
The Chronic Fatigue and Burnout Recovery Podcast
151 episodes — Page 1 of 4
Episode 150: Relapse or Recalibration? Why Symptoms Can Return After Years of Stability
Episode 149: Not all Post-Exertional Malaise (PEM) is the same
Episode 148: Protein, Pacing & Physical Capacity: A Nurturing Resilience Membership Conversation

Episode 147: Processing, Purpose & Stability: A Membership Conversation on Nervous System Healing
This week on the podcast we do something a little different. We share a recording from the Nurturing Resilience Membership where we focus on supporting your Nervous System as you navigate recovering from Chronic Fatigue and other Energy Limiting Illness. This is your opportunity to be a fly on the wall of one of our group calls and if you want to take part yourself, you are very welcome to join the Membership and get involved. We cover topics such as using yin yoga for emotional processing, discharging survival energy, finding purpose in life while navigating recovery and how to create stability as you navigate the inevitable ups and downs. Join Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/ Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_

Episode 146 - Research Review: The PEM Puzzle
Post-exertional malaise (PEM) is more than just feeling tired after activity — it’s a delayed and often severe worsening of symptoms that affects many people with ME/CFS and other energy-limiting conditions. In this episode, Anna unpacks what PEM is, why it happens, and what current research is beginning to reveal. Anna explains how PEM differs from everyday fatigue, explores emerging insights into energy production, inflammation, and stress responses, and discusses why “pushing through” can be harmful. She also reflects on what this research means in real life, and how it can support safer pacing, validation, and more compassionate approaches to recovery. This episode is a helpful listen if you want to better understand PEM, feel more validated in your experience, or learn how research can guide gentler, more supportive ways of managing energy. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/ Article Link: https://pmc.ncbi.nlm.nih.gov/articles/PMC12408823/

Episode 145 – Oxaloacetate and Chronic Fatigue: Could this compound support your energy?
Oxaloacetate is a compound that plays an important role in cellular energy production and mitochondrial function. In this episode, Anna explores the emerging interest in oxaloacetate as a potential support for people with Chronic Fatigue and other energy-limiting conditions. Anna explains what oxaloacetate is, why it has gained attention in the chronic fatigue space, and how it may influence metabolism, inflammation, and energy production. She also discusses who may benefit, important considerations around dosing and sensitivity, and where oxaloacetate fits within a broader, foundations-first approach to recovery. This episode is a helpful listen if you’re curious about oxaloacetate, considering supplementation, or wanting to understand how targeted interventions can support energy when used thoughtfully and in the right context. Supplement: https://uk.iherb.com/pr/advanced-orthomolecular-research-aor-benagene-30-capsules/3308 Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 144: How to manage unsolicited advice about your chronic illness
We’ve all been there. You share some details about your chronic illness with a friend, family member or colleague and instead of empathy, you receive a prescription for yoga, meditation or a B12 injection. Although the unsolicited advice is well meaning, often it can be another load that we have to manage. Chronic illness is complex and nuanced and it is exhausting to explain the physiological complexity as well as the dramatic impact it is having on your life. This episode is here to help you waste less energy with some ideas about how you can respond in situations of unsolicited advice or when someone challenges how you are caring for your health. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 143: What I wouldn’t do if I had to recover from Chronic Fatigue all over again
Mistakes are how we learn and grow and the same is true for Chronic Fatigue Recovery. In this episode Anna shares what she wouldn’t do if she had to recover from Chronic Fatigue all over again. She shares lessons and learnings from her own experience and experience working with clients. She weaves in guidance on what she would do instead so that you can learn to build strong health foundations from the ground up. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/

