Every Naturopathic Doctor here is registered with the College of Naturopaths of Ontario.
Fatigue & energy · Ontario · Virtual
Naturopathic care for fatigue in Ontario
Dr. Victoria Posavad, ND
Dr. George Makrides, ND
Dr. Yehia Al-Hashmi, ND
Tired no matter how much you sleep, crashing by mid-afternoon, wired at night. If you've been told it's stress or your bloodwork is fine, a regulated Naturopathic Doctor takes the time to find what's actually draining you, combining clinical analysis and targeted testing to build a care plan that's catered to your health goals.
Not sure if naturopathic care is for you?

Direct billing with more than 30 insurers. Insurance-ready receipts for the rest.
First appointments within days. No referral, no waitlist, anywhere in Ontario.
The six things we hear the most.
You sleep, and it doesn't count. The afternoon is a wall, the evening is the only time you feel awake, and someone has already told you it's stress. Here's what people in that spot tell us first, in the order we hear it.
- 01Waking up unrefreshed, however long you slept
- 02The mid-afternoon crash
- 03Wired at night, drained all day
- 04Wiped out after meals
- 05Lightheaded or short of breath doing ordinary things
- 06Tired all day, every day, for months
Often with company: bloating or gut trouble, low mood or anxiety, hair shedding, feeling cold all the time, heavy periods, or snoring and 3 a.m. waking. If two or three of these sound like you, that's worth a conversation. Talk it through with a Naturopathic Doctor on a free call and you'll hear whether this is the right next step.
Women are more than twice as likely as men to be diagnosed with chronic fatigue syndrome. About 408,000 Canadians carried the diagnosis in 2014, and far more live with fatigue that never gets a name.
Source: Statistics Canada, Canadian Community Health Survey, 2014.
Most people have already been told it's stress.
Normal isn't the same as explained.
More coffee, an earlier bedtime, a multivitamin, or being told to manage your stress. They can take the edge off. They don't tell you why it started, so it tends to come back.
Six patterns we investigate
- 01Thyroid: TSH, free T3 and T4, and antibodies
- 02Iron, ferritin, B12 and vitamin D
- 03Blood sugar and the after-meal crash
- 04Sleep: snoring, 3 a.m. waking and sleep that doesn't restore
- 05Post-viral and post-exertional patterns, including ME/CFS
- 06The stress axis: cortisol, burnout and the wired-but-tired loop
Energy Roadmap
From the first call to ongoing check-ins, here's how care works at Fitra Health.
- 01A free 10-minute callTell a Naturopathic Doctor what's going on and hear, honestly, whether this is right for you.
- 02Your initial appointmentA full hour on you: your goals, how your energy moves across a day and a week, your sleep, what you've tried and what happened, what you're doing about it now, and your diet, supplements and medications. You leave with a map of what's likely draining you and the targeted blood work that would confirm it.Book your first appointment
- 03Targeted lab work, where neededSome tests can run through your family doctor under OHIP. The rest are passed through at cost and quoted first.
- 04Your personalized care planDiet, supplements, lifestyle and the other tools a Naturopathic Doctor can use, written down and explained.
- 05Ongoing monitoringShort check-ins to see what's working and adjust what isn't.
Our Naturopathic Care Team
Every one of them is registered with the College of Naturopaths of Ontario, and they're here to help you reach your health goals with a plan built around you, not a template. We'll match you with the right Naturopathic Doctor for what's going on, or you can ask for someone specific.

Dr. Victoria Posavad
Naturopathic DoctorCONO 4468
Dr. George Makrides
Naturopathic DoctorCONO 4322
Dr. Yehia Al-Hashmi
Naturopathic DoctorCONO 4267
Prices
Now accepting direct billing via Telus eClaims.
Free 10-minute call
A Naturopathic Doctor hears what's going on, tells you whether this is a fit, and checks your coverage.
First appointment
60 minutes. History, review of existing results, testing decisions, a starter plan in writing. Book your first appointment.
Follow-up
30 minutes to review results and adjust the plan. A 60-minute extended follow-up when your Naturopathic Doctor recommends more time.
Lab testing
Targeted from your initial conversation and personalized to help identify the potential root cause of your fatigue. Passed through at the lab's price.
Have extended health benefits?
We bill your insurer directly through TELUS eClaims. If your plan isn't on the network, an insurance-ready receipt lands in your inbox after every visit, with the CONO registration number and treatment code your insurer asks for.
Manulife·Canada Life·Desjardins·Industrial Alliance·30+ more
An honest read.
A good fit if
- Your symptoms have gone on for months or years with no clear explanation
- Your bloodwork came back normal or borderline and the next step was to sleep more, or an antidepressant
- You're looking for a science-based holistic approach to healthcare
- You live in Ontario and you're comfortable with video or phone appointments
Not sure? That's what the call is for.
Tell a Naturopathic Doctor what's going on and they'll tell you plainly whether this is the right next step. If it isn't, they'll say so. You've spent ten minutes, not $249.
A chronic fatigue clinic you can reach from anywhere in Ontario.
Fatigue is one of the hardest things to get investigated properly, and in most of Ontario the wait to see anyone who will take it seriously is measured in months. Because every appointment here is by video, where you live decides nothing about how quickly you are seen.
