Myalgic Encephalomyeitis (ME)
Although it is more common in women than men, anyone can get CFS and it’s estimated that around 250,000 in the UK alone have the condition. Usually developing in the early 20s to mid-40s, the illness can also affect children between the ages of 13 and 15.
Most cases of CFS are mild or moderate, but around one in four people with CFS have severe symptoms – see below for more information.
- Mild: You are able to care for yourself, but may need days off work to rest.
- Moderate – You may have reduced mobility, and your symptoms can vary. You may also have disturbed sleep patterns, and need to sleep in the afternoon.
- Severe: You are able to carry out minimal daily tasks, such as brushing your teeth, but you have significantly reduced mobility, as well as possible difficulty concentrating.
Symptoms may include the following:
- Persistent exhaustion (‘fatigue’)
- Muscle and/or joint pain
- Sleep disturbance
- Flu-like symptoms, such as headache, sore throat, painful lymph nodes, dizziness and/or nausea and problems with memory and concentration.
Exactly what causes chronic fatigue syndrome (CFS) is unknown, but there are several theories. For instance, some experts believe a viral infection such as glandular fever can trigger the illness.
Also, many cases of CFS do not start after an infection and this theory does not explain why the condition sometimes develops gradually.
Other suggested causes of CFS include problems with the immune system, psychiatric problems, depression or emotional trauma, a hormone imbalance, genes or as a result of traumatic events.
Reduce or cut out stimulants like caffeine and alcohol in the first instance, which may help alleviate symptoms.
As with all diseases this did not happen overnight. The very first thing you must do is see a licensed health professional. Find a list of practitioners in your local area here.
Here are some things you can discuss with your practitioner:
- Eliminate Candida: Click here to find out how
- Do the Hydrogen Peroxide Protocol to strengthen the immune system:
- Drink 3 oz. of Colloidal Silver, three or four times a day for 60 days www.colloidsforlife.com Silver has long been recognized as a powerful natural antibiotic. Colloidal silver is silver that has been removed electronically from its source and then suspended in water. It is used to treat a myriad of diseases.
- Go on a fast to clear your system of toxic waste www.wecarespa.com
- Try an Enerhealth Botanicals cleanse. Click here to discover more
- We recommend regular colonics to remove toxicity from the body. Read more about colonics by clicking here. Find a practitioner here.
- Most of the water that we drink is very acidic and in order to heal our bodies need a more alkaline state. During the program drink alkalized water, which you can buy from Real Water.
According to the University of Washington, a good, balanced diet – which is important for sufferers of ME – includes some choices from each of five groups:
- Protein (poultry, fish, lean meats or dried beans)
- Dairy (low-fat milk, cheese or yogurt)
Maintaining a good intake of fluids is as important as enjoying a balanced, healthy diet. Try reducing your consumption of stimulants such as caffeine and depressants like alcohol, too.
It is important to not add further toxicity to your system so try to adhere to the following:
- Do not consume any artificial sweeteners, such as Splenda, NutraSweet or Aspartame
- Do not consume high fructose corn syrup or mono-sodium glutamate.
- Do not drink any carbonated beverages.
- Avoid all fast food restaurants.
- Avoid all canned food.
- Eliminate conventional dairy products. The best dairy products are raw, unpasteurized and homogenized dairy from grass fed cows. If this is unavailable, then buy organic dairy.
- Avoid conventional beef. The best beef is organic grass fed beef. www.grasslandbeef.com The second best is organic meat; this includes beef, veal, lamb, chicken and turkey.
According to chronicfatigue.about.com, Vitamin B12 is beneficial for ME sufferers as B vitamins are essential for energy production. The site goes on to say that some experts on these illnesses recommend at least 50 mg daily of most B vitamins, and 500 micrograms of B12. Several treatment protocols use B12 injections.
- Take Vitamin D3 50,000-100,000 International Units a day for periods of 4 weeks at a time.
- Wholefood supplements are the best way of ensuring your nutritional needs are met. The best we know on the market is Kevin Trudeau’s “KT Daily” product. You can find more details here.
- Take an Omega 3 supplement:
Prescription and non-prescription medication:
What non-prescription and prescription drugs are you taking? Your non-prescription and prescription are partially the reason that you have this illness or disease – you need to get off these medications, but do so only under the guidance of a licensed health care practitioner.
