In today's episode, Haylie Pomroy welcomes back Dr. Melanie Hoppers of the Bateman Horne Center for a deep dive into post-exertional malaise, or PEM, the defining feature of ME/CFS that turns the conventional wisdom about exercise completely upside down.

Dr. Hoppers explains why pushing through fatigue can cause lasting and sometimes permanent damage in patients with ME/CFS and long COVID. She breaks down what PEM actually is at the physiological level, how mitochondrial exhaustion limits the body's ability to produce energy, and why willpower has nothing to do with it. She also shares practical, real-world pacing strategies, including resting heart rate tracking, scheduled rest breaks, and how to stay within what she calls the energy envelope to protect the body's potential for healing.

If you or someone you love has been told to just push through it, this episode will change how you think about energy, healing, and what your body actually needs. Tune in to Fast Metabolism Matters.

If your body feels like it's running on empty, overburdened, or just not responding the way it used to, Haylie's latest book, Toxic Overload, tells you exactly what to do. Download your free digital copy today and start understanding what your body is trying to tell you.

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Dr. Melanie Hoppers is a practicing physician, board-certified in internal medicine and pediatrics. Dr. Hoppers completed her Bachelor of Science degree in Biology at Union University in Jackson, TN, and attended medical school at the University of Tennessee College of Medicine. She completed a dual residency in Pediatrics and Internal Medicine at the University of Tennessee at Regional One Medical Center and LeBonheur Children's Hospital in 1997.Prior to joining BHC in March 2024, Dr. Hoppers practiced at the Jackson Clinic until 2007, when she cofounded Physicians Quality Care, a multi-faceted clinic providing urgent care, primary care, occupational health, and physical therapy to patients in West Tennessee. The clinic now has two primary locations and several onsite occupational clinics as well as a mobile unit that provides occupational health onsite. Beyond her clinical practice, Dr. Hoppers is actively involved in numerous clinical research projects, furthering medical knowledge, and striving to improve patient outcomes. Her contributions to ongoing research initiatives underscore her dedication to advancing the field of medicine.

LinkedIn: https://www.linkedin.com/in/melanie-hoppers-939a00279/

Haylie Pomroy, Founder and CEO of The Haylie Pomroy Group, is a leading health strategist specializing in metabolism, weight loss, and integrative wellness. With over 25 years of experience, she has worked with top medical institutions and high-profile clients, developing targeted programs and supplements rooted in the "Food is Medicine" philosophy. Inspired by her own autoimmune journey, she combines expertise in nutrition, biochemistry, and patient advocacy to help others reclaim their health. She is a New York Times bestselling author of The Fast Metabolism Diet.

Learn more about Haylie Pomroy's approach to wellness through her website: https://hayliepomroy.com

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