What we treat

Energy & Mitochondrial Function

Persistent fatigue with "normal" labs is one of the most common reasons patients find us. Energy is produced in the mitochondria, and mitochondrial function is rarely evaluated in a standard workup, but it can be supported directly.

Why are my labs normal when I feel exhausted?

Standard panels are built to detect disease, not to characterize function. A result inside the reference range means you do not meet the threshold for a diagnosis, not that your biology is performing well.

Our comprehensive panel looks at metabolic, inflammatory, hormonal, and nutrient markers together, which is where patterns behind fatigue tend to appear.

How is cellular energy supported?

NAD+ supports the coenzyme central to mitochondrial energy production, whose availability declines with age. Ozone therapy is used to support oxygen utilization, and custom infusions address the specific deficiencies your panel identifies.

Where inflammatory load is suppressing energy, stem cell therapy may be included in the protocol.

The workup

What does a real fatigue workup look like?

The panel is the product here. "Normal labs" usually means a basic metabolic panel and TSH; ours is built to characterize function across the systems where persistent fatigue actually hides.

Metabolic
fasting insulin, HbA1c, full thyroid panel with antibodies
Mitochondrial and nutrient
B vitamins, CoQ10 status, magnesium, ferritin and iron studies
Inflammatory
hs-CRP and inflammatory activity markers
Hormonal
cortisol pattern, DHEA, sex hormones

Panels are tailored to your history at consultation; the groups above are representative, not exhaustive.

Dr. Ashley Southern working with patient records at her desk

What does an energy protocol involve?

Protocols typically run eight to twelve weeks between panels, combining infusion-based support with correction of everything the workup surfaced.

  1. 01

    Consultation and the full panel

    A long-form history covering sleep, stress load, training, and medications, plus the draw. Sleep apnea screening happens here, because no protocol outruns untreated apnea.

  2. 02

    Protocol design

    NAD+ where mitochondrial support is indicated, ozone protocols for oxygen utilization, targeted infusions for measured deficiencies, and referral of anything the panel flags for specialist care.

  3. 03

    Treatment course

    Scheduled sessions in the clinic lounge. NAD+ infusions in particular run long, and we schedule them honestly rather than rushing them.

  4. 04

    Repeat panel and decision point

    Markers are re-run and compared. Continued treatment has to be justified by the data; "just keep coming in" is not a protocol.

Signals

Signals that bring patients in

These are the patterns we hear most often from patients who end up being good candidates.

  • Fatigue that sleep does not resolve
  • Being told your labs are "normal" while feeling anything but
  • An afternoon crash you plan your day around
  • Slower recovery from exercise
  • Lingering fatigue after a viral illness, including long COVID or EBV
  • Weight or metabolic changes without a change in habits
Man drinking water outdoors after exercise
Where we draw the line

When fatigue belongs with a specialist first

Fatigue is a symptom of nearly everything, which makes ruling out the serious causes the first responsibility.

  • Fatigue with red-flag symptoms like unexplained weight loss or night sweats needs diagnostic medicine urgently
  • Suspected sleep apnea gets referred for a sleep study before infusion therapy is offered
  • Major depression presenting as fatigue deserves real mental-health care, not just an infusion
The honest read

What is the evidence for NAD+ and ozone for energy?

NAD+ biology is well described: the coenzyme is central to mitochondrial energy production and declines with age. What large trials have not yet established is how much infusion-based restoration changes how patients feel, and we are straightforward about that gap.

The strongest-evidence moves for persistent fatigue remain correcting deficiencies, treating thyroid and metabolic dysfunction, fixing sleep, and managing inflammatory load. Those are the spine of every protocol here; the infusions support them rather than replace them.

Dr. Ashley Southern
Dr. Ashley Southern, NMDNaturopathic Medical Doctor · On where the evidence stands
Google reviews

What patients say

★★★★★

My wife bought me a consult for my birthday. Glad I showed up! I met Dr. Southern (Ashley) and Mandi. Awesome team. They’re helping me get back on track with my energy levels and digestive system. Looking forward to more!

G
Gustavo SanchezVerified Google review
★★★★★

Everyone is always so friendly and welcoming. For the first time in years I have my energy back. I am so glad I found Nascent.

R
Robin LeglerVerified Google review
★★★★★

Dr. Southern ordered comprehensive bloodwork to evaluate thyroid, hormones and various factors that may be affecting my overall health.

W
Wendy OlsonVerified Google review
Answers

Energy & Mitochondrial Function, common questions

Do you treat chronic fatigue syndrome?

We work on the metabolic, mitochondrial, and inflammatory systems that contribute to persistent fatigue, using comprehensive lab work to identify what is driving yours. Whether a formal diagnosis applies is determined at consultation.

Do you offer hormone testing?

Hormonal markers are part of the comprehensive panel, and hormone optimization itself is available at Nascent, calibrated from your results.

Start with a consultation

Comprehensive lab work, an honest read on whether we can help, and a protocol designed around your biology.