Nutrition

Nutrition 228: Dealing with Fatigue in Clinical Practice | 2 Chiropractic CE Hours

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Clinical fatigue assessment diagram showing HPA axis dysregulation pathway, mitochondrial ATP production chain, thyroid hormone conversion cascade (T4 to T3), nutrient deficiency panel (CoQ10, L-carnitine, B12, magnesium, iron), and energy restoration protocol — Nutrition 228 chiropractic CE course.
Online Course Format:  Online
Course Tuition:   $40.00
Credit Hours ( CE ):  2
Contributor:  Howard Benedikt, DC, DCBCN
CLICK HERE for a list of states, provinces and countries this course is accredited in.

Online Chiropractic CE Course Description & Course Details

Course

Nutrition 228

Dealing with Fatigue in Clinical Practice

2

CE Hours

$40

Price

Online Video

Format

Course Overview

Fatigue is among the most frequently reported complaints in chiropractic practice, yet it is routinely underdiagnosed when nutritional and metabolic factors are overlooked. This two-hour online CE course equips clinicians with a systematic, evidence-based framework for identifying root causes of fatigue and implementing targeted nutritional interventions.

Participants explore the distinction between acute and chronic fatigue and examine central and peripheral physiological mechanisms driving persistent low energy. The course addresses thyroid hormone conversion deficits, HPA-axis dysregulation, and mitochondrial insufficiency — three interconnected pathways that explain the majority of fatigue cases seen in integrative chiropractic settings.

From assessment to intervention, you will learn which laboratory biomarkers to prioritize, how to interpret common nutrient deficiency panels, and how to construct supplementation protocols using CoQ10, L-carnitine, B vitamins, magnesium, and iron. Dietary and lifestyle strategies for sustained energy restoration complete the curriculum.

Course Outline

  1. Understanding Fatigue: Acute vs. Chronic, Central vs. Peripheral Mechanisms
  2. Common Clinical Causes: Thyroid Dysfunction, Adrenal Dysregulation, Mitochondrial Insufficiency
  3. Nutritional Assessment of the Fatigued Patient: Key Labs and Deficiencies
  4. Evidence-Based Nutritional Interventions: CoQ10, L-Carnitine, B Vitamins, Magnesium, Iron
  5. Lifestyle and Dietary Strategies for Sustained Energy Restoration

Learning Objectives

Upon completing this course, participants will be able to:

  • Differentiate common clinical causes of fatigue in chiropractic patients
  • Identify nutritional deficiencies that contribute to chronic fatigue
  • Apply evidence-based supplementation protocols for fatigue management
  • Develop a practical nutritional assessment and intervention framework for fatigued patients

About the Instructor

Dr. Howard Benedikt, DC, DCBCN

President, Chiropractic Board of Clinical Nutrition • Board-Certified Chiropractic Clinical Nutritionist

Dr. Benedikt brings more than 46 years of clinical and educational experience to this course. He holds an M.S. in Human Nutrition from C.W. Post/Long Island University and serves as Lead Clinical Nutrition Faculty at CCEDseminars, PACE/board-approved through Texas Chiropractic College.

As President of the Chiropractic Board of Clinical Nutrition and adjunct faculty at New York Chiropractic College and Berkeley College NY, Dr. Benedikt is a widely recognized authority in evidence-based clinical nutrition. He maintains an active practice in midtown Manhattan.

Frequently Asked Questions

What nutritional deficiencies most commonly cause chronic fatigue in chiropractic patients?

Iron deficiency, B12 and folate insufficiency, magnesium depletion, and suboptimal CoQ10 levels are among the most clinically significant nutrient deficiencies linked to chronic fatigue. This course covers evidence-based lab testing strategies to identify these deficiencies and specific supplementation protocols to address them. Coenzyme Q10 and L-carnitine are also addressed given their direct roles in mitochondrial ATP production and cellular energy metabolism.

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 of fatigue that go undetected on standard TSH panels alone. Chiropractic clinicians trained in clinical nutrition can assess these conversion pathways, identify underlying nutritional contributors, and support thyroid hormone metabolism through targeted dietary and supplementation strategies covered in Nutrition 228.

Is this chiropractic CE course approved for continuing education credit?

Yes. Nutrition 228 is a 2-hour online continuing education course approved through Texas Chiropractic College under the PACE accreditation program. CCEDseminars courses are accepted by chiropractic boards in most U.S. states. Review the State Guidelines page to confirm your board's requirements before enrolling.

What is the role of mitochondrial function in fatigue, and why does it matter clinically?

Mitochondria generate the majority of cellular ATP through oxidative phosphorylation, and any disruption to this process — from nutrient cofactor depletion, oxidative stress, or environmental toxin burden — directly impairs energy production. Research published in peer-reviewed journals has linked mitochondrial dysfunction to chronic fatigue syndrome and other persistent low-energy conditions. This course examines the nutritional levers available to support mitochondrial function and restore energy at the cellular level.

Earn a Nutrition Certification

Nutrition 228 may apply toward a CCEDseminars certification program. Explore available credential pathways for chiropractic clinicians.

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References

  1. Naviaux RK, et al. "Mitochondrial Dysfunction and Chronic Disease: Treatment With Natural Supplements." Integrative Medicine: A Clinician's Journal. 2014;13(4):35–45. https://pmc.ncbi.nlm.nih.gov/articles/PMC4566449/
  2. Campagnolo N, et al. "Dietary and nutrition interventions for the therapeutic treatment of chronic fatigue syndrome/myalgic encephalomyelitis." Journal of Human Nutrition and Dietetics. 2017;30(3):247–59. https://pmc.ncbi.nlm.nih.gov/articles/PMC5434800/
  3. Tardy AL, et al. "Vitamins and Minerals for Energy, Fatigue and Cognition: A Narrative Review of the Biochemical and Clinical Evidence." Nutrients. 2020;12(1):228. https://pmc.ncbi.nlm.nih.gov/articles/PMC10181316/
  4. Castro-Marrero J, et al. "Dietary Supplementation for Fatigue Symptoms in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome." Nutrients. 2025;17(3):540. https://pmc.ncbi.nlm.nih.gov/articles/PMC11819863/
This online chiropractic course is accredited in the following states:

Alaska, Colorado, Connecticut, Delaware, District Of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oregon, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wyoming,

This online chiropractic course is accredited in the following Canadian Provinces:

British Columbia, Manitoba, New Brunswick, Nova Scotia, Ontario, Yukon,

This online chiropractic course is accredited in the following regions outside the United States & Canada:

Argentina, Australia, Bahamas, Belgium, Bolivia, Cayman Islands, Chili, Columbia, Costa Rica, Cyprus, Denmark, Dominican Republic, Ecuador, Fiji, Finland, Germany, Greece, Guam, Hong Kong, Hungary, Iceland, Iran, Israel, Italy, Jamaica, Japan, Jordan, Korea, Lebanon, Libya, Liechtenstein, Malaysia, Mexico, Nambia, Netherlands, New Zealand, Northern Ireland, Norway, Panama, Peru, Philippines, Saint Kitts & Nevis, Saudi Arabia, Singapore, South Africa, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad & Tobago, United Arab Emirates, United Kingdom, Venezuela, Virgin Island, Zimbabwe,