Episode 142: Cycle syncing when you have Chronic Fatigue
Cycle syncing is a practice whereby you align your diet, lifestyle and energy management around your menstrual cycle. In this episode Anna answers the question: can this be helpful if you have Chronic Fatigue? Anna gives an overview of the menstrual cycle and explains how imbalances at certain points in the cycle can make us feel a certain way. She shares her own experience with cyclical fluctuations in energy and how she managed them, things that have worked clients and how to manage your cycle if you have histamine intolerance or MCAS. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/ Additional Resources: How to have better periods, Part 1 How to have better periods, Part 2 How to have better periods, Part 3 Perimenopause

Episode 141: How long is long enough to stick with something if you don’t feel any better?
Prompted by a question from a Nurturing Resilience Member, Anna answers the question about how long to keep going with things when you aren’t seeing progress. She talks about the importance of laying life long foundations, getting overwhelmed by healing gadgets, supplement grave yards, the importance of context, strategy and structure, testing and retesting and how giving yourself a break can be the best thing at times! Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/ Healing On A Budget Episode: https://annamarsh.co.uk/podcast/healing-on-a-budget/

Episode 140: How can I help? Ways to work with me
***PLEASE NOTE*** Prices quote in this episode have increased since recording. Each week I get enquiries from people who are experiencing energy limiting conditions such as CFS/ME, Long Covid, Post Viral Fatigue and Mould Illness. Your health is the most important thing and you want to make sure that whoever you work with is the right fit for your needs and your budget. Which is why I wanted to create a podcast episode where I talk about how I work and the different options – to help you decide if it could be the right thing for you. In this episode I cover my qualifications, scope of practice and break down the different ways I work with clients in my business. If you have been thinking about working with a practitioner to support your health and are considering working with me, this episode is for you. 6 Month Package: https://annamarsh.co.uk/1-1/ Road Map: https://annamarsh.co.uk/fatigue-recovery-roadmap/ Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/

Episode 139: The Top 3 Things That Stop People From Recovering Energy Limiting Conditions
Prompted by a question on Instagram Anna shares 3 things that she feels stop people from recovering from Energy Limiting Conditions. She talks about how embodied safety is essential for change, some of the mistakes she made in her own journey recovering from Chronic Fatigue and insights into what can be supportive if you resonate with any of these 3 areas. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/ Healing On A Budget Episode: https://annamarsh.co.uk/podcast/healing-on-a-budget/

Episode 138: How I Built My Exercise Capacity with Chronic Fatigue
One of the things that people with Chronic Fatigue struggle with the most is exercise. In this episode Anna shares her exercise journey and how she approached building her capacity from heart rate controlled walking to returning back to the gym and swimming 4km! She shares her step by step process, failures, strategies to mitigate PEM and the 3 most important considerations for anyone who wants to be able to exercise more as they recover their health. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/ Functional Patterns: https://www.rawmotionfitness.com/ Actively Autoimmune: https://www.activelyautoimmune.com/ Episode 89: Exercise Well with Autoimmunity: https://annamarsh.co.uk/podcast/episode-89-exercise-well-with-autoimmunity-and-zoe-mckenzie/ Episode 50: Functional Patterns For Chronic Pain: https://annamarsh.co.uk/podcast/episode-50-functional-patterns-for-chronic-pain-with-brendan-turner/

Episode 137: Struggling with Motivation? It could be your nervous system.
If you find yourself struggling to do things you know you should be doing to support your health, this episode of the Chronic Fatigue and Burnout Recovery Podcast is for you. Anna does a brief recap on the nervous system and explains how certain nervous system states may contribute to feeling stuck, frozen or general apathy when it comes to making diet and lifestyle changes and being consistent with them. She offers guidance on how we can better attune to the needs of our nervous system so that we can take small steps forward in the direction of health. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/

Episode 136: Expansion and Contraction As You Build Capacity with Chronic Fatigue
In this episode Anna speaks to the natural expansion and contraction which is an essential part of life. Often in fatigue recovery there can be periods of being able to do more and expand into life as well as periods where symptoms pop up, we feel more tired and able to do less i.e. contracted. We often celebrate the expansions and resist the contractions but both are an important part of the process. This episode will hopefully help you embrace, accept and plan for the natural ebb and flow of fatigue recovery and life in general. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/

