Fatigue can manifest in different ways depending on the underlying neurological issue. In one case, a young girl with a convergence spasm (crossed eyes) was expending excessive energy trying to process the conflicting visual inputs, leading to fatigue. By addressing the underlying vestibular and balance issues, her brain could operate more efficiently, reducing fatigue and allowing her to resume normal activities.

In another case, a patient had impaired cerebral blood flow due to autonomic reflex dysfunction, limiting the fuel (oxygen and nutrients) reaching the brain. The patient's cerebral perfusion improved by retraining the autonomic reflexes through specific exercises, providing more energy for the brain to function properly and reducing fatigue.

The key point is that fatigue can arise from the brain working inefficiently and wasting energy, or from insufficient fuel reaching the brain to sustain activity. Addressing the root neurological cause can improve brain efficiency or increase cerebral blood flow, thereby alleviating the debilitating fatigue symptom.


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