We know that when the body is out of balance, energy doesn’t flow, leading blockages and eventually disease. Here are some things you can do to combat stress and restore balance:
- Go to a Dr. Morter BEST (Bio-Energetic Synchronisation Technique) Practitioner.
- Sign up for Energetic Re-Balancing: 2 practitioners to consider are:
Stephen Lewis, founder of the Aim Program. Find out more by clicking here.
. Find out more by clicking here.
- Consider using Mary Miller’s Iching System Products – ichingsystemsinstruments.com
- Reiki healing is very powerful in releasing stress and emotional baggage. Find a practitioner here.
- Emotional Freedom Technique (EFT) has had remarkable results in dissolving stress. Find a local practitioner here or go to www.thetappingsolution.com or www.tftrx.com
- Try Hypnotherapy to relax the mind. Find a practitioner here.
As always the fastest most effective way to receive tailored advice to your own situation, you should visit a local licensed practitioner. Find your closest Ayurvedic practitioners here.
Here are some remedies that your practitioner may suggest:
The following advice comes via ayush.com – an ayurveda site:
Ayurveda, an ancient Indian system of medicine, sees disease as an imbalance: an unwanted interruption in the body’s natural equilibrium. From an Ayurvedic perspective, fatigue is considered an imbalance among the three doshas: Vata, Pita and Kapha. The cure lies in restoring that lost equilibrium.
An Ayurvedic physician will want to conduct a thorough medical and psychological history of the patient since depression along with any past psychiatric problems, episodes of medically unexplained symptoms, alcohol abuse. Prescriptions, over-the-counter medications, certain nutritional supplements and vitamins may all contribute to overall tiredness as well. The patient’s mental state is also important, i.e. intellectual functions, memory and personality. An Ayurvedic physician will pay particular attention to current symptoms of depression, self-destructive thought processes, psychomotor retardation, and evidence of neurological or psychological disorders. I always perform a thorough physical exam, including a baseline blood chemistry, thyroid function test, and in some cases, a test to determine if viruses are present.
Finding the cause of chronic fatigue
Medical tests and a thorough medical history will reveal whether a patient has an under-active thyroid, suffers from sleep disorders, viral infection, digestive or nutritional deficiencies or stress, or is taking certain medications, all of which may cause fatigue.
When testing the thyroid, most doctors just look at the value of T-4 for evaluation of fatigue, which reveals limited information. I always look at the TSH, which is the thryroid-stimulating hormone value, and also the overall picture of T-4, TSH, T-3 and reverse T-3. Another thyroid problem known to result in fatigue is Hashimotos Disease, an auto-immune illness characterized by an inflamed thyroid gland. People with Hashimoto’s develop antibodies against the thyroid. Thus, even if the TSH and T-4 are normal, they can feel fatigued because the thyroid, under attack from antibodies, is unable to function properly. The presence of this disease can easily be known by checking for thyroid antibodies.
According to the Center for Disease Control in Washington D.C., multiple viruses can cause chronic fatigue-like symptoms. These include cytomegalovirus- or Epstein Barr virus, Adeno viruses, Hawks virus, Herpes virus, and human B-lymphocytic virus, among others. Some researchers have suggested that certain vaccinations have even been shown to cause fatigue, ulcerative colitis, or irritable bowel syndrome. A balanced system could successfully defend itself against these viral invasions. An unbalanced system, however, will easily fall prey to them.
Sleep apnea, insomnia, narcolepsy, and some medications like beta blockers can also cause fatigue. According to one study done in England, among 79 healthy individuals taking amoxicillin 500mg, three times a day for one week, 60% developed fatigue, revealing that even common medications like antibiotics can result in fatigue. When examining a patient with fatigue complaints, I also check for any past of current diagnosis of depression, bipolar disorders, dementia, bulimia and anorexia, as well as alcohol or drug abuse. Recently, I saw a 19yr old boy brought in by his parents concerned about his extreme lethargy. It turned out he was injecting himself intravenously with heroin.
Liver toxicity, especially among patients diagnosed with hepatitis B or C, may also cause chronic fatigue. In these cases, I put patients on a liver-cleansing regimen that involves careful diet and herbal preparations, and the fatigue is lifted as the liver cleanses and resumes its normal functions. Nutritional deficiencies and digestive problems may also lead to exhaustion. When you don’t digest your food properly, you create a toxic overload that your body is unable to clear. This leads to feelings of lethargy and tiredness, as the body battles against accumulating toxins. Iron and magnesium deficiencies, as well as vitamin deficiencies, have also been linked to CFS.
