Important Alerts
Updates

Effective May 5, 2025, Podiatry in West New York will relocate to 201 State Rt 17 in Rutherford.

Effective April 28, 2025, Primary Care in Haddon Heights will relocate to 2 South Black Horse Pike in Mt. Ephraim.

Effective April 28, 2025, Cardiology in Haddon Heights will relocate to 322 Route 38, Cherry Hill.

Effective April 21, 2025 Pediatrics – Wall at 1560 State Route 138 will relocate to 3350 State Route 138.

Effective April 14, 2025 Primary Care – Voorhees has relocated to 165 S Black Horse Pike, Runnemede.

Effective April 14, 2025  Pediatrics – Manasquan has relocated to  3350 State Route 138 Wall.

As of April 7, 2025, Podiatry in Bayonne has relocated to 191 Lefante Way, Suite C in Bayonne.

As of April 7, 2025  Gastroenterology – Hackensack and Cardiology – Hackensack have relocated to 1 Maywood Avenue in Maywood.

As of April 7, 2025 Primary Care – Moorestown and Cardiology – Moorestown have relocated to Cherry Hill at 322 Route 38, Cherry Hill.

As of April 7,  2025,  Primary Care – Secaucus  and Gastroenterology – Secaucus have relocated to Rutherford at 201 Route 17 11th Floor Rutherford.

As of March 31, 2025, Primary Care – Rutherford has relocated to 201 Route 17, Suite 1102 in Rutherford.

As of March 28, 2025,  Primary Care – Roslyn has relocated to the Optum multi-specialty medical office location in Lake Success.

As of March 3, 2025, Pediatrics – Port Jefferson has relocated to 1500 Route 112, Building 1, Floor 1, in Port Jefferson.

As of March 3, 2025, Primary Care – Port Jefferson Station has relocated to 1500 Route 112, Building 1, Floor 1, in Port Jefferson.

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Office and Urgent Care Closures

The Croton-on-Hudson lab is temporarily closed until further notice.

COVID-19 Information and Updates
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Lifestyle factors

Taking an honest inventory of things that might be responsible for your fatigue is often the first step toward relief. Fatigue may be related to one of the factors below. If none of these pertain, consult with a healthcare provider.

  • Use of alcohol or drugs
  • Excess physical activity
  • Jet lag disorder
  • Lack of physical activity
  • Lack of sleep
  • Medications, such as antihistamines, cough medicines
  • Unhealthy eating habits

CFS Symptoms

Symptoms often mimic the flu. Below are the most common symptoms.

  • Sensitivity to light
  • Headache
  • Tender lymph nodes
  • Fatigue and weakness
  • Muscle and joint pain
  • Inability to concentrate
  • Insomnia
  • Forgetfulness
  • Mood swings
  • Confusion
  • Low-grade fever
  • Depression

Diagnosis

Chronic fatigue syndrome diagnosis requires ruling out other possible conditions. According to the Institute of Medicine, a CFS diagnosis requires all 3 of the following symptoms:

  • Having to cut back significantly on activities you did before the illness
  • Severe tiredness after physical activity
  • Sleep that doesn’t refresh you

In addition, one of the following symptoms must be present:

  • Difficulty thinking 
  • Orthostatic intolerance: This means standing upright makes symptoms worse. Lying back down or elevating your feet may ease the symptoms but does not fully get rid of them.

Treatment

There is no cure for CFS. Treatment is aimed at reducing symptoms and may include medications, light aerobic exercise, dietary supplements and/or psychotherapy.

When to see your Doctor

If your fatigue has persisted for two or more weeks despite making an effort to rest, reduce stress, choose a healthy diet and drink plenty of fluids, it’s time to see a doctor. Dealing with severe fatigue can be very challenging. It’s important to work with your healthcare provider to find treatments that help you.