See all Ontario locations- 01Toronto and the GTA: chronic fatigue, post-viral fatigue and brain fog, seen by video rather than on a waiting list. Toronto · Mississauga · Brampton · Markham · Vaughan
- 02Ottawa and the east: thyroid, iron and B12 investigated properly, with requisitions sent to a lab near you. Ottawa · Oshawa · Whitby · Ajax
- 03Hamilton, Niagara and the southwest: ME/CFS, long COVID fatigue and energy that never came back after an illness. Hamilton · Burlington · Oakville · St. Catharines · London · Windsor
- 04Waterloo Region and the centre: blood sugar, sleep and cortisol patterns behind fatigue that sleep doesn't fix. Kitchener · Cambridge · Guelph · Barrie · Richmond Hill
- 05Northern and rural Ontario: Thunder Bay, Sudbury, Timmins, Kenora, North Bay and Sault Ste. Marie. No drive, no referral, and the same regulated Naturopathic Doctor you would see in Toronto.
The questions people search first.
Straight answers, in plain language.
Why am I always tired?
Fatigue that sleep doesn't fix usually has a pattern behind it: low iron or B12, an underactive thyroid, blood sugar that spikes and crashes, sleep that's broken by snoring or 3 a.m. waking, a virus you never fully bounced back from, or a stress load that's been running for years. Working out which of those applies to you, and confirming it with the right tests, is what the first appointment is for.
Why am I so tired after eating?
A crash within an hour or two of a meal usually points to blood sugar: a carbohydrate-heavy meal, low protein, or early insulin resistance. It can also come from how the meal is being digested. A food and energy log over a couple of weeks, plus fasting insulin, glucose and HbA1c where warranted, narrows it down.
Why do I wake up tired after eight hours of sleep?
Because the hours aren't the same as the quality. Snoring or breathing pauses, waking around 3 a.m., a wired nervous system at bedtime, low iron, and thyroid changes can all leave you unrefreshed after a full night. We look at the sleep itself, then at what's disturbing it.
Is adrenal fatigue real?
"Adrenal fatigue" isn't a recognized diagnosis, and no Naturopathic Doctor here will diagnose it. The symptoms people use the phrase for are real: wired at night, flat in the morning, dependent on caffeine, crashing under stress. We test what can be tested, including cortisol where it's useful, and treat the sleep, blood sugar, nutrient and stress drivers underneath.
Can low iron cause fatigue?
Yes, and it's one of the most common findings we see, especially with heavy periods, a mostly plant-based diet, or restrictive eating. Ferritin, the storage form of iron, can be low while haemoglobin still reads normal, which is why a standard panel can miss it. We wrote a fuller guide: iron deficiency and the signs people ignore.
Can a thyroid problem cause fatigue?
Yes. An underactive thyroid slows everything: energy, mood, digestion, body temperature and hair growth. A TSH on its own can look fine while free T3, free T4 or thyroid antibodies tell a different story. A Naturopathic Doctor in Ontario can order the full panel, and thyroid medication, if it's needed, stays with your physician.
What is chronic fatigue syndrome, or ME/CFS?
Myalgic encephalomyelitis, or chronic fatigue syndrome, is a long-term condition marked by exhaustion that doesn't improve with rest and gets worse for a day or more after physical or mental effort, called post-exertional malaise. The diagnosis comes from a physician after other causes are ruled out. A Naturopathic Doctor's role is the ruling out, then pacing, sleep, nutrition and symptom support alongside your medical care.
Can a naturopath help with chronic fatigue?
Yes, in a specific way. The first job is finding what can be found: iron, B12, thyroid, blood sugar, sleep, post-viral patterns and stress load. The second is a plan you can actually follow when your energy is limited: pacing, nutrition, sleep, and targeted supplements only where there's a reason. We work alongside your family doctor or specialist, not instead of them.
What blood tests should I ask for if I'm always tired?
A useful starting panel is a CBC, ferritin, B12, a full thyroid panel with TSH, free T3, free T4 and antibodies, fasting glucose and insulin or HbA1c, and vitamin D. Depending on your pattern, cortisol, celiac screening or a sleep assessment come next. Your Naturopathic Doctor tells you which tests would change the plan before anything's ordered.
How much does a naturopath cost in Ontario?
At Fitra Health the first call is free, the first 60-minute appointment is $249, and follow-ups are $99 for 30 minutes or $199 for 60. Lab work is passed through at cost. Most extended health plans cover naturopathic visits, and we bill more than 30 insurers directly.
Is naturopathic medicine covered by OHIP or insurance?
OHIP doesn't cover naturopathic visits. Most workplace and private extended health plans do, up to an annual maximum. We bill through TELUS eClaims where your insurer is on the network and issue an insurance-ready receipt where it isn't. Visits are HST-exempt and may qualify for the medical expense tax credit.
Do I need a referral?
No. You book directly. Bring any results you already have and your Naturopathic Doctor starts from there rather than repeating work.
Rather read first?
- EnergyWhy am I always tired? The root causes worth checking6 min read
- SleepTired but can't sleep: what's behind the wired-but-tired loop5 min read
- ThyroidAlways cold? Thyroid, ferritin and the full panel to ask for5 min read
- IronDark circles and iron deficiency: the signs people ignore4 min read
- ThyroidThyroid testing beyond a single TSHCondition
- DigestionBloating, IBS and gut health in OntarioCondition
- Virtual careSeeing a Naturopathic Doctor online in OntarioGuide
This page is general education, not medical advice, and it is not a diagnosis or a treatment plan. It does not create a practitioner-patient relationship. Nothing here is a promise of an outcome. Anything on this page that applies to you should be discussed with a Naturopathic Doctor or your physician, who can look at your history and your results.
Fitra Health connects Ontario residents with Naturopathic Doctors registered with the College of Naturopaths of Ontario. Care is virtual and available across Ontario. Naturopathic Doctors are regulated health professionals; they do not replace your family doctor or emergency care.
Still not sure?
Take the two-minute energy quiz and get an honest read on whether naturopathic care is for you. If it looks like a fit, book a free call with a Naturopathic Doctor from there. Both are free.