Finally, we are in a culture of overachievers and workaholics. The average Boeing worker puts in 60 hrs weekly, and the average Microsoft employee works around 70-80 hours a week. Self-employed people and small-business owners like me often work 60-70 hours a week. Thus, we overburden our adrenal glands, exhausting them and finding ourselves too tired to keep up with our daily tasks.
Once diagnosed, how to treat fatigue Ayurvedically
Once the potential causes of the patient’s fatigue are determined, an Ayurvedic physician will set to work, devising a customized program of diet, nutrition, and herbal supplements, along with exercise and stress reduction techniques to help the patient regain balance within their lifestyle. This Ayurvedic approach is thorough and life-changing.
Digestive problems are often at the root of fatigue. A person suffering from fatigue may be allergic to some foods or eating foods without proper digestion. We transform food into fuel and waste through the digestion process. Our digestive system turns carbohydrates into glucose, proteins into amino acids, and fat into fatty acids leading to a long series of functions involving mechanical and chemical change. If these functions are left incomplete, they can create toxins that ultimately lead to fatigue. Therefore, proper nutrition is absolutely important. I always encourage people to consume organic foods, free of preservatives, insecticides and pesticides, especially since these additives can cause fatigue-like symptoms. It is also important to eat organic meats and dairy products, because toxic residues in these products are high. Residues from hormones injected into animals can create fatigue symptoms in meat eaters.
Many people have allergies to wheat, milk, potatoes, tomatoes, and bell peppers and are completely unaware of it. I see remarkable changes when I ask people to simply stop eating these foods. In Ayurvedic medicine, food should be taken according to body type (Vata, Pita, or Kapha) and to the pathology at the time. If you have an imbalance that is caused by something in your diet, that food needs to be eliminated. Also, creating a ritual such as sitting down to eat, helps build healthy digestion. Due to our fast paced lifestyle, we often eat on the run. We must realize that food is the most important thing for our bodies and if we don’t eat properly, we are inviting disease. I encourage people to meditate on their food – smell the aroma, look at its color. The more you enjoy your food, the more your body is able to digest it and reap its nourishment. Without this intimate relationship with your food, you will be unable to get the best rewards from it.
Schedule a time for each meal. Eating at the proper time facilitates the body’s regular production of enzymes, which are necessary for proper and complete digestion. If you don’t eat at the proper time, you may miss the enzyme surge and not be able to digest the food properly. Do not drink lots of water with your food – this dilutes digestive juices, causing indigestion and fatigue. According to studies by Dr. Jonathan Wright, most of us have low hydrochloric acid levels. Fresh ginger tea is an excellent remedy. Simply chop ginger into small pieces about one inch of the root, boil in a cup of water, strain, and sip slowly before or during meals. Ginger stimulates digestive juices and contains active enzymes that help digest food. I recommend sitting for a few minutes after each meal, followed by a short walk. These very simple rituals will help the body to increase the efficiency of digestion.
All of our eating habits play an important role in determining the strength and efficacy of digestion. If we eat under stress, at the wrong time, or when we are not hungry, we fail to create a healthy relationship with our food. Instead, food produces toxic materials in the body, which results in fatigue. Most people abuse sugar, alcohol and dairy products. An average American can eat about half pound of sugar a day. A 12oz soda contains 10 tsp of sugar, candy can have 5-6 tsp, a scoop of ice cream can have 5-6 tsp and a chocolate bar can have up to half a pound of sugar. So, if you have only one soda, one candy, a slice of cake and a cookie, you can well imagine how much sugar you are taking during a day.
According to one study, when people consume 100grams of sugar, or about a quarter pound, their immune system becomes sluggish and completely dysfunctional, which leads to fatigue. Therefore, do not over-eat sugar, even if you crave things like bread, cookies, ice cream, crackers, and raisins. It is important to control your cravings. It is also important to make a conscious effort to eat good food. Choosing organic foods, and eating three meals a day, while watching our intake of sugar helps create a balanced approach to eating. Snacking between meals is fine as long as you eat the proper amounts of sugar, protein, carbohydrates and get the vitamins and minerals your body needs.