Episode 135: Does being an empath increase your risk of Chronic Fatigue?
Recently someone asked me if they thought there was a connection between being an empath and Chronic Fatigue. My answer: Absolutely! In this episode we unpack why. We talk about what it means to be an empath and importantly, how many of the qualities of being an empath could actually be learned survival patterns of the nervous system. We may still be sensitive, but we can learn to regulate through our sensitivity to live a beautiful and energised life! Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/

Episode 134: How To Travel Well with Chronic Fatigue
Travel can have pro’s and con’s when you have a chronic illness like Chronic Fatigue. Travel can be stressful, energy demanding and destabilising to a sensitive nervous system. However, travel can also take us out of our comfort zone in a healthy way and break stuck cycles of fear. In this episode Anna talks about the pro’s and con’s of travel, how to titrate the experience of travel back into your life as you start to be in the world more, important things to consider when travelling, how to prepare before, recover afterwards and the bits in between. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/ Repowr Electrolytes: https://getrepowr.co.uk/ (Use the code ANNAMARSH)

Episode 133: Burnout Vs Chronic Fatigue: Are they different or the same thing?
Have you ever wondered what the difference is between Burnout and Chronic Fatigue? Are they different or the same thing? In this episode Anna explains burnout from a nervous system perspective and how this can relate to symptoms of Chronic Fatigue. She talks about how we can support ourselves to move forward after a burnout. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/

Episode 132: How To Support Your Adrenal Glands When You Have Chronic Fatigue
There are some schools of thought that suggest poorly functioning adrenal glands could be an underlying cause in chronic fatigue. Although imbalanced adrenal function could be part of the complex web of fatigue, it is more likely to be a piece of the puzzle than the whole puzzle itself. That being said, when it comes to recovering energy and vitality, there is seldom one magic solution. Instead, improvements happen when we support the body as a whole. Part of that support may include supporting the adrenal glands. In this latest episode of the Chronic Fatigue and Burnout Recovery Podcast Anna talks about adrenal function, how to identify dysfunction with testing and symptoms and most importantly how to support both high and low adrenal output. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ 1-1 Support: https://annamarsh.co.uk/1-1/ Nervous System Work: https://annamarsh.co.uk/workshop/ Join the Nurturing Resilience Subscription: https://annamarsh.co.uk/nurturing-resilience/ Electrolytes: https://getrepowr.co.uk/discount/ANNAMARSH Adrenal AM Supplement: https://trueperformance-supplements.co.uk/supplement/adrenal-am/ Adaptocrine: https://www.amritanutrition.co.uk/products/adaptocrine-xl-k-124-120-capsules (practitioner code 9C5WFV)

Episode 131: GLP-1 Receptor Agonists, MCAS and Chronic Fatigue
Glucagon-Like-Peptide-1 receptor agonists (GLP-1 RA) are a class of medications originally developed to treat type 2 diabetes, but have since gained widespread attention for their effects on weight loss and metabolic health. Emerging research suggests that GLP1-Receptor Agonists could be supportive in managing inflammatory symptoms associated with Mast Cell Activation Syndrome (MCAS). Although research is currently limited, Anna talks about what we know so far and her experience with clients taking these drugs in clinical practice. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ Research Paper: https://www.sciencedirect.com/science/article/abs/pii/S0002962925011061 Take the Fatigue Recovery Quiz: https://app.annamarsh.co.uk/quiz New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/

Episode 130: Personal Shares and Updates
This is a chatty "behind the scenes” episode where Anna shares some personal stories regarding her own healing and some exciting business updates. She covers topics such as rest, regulation, core wounds and grief. Website: http://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna__marsh_/ New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/ Take the Fatigue Recovery Quiz: https://app.annamarsh.co.uk/quiz

