You were right to keep looking.
You're not imagining it. The workup just hasn't gone far enough yet.
Everything checked out. But you still don't feel like yourself.
- Your fatigue has persisted despite normal or near-normal bloodwork
- Your ferritin is technically in range but low-normal — and symptoms haven't lifted
- Brain fog accompanies your fatigue, even when you sleep enough
- You've been supplementing iron or B12 but levels remain unstable
- Your workup has stalled and you've been told to manage stress or sleep better
- You have never been tested for H. pylori as part of your fatigue workup
- Fatigue that precedes any drop in hemoglobin
- Ferritin technically in range but below 30 ng/mL
- Iron supplementation that moves the number but doesn't lift the symptoms
- Fatigue with brain fog or word-finding difficulty
- B12 supplementation that doesn't hold the number stable
- Normal B12 on a basic test, but the more sensitive markers come back low
- Total fatigue — not one thing is wrong, everything runs below capacity
- Fatigue that worsens after meals or during immune stress
- hs-CRP that sits just above 1.0 mg/L without obvious cause
A workup for the fatigue that won't lift.
This guide is written for the patient whose energy budget keeps shrinking but whose labs keep clearing. It maps four ways an unsuspected H. pylori infection can wear your energy down, and gives a clear plan for what to test next.
It is not a treatment protocol. It's the investigation itself, written down — so your next move is far more specific than your last, whether you take it to a doctor or pursue it on your own.
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i.
The clinical signature of 'all-labs-normal' fatigueHow the picture differs from depression, sleep apnea, post-viral, and pure deconditioning — and the questions that route each pathway.
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ii.
Four pathways the standard workup missesIron status, B12 absorption, chronic inflammation, HPA axis — with the evidence tier for each.
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iii.
What 'normal' labs missWhy a result 'within normal limits' can still be wrong for you — and the secondary markers a basic panel skips.
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iv.
Testing options for H. pyloriStool antigen, urea breath test, biopsy — trade-offs, costs, and what each rules in or out.
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v.
What positivity changesThe clinical decisions that follow a positive result — eradication, re-testing, follow-up energy scoring, timeline.
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vi.
A script for raising itA practical framework for discussing testing, interpretation, and next steps — whether with your physician or as a self-directed investigation.
Sharper thinking. Clearer next steps.
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Know exactly what to investigate next — and why it's slipped through the standard workup so far.
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Tell the difference between 'normal' and 'fine for you' — and which numbers actually matter.
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Walk away with a specific plan to act on — with a doctor or on your own — instead of another dead end.
Three tiers. One rubric. No exceptions.
Every claim is tagged Strong, Moderate, or Exploratory — so you can see exactly how solid each one is. These four are the heart of why H. pylori is worth investigating in unexplained fatigue.
Chronic fatigue · evidence summary
A few honest questions.
Is this medical advice?
No. This guide is educational — written to help you understand the evidence, evaluate testing options, and identify questions worth exploring with your healthcare team or on your own.
Why isn't my doctor already testing for this?
Because fatigue has many possible causes, and H. pylori is classified as a gastroenterological infection — so it rarely appears on the differential for persistent fatigue in primary care or psychiatry. It's a gap between specialties, not a failing on your part. The guide shows you when investigation is warranted and exactly what to ask for — whether you raise it with a doctor or decide to pursue it yourself.
Do I need to buy the testing kit?
No — the guide is sold separately from any test or product. It covers all three testing options — stool antigen, urea breath test, biopsy — what each costs, and how to ask for it. But a test only tells you yes or no; the guide is what tells you which test to request and what to do with the result, which is where most people get stuck.
What if my labs are 'in range'?
The guide spends a section on this exact situation — what 'in range' obscures, what to look at in combination, and the secondary markers that frequently shift the picture without changing the headline numbers.
Refund policy?
14 days, no questions. If the guide isn't useful, the Lemon Squeezy receipt has a one-click refund link.
Who wrote it?
Researched, written, and medically reviewed by a physician on the Welyon team. Every claim is drawn from peer-reviewed literature and graded inline — Strong, Moderate, or Exploratory — so you can weigh the evidence behind each one yourself.
Start closing the gap between 'normal' and 'explained.'
Move from ruled out to figured out.
36 pages, twenty citations, four pathways, one clearer next step.
Many readers find more than one guide applies. Each is sold separately — or ask about bundle pricing at checkout.