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Nutrition 228 — at a Glance
| Course: | Dealing with Fatigue in Clinical Practice · 2 PACE-approved CE hours |
| Faculty: | Howard Benedikt, DC, DCBCN · Clinical Nutrition Faculty, CCEDseminars |
| Format: | On-demand online video with assessment · downloadable handouts · instant certificate |
| Pricing: | $20/hr · automatic 10% off at 6–9 hrs, 20% off at 10+ hrs in one order · no promo codes |
| Approval: | PACE Provider #34015544 · co-sponsored by Texas Chiropractic College · acceptance varies by state |
Board-approved · PACE Provider #34015544 · CE Broker auto-reporting for states served · Instant certificate
Fatigue is among the most frequently reported complaints in chiropractic practice — and among the most routinely underdiagnosed, because the nutritional and metabolic drivers are the ones nobody looks for. Nutrition 228 provides a systematic, evidence-based framework for identifying the root causes of fatigue — thyroid hormone conversion deficits, HPA-axis dysregulation and mitochondrial insufficiency — and implementing targeted nutritional interventions that restore sustained energy.
Dr. Howard Benedikt works through the distinction between acute and chronic fatigue and the central and peripheral mechanisms behind persistent low energy; subclinical hypothyroidism and impaired T4-to-T3 conversion tied to selenium, zinc and iodine; adrenal dysregulation and the HPA axis; mitochondrial ATP production and what depletes it — cofactor loss, oxidative stress, toxin burden; the laboratory biomarkers to prioritize and how to read the common deficiency panels (iron, B12, folate, magnesium); the supplementation protocols built on CoQ10, L-carnitine, B vitamins, magnesium and iron; and the dietary and lifestyle strategies for lasting energy restoration.
Choose Your Nutrition Path — Three Lanes, One Curriculum
The Nutrition library — sixty-eight courses by Howard Benedikt, DC, DCBCN — organizes into three working lanes: the gut, the brain, and the conditions you already treat. Nutrition 201–210 is the foundation block, 211–220 the second, 221–230 the third, 231–240 the fourth, 241–250 the fifth, and 201–224 together form the 48-hour Clinical Nutrition Certification (CNC). Two hours each.
1 · Gut, Microbiome, Digestion and Detoxification
Where nutrient status is decided and where systemic inflammation is won or lost — from the intro principles of micronutrients and absorption to the microbiome, the liver’s biotransformation pathways, the GI disease files, the gut/brain connection, functional GI testing, and digestive enzymes.
201: Introduction to Clinical Nutrition
205: Detoxification
207: Microbiota & the Musculoskeletal System
208: Detoxification II
213: Gastrointestinal Disease & Nutrition
214: An Integrative Approach to Gastrointestinal Disease II
221: The Gut/Brain Connection
225: Functional Medicine Testing for GI Disturbances
248: Maximizing Health Through Proper Digestion and Absorption
258: Oxidative Stress Detoxification — Better Responses to Chiropractic Care
2 · Brain, Mood, Stress and the Nervous System
Nutritional neurology — the headache patient, the stress physiology your patients carry through the door, the brain-game files on how food drives cognition, the nutrition-and-mood pair, the fatigued patient, memory and dementia, nervous-system function, chronic fatigue with myofascial pain, the concussion protocol, the maladaptive stress response, and the fatigue work-up. You are here: Nutrition 228.
203: Nutritional Management of Headaches
204: Chiropractic Nutrition for Stress Management
211: The Brain Game — How Nutrition Impacts Brain Function
212: The Brain Game II — How Food Impacts Brain Function
218: Nutrition and Mood
219: Nutrition and Mood II
228: Dealing with Fatigue in Clinical Practice
233: Memory, Dementia, and Chiropractic Care
234: Optimal Nervous System Function & Nutrition
237: Chronic Fatigue and Myofascial Pain Syndrome — an Integrative Approach
240: Nutritional Management of Concussions in a Clinical Setting
242: Maladaptive Stress Response & Musculoskeletal Disease
244: Managing the Fatigued Patient
247: Optimizing Nervous System Function with Nutrition
251: Autonomic Nervous System Regulation
253: Stress Management II
254: Stress I — How Managing Stress Leads to Better Patient Outcomes
263: Stress Update — Supporting Our Patients During Uncertain Times
264: Brain Game III — How Food Impacts Brain Function
3 · Musculoskeletal, Immune, Hormonal and Clinical Conditions
Nutritional management layered onto what you already treat — arthritic and autoimmune joints, neuropathy and neuropathic pain, immune resilience and the cold-and-flu season, lipids and cholesterol, antioxidants, endocrine disruptors, the thyroid and hormone-testing files, menopause and estrogen, vitamin D, sports injuries, diet and chronic disease, women’s musculoskeletal health, the pain files, the pediatric pair, osteoporosis, and the commonly seen conditions.