Episode 129: What To Focus On When You Are High Functioning But Not Thriving
This is part 4 of a 4 part series on what to focus on in the different stages of Chronic Fatigue and other energy limiting illnesses. In this episode Anna talks about the most important things to focus on when you are high functioning but not thriving. Anna reflects on what she would have done differently if she could go back in time and advise her younger self. You can enjoy a diverse conversation about pacing, the nervous system, boundaries, hormetic stressors and much more! Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ 1-1 Support: https://annamarsh.co.uk/1-1/ Join the Nurturing Resilience Subscription: https://annamarsh.co.uk/nurturing-resilience/

Episode 128: What To Focus On When You Are Wanting To Go Back To Work
This is part 3 of a 4 part series on what to focus on in the different stages of Chronic Fatigue and other energy limiting illnesses. In this episode Anna talks about the most important things to focus on as you navigate a transition back to work. This includes knowing when the time is right, things to consider and how you can support yourself, the importance of giving space for the transition and increasing self care. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ 1-1 Support: https://annamarsh.co.uk/1-1/ Join the Nurturing Resilience Subscription: https://annamarsh.co.uk/nurturing-resilience/

Episode 127: What To Focus On When You Are Houseoubnd with Chronic Fatigue
This is part 2 of a 4 part series on what to focus on in the different stages of Chronic Fatigue and other energy limiting illnesses. In this episode Anna talks about the most important things to focus on as you navigate being housebound with Chronic Fatigue. This includes things that you may be able to introduce now that you have transitioned from being bed bound, tips on how to gently build capacity and create routine and physical supports that may be useful if accessible. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ 1-1 Support: https://annamarsh.co.uk/1-1/ Join the Nurturing Resilience Subscription: https://annamarsh.co.uk/nurturing-resilience/

Episode 126: What To Focus On When You Are Bedbound with Chronic Fatigue
This is part 1 of a 4 part series on what to focus on in the different stages of Chronic Fatigue and other energy limiting illnesses. In this episode Anna talks about the most important things to focus on as you navigate being bedbound. This includes an understanding of what is happening in the nervous system, tips on how to gently build capacity and create routine and physical supports that may be useful if accessible. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ 1-1 Support: https://annamarsh.co.uk/1-1/ Join the Nurturing Resilience Subscription: https://annamarsh.co.uk/nurturing-resilience/

Episode 125: Are Oxalates Lowering Your Energy?
Chronic fatigue syndrome (CFS) is a complex and often misunderstood condition that leaves many people struggling with persistent exhaustion, brain fog, and muscle aches. Although there are multiple different factors that contribute to symptoms and every case is different, diet can play a significant role in symptom management. There are many different dietary approaches and different things will work for different people depending on the mechanisms contributing to their specific case. One dietary component that has gained attention in this context is oxalates—naturally occurring compounds found in many healthy foods such as spinach, nuts, and berries. For some individuals with chronic fatigue, high oxalate consumption could potentially contribute to and worsen symptoms. In this episode Anna explores the relationship between oxalates and chronic fatigue, possible causes of oxalate intolerance, and how adjusting oxalate intake might help alleviate some of the challenging symptoms of this condition. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Low Oxalate Blog: https://annamarsh.co.uk/https://annamarsh.co.uk/chronic-fatigue-are-oxalates-impacting-your-energy/ 1-1 Support: https://annamarsh.co.uk/1-1/

Episode 124 - The Importance of Layering Interventions for Chronic Fatigue
Not everything we do to support our bodies will have an immediate or noticeable impact. However, often these interventions work in synergy with one another. In this episode Anna talks about the importance of layering interventions in an intentional and consistent way to move the needle of health forward over time. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ 1-1 Support: https://annamarsh.co.uk/1-1/

