Chronic Fatigue Syndrome (ME/CFS) Care in Toronto, Ontario
When your energy doesn’t come back… even after rest
There’s a particular kind of exhaustion that doesn’t resolve with sleep, time off, or “taking it easy.”
It can feel like your body has a much smaller energy window than it used to… and pushing past it comes with consequences.
If you’ve been told to exercise more, think more positively, or just wait it out, you may already know that advice doesn’t match your reality.
This kind of fatigue is real. And it deserves a different approach.
What ME/CFS Can Feel Like
ME/CFS (myalgic encephalomyelitis / chronic fatigue syndrome) often shows up as a pattern, not just a single symptom.
You might be experiencing:
Persistent, limiting fatigue that doesn’t improve with rest
Post-exertional malaise (a worsening of symptoms after physical or mental activity)
Brain fog, memory issues, or slowed thinking
Lightheadedness or dizziness, especially when upright
Unrefreshing sleep
Body pain, headaches, or flu-like symptoms
Increased sensitivity to light, sound, food, supplements, or allergens
Digestive changes
You deserve to be taken seriously enough to get a real assessment.
How This Can Start
For some people, symptoms begin after a viral illness, like COVID (in these cases, we call it long COVID.)
For others, it follows:
A different infection (like the flu or mono)
A physical injury or accident
A period of intense or prolonged stress
A time when your system was pushed beyond its capacity
Regardless of how it started, the pattern that follows is what matters.
My Approach: The BestPace Method
ME/CFS care requires nuance.
Pushing too hard can make things worse. Doing nothing at all can feel discouraging and unclear.
I use a structured process to understand your current capacity, stabilize your system, and gradually support change… without triggering crashes.
The Insight Phase: In-Depth Assessment
We start with a thorough, two-visit assessment process designed for people with fatigue and brain fog.
This includes:
A detailed history of how your symptoms developed and changed over time
Review and interpretation of lab work - I’ll review labs already run by other practitioners, and order more if necessary
Functional assessment, so I can see how your day-to-day capacity has changed
Physical exam (for in-person visits), including orthostatic testing when appropriate
The goal here is clarity:
Where is your system getting stuck?
What is your body struggling to recover from?
The Strategy Phase: Targeted, System-by-System Support
From there, we move into treatment.
Instead of trying everything at once, we work systematically… supporting the systems in your body that need attention, in a sequence that makes sense for you.
This may include support for:
Nervous system regulation
Pacing
Digestive function and nutrient absorption
Immune and inflammatory patterns
Energy production
Everything is introduced gradually, with close attention to how your body responds.
And when your system becomes more stable, we carefully work on increasing what your body can tolerate.
This is where pacing becomes essential… not as restriction, but as a tool for progress.
Who This Is For
This care is likely a good fit if:
You’re living with persistent fatigue and post-exertional symptoms
You’ve felt dismissed, misunderstood, or told to push through
You want a clearer, more structured understanding of what’s happening in your body
You’re open to gradual, realistic changes over time
You want to be an active participant in your care
You’re an Ontario resident able to attend virtual visits, or come in-person to Midtown Toronto (Yonge & St. Clair)
Location & Access
Appointments are available:
Virtually across Ontario
In-person in Midtown Toronto (Yonge & St. Clair)
The clinic space is accessible, and care is structured with fatigue, brain fog, and sensory sensitivity in mind.
FAQs:
Do I need a formal ME/CFS diagnosis?
No.
Many people don’t receive a formal diagnosis for years. I can complete your assessment and help you fast-track your diagnosis.
How is this different from Long COVID?
COVID-19 can trigger ME/CFS, but so can lots of other things.
If you have ME/CFS symptoms but no documented COVID infection, you are still eligible to work with me in the BestPace method, unlike many long COVID clinics.
I discuss this distinction more in my blog post about assessing and diagnosing long COVID.
Will exercise help me recover?
Not in a standard, push-through way.
In ME/CFS, overexertion can worsen symptoms. We focus on pacing and gradual capacity-building that respects your limits.
How long does this process take?
It varies.
This is a longer-term, structured approach that evolves with your body. We move at a pace that supports stability first, then progress.
Can I work with you if I have significant brain fog or low energy?
Yes.
Care is designed to reduce cognitive load and make the process manageable, even on low-capacity days.
Next Step
If you’re looking for care that takes your fatigue seriously, works with your body instead of against it, and offers a clearer path forward…
Book a free 15 minute discovery call with me before you make a decision, or book an Insight Appointment - BestPace to get started as soon as possible.