Tested, then treated
Inflammation
You have been told there is nothing wrong. You know there is. Chronic fatigue syndrome and fibromyalgia are among the most dismissed conditions in conventional medicine. At Tigris Valley we begin differently: we believe you, and then we test for the mechanisms driving your condition.

Paced, physician-led care. Kerala.
is for
Chronic pain and inflammation can significantly impact daily life — mobility, productivity, and emotional well-being. This programme is particularly suited for those whose pain and fatigue have gone unresolved by conventional care, including ME-CFS and fibromyalgia patients who have been through specialist referrals, normal test results, and treatments that managed symptoms without identifying their cause. A pre-booking medical call confirms whether the programme is the right fit. All treatments are personalised — never generic.
ME-CFS and fibromyalgia — real, debilitating, and frequently met with scepticism. Your tests come back normal. A short walk can leave you bedridden for days. The pain moves through the body like something nobody else can see.
Overlapping mechanisms — mitochondrial dysfunction, gut dysbiosis, adrenal depletion, neurological inflammation — with a driver that varies between patients. Your programme is built around yours.
Non-restorative sleep and a nervous system that has become hypersensitive. Chronic neurological inflammation is investigated, not dismissed.
In the Netherlands and Germany, CFS and fibromyalgia patients frequently encounter extensive specialist referrals, exclusionary diagnoses, and classification as medically unexplained symptoms. The programme is designed for this patient — well-informed, medically experienced, cautious. Bring Befunde and prior investigations; the medical team reviews them in full.
then treat
CFS and fibromyalgia patients often spend years dismissed, misdiagnosed, given antidepressants for pain that is not psychological, and told to exercise when any exertion makes everything worse. We run the tests that identify what is actually wrong — mitochondrial dysfunction, gut dysbiosis, adrenal depletion, neurological inflammation — and build the protocol around what we find. Nothing is prescribed before we understand the driver.
Organic Acid Testing for mitochondrial function and metabolic pathway efficiency. Gut microbiome analysis for dysbiosis linked to neurological inflammation and chronic fatigue. Cortisol rhythm for adrenal function and HPA axis collapse. Inflammatory cytokine panel. Full functional thyroid including reverse T3 and antibodies. Nutrient screening — B12, D, magnesium, CoQ10 — the cellular cofactors depleted in chronic fatigue.
Antidepressants for pain become inflammatory cytokine testing. “Exercise more” becomes a paced activity protocol that respects post-exertional malaise. No mitochondrial testing becomes an OAT panel. Gut health never assessed becomes microbiome and permeability testing as standard. Generic supplements become targeted repletion from your labs. Symptoms managed indefinitely becomes a root cause identified, treated, and tracked.
Most guests notice improved sleep quality and slightly more stable energy within the first week, as the nervous system settles. More significant changes in functional capacity develop over the 21-day programme and continue in the weeks following, as mitochondrial and gut restoration keep working. Current medications — including pain management, antidepressants prescribed for fibromyalgia, or thyroid medication — are reviewed on Day 1. No changes without explicit clinical guidance.
paced with care
01
Week 1. Functional testing is completed first. The programme begins slowly — light oleation, dietary correction, and herbal protocol initiation. No aggressive procedures in the first week. The nervous system is given time to trust the environment before treatment deepens. CFS and fibromyalgia require the most gradual, carefully paced programme we offer.
02
Week 2. Mitochondrial support IV therapy commences. Gut restoration advances through Reinoculate and Repair. Daily Abhyanga and Shirodhara are established at the pace appropriate to your tolerance. Energy levels typically begin stabilising. Every day is planned around your current energy envelope. Post-exertional malaise is understood and respected; no treatment is pushed beyond your capacity.
03
Week 3. Advanced Rasayana therapies rebuild depleted tissues. Sleep restoration reaches its most effective phase. Final functional lab panel compares key markers against Day 1. Discharge includes a structured 90-day home pacing plan, herbal schedule, dietary guidelines, and sleep hygiene, with telehealth at 30 and 90 days.

includes
Testing first. Treatment second. Always. Ayurveda, Unani Medicine, Functional Medicine, and Nature Therapy — tailored to what we find.
NAD+ IV infusion, CoQ10 repletion, and targeted mitochondrial cofactors delivered from your OAT results — restoring the cellular energy production that CFS depletes.
The 4R framework combined with Panchakarma Basti — addressing the gut dysbiosis and intestinal permeability that drive the neurological inflammation underlying both CFS and fibromyalgia. For fibromyalgia, Panchakarma is gentle, gradual, and carefully monitored. Abhyanga is performed with lighter pressure.
Daily medicated oil massage calibrated for hypersensitive nervous systems — calming Vata-reducing oils at gentle pressure. Nasya supports neurological pathways connected to mood, memory, and mental clarity. Shirodhara, yoga nidra, Jatamansi, Brahmi, Shankhapushpi, and circadian recalibration address non-restorative sleep at its physiological root.
Ashwagandha for adrenal and mitochondrial restoration, Guduchi for immune modulation, Shilajit for cellular energy, and Turmeric — all at therapeutic clinical dosages based on your inflammatory markers.
whether this is the right fit
Speak with our team about your condition, previous investigations, and what you have already tried. We will tell you honestly whether the programme is the right fit — and what outcomes are realistic for your situation. Bring your diagnosis history, previous test results, and a summary of what you have already tried. First step: a consultation via the form or WhatsApp at +91 91070 40040. Direct flights: Amsterdam to Kozhikode approximately 11 hours via Dubai or Doha; Frankfurt to Kozhikode approximately 9 hours via Dubai.


Kaithappoyil, in the Western Ghats
with Tigris
Tell us what you are carrying. We will reply with a suggested programme and length of stay.

Kaithappoyil, in the Western Ghats.
Markaz Knowledge City Road, Kaithappoyil, Adivaram, Kerala
Get directions +91 90726 61622 reservation@tigrisvalley.com© tigrisvalley.com
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