Episode 123 - How To Support Low Mood, SAD and PMDD
Mood disorders refer to significant changes in mood that have a negative impact on daily life. It goes without saying that when someone experiences a chronic illness such as Chronic Fatigue, they may feel low at times. However, this is different to someone who may be experiencing an ongoing low mood that feels unrelated to their current state of health or someone who is experiencing a low mood disorder that is perhaps mechanistically entangled with some of the mechanisms of chronic fatigue. In this episode Anna talks about different types of low-mood disorders and how we can approach them alongside the journey of improving health and energy as a whole. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ 1-1 Support: https://annamarsh.co.uk/1-1/

Episode 122- Life at the End Stages of Fatigue Recovery
What does life look like at the end stages of recovery? In this episode Anna shares “a day in her life” and compares this to how far she has come. She reflects on lessons that she is still learning and things that still feel important. This includes a discussion around friendships and building community after recovery. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ 1-1 Support: https://annamarsh.co.uk/1-1/

Episode 121 - Candida Overgrowth and Chronic Fatigue
Candida overgrowth can contribute to chronic fatigue through a combination of immune system suppression, toxin production, gut dysfunction, and inflammation. When Candida proliferates beyond its normal levels, it can lead to various symptoms that resemble chronic fatigue syndrome (CFS) or contribute to ongoing fatigue. In this episode Anna talks about how Candida can be a driving factor in Chronic Fatigue, how you can assess if it is something impacting you and what you can do to address it. She covers common mistakes that people make when addressing infections such as Candida and why taking the time to go slowly and build foundations is actually what will help you get there faster. Useful Links Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ 1-1 Support: https://annamarsh.co.uk/1-1/ Gut Health Mini Course: https://annamarsh.co.uk/courses/ Detox and Drainage Mini Course: https://annamarsh.co.uk/courses/