202: Nutritional Management of Arthritic Disease
206: Management of Neuropathy
209: Nutrition & the Immune System
210: The Fat Story & Cholesterol
215: Antioxidants in Health and Disease
216: Antioxidants in Health and Disease II
217: Endocrine Disruptors in Health & Disease
220: Management of Autoimmune Disorders — Rheumatoid Arthritis
222: Assessing Thyroid Health in Clinical Practice I
223: Assessing Hormones in Clinical Practice I
224: Assessing Hormones in Clinical Practice II
226: Women’s Health Issues — Focus on Menopause and Estrogen
227: Vitamin D & Musculoskeletal Health
229: Nutritional Management of Sports Injuries
230: A Primer on the Role of Diet and Chronic Disease
231: Women’s Health Issues and the Musculoskeletal System
232: An Integrative Approach to the Musculoskeletal System
235: Pediatric Nutrition & Chiropractic I
236: Pediatric Nutrition & Chiropractic II
238: Chiropractic and Osteoporosis
239: Treating Commonly Seen Conditions in Chiropractic Practice
241: Strengthen Your Immune and Musculoskeletal System through Nutrition and Chiropractic
243: Joint Pain & Inflammation
245: Natural Remedies for the Pain Patient
246: Keeping Healthy During Cold and Flu Season
249: New Strategies for Pain Management in the Chiropractic Setting
250: Neuropathic Pain Management
252: Special Topics in Nutrition
255: Autoimmune Disease II
256: Sports Injury Management in a Chiropractic Office
257: Bone Health
259: Path to Wellness
260: Nutrition and Musculoskeletal Health
261: Wellness and Chiropractic
262: Women’s Health and Nutrition
265: Neuropathy — Pathophysiology and Therapeutic Approaches
266: Comprehensive Approach for Treatment of Joints, Tendons and Ligaments
267: How Nutrition and Chiropractic Go Hand in Hand
269: Nutritional Management of Neuropathy
Every course in the series is 2 PACE-approved CE hours at $40, and the automatic bundle discounts apply across the whole lane. The full 68-course catalog continues on the Nutrition category page.
What You’ll Learn in Nutrition 228
Differentiate the common clinical causes of fatigue in chiropractic patients — acute versus chronic, central versus peripheral mechanisms.
Explain the three interconnected pathways behind most fatigue cases: thyroid hormone conversion deficits, HPA-axis (adrenal) dysregulation and mitochondrial insufficiency.
Identify the nutritional deficiencies that contribute to chronic fatigue — iron, B12 and folate, magnesium, CoQ10 — and the selenium, zinc and iodine status behind T4-to-T3 conversion.
Prioritize the laboratory biomarkers for the fatigued patient and interpret the common nutrient-deficiency panels.
Apply evidence-based supplementation protocols for fatigue management using CoQ10, L-carnitine, B vitamins, magnesium and iron.
Develop a practical nutritional assessment and intervention framework, including the dietary and lifestyle strategies for sustained energy restoration.
Your Nutrition Faculty
Howard Benedikt, DC, DCBCN — instructor of this course. Board-certified chiropractic clinical nutritionist, Diplomate and President of the Chiropractic Board of Clinical Nutrition, with more than 30 years in clinical nutrition and functional medicine. He authors all 68 courses in the CCEDseminars Nutrition library and the Clinical Nutrition Certification (CNC) track at its core, and is known for translating complex nutritional biochemistry into practical, office-ready protocols — here, the thyroid, adrenal and mitochondrial roots of fatigue.
