WHY CHOOSE ALIV

• ICU and pediatric-trained clinical staff trained in PEM-informed care.
• Founded by super-specialised doctors.
• Internationally sourced, pharmaceutical-grade compounds.
• Pioneers in regenerative medicine since 2015.
• Personalised programme design respecting your energy envelope.

HOW IT WORKS

Hashimoto's is a chronic autoimmune disease in which the immune system progressively destroys thyroid tissue. Hormone replacement corrects the resulting hypothyroidism. Integrative care addresses the autoimmune process itself and its upstream drivers.

PEM is a defining feature of chronic fatigue. The "exercise your way out" approach is actively harmful. Graded exercise therapy as traditionally applied is no longer recommended (NICE UK 2021). Every layer respects pacing.

Layer 1: Diagnostics.

Inflammatory markers, ferritin, full thyroid panel, vitamin D, B12, magnesium, cortisol.

Layer 2: Fatigue Fighter IV.

Foundational nutritional replenishment plus antioxidant support, delivered IV to bypass impaired gut absorption common in chronic fatigue.

Layer 3: Mitochondrial Rejuvenation.

CoQ10/Ubiquinol, NAD+ precursors (NMN/NR), D-ribose, L-carnitine, magnesium, methylated B-complex. ALIV's NAD+ Vitality IV for bioavailable cellular energy support. SS-31 for clients over 45 with significant mitochondrial decline.

Layer 4: Sleep Support (where needed).

Coordinates with the Sleep Protocol. Epitalon or DSIP indicated-only.

Layer 5: Gut and Systemic Inflammation (where needed).

BPC-157 for gut lining repair; Thymosin Alpha-1 in recurrent post-viral patterns.

Layer 6: Autologous Cell Therapy (individuals 45+).

Stronger regenerative pathway after foundational layers optimised. Investigational; case-selected.

THE LIFESTYLE LAYER

What you do between appointments matters more than what happens in the clinic.

• Pacing: the single most important concept. Stay within your energy envelope.
• Sleep: non-negotiable; protect quality, consistency, depth.
• Nutrition: higher protein, careful micronutrient repletion, anti-inflammatory patterns.
• Autonomic regulation: slow breathing, gentle restorative practices within PEM limits.
• Infection prevention: each infection risks setback.
• Household: family education is part of the protocol.

PROTOCOL-RELATED FAQ

Q. Is chronic fatigue a real illness?

A. Yes, real. Not psychological. Documented biological abnormalities including mitochondrial dysfunction, immune dysregulation, autonomic disturbance and a distinct hypometabolic chemical signature. Formally recognised internationally as a serious physical illness.

Q. How is this different from the Post-COVID Recovery Protocol?

A. Significant overlap. The Post-COVID Protocol is the right start if your illness clearly followed COVID. This protocol is for established chronic fatigue, non-COVID post-viral fatigue or overlap presentations.

Q. What about graded exercise therapy?

A. Traditional GET is no longer recommended (NICE UK 2021) because of PEM-induction risk. Carefully paced, symptom-titrated movement within the energy envelope is different and can be beneficial.

Q. Is there a peptide that treats chronic fatigue?

A. No peptide is FDA-approved or standard of care for chronic fatigue syndrome. Some are biologically plausible candidates and used case-by-case as investigational adjuncts.

Q. Who should not do this protocol?

A. Severe chronic fatigue requiring inpatient or home-based care; active unstable medical conditions; clients seeking pushing-based recovery; those unable to commit to pacing principles.

Chronic Fatigue and ME-CFS Treatment in India, A PEM-Informed Approach

Chronic fatigue is a serious, multi-system illness and one of the most medically marginalised conditions in India. ALIV's PEM-informed integrative protocol respects post-exertional malaise as the defining biological feature. Doctor-led at Pune and Mumbai.

What the Protocol Includes

A 6-layer PEM-informed programme: diagnostics, Fatigue Fighter IV, mitochondrial rejuvenation (CoQ10, NMN/NR, D-ribose, L-carnitine, NAD+ Vitality IV, SS-31 for 45+), sleep support (Epitalon, DSIP indicated-only), gut and immune work (BPC-157, Tα1 in post-viral patterns), and ACT for selected clients over 45.

Why ALIV's PEM-Informed Approach Matters

Traditional GET is no longer recommended (NICE 2021). ALIV staff are trained to never recommend "push through it." Every layer titrates within the energy envelope.

Who Should Consider This Protocol

Adults with diagnosed CFS, ME-CFS or post-viral fatigue with PEM; persistent unexplained fatigue 6+ months; unrefreshing sleep with cognitive dysfunction or orthostatic intolerance; overlap features.

Why Choose ALIV for Chronic Fatigue Care in India

Doctor-led, PEM-informed, pacing-respectful, integrative not alternative.