The Chronic Fatigue and Burnout Recovery Podcast

Post-exertional malaise (PEM) is more than just feeling tired after activity — it’s a delayed and often severe worsening of symptoms that affects many people with ME/CFS and other energy-limiting conditions. In this episode, Anna unpacks what PEM is, why it happens, and what current research is beginning to reveal.

Anna explains how PEM differs from everyday fatigue, explores emerging insights into energy production, inflammation, and stress responses, and discusses why “pushing through” can be harmful. She also reflects on what this research means in real life, and how it can support safer pacing, validation, and more compassionate approaches to recovery.

This episode is a helpful listen if you want to better understand PEM, feel more validated in your experience, or learn how research can guide gentler, more supportive ways of managing energy.

Website: http://annamarsh.co.uk/
Instagram: https://www.instagram.com/anna_marsh_nutrition/
Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

Article Link: https://pmc.ncbi.nlm.nih.gov/articles/PMC12408823/

Oxaloacetate is a compound that plays an important role in cellular energy production and mitochondrial function. In this episode, Anna explores the emerging interest in oxaloacetate as a potential support for people with Chronic Fatigue and other energy-limiting conditions.

Anna explains what oxaloacetate is, why it has gained attention in the chronic fatigue space, and how it may influence metabolism, inflammation, and energy production. She also discusses who may benefit, important considerations around dosing and sensitivity, and where oxaloacetate fits within a broader, foundations-first approach to recovery.

This episode is a helpful listen if you’re curious about oxaloacetate, considering supplementation, or wanting to understand how targeted interventions can support energy when used thoughtfully and in the right context.

Supplement: https://uk.iherb.com/pr/advanced-orthomolecular-research-aor-benagene-30-capsules/3308

Website: http://annamarsh.co.uk/
Instagram: https://www.instagram.com/anna_marsh_nutrition/
Nurturing Resilience: https://annamarsh.co.uk/nurturing-resilience/

We’ve all been there. You share some details about your chronic illness with a friend, family member or colleague and instead of empathy, you receive a prescription for yoga, meditation or a B12 injection. Although the unsolicited advice is well meaning, often it can be another load that we have to manage. Chronic illness is complex and nuanced and it is exhausting to explain the physiological complexity as well as the dramatic impact it is having on your life. This episode is here to help you waste less energy with some ideas about how you can respond in situations of unsolicited advice or when someone challenges how you are caring for your health. 

Website: http://annamarsh.co.uk/

Instagram: https://www.instagram.com/anna_marsh_nutrition/

New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/

Mistakes are how we learn and grow and the same is true for Chronic Fatigue Recovery. In this episode Anna shares what she wouldn’t do if she had to recover from Chronic Fatigue all over again. She shares lessons and learnings from her own experience and experience working with clients. She weaves in guidance on what she would do instead so that you can learn to build strong health foundations from the ground up. 

Website: http://annamarsh.co.uk/

Instagram: https://www.instagram.com/anna_marsh_nutrition/

New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/

Cycle syncing is a practice whereby you align your diet, lifestyle and energy management around your menstrual cycle. In this episode Anna answers the question: can this be helpful if you have Chronic Fatigue? Anna gives an overview of the menstrual cycle and explains how imbalances at certain points in the cycle can make us feel a certain way. She shares her own experience with cyclical fluctuations in energy and how she managed them, things that have worked clients and how to manage your cycle if you have histamine intolerance or MCAS. 

Website: http://annamarsh.co.uk/

Instagram: https://www.instagram.com/anna_marsh_nutrition/

New Nurturing Resilience Membership: https://annamarsh.co.uk/nurturing-resilience/

Additional Resources:

How to have better periods, Part 1

How to have better periods, Part 2

How to have better periods, Part 3

Perimenopause