At Your Formula, Dr. Jonathan Zaidan, MD, and Suzana Marku, NP-C, provide personalized, medically guided services for eligible patients with ongoing fatigue and wellness concerns. With telehealth services available throughout Michigan and Florida, Your Formula combines evaluation, lab testing when appropriate, individualized treatment, and ongoing support.
Persistent fatigue, poor sleep, brain fog, low stamina, or difficulty recovering from exercise and everyday demands can affect your work, relationships, physical performance, and quality of life. Although “adrenal fatigue” is not a medically recognized diagnosis, the symptoms people associate with it can have real underlying causes. A personalized fatigue, energy, and performance evaluation can help identify factors involving sleep, thyroid and hormonal function, nutritional deficiencies, metabolism, stress, exercise, and recovery.

What Is Adrenal Fatigue?
“Adrenal fatigue” is a term commonly used to describe symptoms such as tiredness, trouble sleeping, difficulty concentrating, and feeling overwhelmed by ongoing stress. However, medical research has not established adrenal fatigue as a disease, and there is no accepted diagnostic test for it.
That distinction matters because persistent fatigue, low energy, and poor recovery can have many causes. Rather than assuming your adrenal glands are simply exhausted, Your Formula evaluates the broader factors that can affect energy and performance, including sleep, thyroid and hormonal function, nutritional deficiencies, metabolic health, stress, exercise habits, and recovery.
Symptoms Often Associated With Adrenal Fatigue
People searching for adrenal fatigue care may be experiencing:
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Thyroid function
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Hormonal health
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Nutritional deficiencies
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Metabolic health
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Sleep quality
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Stress
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Exercise habits and physical demands
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Recovery patterns
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Medication use
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Other underlying medical conditions
These symptoms are not specific to one condition. Thyroid disorders, sleep problems, nutritional deficiencies, hormonal changes, medication effects, metabolic concerns, mood disorders, and other health issues can cause similar symptoms.
Potential Causes of Persistent Fatigue
Your Formula begins with a detailed digital intake and consultation with a licensed medical provider. Your provider reviews your symptoms, medical history, medications, sleep, stress, nutrition, hormonal health, lifestyle, and wellness goals.
Laboratory testing may be ordered when clinically appropriate to help investigate potential contributors. Depending on your history and symptoms, your provider may consider factors involving:
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Thyroid health
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Hormonal changes
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Nutritional status
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Metabolic health
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Sleep quality
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Stress and lifestyle
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Medication use
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Other underlying medical conditions
The goal is not simply to give your symptoms a wellness label. It is to identify medically relevant factors that may help explain why you feel depleted.
Treatment for Fatigue and Stress-Related Symptoms
Treatment depends on what your evaluation reveals. Because adrenal fatigue itself is not an established medical disorder, Your Formula focuses on identifying and addressing the factors that may actually be affecting your fatigue, energy, physical performance, and recovery rather than relying on a one-size-fits-all “adrenal” protocol.
An individualized plan may include:
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Prescription therapy when medically appropriate
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Targeted supplementation for identified nutritional needs
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Nutrition and metabolic support
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Sleep optimization
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Stress-management strategies
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Hormonal or thyroid-focused care when appropriate
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Exercise and physical-performance guidance, including fitness coaching when relevant
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Recovery strategies, including consideration of peptide therapy when clinically appropriate
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Ongoing symptom monitoring and treatment adjustments
Unnecessary adrenal hormone supplements can carry risks, particularly if they contain steroid hormones. The Endocrine Society cautions that taking adrenal hormones when they are not medically needed can interfere with normal adrenal function.
Who May Benefit From an Evaluation?
An evaluation may be worthwhile if low energy or related symptoms are persistent, unexplained, or beginning to interfere with your work, relationships, exercise, or daily routine.
You may benefit from care if you are experiencing:
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Ongoing fatigue despite adequate rest
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Poor or unrefreshing sleep
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Difficulty concentrating
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Changes in mood or motivation
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Persistent stress-related symptoms
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Unexplained weight or metabolic changes
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Hormonal symptoms occurring alongside fatigue
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Symptoms that have not improved with basic lifestyle changes
A careful evaluation can help determine whether your symptoms may be related to sleep, hormones, metabolism, thyroid function, nutrition, or another medical issue.
Why Choose Your Formula for Fatigue and Wellness Care
Your Formula was founded by Dr. Jonathan Zaidan and Suzana Marku, NP-C, to provide patients with a more personalized approach to investigating symptoms that are easy to dismiss or difficult to explain. Instead of assuming fatigue is caused by a single hormone or prescribing the same solution to every patient, the practice uses detailed intake information, clinical evaluation, and, when appropriate, laboratory review to assess sleep, thyroid and hormonal health, nutritional deficiencies, metabolism, stress, exercise, and recovery as part of the larger picture.
Your Formula also emphasizes ongoing care. Providers continue to assess your symptoms, monitor your response, and adjust treatment when appropriate. The practice works with a PCAB-approved pharmacy and is LegitScript certified, supporting a care model focused on clinical integrity, accessibility, and personalized attention.
Find Answers for Persistent Fatigue
Your Formula provides personalized care for fatigue, low energy, and performance-related wellness concerns with telehealth services available to eligible patients throughout Michigan and Florida. Call (313) 380-5779 to book a consultation and explore a clinician-guided plan built around your symptoms, health, and goals.