Chronic Fatigue Specialist in London
Some people can point to the exact moment their energy changed. For others, it happens more quietly. You stop bouncing back after rest. Your concentration slips. Everyday tasks begin to feel disproportionately hard. You are sleeping, but not restored. And somewhere along the way, exhaustion starts to feel like your new normal.
As a GP and functional medicine doctor based in central London, I work with people whose fatigue has not been fully explained, or whose test results never seemed to match how unwell they feel. Chronic fatigue is not a diagnosis to dismiss lightly. It is a signal that deserves proper attention.
I offer face-to-face consultations at Charterhouse Clinic in London W1, as well as video appointments for patients across the UK.
When exhaustion stops feeling normal
Persistent fatigue can affect far more than energy. It can change how you think, work, exercise, sleep, and function day to day.
Many people come to me because they are dealing with:
- exhaustion that does not improve properly with rest
- brain fog, poor concentration, or feeling mentally slowed down
- reduced stamina or difficulty recovering after physical or mental effort
- sleep that feels unrefreshing
- dizziness, low resilience, or a sense of being physically depleted
- symptoms that began after an infection, a period of prolonged stress, or a longer phase of hormonal or metabolic strain
Chronic fatigue is a symptom, not a simple diagnosis
Fatigue can have many different drivers, and in some cases several may be overlapping at once.
Sometimes the picture points towards post-viral fatigue. In other cases, the deeper drivers may involve thyroid function, nutritional deficiencies, gut health, metabolic issues, chronic inflammation, hormone imbalance, poor sleep, or a prolonged stress response.
That is why I do not start with assumptions. I start by understanding the whole clinical picture.
Symptoms that often sit alongside chronic fatigue
- brain fog or poor memory
- headaches or a heavy, foggy feeling in the body
- muscle aches or a sense of weakness
- low mood, anxiety, or reduced stress tolerance
- sleep disturbance
- digestive symptoms such as bloating or discomfort
- feeling markedly worse after exertion
My approach to chronic fatigue
First, I look at the full story
I begin with a detailed consultation, reviewing your symptom history, sleep, stress, previous investigations, diet, gut health, hormones, and any patterns around infections, burnout, or post-viral recovery.
Then I investigate carefully
Where appropriate, I may recommend further assessment to help clarify what is driving the fatigue. This may include looking at thyroid health, nutrient status, metabolic health, hormones, inflammation, gut health, or other relevant markers.
Then we build a plan around what we find
Depending on the pattern, this may include lifestyle changes, nutritional support, targeted supplementation, further medical investigation, medication review, or a broader functional medicine plan.
Ongoing review matters
Chronic fatigue is rarely something to manage with a one-off conversation. I follow your progress carefully and adjust the plan over time so it reflects how you are functioning, not only what individual test results suggest on paper.
What I may look at during a deeper assessment
- thyroid function
- nutrient status
- metabolic health and blood sugar regulation
- hormone patterns
- gut health and digestion
- inflammatory markers
- stress response and sleep quality
- post-viral patterns, where relevant
Why work with a chronic fatigue doctor with a GP and functional medicine perspective
One of the advantages of this approach is that I do not treat fatigue as an isolated complaint.
I work from a GP foundation, so I can think clinically about differential diagnosis, investigations, medication, referrals, and ongoing monitoring, while also using a functional medicine perspective to explore the wider patterns that may be contributing to persistent exhaustion.
London clinic location and video appointments
Face-to-face consultations are available at Charterhouse Clinic, 98 Crawford Street, London W1H 2HL, with video appointments for patients across the UK.
Get in touch
London clinic location
Charterhouse Clinic
98 Crawford Street
London W1H 2HL
info@drtatyana.co.uk
0208 050 2421
Frequently asked questions
When does chronic fatigue need deeper investigation?
Can chronic fatigue happen even if basic blood tests are normal?
What tests might be useful?
Do you offer chronic fatigue consultations in London and online?
Book a chronic fatigue consultation
If your energy has changed in a way that no one has properly explained, or if fatigue is beginning to shape too much of your life, a more detailed review can help us understand what needs attention.
For face-to-face consultations, you can also email info@drtatyana.co.uk.