energy levels with it in the mix.

Let’s talk about METHYLENE BLUE. How it works
[THREAD]
610 nm wavelength.
One of the many reasons it is so beneficial for cognitive health (more on that below).

It heals depression, brain damage, Alzheimer's, and keeps your mind sharp.
The benefits of RED / INFRARED LIGHT THERAPY for the brain are astonishing:
Oxidative stress
➞ Damages mitochondria
➞ Damages blood vessels - worsens blood flow
➞ Increases inflammation
➞ Impedes energy import into cells
The basics of antioxidant support are below:

☆ Vitamin E
☆ Vitamin C
☆ B1
☆ B2
☆ Selenium
☆ Copper
☆ Zinc
☆ NAc
☆ Glycine
☆ Taurine
☆ Red / near infrared / sun light
☆ Foods rich in these nutrients (liver, oysters, meat, gelatinous foods)
☆ Foods rich in flavonoids (fruits, whole juices, coffee, chocolate)
☆ Edible mushrooms (ergothioneine)
☆ Plenty of carbohydrates
☆ Avoid polyunsaturated fat (seed oils) like the plague
☆ Run iron labs, potentially some more comprehensive panels if serious enough
Glutathione protects mitochondria from the deleterious effects of oxidative stress, and thus fatigue.
Precursors (NAC+Glycine) have powerful effects on mitochondrial function.

➜ Reduces oxidative stress
➜ Improves mitochondrial function
➜ Improves cognitive function
➜ Reverses insulin resistance
Nearly every metric of aging and disease imaginable.
More on glycine below: x.com/Outdoctrinatio…
It’s impaired in fatigue.
Tender cervical or axillary lymph nodes is a common finding in chronic fatigue.
➜ Lymph massages (see below)
➜ Sleeping on side
➜ Infrared light
➜ Diaphragmatic breathing
can all help.

You’re probably filled up with fluid that won’t leave until you address this.
Let’s talk about the LYMPH STAGNATION - why it is harmful & how to fix it:
~20% of all genes are under circadian control.
Genes for:
➜ Digestion
➜ Hormones
➜ Oxidative stress
➜ Inflammation
all included.
BRIGHT LIGHT is the most important way to optimize it.

If you’re feeling down, tired, stressed, or anxious, this may just be the answer you never knew you needed.
I found that out the hard way.
Here’s why:
Pregnenolone supports mitochondrial fusion - making them bigger, more efficient, and better at generating ATP.
It’s also neuroprotective and anti-inflammatory.