Episode 120 - Rest Is Not Regulation
Contrary to what many people think about Chronic Fatigue Recovery, we are not supposed to be calm all the time. Rest matters and we definitely need periods of the day and night where we feel calm, relaxed and at peace. However, Chronic Fatigue Recovery is ultimately about building capacity which means that we also have to come into contact with more challenging experiences so that we can rebuild. In this episode Anna discusses some of the patterns and trends she is noticing with clients which is preventing them from growing their capacity and accessing better quality states of true rest. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Workshop: https://annamarsh.co.uk/workshop/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 119 - How To Have Better Mornings with Chronic Fatigue
Mornings with Chronic Fatigue can be tough. Some people experience difficulty waking, feeling flat, slow and sluggish first thing in the morning and it takes ages to get up and even feel a little bit functional for the day. Others with Chronic Fatigue may feel very wired, hyperactivated and symptomatic first thing in the morning. This can cause a negative spiral of worrying about symptoms and how the rest of the day will unfold. Finally, others may not be overly flat or overly activated, but just have a general experience of not feeling refreshed after their sleep, which is common in Chronic Fatigue. In this episode Anna discusses each of these challenges, underlying causes from both a physiological and nervous system perspective and, most importantly, what you can do to support your body better so that you can get more from your mornings! Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Workshop: https://annamarsh.co.uk/workshop/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 118 - How To Supplement If You Are Supplement Sensitive
Supplement sensitivity can be common in the Chronic Illness and Chronic Fatigue community. After recently posting on instagram on the topic of supplement sensitivity, I had some comments that no one is talking about this and often those who are sensitive are made to feel like they are being difficult or overly anxious. In some cases, clients get abandoned by practitioners who feel overwhelmed by their reactions. So I wanted to create an episode where I talk about how to supplement when you are supplement sensitive. This includes a brief overview of why you may be experiencing supplement reactions, things that can be helpful that do not include supplementation and then a short practical guide on how to take supplements if you know you are sensitive. I hope this episode will bring you some practical guidance on how to manage your sensitivity and also some validation that what you are experiencing is actually quite common. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 117 - What Your Approach To Healing Says About Your Nervous System
In Chronic Fatigue Recovery, healing happens from a regulated place and yet our nervous system state also influences how we approach healing. This creates a chicken or egg situation where, approaching healing from a dysregulated place, can breed further dysregulation but approaching healing from a place of more regulation, enables more successful self-care. In this episode Anna describes four different ways in which we can approach our healing and how this shows up practically. You may recognise yourself in one or all of these states, but probably spend more time in one compared to others. Through recognition of our patterns and tendencies we can learn what support we need to offer ourselves to work towards a more regulated approach on our healing journey. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Workshop: https://annamarsh.co.uk/workshop/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 116 - Mold Illness and Chronic Fatigue - Binders, Antimicrobials and Biofilm
The final stage of supporting Mold illness and Chronic fatigue is introducing Binders, Antimicrobials and Biofilm Disruptors. In this episode Anna talks recaps on the previous 3 episodes in this 4 part series. She then talk about introducing binders, including, what are binders and why do we take them? Possible side effects and things to watch out for. The importance of dosing slowly, especially if you are sensitive. What to do if you have a reaction and how long to take them for. She talks about antimicrobial support for the sinuses, gut and vaginal canal, including how to approach dosing for those that are sensitive. She ends the episode with a discussion about retesting and detox maintenance. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 115 - Mold Illness and Chronic Fatigue - Supporting Detox and Drainage
Supporting Detoxification and Drainage is the second step when dealing with mold illness and chronic fatigue. This is the third episode in a series on Mold Illness and Chronic Fatigue. In this episode Anna talks about the importance of addressing digestive health and supporting healthy bowel movements, adding in sauna or sweating, lymphatic drainage and the importance of protein for liver support! Other Episodes of Interest https://annamarsh.co.uk/podcast/episode-79-the-gallbladder-and-chronic-fatigue/ https://annamarsh.co.uk/podcast/episode-100-heat-stress-cold-stress-and-fatigue-recovery/ Complimentary Mini Courses Gut Health Mini Course: https://annamarsh.co.uk/courses/ Blood Sugar Mini Course: https://annamarsh.co.uk/courses/ Detox Mini Course: https://annamarsh.co.uk/courses/ Nurturing Resilience Subscription: https://annamarsh.co.uk/courses/ General Resources Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 114 - Mold Illness and Chronic Fatigue - Mold Avoidance
Mould avoidance is the first step when it comes to dealing with mold illness and chronic fatigue. This is the second part in a series on Mold Illness and Chronic Fatigue. In this episode Anna talks about the importance of avoidance of mold. This includes how to test your home for mold and what to do if you are living in mold and you cannot get out immediately. Anna talks about dietary changes that can be supportive to reduce mycotoxin exposure from foods and generally increase resilience of organs such as the liver and kidneys. Testing and Remediation ERMI: https://www.mouldlab.co.uk/products/dust-analysis-for-mould-species-environmental-relative-mouldiness-index-ermi-including-free-hertsmi-2 Pure Maintenance: https://www.puremaintenanceuk.com General Resources Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 113 - Mold Illness and Chronic Fatigue - Part 1
In this episode Anna discusses mold illness and chronic fatigue. She answers questions such as: What is mold illness? How are we exposed? What are the symptoms? How do I test for mold illness? What do I do if I get a positive test result? Mold illness or sickness is a constellation of symptoms that result from a combination of the mold spore colonisation in the body and toxic load due to the mycotoxins they produce. The mycotoxins can be particularly damaging to every body system and this is what can make mould illness difficult to identify and why it often gets missed. Some people may be more affected by mould and mycotoxins which is why two people can live in the same home and one person has symptoms and the other person doesn’t. If you have been wondering if mold illness is playing a part in your Chronic Fatigue and would like to learn more, this episode is a great starting point. Testing Mycotoxin Urine Testing (Mosaic Laboratories): https://regeneruslabs.com/products/mycotoxin-1 OAT+Mycotoxin (Mosaic Laboratories): https://regeneruslabs.com/products/oat-mycotox Other episodes of interest: https://annamarsh.co.uk/podcast/episode-42-mcas-histamine-intolerance-and-fatigue/ General Links Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 112- How did I get here? Understanding the development of Chronic Fatigue
In this episode Anna explains the development of Chronic Fatigue using the understanding of the Mast Cell and the Cell Danger Response as a guide. She talks about how triggers and events can build up across a lifetime until the body becomes overwhelmed by its ability to cope. This very often is the point of no return. Healing is about returning to safety and little by little creating a greater sense of safety and resourcefulness in the system. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/ Episodes mentioned here: https://annamarsh.co.uk/podcast/episode-42-mcas-histamine-intolerance-and-fatigue/ https://annamarsh.co.uk/podcast/episode-6-understanding-the-cell-danger-response/

