The Chronic Fatigue and Burnout Recovery Podcast

In this episode, Anna is joined by Lexi Boreham, who shares her experience of living with and recovering from Long Covid. This conversation gently explores the reality of rebuilding a life alongside ongoing symptoms — from the early confusion of becoming unwell, to navigating setbacks, identity shifts, and the emotional impact of recovery. Together, they talk about the often-unspoken parts of the...

Some people notice that they seem to experience stimulation and stress more intensely than others. They may feel overwhelmed in busy environments, react strongly to caffeine, or find it difficult to switch off mentally after a demanding day. Sometimes people encounter the term COMT when exploring genetic testing and begin to wonder whether this might explain their nervous system sensitivity. But c...

There is a stage of recovery that many people reach where life has largely returned to normal. You may be working again. Socialising more. Exercising gently. Participating in daily life in ways that once felt impossible. And yet, your system may still experience occasional fluctuations. Energy might dip after a busy week. Sleep may become more fragile during stressful periods. Your nervous system...

Movement can feel like a complicated topic for people living with chronic fatigue conditions. Many people have been told to exercise more. Others have experienced crashes after pushing too hard. And over time, movement itself can start to feel risky. But something interesting often emerges during recovery. Certain types of gentle, rhythmic movement can actually help the nervous system settle. In t...

One of the most frightening moments in recovery can be when symptoms suddenly return after a long period of stability. And many people immediately think: "I’m back where I started." But in many cases, what looks like a relapse is actually something quite different. Sometimes the body is simply going through a temporary recalibration . In this episode, Anna explores why symptom waves can occur even...

Not all post-exertional malaise (PEM) is driven by the same physiology — and understanding the difference can completely change how you approach pacing and recovery. In this episode, Anna breaks down the three most common patterns of post-exertional crashes seen in clinical practice: autonomic “hit the wall” crashes, metabolic “wired but exhausted” responses, and delayed immune-driven flares. You’...

We’re back again this week sharing a recording from one of our Nurturing Resilience Group Calls. Each month we have one call dedicated to the nervous system and one call dedicated to what I call the more “practical” elements of recovery. In this recording you will hear some of our members asking their questions and we cover topics such as protein consumption, building up physical capacity and endu...

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 th...

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 int...

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 metab...

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 com...

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 fro...

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 fluctuati...

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 t...

***PLEASE NOTE*** Prices quote in this episode have increased since recording AND we have also added a selection of Pay As You Go Services to help people manage their budgets. 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 w...

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. Useful Links Take the Chronic Fatigue Qui...

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...

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 wi...

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 proc...

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...

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 yo...

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.  Useful Links Take the Chronic Fatigue Quiz: https://app.annamarsh.co.uk/...

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,...

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 res...

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.  Useful Links Take the Chronic Fatigue Quiz: https://app.annamarsh.co.uk/quiz-page Instagram: https://www.instagram.com/anna__marsh_ Work with me: https://annamarsh.co.uk/work-together/...