Beyond Nutrition: Additional Treatments for Fatigue
Panch Karma, an Ayurvedic detoxification program, is highly effective in treating fatigue. By ridding the body of toxic materials, this rejuvenative program aids in restoring a normal, healthy balance in the body. Panch refers to five, and Karma refers to the major eliminative processes which aid the body in restoring balance. At the Ayurvedic and Naturopathic Clinic in Bellevue, Washington, patients receive herbal oil massages using customized oils created to fit their body type and pathologies. Herbs are also chosen according to body type and present imbalances. Our Panch Karma technicians concentrate on specialized and highly energetic points in the body, called marma points. These are much like acupressure points. As the body is vigorously massaged, the herbal oils absorb the toxins. The herbs seep through the skin, and as they circulate throughout the body, they stimulate the internal organs. After the massage, patients are put into an herbal steam bath. As the body temperature gradually increases, a few things happen. First, sweat rids the body of toxic materials. Also, the white blood cell count increases, helping to kill viruses, fungi, and bacteria. Even cancer cells die quickly under intense heat.
Following a lengthy series of oil massages, patients are instructed to fast. Depriving the body of food for a sustained period of time lowers its toxic load and cleanses the upper alimentary carnal, especially the stomach area. After fasting, patients take a laxative like castor oil, olive oil, or certain herbs, which help to clean out the small intestines, liver and spleen. Afterward, more herbal oil massages and herbal steam saunas are given, followed by enemas or a colonic treatment to clean out the large intestine. By the end of Panch Karma, the body’s toxic load has been dramatically reduced.
Ayurvedic Herbs Remedies for Fatigue
I prescribe several herbs in almost all cases of chronic fatigue, including Ashwagandha™, Amla, Turmeric, and Trifal™. In all cases, I prefer to use the standardized extracts rather than raw herbs, ensuring strong potency and safety.
Ashwagandha is a rejuvenative herb and its use in Ayurvedic medicine dates back to 3-4,000 years. It is reputed to clear the mind, calm and strengthen the nerves, promote sound sleep and rejuvenate the bodily tissues. You can take up to 500mg of Ashwagandha extract three times a day. Larger doses may also be taken safely.
Another favorite herb of mine is Turmeric: the bright, yellow spice ever-present at all Indian or Asian food stores. Curcuma longa, as it is also known, is a detoxifier and a liver stimulant. It is also anti-allergic, anti-inflammatory, anti-viral, and has also been shown to kill the AIDS HIV virus. Turmeric works synergistically with Boswellia to reduce inflammation.
Another herb that works wonders is Amla. It is one of the richest sources of Vitamin C and bioflavonoids available. Bioflavonoids are anti-oxidants, helping to protect and regenerate the body. Amla is also very safe and can be taken in very large doses without creating an imbalance. Perparations like Amla Plex have been used for centuries in India as Rasayanas, or rejuvenative and adaptive therapies. Small amounts are eaten daily, as a tasty, therapeutic jam. It contains the Ayurvedic mineral called sheelajeet, which, in India oozes out of the mountains under the heat of the sun. Sheelajeet is an organic material that has been under the earth for many years and is a rich mineral source. It has been shown to reverse the aging process, an in a few studies has even increased hair growth. Other herb blends which I like are Trifal™ or Triphla™, which aid in digestion and overall cleansing, and Centella asiatica (Gotu kola) and Tribulus Terrstris that increase the amount of testosterone in the body.
Taking too many supplements; however, is not good either. Many people come to my clinic with bags filled of vitamins and supplements. All herbs may not be safe, and could themselves, create a toxic overload.
Traditional Chinese Medicine
To receive bespoke advice based upon your own situation you should visit a local licensed practitioner. Find your closest Traditional Chinese Medicine practitioners here.
Traditional Chinese medicine uses a combination of acupuncture, moxibustion and lifestyle changes in helping to manage CFS. The emphasis is on strengthening and protecting the immune system and also on conserving and generating energy. TCM suggests that the immune system can be improved by working on the way that the body makes energy from protein sources. In CFS, the immune system may be using as much as 60 percent of an energy storage compound in the body called ATP (adenosine triphosphate).
ATP manufactures protein to make immune antibodies and when the immune system is using all of the ATP, there is little energy left for the rest of the body, leaving you feeling very tired. If this is the case, then acupuncture is used on the points that relate to autoimmunity and also the meridians in the body.
