If you’re dealing with chronic fatigue, finding reliable ways to keep your energy up isn’t just a want—it’s a need. 

From vital vitamins to key nutrients, some supplements can help keep energy levels steady and combat the exhaustion that CFS brings. 

Whether you’ve just started exploring options or are looking for an updated guide, here are some of the best energy supplements that may help you regain strength and keep fatigue at bay.

What is Chronic Fatigue?

Chronic Fatigue Syndrome (CFS) is a condition defined by unrelenting tiredness that doesn’t improve with sleep. Imagine lying down at night, hoping for deep rest, only to wake up feeling just as drained as before. 

That’s the reality for many with CFS. The fatigue often intensifies after physical or mental activities and doesn’t improve with rest, creating a relentless cycle.

With CFS, simple tasks can feel like uphill battles, and recovery from even mild exertion can be slow. In some cases, sleep disturbances and mental “fog” add to the symptoms, making it feel like a constant struggle just to function.

What Causes Chronic Fatigue?

The exact cause of Chronic Fatigue Syndrome remains a mystery. Experts suspect it may involve multiple factors, including viruses, immune system weaknesses, stress, and hormonal imbalances. 

Some people may even have a genetic predisposition to CFS, which complicates pinpointing a single cause. Interestingly, CFS sometimes develops after a viral infection, though no specific virus has been identified as the culprit.

Studies have examined various viral and bacterial infections in relation to CFS, such as:

  • Epstein-Barr virus (EBV) and human herpesvirus 6 – found in some people with CFS.
  • Ross River virus (RRV) and rubella virus – occasionally linked to post-viral fatigue.
  • Coxiella burnetii and Mycoplasma pneumoniae – bacterial infections studied for possible connections to CFS.


According to research, about 1 in 10 people who contract EBV, RRV, or Coxiella burnetii meet the criteria for CFS (1)

Those with severe symptoms are at an even higher risk, which suggests that these infections might trigger the syndrome for certain individuals.

What are the Symptoms of Chronic Fatigue?

The primary symptom of CFS is overwhelming fatigue that interferes with daily life and persists for six months or longer. This isn’t the kind of tiredness you can shake off with a nap; it’s a deep, unrelenting exhaustion that worsens with activity. 

People with CFS often experience “post-exertional malaise” (PEM), where even minor physical or mental tasks lead to prolonged fatigue lasting over 24 hours (2).

Other symptoms may include:

  • Sleep Issues: Difficulty staying asleep, chronic insomnia, or waking up unrefreshed

  • Cognitive Problems: Memory loss, trouble concentrating, and “brain fog”

  • Orthostatic Intolerance: Dizziness or faintness when standing up

  • Physical Ailments: Muscle pain, headaches, multi-joint pain without swelling, sore throat, swollen lymph nodes


The condition may also follow a pattern of remission and relapse, with symptoms disappearing for a while only to return unexpectedly. Managing CFS often feels like balancing on a tightrope, with the risk of a setback at every turn.

Risk Factors for CFS

Certain factors can increase the likelihood of developing CFS. Most commonly, CFS is seen in people in their 40s and 50s. Additionally, women are two to four times more likely than men to be diagnosed with the syndrome (3).

Additional risk factors include:

  • Genetic Predisposition: Family history may play a role.

  • Allergies: Some CFS sufferers report higher allergy levels.

  • Chronic Stress: High-stress lifestyles may contribute to the onset.

  • Environmental Factors: Exposure to certain environments might increase risk.


Research into these factors is ongoing, but these elements may help explain why some people are more vulnerable to developing CFS than others.

12 Best Energy Supplements for Chronic Fatigue

If you’re battling chronic fatigue, finding the right supplement can feel like a game-changer. But before diving in, it’s wise to check with a healthcare provider to rule out any treatable causes. Here’s a summary of the best energy-boosting supplements, followed by an in-depth look at each.

  • NAD+: Helps fuel cellular energy and supports overall vitality.

  • Coenzyme Q10: Enhances cellular energy production, especially helpful for chronic fatigue.

  • Rhodiola Rosea: An adaptogen that promotes resilience to physical and mental fatigue.

  • Essential Fatty Acids Like Omega-3s: Aids in cellular health and reduces fatigue symptoms.

  • Vitamin B12: Vital for energy and essential in red blood cell formation.

  • Folic Acid: Supports cellular functions and combats fatigue linked to deficiencies.

  • Creatine: Enhances muscle energy, especially beneficial for muscle-related fatigue.

  • L-Carnitine: Boosts mitochondrial function, providing a foundation for cellular energy.

  • DHEA: Supports hormone balance, which may help reduce fatigue symptoms.

  • Iron: Key for oxygen transportation in blood, reducing fatigue from deficiency.

  • Vitamin D: Vital for immune function and may improve energy in those deficient.

