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EnergyMD Podcast

How Much Die-Off is Okay in Chronic Fatigue? with Evan H. Hirsch, MD

12 Nov 2025

Description

In this episode, Evan H. Hirsch, MD explains what a Herxheimer (die-off) reaction really is, how to recognize it, and why you don't need to feel terrible to get better. He breaks down how toxins like heavy metals, chemicals, molds, and infections are released from tissues during detox, and how to move through the process gracefully instead of suffering from excessive inflammation and crashes. Learn Evan's four-step process for removing the "Toxic Five" safely, how to use the die-off dance to avoid setbacks, and why "pushing through" reactions may actually slow your recovery. In this episode, you'll learn: What die-off reactions look like (and when they signal progress) Why excessive detox reactions damage mitochondria, adrenals, and hormones How to detoxify at a rate your body can tolerate The importance of pacing, pathway support, and balance in long-term healing . We help you resolve your Long Covid and Chronic Fatigue (ME/CFS) by finding and fixing the REAL root causes that 95% of providers miss. Learn about these causes and how we help people like you, Click Here. Do you have fatigue, brain fog, shortness of breath, muscle pain, or other strange symptoms? You might have Long Covid. Take our free quiz to find out if Long Covid is behind the mystery symptoms you're experiencing, Click Here. For more information about Evan and his program, Click Here.   Prefer to watch on Youtube? Click Here.   Please note that any information in this episode is for educational purposes only and does not constitute medical advice.

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