Episode 111 - Surgeries and Chronic Fatigue
In this week’s episode of the Chronic Fatigue podcast Anna talks about surgeries and Chronic Fatigue. Specifically looking at how surgeries can be a single health changing event, similar to a viral infection or vaccination, and what we can do if we are already unwell and need to take an elective surgery. The episode starts with a general discussion about Chronic Fatigue from a nervous system perspective and then Anna talks about the various factors that can impact the nervous system when someone has a surgery. Anna then talks about surgery preparation from a practical point of view, post surgical nutritional and supplement support and when additional therapy and support can be helpful. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 110 - How To Rest Better
This episode covers the topic of rest and chronic fatigue, specifically, how to rest better! A while back Anna surveyed her instagram followers and 80-90% of them said they found rest hard. In this episode Anna talks about the importance of accessing “restful rest” with some tips on how to set up your day for better rest and recovery. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 109 - Pacing Matters
In this episode Anna covers the topic of pacing and Chronic Fatigue including why it is an essential part of the chronic fatigue recovery toolbox. Anna shares some of the problems that they see with their clients when it comes to pacing and things that have helped their clients get better results from their pacing. She shares some useful apps and resources that you can refer to if pacing is an ongoing challenge for you. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/ Mentioned here: https://annamarsh.co.uk/podcast/episode-103-how-to-overcome-patterns-of-boom-and-bust/ https://annamarsh.co.uk/podcast/episode-86-activity-tracking-for-long-covid-me-cfs-with-harry-leeming-from-visible/ https://annamarsh.co.uk/podcast/episode-85-using-hrv-to-manage-chronic-fatigue-recovery/ https://annamarsh.co.uk/podcast/episode-55-thriving-as-a-spoonie-with-emily-fraser/

Episode 108 - If you’ve had a viral infection and never felt the same since…
If you’ve had a viral infection and never felt the same since, relapsed in your healing journey after an acute infection or if you’ve had a vaccine injury, this episode is for you. In this episode Anna explains in simple terms what has likely happened in the case of post-viral fatigue and most importantly, 5 important factors to take into consideration to start to feel better again. In a nutshell, when we become acutely unwell due to a viral infection, the immune system creates drastic physiological changes and a large amount of inflammation and oxidative stress to save your life! This can cause damage in systems of the body that were already under stress and strain and ultimately it is the straw that breaks the camel’s back. To restore health, function and capacity we want to help the immune system turn off fully. Although the exact framework varies from person to person, there are 5 important steps when it comes to recovering from post-viral fatigue. Listen to the full episode for all the details. Useful Links: Use the code ANNAMARSH for 15% off your first order with BodyBio: Balance Oil GLA PC See the recipe for Anna’s Raspberry Fat Bomb Here: https://www.instagram.com/reel/DAc_3Sps7Fm/ Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 107 - The difference between PEM, Crashes, Flares, Setbacks and just life!
In this episode Anna talks about the difference between Post-Exertional Malaise, Crashes, Flares, Setbacks and the natural change in our output and capacity that comes when you are a human being. She gives a high level overview of what is happening in the body in each of these experiences, how we can learn from the patterns that we have and the support that is likely needed as a consequence. She highlights the understanding that if we can identify our tendencies, it reveals information that will help to direct and guide us on our healing journey. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/ Mentioned here: https://annamarsh.co.uk/podcast/episode-15-how-to-manage-crashes-flares-and-set-backs/ https://annamarsh.co.uk/podcast/episode-16-post-exertional-malaise/ https://annamarsh.co.uk/podcast/episode-68-tracking-progress-in-fatigue-recovery/ https://annamarsh.co.uk/podcast/episode-87-3-tips-for-reducing-flares-and-crashes-around-your-menstrual-cycle/ https://annamarsh.co.uk/podcast/episode-97-words-of-wisdom-for-crashes-and-flares/