  • Vitamin C: Known for immune support, it may help reduce fatigue, particularly in deficiency cases.

1. NAD+: Cellular Energy for Lasting Vitality

NAD+ (nicotinamide adenine dinucleotide) is a powerhouse coenzyme that drives energy production in every cell. For those with chronic fatigue, NAD+ plays a critical role in cellular health, helping to power up metabolism and bolster the immune system.

Some research suggests that CFS/ME patients may experience a drop in NAD+ levels, which can contribute to the severe fatigue they feel (4). Supplementing NAD+, especially in forms like NADH, may provide noticeable energy improvements, as it fuels the body at a cellular level.

Studies have shown the potential for NADH supplementation to boost energy and cognitive function for those dealing with fatigue (5)

Many with chronic fatigue have found benefits in using NAD+ boosters to support daily energy, adding an extra line of defense against fatigue’s impact on their lives.

If you’re looking for a top-notch NAD+ supplement, NMN + Resveratrol could be a good pick. It combines NMN, a precursor to NAD+, with Resveratrol, which activates sirtuins that enhance NAD+ production. 

This supplement includes BioPerine® for better absorption, making it a robust option for those looking to improve cellular health and combat aging effects on energy levels. 

With research-backed doses and high purity, it’s designed to deliver noticeable results in energy support and vitality.

2. Coenzyme Q10: A Natural Energy-Boosting Antioxidant

Coenzyme Q10 (CoQ10) is a natural antioxidant that the body uses to support cellular energy production, particularly in high-energy organs like the heart and muscles. 

CoQ10 can be incredibly beneficial for people with chronic fatigue, as studies have shown it may help alleviate fatigue, particularly when taken in doses of up to 1,200 mg daily (6)

CoQ10 supports the mitochondria, the powerhouse of cells, where it aids in ATP production, which is essential for energy. CFS patients, who often suffer from mitochondrial dysfunction, may experience improved energy and reduced fatigue with CoQ10 supplementation.

3. Rhodiola Rosea: Nature’s Resilience Booster

Rhodiola Rosea is an adaptogenic herb traditionally used to increase the body’s resistance to physical and mental stress. 

For those with chronic fatigue, Rhodiola Rosea has shown promise in helping to manage energy levels, as it has been found to improve stamina and reduce symptoms of fatigue. 

In one eight-week study, participants taking Rhodiola reported notable improvements in energy and mood without severe side effects (7).

This herb works by balancing the stress response system, which can reduce cortisol levels and enhance cognitive function, both of which are often disrupted in those with CFS.

4. Essential Fatty Acids Like Omega-3s: Fuel for Cells

Omega-3 fatty acids are known for supporting cellular health and reducing inflammation. Studies have shown that low levels of omega-3s may contribute to fatigue symptoms in those with CFS (8). High doses of omega-3s, found in foods like wild salmon or in supplements, have been linked to improvements in fatigue, mood, and concentration.

Omega-3s help protect the cell membrane, ensuring that cells can function optimally, which is crucial for anyone dealing with chronic fatigue. The fatty acids also aid in neurotransmitter function, which helps improve mood and cognitive clarity.

5. Vitamin B12: Vital for Red Blood Cells and Energy

Vitamin B12 is crucial for red blood cell formation, which transports oxygen throughout your body and keeps your energy up. Many people with chronic fatigue have B12 deficiencies, and studies show that B12 injections can significantly improve symptoms in CFS patients (9)

For those averse to injections, B12 nasal sprays may be an effective alternative. With B12 supporting the body’s oxygen transport, it’s a helpful addition for those dealing with fatigue, especially if a deficiency is present.

 However, this is only relevant if B12 levels are actually low—taking more won’t benefit you if your levels are already normal. That’s why it’s important to check with a healthcare provider first.

6. Folic Acid: Supporting Energy at the Cellular Level

Folic acid is a B vitamin that supports cellular health by aiding in DNA formation and repair. For those with chronic fatigue, folic acid supplementation may be helpful, especially if they have a deficiency. 

Studies suggest that folic acid deficiency is common in CFS patients, and supplementing it may reduce fatigue (10).

Some research points to a correlation between low folic acid levels and increased symptoms in CFS, making this a supplement worth considering (11).

However, it’s important to note that folic acid supplementation is only beneficial if levels are actually low—taking it when levels are normal won’t provide added benefits.

7. Creatine: Muscular Energy for Physical Support

Creatine is a compound often associated with athletic performance, but it’s also beneficial for energy production, particularly in muscles. CFS can cause significant muscle fatigue, and creatine supplements may help by providing the muscles with an additional energy source.

Early research on creatine for chronic fatigue suggests it could help combat muscle weakness and improve overall energy, especially during physical activity (12).