1. Pregnenolone lowers stress - restores youthful appearance
As we age, we:
☞ Put on more fat
☞ Lose muscle
☞ Produce less energy
☞ Do so in a more stressful manner
The primary stress hormone, cortisol, actually predicts your perceived age.
In other words, the lower your stress, the younger you appear to other people, and the younger you likely are biologically!
Stress directly promotes the breakdown of
☞ Skin
☞ Hair
☞ Muscle
while promoting the creation of fat mass.
Pregnenolone INHIBITS the release of CRH, the hypothalamic precursor of cortisol.
Prengnolone’s ability to inhibit the release of CRH/CRF is unique, targeting stress at the most basic biological root cause.
Pregnenolone also functionally inhibits the receptor for cortisol.
The "pregnenolone facelift" phenomenon is real.
The production of pregnenolone and its metabolites like DHEA, declines in aging, while the production of stress steroids like cortisol continue to rise.
The ratio of DHEA/Cortisol is one of the best predictors of disease and mortality, and declines with aging.
Pregnenolone also gets metabolized in large quantities to progesterone, which also inhibits CRH release and is a direct antagonist on the cortisol receptors.
Progesterone has GABAnergic effects, which is the key relaxing signaling molecule in the body.
Another compound which pregnenolone largely gets converted into is allopregnanolone, our body’s primary endogenous GABAnergic steroid.
2. Pregnenolone is anti-inflammatory
CRH, independently of cortisol production, also contributes to stress, disease and aging, by initiating inflammation.
Inflammation is uniformly seen in all chronic diseases and in the aging process, as it
☞ Breaks down our tissue
☞ Dampens energy production
☞ Generally makes us feel crappy
Pregnenolone actually degrades the toll like receptors (TLRs) that initiate inflammation in conditions from Alzheimer's disease to IBS.
3. Pregnenolone increases energy
As we age, our mitochondria become:
☞ More susceptible to damage
☞ More fragmented
☞ Smaller
☞ Less effective at producing energy,
☞ More prone to generate free radicals
but pregnenolone allows them to
☞ Produce more energy,
☞ Produce less with oxidative stress
☞ Undergo fusion, when mitochondria come together and become more robust.
The pro-energy effects of pregnenolone have been observed for nearly a century.
Some early studies showed that workers, especially those under stress, subjectively felt better when doing so with pregnenolone.
This anti-fatigue effect was also demonstrated in arthritic patients.
100-500 mg of pregnenolone taken orally has consistently shown an anti-fatigue, cognitive enhancing and anti-stress/anxiety effect.
I'll link the pregnenolone we use ourselves and with clients below.
Perhaps the most noteworthy testimonial:
" 'I didn't have my usual summer recovery from "winter sickness,' during a two week trip I felt perfectly well, but except for that short time I kept getting sicker and sicker (with inflammation of arteries, dental abscesses, asthma, migraines, and colitis).
Lying in bed one day trying to understand what had happened during that two week trip, I remembered that I had used the vitamin E containing a residue of pregnenolone on the trip, but used pure vitamin E after I got home.
I immediately got out of bed and took a pinch of pregnenolone. In about an hour, all of my
symptoms had stopped, and for over a week I was healthy and energetic.
But then I got sick again, and was so distracted by the pain that it was several days before I remembered the pregnenolone. Another pinch had the same dramatic sudden effect.
Since then I have taken some almost every day."
- Ray Peat
Look at his transformation!
It's unique metabolism activates AMPK and PGC1α, two key regulators of mitochondrial biogenesis and energy metabolism.
It also has an anti-inflammatory / antioxidant effect at the genetic level.

It sheds fat, improves insulin resistance, stops kidney stones, and might even turn cancer cells back to normal.
The benefits of VINEGAR will absolutely blow your mind:
Another way to improve the health of your mitochondria.

It's actually one of the most powerful anti-aging, anti-inflammatory and neuroprotective tools known to man, yet it's been demonized.
The TRUTH about caffeine will blow your mind:
It prevents mitochondrial fission, keeping them large and efficient.
It also upregulates oxidative phosphorylation, directly enhancing ATP output in the mitochondria.

It heals cancer, depression and is even a nootropic.
And it’s safe and cheap to boot.
Why ASPIRIN is so much more than a painkiller and a blood thinner:
☆ Buffers mitochondrial pH
☆ Regulates calcium flux
☆ Antioxidant
☆ Anti-inflammatory
☆ Supports mitochondrial tRNA function
Works wonders for many metabolic emergencies.

It protects the brain, reduces inflammation, stress, insulin resistance, and might even grow your hair.
The benefits of TAURINE are boundless:
1. Heavy Metals
• Mercury – disrupts mitochondrial membranes and enzymes.
• Lead – impairs mitochondrial respiration and energy production.
• Arsenic – inhibits mitochondrial enzymes
• Cadmium – damages electron transport chain complexes.
2. Pesticides
• Rotenone – inhibits Complex I of the electron transport chain.
• Paraquat – generates superoxide radicals, causing oxidative mitochondrial damage.
• Organophosphates – indirectly damage mitochondria via oxidative stress.
3. Industrial Chemicals
• Dioxins – interfere with mitochondrial biogenesis and induce oxidative stress.
• Polychlorinated biphenyls (PCBs) – disrupt mitochondrial membranes.
• Phthalates – impair mitochondrial respiration and ATP synthesis.
4. Pharmaceuticals
• Statins – lower CoQ10 levels, impairing mitochondrial energy production.
• Antibiotics (e.g., aminoglycosides, tetracyclines) – inhibit mitochondrial protein synthesis.
• Chemotherapy agents (e.g., doxorubicin) – cause mitochondrial DNA damage and ROS generation.
5. Mycotoxins (mold toxins)
• Ochratoxin A – inhibits mitochondrial respiration.
• Aflatoxins – generate oxidative stress, damaging mitochondria.
6. Air Pollutants
• Particulate matter (PM2.5) – induces mitochondrial oxidative stress and fragmentation.
• Ozone – damages mitochondrial membranes and impairs respiration.
7. Fluoride
• Inhibits enzymes like enolase and ATP synthase, reducing mitochondrial efficiency.
• Inhibits thyroid hormone production
8. Electromagnetic Fields (EMFs)
• Impair mitochondrial calcium handling and increase oxidative stress.