Episode 106 - Life After Chronic Fatigue: Mindset For Moving On and Not Getting Stuck
In this episode Anna answers a Chronic Fatigue listener question about Life After Disease: How to cultivate the mindset to move on and not get stuck. Although the title suggests that this is for those further along in their journey, there are still some wisdom bombs for those at any stage of their journey, especially those who are feeling stuck. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 105 -Understanding the Journey of Chronic Fatigue Recovery
In this episode Anna shares the four stages of Chronic Fatigue Recovery as she experiences them working with her clients in clinical practice. She discusses each of the stages, how we may experience them and what is important at each stage and how you can support yourself through each stage. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 104 - Two Tests We Use Most Often for Chronic Fatigue
In this episode Anna shares some behind the scenes information and talks about two of the tests they end up using most often in the practice, what they typically find, how this is useful to clients and possible results. If you’ve been feeling like you’ve hit a plateau in your journey and have a budget to explore some additional options, this episode could help you understand a bit more about Functional Testing and how it could be helpful. Test Links: GI Effects Stool Test NutrEval Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 103 - How to Overcome Patterns of Boom and Bust
If you’ve been having a chronic fatigue or chronic illness experience for any length of time, you are probably all too familiar with the cycle of boom and bust. We all do too much and crash from time to time, but when this happens again and again, we want to consider how we are contributing to it. It isn’t always as simple as; just do less. Sometimes the “overdoing” is a reflection of maladaptive coping mechanisms that we have been relying on for years, decades even. Being able to unlearn old strategies and create new ones takes time, patience and compassion. In this episode Anna unpacks some of the patterns to watch out for and where we can begin to create healthier coping mechanisms in life. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/ Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Episode 102 - Holistic Dentistry, Chronic Fatigue and Chronic Illness with Dr Kayleigh Short
Anna interviews holistic dentist, Dr Kayleigh Short where they discuss why dental health is so important generally for healthy humans and for people with chronic illness and chronic fatigue symptoms more specifically. Often when faced with a chronic illness, like chronic fatigue, we can get caught up in supporting all of the body’s systems that we forget to look inside the mouth. For stubborn cases that aren’t improving, Dr Short suggests having a thorough work up with a holistic dentist who knows how to apply holistic dentistry and chronic fatigue syndrome. They discuss common root (excuse the pun) causes of poor health that can originate in the mouth and how a comprehensive intake and examination process can help to reveal issues that may often be overlooked in the traditional dental model. They cover heavy metals, root canals, TMJ and general day to day preventative care. If you feel curious about whether your dental health could be impacting some chronic symptoms, this episode is a must to listen to! Find Kayleigh on Instagram: https://www.instagram.com/wholisticdentalcare Wholistic Dental Website: https://wholisticdental.com/ Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/

Episode 101 - Healing Words of Wisdom #1
Sometimes in our Chronic Fatigue Journey we can be in a low place and it can be helpful to have some words of support and encouragement or even gentle insights which can help us reflect on why we might be feeling stuck. That is what this episode is for… There are times in your healing journey when you need to take action and times in your healing journey where you need to allow, give space and integrate. Spending too much time in one versus the other is not a recipe for success. Website: https://annamarsh.co.uk/ Instagram: https://www.instagram.com/anna_marsh_nutrition/