8. L-Carnitine: Mitochondrial Support for Energy

L-Carnitine plays a vital role in transporting fatty acids into mitochondria, where they’re used to create energy. For those with chronic fatigue, L-Carnitine may provide relief by supporting mitochondrial health. 

Studies have shown that people with CFS may have lower L-Carnitine levels, and supplementation can improve energy levels and reduce fatigue (13).

Supplementing with L-Carnitine not only helps with fatigue but can also enhance the effectiveness of omega-3s by supporting their metabolism.

9. DHEA: Hormonal Balance for Energy Stability

DHEA, a hormone produced by the adrenal glands, declines with age and can be linked to energy drops and fatigue.

Some studies indicate that CFS patients benefit from DHEA supplements, which can support physical performance and reduce symptoms of fatigue (14).

When taken under medical supervision, DHEA has been shown to help reduce fatigue, making it a potentially beneficial supplement for chronic fatigue sufferers.

10. Iron: The Foundation of Oxygen Transport

Iron is essential for producing hemoglobin, which carries oxygen to cells and helps maintain energy. Iron deficiency can lead to anemia, causing constant tiredness. 

Studies show that correcting iron levels in deficient individuals significantly reduces fatigue, making it a crucial supplement for those with low energy (15).

For those with CFS, checking iron levels and supplementing if needed can make a significant difference in energy.

11. Vitamin D: Sunlight in a Bottle

Vitamin D, often known as the “sunshine vitamin,” supports immune function and may help reduce fatigue, especially in people with deficiencies. 

Many CFS patients have low vitamin D levels, and studies suggest that correcting this deficiency can improve energy and mood.

Vitamin D supplements or moderate sun exposure can provide the body with the levels it needs to function optimally.

12. Vitamin C: Immunity and Energy Support

Vitamin C is commonly associated with immune health, but it’s also a great supplement for energy, especially for those with chronic fatigue. 

Research shows that high-dose vitamin C can help reduce fatigue, particularly in post-viral fatigue cases, where the immune system is weakened (16).

If fatigue is a constant struggle, especially with immune involvement, vitamin C may provide a much-needed lift in energy.

Tips for Managing Chronic Fatigue

Living with chronic fatigue can feel overwhelming, but small, mindful adjustments can often make a big difference. Here are some useful tips to help manage energy levels and improve daily well-being:

  • Pace Yourself: Avoid overexertion by breaking tasks into manageable steps and taking frequent breaks. The “less is more” approach can prevent energy crashes.

  • Set a Routine: Try to go to bed and wake up at the same time each day to support a consistent sleep cycle, even if quality sleep is challenging.

  • Practice Gentle Movement: Light activities like stretching, walking, or yoga can help keep muscles active without draining energy reserves.

  • Stay Hydrated: Dehydration can worsen fatigue, so aim to drink water throughout the day to stay hydrated.

  • Prioritize Nutrient-Dense Foods: Choose foods rich in vitamins and minerals—like leafy greens, lean proteins, and healthy fats—to support your body’s needs.

  • Create a Calm Environment: A peaceful space can improve rest and reduce mental fatigue, so consider adding soft lighting and calming decor.

  • Listen to Your Body: Pay attention to signs of fatigue, and don’t push through when your body needs rest; it’s okay to take it easy.

  • Consider Mindfulness or Relaxation Techniques: Practices like deep breathing, meditation, or mindfulness can help reduce stress and conserve energy.

Conclusion

Managing chronic fatigue can be challenging, but incorporating energy-boosting supplements and mindful lifestyle adjustments can make a significant difference in how you feel daily. Supplements like NAD+, CoQ10, and Omega-3s are great starting points to support cellular energy and overall vitality. 

Combined with practical habits like pacing, hydration, and balanced nutrition, these strategies offer a holistic approach to improving your quality of life.

Ready to explore energy supplements? Check availability here to find what suits your needs.

FAQs

Are there any foods that naturally help with chronic fatigue?

Yes, foods rich in Omega-3s (like salmon), B vitamins (such as leafy greens), and magnesium (nuts and seeds) can support energy levels and may help with chronic fatigue symptoms.

How long does it take to see results from energy supplements for chronic fatigue?

This varies by supplement and individual. Some, like B12 or Vitamin C, may provide quicker results, while others like CoQ10 or Omega-3s may take several weeks to show effects.

Can chronic fatigue supplements be taken alongside prescribed medication?

While many supplements are safe, it’s best to consult your doctor, especially if you’re taking other medications, to avoid any potential interactions.

Are energy supplements safe for daily use in chronic fatigue?

Most are safe when taken as directed, but it’s advisable to discuss with a healthcare provider to determine safe doses based on your unique health needs.

What other lifestyle changes can complement energy supplements for CFS?

Establishing a regular sleep routine, practicing gentle exercise, managing stress with relaxation techniques, and eating nutrient-dense foods are all helpful lifestyle changes to support energy alongside supplements.

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