Herbal formulas that are useful in managing CFS include bu zhong yi qi wan, xiao chai hu wan, and astralgus ten formula.
Here are some remedies that your practitioner may suggest:
Aromatherapy is also an important component in holistic approaches to CFS and there are a number of essential oils which can ease symptoms and support healing processes in persons with CFS and related disorders. Specifically, essential oils such as Chamomile, Geranium, Peppermint, Lavender, Lemon, and Marjoram can be helpful, when used appropriately, for boosting the immune system, promoting relaxation, easing muscle pain, lifting mood, and improving sleep quality.
Try the following combination of essential oils in a warm (not hot) bath to ease stress and muscle pain:
3 drops Lavender (Lavandula angustifolia)
2 drops Petitgrain (Citrus aurantium var. amara)
1-2 drops Frankincense (Boswellia cateri) – optional
Use only Therapeutic Quality Essential Oils. Draw the bath first, mix the essential oils with a tablespoon of milk, add to the bath water, swirl them around with your foot, get in and relax. Allow yourself 10 to 20 minutes. Do not get the bath water in your eyes, as the oils will sting. Use this formula once a day for 3 or 4 days a week over a two to three week period.
There are many readily available aromatherapy reference books that offer further suggestions for utilizing essential oils in CFS. Check the indexes for “Chronic Fatigue Syndrome” and “Myalgic Encephalomyelits“, or ME, which is the term more commonly used in England.
Use 4 drops of essential oil per 25ml of carrier oil.
To ensure positive results, always check that the essential oil is a 100% pure plant distillation and that it comes from a reputable source.
Owing to the principles behind homeopathy it is essential you see a licensed practitioner to receive your own personalized prescription. Find your closest Homeopath here.
Here are some remedies that your practitioner may suggest:
There are many homeopathic remedies which can be useful in the management of CFS; consult a practitioner to find the best remedy for you.
Kali phos – is helpful for fatigue that is accompanied by trembling caused by stress or overexertion.
Arsenicum album – is helpful for exhaustion that is accompanied by anxiety, as well as a constant feeling of cold with joint and muscle pain.
Nux vomica – is helpful for fatigue that is caused by lack of sleep, overwork or fatigue.
Argentum nitricum – is helpful for a person that feels fear, has anxiety, and is secretive.
Phosphoricum acidum – is helpful for those that feel emotionally or physically drained, or apathetic.
Picricum acidum – is helpful for those that feel dreadful even after slight exertion, especially mental exertion.
Silicea – is helpful for headaches and exhaustion that is caused by overwork.
Zincum metallicum – is helpful if you are forgetful and tend to repeat things.
Herbal medicine is a useful tool in the management of the symptoms of CFS. However, while herbal medicines are useful, it is important to note that they will not start to work instantly. To completely resolve the symptoms of CFS, it may take as little as four to six weeks or as long as 12 to 18 months; the important thing is to be patient. Some herbs that are helpful with CFS include:
Echinacea – this herb helps to protect cells during infection and it stops bacteria and viruses from entering the cells. It is useful for strengthening the immune system.
Licorice – is an antiviral herb that is useful in the chronic phase of CFS. Licorice root also supports the endocrine system.
Lomatium Astralgus – enhances the immune function and it is good for cold and flu symptoms. It strengthens the production of white blood cells which are needed by the body in order to fight off infection and inflammation.
Gingko Biloba – improves circulation and brain function.
Chinese Ginseng – helps the body to fight stress and it also increases energy. As well, it fights off viral infections and supports the immune system.
Siberian Ginseng – increases the body’s resistance to stress, fatigue, and disease. It also helps to improve mental alertness and is a powerful antioxidant.
Goldenseal – is useful for helping to control infection.
Milk Thistle – protects the liver.
Pau D’arco – is helping for treating infections of candida.
St John’s Wort – has antiviral properties and is also helpful for depression.
Skullcap/Valerian Root – improves sleep, as insomnia is another problem that is associated with CFS.
Ashwaganda – is a tonic that can improve strength, stamina, vigour and sexual energy
Cat’s Claw – is anti-inflammatory and also helps to promote the immune system.
Kava Kava – is calming and helps ease the anxiety that is often associated with CFS.
Olive Leaf – is both antifungal and antiviral.
