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The information on this website is for information & educational purpose only. The methodology of treatment designed is based on the research of chronic fatigue patients by Dr. Viramgama. This is not an FDA evaluated and approved treatment protocol. It is based on the clinical observation and the documented evidence from Ayurvedic literature. Please consult your doctor before changing any treatment management.

integrative medical approach and have helped patients improve quality of life and overall well-being. We have developed a very uniquely designed, clinically monitored program of two-years’ duration as most patients with moderate to severe chronic fatigue syndrome and/or fibromyalgia need very close clinical monitoring for at least a two-year period based on severity of underlying disease. We will take time in assisting you in your individual management of the disease from start to finish of the program. It is a time-consuming process with multiple changes in treatment as one improves with very close followup.

We provide a regular followup on a weekly, bi-weekly, monthly basis based on the condition for our patient and make adjustments in the therapy accordingly. Because of this, very few selected patients are enrolled in the program each calendar year.

We believe that for success of the therapy there needs to be an integrative approach of close, clinical followup and adjustment of therapy on a regular basis with documented evidence of symptoms and its changes on a regular basis. We encourage our patients to keep a fatigue diary to keep track of their symptoms and it is reviewed, adjusted, and their treatment modified based on review. We strive to help our patient by the end of two years to succeed in this program by individualizing therapy based on their personality, emotional and psychological strengths that one has and by the end of two years to be free from fatigue and improve overall quality of life.

If you or anyone who is looking to join chronic fatigue syndrome program or fibromyalgia program, please feel free to call in the US at 717-338-9797 or email at



Daytime sleepiness and tiredness for years have been eliminated by doing breathing exercises and using herbs. I have much more energy now at age 59 years.

  --Eugene.B. J., Biglerville, PA

Need more information?

Kirankumar J. Viramgama, M.D.

Dr. Kiran Viramgama provides integrative clinical management for chronic fatigue syndrome and fibromyalgia patients. We help diagnose, clinically manage and assist in developing an individualized, fatigue improvement plan for our patients. This
can be anything specific from sleep problems to diet, exercise, drug interactions, drug side effects, adding specific supplements, Ayurvedic herbs, and other natural modalities for rejuvenation.

We are experienced in treating patients with an