Four Peaks Healthcare Associates

Four Peaks Healthcare Associates Theresa Dowell, FNP, PT
Nat Metz, FNP
Chronic Fatigue, Fibromyalgia, POTS & Long COVID

At Four Peaks Healthcare Associates, our mission is simple; to provide compassionate, patient-guided care. We believe that through empathy, communication, trust and shared decision-making our patients will achieve optimal outcomes.

Cort Johnson of Health Rising summarizes the NIH's progress or lack of progress in funding ME/CFS, long COVID, POTS, and...
06/10/2026

Cort Johnson of Health Rising summarizes the NIH's progress or lack of progress in funding ME/CFS, long COVID, POTS, and post-infectious diseases.

How are ME/CFS, long COVID, POTS and infectious diseases faring at the mighty NIH. Read this blog and find out.

Do you have POTS symptoms but don't fit the POTS criteria? This blog from the Bateman Horne Center may help make sense ...
06/10/2026

Do you have POTS symptoms but don't fit the POTS criteria? This blog from the Bateman Horne Center may help make sense of your symptoms. POTS fits under the Dysautonomia umbrella but other symptomology like Orthostatic Intolerance also fit under this umbrella. In this blog from the Bateman Horne Center Dysautonomia is described.

A new NIH/NIAID strategic vision signals increased attention to post-infectious conditions like ME/CFS and Long COVID.

A review and subsequent article by Paul Watton and Bhupesh K. Prusty has concluded that ME/CFS is "reframed here as a d...
05/23/2026

A review and subsequent article by Paul Watton and Bhupesh K. Prusty has concluded that ME/CFS is "reframed here as a disorder of impaired adaptive capacity within post-infectious disease biology." The Journal of Translational Medicine has granted full access to this article, click on the link below.

https://link.springer.com/article/10.1186/s12967-026-08319-3?fbclid=IwY2xjawR--L1leHRuA2FlbQIxMABicmlkETFWNTd4b09vbnVKNm1uanNzc3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHu9EK3I_zOyQ2cKDXO3h3hPPJag0iPlpbMVCIGoSYrA3_jNR8JJE9kijf83c_aem_otShCCOEbQ7axHUVzl8oKQ

Background Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a severe multisystem illness marked by post-exertional malaise (PEM), cognitive dysfunction, autonomic disturbance, and impaired physiological resilience. Historically, the absence of validated biomarkers, heterogeneous defini...

Pradeep Chopra, MD has written an article about MCAS and the treatment for it with Zepbound. He covers the subject well...
05/19/2026

Pradeep Chopra, MD has written an article about MCAS and the treatment for it with Zepbound. He covers the subject well with the information but is not overly technical. Dr Chopra also works with patients with Ehlers-Danlos Syndrome (EDS) and Postural Orthostatic Tachycardia Syndrome as well as complex pain issues.

Introduction: Mast Cell ActivationSyndrome (MCAS) is a challenging condition that can leave patients grappling with a grab-bag of allergy-like symptoms daily. Meanwhile, Zepbound – a brand name for the drug tirzepatide – has made headlines as a new once-weekly injection for weight loss and type ...

Let's look at some of the information available for one of the comorbidities that may show up with ME/CFS. Ehlers-Danl...
05/12/2026

Let's look at some of the information available for one of the comorbidities that may show up with ME/CFS. Ehlers-Danlos Syndrome.

EDS can cause lots of symptoms, but it usually affects your skin, joints and muscles. Learn about different types and how providers manage them.

Clinical trials that fail their hypothesis or objective are still considered beneficial in revealing other areas to rese...
04/23/2026

Clinical trials that fail their hypothesis or objective are still considered beneficial in revealing other areas to research. Cort Johnson's blog (HealthRising.org) looks at several Long Covid studies that help uncover possible areas to research in ME/CFS.

https://www.healthrising.org/blog/2026/04/21/long-covid-clinical-trials-immunomudulatory-chronic-fatigue/

Only 10 major long COVID clinical trials have been published thus far but that's enough to come away with some interesting takeaways. They include treatments that prevent long COVID don't necessarily treat it, broader based treatments are probably best, manipulating the gut can help with fatigue (bu...

The National Library of Medicine through PubMed Central has worked on classifying POTS, ME/CFS, and Long Covid into a me...
03/22/2026

The National Library of Medicine through PubMed Central has worked on classifying POTS, ME/CFS, and Long Covid into a medical specialty. These three diagnoses were determined to belong in the neuroimmune disorder group to advance the science and clinical care of the people living with these disabling conditions. Click the link below to read more about their work.

Postural orthostatic tachycardia syndrome (POTS), myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and Long COVID are heterogeneous disorders with overlapping complex, multi-factorial and multi-systemic pathophysiology. POTS and ME/CFS ...

Here is another very comprehensive blog from Cort Johnson (Health Rising). This is a long in depth blog with his usual ...
03/06/2026

Here is another very comprehensive blog from Cort Johnson (Health Rising). This is a long in depth blog with his usual "the Gist" as a summary but that is quite long and detailed also. There is a lot of good information on the IMPACC study.

The big IMPACC long COVID study findings suggest that inflammation and reduced male s*x hormone levels may be playing havoc with the small blood vessels in long COVID -= and ME/CFS

The Open Medicine Foundation is taking on a large study (a study group of 1000 people) determined to uncover biomarkers ...
03/01/2026

The Open Medicine Foundation is taking on a large study (a study group of 1000 people) determined to uncover biomarkers for the varied biological subsets of ME/CFS.

The Open Medicine Foundation's huge Bioquest project has the potential to transform ME/CFS patients experience with doctors, dramatically enhance research and get drug companies finally interested in this illness.

Progress!
02/09/2026

Progress!

We have some exciting news to share!  Congress has instructed the National Institutes of Health to develop an implementation plan for the ME/CFS Research Roadmap within 180 days of the president signing the recent L-HHS bill. So…in six months, we should have a plan to implement  the ME/CFS resea...

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