SOURCES OF HEAVY METAL EXPOSURE:
The main heavy metals of concern are aluminum, nickel, cadmium, lead, arsenic, and mercury.
Due to pollution and industrialization, these elements that normally reside deep in the earth have been introduced to our environment in unprecedented amounts.
As a result, heavy metals have made their way into damn near every aspect of our modern lives.
● Vegetables - due to soil contamination
● Grains (especially brown rice)
● Canned foods - using metals
● Chocolate (especially dark)
● Pesticides - which incorporate heavy metals
● Seafood (especially larger fish) - as the ocean gets contaminated from pollution
● Vaccines - used as preservatives
● Water
● Medical devices
● Cigarettes / vapes
● The air itself
● Supplements
● Dental devices
● Utensils
● Aluminum foil
● Cookware (+ utensils)
● Drugs
● Jewelry
● Tattoos
● Glassware
● Cars (especially working on engines)
● Batteries
● Wires
● Paint (especially old)
● Piping
● Sewage
● Ceramic
● Gasoline / oil
● Grills/charcoal
● Personal care products
● Cosmetics
● Baking powder
● Food additives
If you work in a lab, with batteries, cars, if you’re a welder, electrician, or any type of manual labor that requires contact with metal, oil, gas, or other industrial processes, chances are you’re getting disproportionately exposed to these.
HEAVY METAL TOXICITY SIGNS / SYMPTOMS:
These poisons have such a fundamental way of disrupting normal biology / biochemistry that they can impact nearly every aspect of health.
◍ Mental / cognitive health
◍ Fat gain
◍ Hormonal disruptions
◍ Liver problems
◍ Cancer
◍ Gut issues - IBS, IBDs
◍ Respiratory issues
◍ Fatigue
◍ Kidney problems
◍ Heart diseases
MECHANISMS OF HEAVY METAL TOXICITY.
While metals can be toxic, our body NEEDS certain metals, or minerals.
Zinc, copper, iron, magnesium, manganese, etc. etc.
These are essential elements that are intertwined, literally, with every fiber of our being.
Toxic heavy metals use this property, essentially “hacking” the role of many of these nutrients, due to their chemical similarity.
As a result, they:
◍ Bind to native proteins and enzymes
◍ Deplete antioxidants
◍ Cause oxidative stress
◍ Drive inflammation
◍ Increase intracellular calcium
◍ Impair mitochondrial function
However, while this property creates their toxicity, it also leads to the most logical way to deal with them - by “outnourishing” them.
Many of our essential minerals have built in ways of protecting us from heavy metals.
◍ Iron deficiency increases lead and cadmium absorption
◍ Iron also mitigates arsenic toxicity
◍ Calcium deficiency increases lead absorption and impairs excretion.
◍ Zinc stimulates the production of metallothionein, which binds heavy metals
◍ Selenium protects against mercury toxicity
MOLYBDENUM is a little known nutrient that literally prevents death from mercury poisoning.
Research has shown that giving molybdenum alongside mercury completely prevented death from an otherwise completely lethal mercury treatment.
Molybdenum also helps increase the excretion of heavy metals.
Molybdenum has shown protection against lead poisoning, too.
Lead can be incredibly dangerous by replacing iron and inhibiting red blood cell formation, which we need to breathe and survive.
Molybdenum prevents that.
Molybdenum is most abundant in liver, as well as grains and beans, plus cottage cheese.
Supplementing during heavy metal toxicity can have benefits.
Selenium markedly improves mercury toxicity & increases its excretion.
Mercury interacts with selenium dependent proteins, causing oxidative damage.
Supplementing selenium binds to mercury and supports its elimination, while preventing oxidative stress.
Selenium is in brazil nuts, beef, organ meats and more.
One study showed that a zinc & selenium combination mitigate heavy metal toxicity.
A mixture of various toxic heavy metals was combatted by supplementing zinc+selenium:
• Restores antioxidant enzymes
• Lowers inflammation
• Prevents cell death, tissue damage
• Lowers absorption of heavy metals
A study in battery workers found that zinc + vitamin C powerfully reduces heavy metals in the body.
‣ Both prevent absorption of lead, cadmium, etc
‣ Zinc directly promotes their excretion by producing metallothionein
‣ Both critical for antioxidant protection against them
Trace minerals are some of our best protection.
Aluminum is known to induce Alzheimer's plaques, but Vitamin E reverses it.
Aluminum is higher in neurodegenerative conditions in the brain - causing oxidative damage and cognitive decline.
Vitamin E is one of our primary protectors.
Another paper demonstrated that vitamin E + selenium mitigate mercury poisoning.
Due to their therapeutic effect on oxidative stress, they are able to prolong survival during mercury exposure.
Magnesium also improves lead toxicity & enhances its excretion.
Lead likes to accumulate in the bones and become a slow poison over time, but ample magnesium can mitigate this.
Magnesium supplementation is a no brainer for most, especially during heavy metal overload.
Silicon is a mineral that lowers aluminum in tissues.
➢ Brain
➢ Liver
➢ Bone
➢ Spleen
➢ Kidney
all have drastically reduced aluminum content when enough of this mineral are included in the diet.
Prevents aluminum absorption and improves excretion.
Thiamine (vitamin B1) can lower lead stores in the body.
B1 binds lead and prevents it from being locked up in tissues where it can cause toxicity.
Something important to remember is that heavy metals get excreted in large part through the feces.
That means if your gut is slow or not functioning well, you're going to have a tough time getting it all out - sorting out gut health is going to be VITAL.
Some things that aid in the binding and excretion of heavy metals through the gut:
✦ Fiber: insoluble fibers like wheat bran
✦ Pectin: especially modified citrus pectin
✦ Humic / fulvic acid (found in shilajit)
✦ Bentonite clay
✦ Charcoal
✦ Taurine / glycine (for bile)
You'll also want to support your detoxification systems in general.
The body has a myriad of ways to inactivate and excrete various toxins.
There are also a number of natural compounds that can bind and aid in the excretion of heavy metals.
◈ Glutathione (made from glycine)
◈ N-Acetylcysteine
◈ Taurine
◈Allium sativum (garlic)
◈ Milk thistle
◈ Cilantro
◈ Ginkgo
◈ Turmeric
◈ Triphala
◈ Phytochelatins
There are also chemical chelators of heavy metals.
◈ DMSA
◈ ALA
◈ EDTA
and others.
I would exert EXTREME CAUTION if trying to go this route, since these can take metals and redistribute them into different tissues.
Done properly, it can be helpful, but doing it properly is very difficult.
TESTING FOR HEAVY METALS:
Blood testing is considered the gold standard, and is more reflective of recent exposure.
Urine is more representative of excretion and long term exposure.
Hair testing is relatively unreliable since it can easily be externally contaminated.
Nail testing is more promising, but not very well studied.
I would opt for blood + urine in most cases, if suspecting heavy metal toxicity.
This is how you know for sure. I would not undergo any of these interventions without a strong suspicion of heavy metal toxicity.
I put together a deep dive guide on how to really get into the weeds of your metabolism here.

I wanted to dive deep into my metabolism to see what I could discover.
So deep, you probably haven’t even heard of most of these metrics.
Here’s everything I learned:
If you want some help in solving fatigue, you can schedule a free call with us here prism.miami/scheduling

It's not in your head. It's not normal, but it is fixable.
Let's talk about what causes FATIGUE + TIREDNESS, and what you can do about it to have flying energy levels for life:


































