Yoga – The physical postures and breathing exercises comprising the practice of yoga have long been proven by scientific research to promote feelings of relaxation while simultaneously strengthening the body. Research conducted since the 1970s has shown that regular yoga practice not only relieves stress, and stressful emotions such as anxiety and depression, but also improves blood pressure rates and overall cardiovascular health. Yoga is also effective for reducing pain, improving gastrointestinal and respiratory function, and for improving cognitive function and enhancing sight and hearing.
Note: If you are just beginning to explore yoga, it is recommended that you initially do so under the guidance of a trained yoga instructor who can guide you to become aware of the subtleties involved in each yoga posture as well as the corresponding method of breathing.
Qigong – Is a wonderful form of exercise, breath work and meditation to relieve stress and tension in the body. See article section for more information about the art of qigong.
The best way to cleansing and purification of the body www.naturalcures.com/healthblog/54_the_best_way_to_cleansing_and_purification_of_the_body_110512.php
Mother Nature’s Natural Germ Fighters naturalhealthdossier.com/2012/03/mother-natures-natural-germ-fighters
Immune health NC_Newsletter_07-11.pdf
Squeaky Clean (Colonic Irrigation) www.naturalcures.com/healthblog/squeaky_clean.php
Heal Your Body and Raise Your Consciousness – Qigong NC_Newsletter_12-08.pdf
Health Care that Won’t Cost You a Single Penny – EFT NC_Newsletter_12-06.pdf
Become Master of Your Mind – taking charge of your reaction to stress NC_Newsletter_12-10.pdf
Jump for Joy – Rebounding is a great stress busting workout NC_Newsletter_12-10.pdf
Hypnotherapy for stress management – why it is so effective www.naturalcures.com/healthblog/hypnotherapy_for_stress.php
A home remedy for fatigue www.homeveda.com/other-conditions/natural-ayurvedic-home-remedies-for-fatigue.html
EFT for treating disease www.garythink.com/eft/physicial.html
Further Information (links and books)
Aromatherapy for chronic fatigue www.aromatherapy-school.com/aromatherapy-schools/aromatherapy-articles/aromatherapy-chronic-fatigue.html
Possible treatment options for Chronic Fatigue Syndrome www.naturaltherapypages.co.uk/article/Chronic_Fatigue_Syndrome
Traditional Chinese medicine for Chronic Fatigue Syndrome www.ncbi.nlm.nih.gov/pmc/articles/PMC2816380
Prescription for Nutritional Healing, Fifth Edition: A Practical A-to-Z Reference to Drug-Free Remedies Using Vitamins, Minerals, Herbs & Food … A-To-Z Reference to Drug-Free Remedies) by Phyllis Balch
Aromatherapy: A Complete Guide to the Healing Art by Kathi Keville and Mindi Green
Detox and revitalize by Susana L. Belen
The Secret Language of Your Body by Inna Segal
The Healing Herbs: The Ultimate Guide to the Curative Power of Nature’s Medicines by Michael Castleman and Prevention Magazine
Whole food supplement, Pure Synergy
www.thesynergycompany.com (800) 723-0277
E3 Live, Green Superfoods
Omega-3s, Cod Liver oil
www.drrons.com (877) 472-8701
St. John’s Wort
Sunlight Therapy, Solar Healing
EMF Chaos Elimination, Q-Link
www.toolsforwellness.com (800) 456-9887
Living Freedom, Emotional Release Work
www.totalintegrationinstitute.com (520) 615-9811
Callahan Technique, Thought Field Therapy
www.tftrx.com (760) 564-1008
Dianetics, Dianetics Technology
www.dianetics.com (800) 367-8788
Neuro Emotional Technique
www.netmindbody.com (800) 888-4638
Bowen, Find Practitioner
Rebounder, Evolution Health
www.evolutionhealth.com (888) 896-7790
Andrea Butje | Aromahead firstname.lastname@example.org – aromatherapy
Carrie Vitt email@example.com – organic food recipes.
David Spector-NSR/USA firstname.lastname@example.org – meditation, stress
Judith Hoad email@example.com – herbalist.
Kath May firstname.lastname@example.org – reiki, tai chi.
Lillian Bridges email@example.com – Chinese medicine, living naturally.
Monika firstname.lastname@example.org – aromatherapy.
Rakesh GAC@AyurvedicLifeStyles.com – Ayurvedic Practitioner.