Full bio and the complete instructor roster: CCEDseminars faculty page.
Where Nutrition CE Hours Count — State Rules Worth Knowing
Nutrition coursework is clinical subject matter — assessment, clinical reasoning and nutritional management of patient conditions — which is exactly what several state boards ask for. In Iowa, these hours serve the 36-hour clinical case-management minimum; in Rhode Island, they address the 50-of-60 clinical requirement; and in Vermont — where practice-building coursework earns nothing — patient-care education like this counts fully under the clinical-focus rule.
Online-format allowances still vary by state — some accept every hour online, others cap distance learning or require in-person blocks. Check your state’s guide in the full state directory before building your renewal plan.
Build Your Nutrition Block — or Take the Credential
Every course in the Nutrition series runs 2 hours at $40, so the automatic discounts do the bundling for you: 6–9 hours in one order earns 10% off, and 10 or more earns 20% off — any ten courses from the series is 20 hours, which clears the 20% tier at roughly $320 instead of $400, with no promo codes. Dealing with Fatigue pairs naturally with Nutrition 222 on thyroid assessment and Nutrition 204 on stress management; the three together reach 6 hours and the 10% tier. Pursuing the credential? The Clinical Nutrition Certification (CNC) packages Nutrition 201–224 — 48 hours — in a single $960 checkout. Browse Nutrition Courses
Nutrition 228 — Frequently Asked Questions
What does Nutrition 228 cover?
Nutrition 228 covers fatigue in chiropractic practice: acute versus chronic and central versus peripheral mechanisms, the thyroid-conversion, HPA-axis and mitochondrial pathways behind most cases, the labs and deficiency panels to prioritize, supplementation protocols with CoQ10, L-carnitine, B vitamins, magnesium and iron, and the diet and lifestyle strategies that sustain energy. Also known as chronic fatigue nutrition, the fatigued-patient course, or nutritional management of fatigue for chiropractors.
What nutritional deficiencies most commonly cause chronic fatigue?
Iron deficiency, B12 and folate insufficiency, magnesium depletion and suboptimal CoQ10 are among the most clinically significant. The course covers the lab strategies to identify each and the specific protocols to address them, and treats CoQ10 and L-carnitine in depth given their direct roles in mitochondrial ATP production.
How does thyroid dysfunction contribute to fatigue, and what can a chiropractor assess nutritionally?
Subclinical hypothyroidism and impaired T4-to-T3 conversion — often tied to selenium, zinc and iodine insufficiency — are frequent drivers that a TSH-only panel misses. A chiropractor trained in clinical nutrition can assess the conversion pathway, identify the nutritional contributors and support thyroid hormone metabolism through the dietary and supplementation strategies covered in the course.
What is the role of mitochondrial function in fatigue?
Mitochondria generate most cellular ATP through oxidative phosphorylation, and anything that disrupts it — cofactor depletion, oxidative stress, environmental toxin burden — directly impairs energy production. Mitochondrial dysfunction has been linked to chronic fatigue syndrome and other persistent low-energy states; Nutrition 228 examines the nutritional levers that support mitochondrial function and restore energy at the cellular level.
How many CE hours is it, and where does it sit in the Nutrition series?
It is 2 PACE-approved CE hours. Nutrition 228 sits in the brain, mood and stress lane of the Nutrition series with Dr. Howard Benedikt, alongside Nutrition 204 (Stress Management), 211 and 212 (The Brain Game) and 218 and 219 (Nutrition and Mood), and pairs closely with Nutrition 222 on thyroid assessment.
State Approval and Licensing Reminder
Continuing education requirements — including online-hour caps and clinical-hour minimums — vary by jurisdiction. Review the online chiropractic CE guidelines page and contact CCEDseminars with questions about your specific licensing requirements before registering.
Ready to Enroll in Nutrition 228?
“I’m just tired” is a differential, not a diagnosis. Two hours here give you the thyroid, adrenal and mitochondrial framework, the labs and the protocols to find the cause and restore the energy.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 2026 (CT)