Tested, then treated

Chronic Pain &

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.

Who this stay

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.

Chronic fatigue syndrome and fibromyalgia

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.

Adrenal fatigue, post-viral fatigue, and burnout with physical collapse

Overlapping mechanisms — mitochondrial dysfunction, gut dysbiosis, adrenal depletion, neurological inflammation — with a driver that varies between patients. Your programme is built around yours.

Sleep dysfunction and central sensitisation

Non-restorative sleep and a nervous system that has become hypersensitive. Chronic neurological inflammation is investigated, not dismissed.

Dutch and German guests after “unexplained” fatigue

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.

Why we test first

then treat

Standard medicine tests for the wrong things

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.

The functional investigation

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.

Not the standard approach

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.

Realistic timelines

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.

Twenty-one days

paced with care

01

Gentle diagnostics and preparation

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

Targeted functional and Ayurvedic protocols

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

Integration and the 90-day protocol

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.

What the stay

includes

Testing first. Treatment second. Always. Ayurveda, Unani Medicine, Functional Medicine, and Nature Therapy — tailored to what we find.

Functional mitochondrial support

NAD+ IV infusion, CoQ10 repletion, and targeted mitochondrial cofactors delivered from your OAT results — restoring the cellular energy production that CFS depletes.

Gut restoration and Panchakarma

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.

Abhyanga, Nasya, and sleep restoration

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.

Anti-inflammatory herbal protocols

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.

We will tell you

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.

Other programmes

at Tigris Valley

Kaithappoyil, in the Western Ghats

Keep in touch

with Tigris

Tell us what you are carrying. We will reply with a suggested programme and length of stay.

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