A New Approach to ME/CFS Fatigue

Is ME/CFS or Long COVID keeping you from the life you want to live?
Oxaloacetate CFS 500 mg is a medical food developed for dietary management of fatigue associated with ME/CFS. More energy for the life you miss. Clinically studied in people with ME/CFS and supported by four peer-reviewed publications.
4 Peer Reviewed Publications
270+ Participants
63% Top Fatigue Reduction
ME/CFS Fatigue

Based on the results of peer-reviewed clinical trials, doctor and patient reports and the existing body of research investigating Oxaloacetate, the U.S. Food and Drug Administration has allowed the following structure/function claim for Oxaloacetate CFS™:

“Oxaloacetate may help alleviate the physical and mental fatigue associated with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).”

CUSTOMER TESTIMONIALS

Real People. Real Experiences.

It's one of the thing that's made the most difference in my symptoms...

The brain fog has been the most significant improvement for me on oxaloacetate! almost back to PRE-CFS.

Helped our daughter considerably. It had a dramatic positive effect on her muscular pain, fatigue and brain fog.

It has been the most effective treatment for ME /CFS that i have ever taken, and I have tried quite a loot...

My energy has at least doubled and my pain is now almost non-existent.

It helps me so much. I'm steadily improving and oxaloacetate is a big part of that

Oxaloacetate has been completely transformative for my daughter and me.

How Amanda Healed her ME/CFS. The Healing ME/CFS Podcast by Oxaloacetate CFS Episode 1

After more than a decade of suffering with ME/CFS, Nate found Oxaloacetate CFS to be life-changing.

My goals & dreams are possible again.

Approved by Doctors & Health Professionals

Patented Biotechnology Manufactured in the
USA with Domestic and Global Ingredients

Tested in Peer-Reviewed Clinical Trials

CLINICAL EVIDENCE DATA

Four Peer-Reviewed Clinical Study Publications

Research published in the Journal of Translational Medicine, Frontiers in Neurology and Frontiers in Neuroscience journals finds oxaloacetate improves ME/CFS and Long COVID symptoms including:

  • Physical fatigue
  • Mental fatigue
  • Cognition
  • Symptom burden
  • Upright activity

The publications draw on clinical trials enrolling approximately 270 participants: a controlled dose-ranging study, two randomized double-blind controlled trials, and an additional analysis examining the relationships among fatigue, cognition and physical function.

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ME/CFS patients showed an improvement in mental and physical fatigue by 25% - 35%.

FRONTIERS IN NEUROLOGY

25% to 35%

40.5% of ME/CFS patients are enhanced responders, with an average fatigue reduction of 63%.

BATEMAN HORNE CENTER RANDOMIZED

63%

Long COVID patients showed a reduction in fatigue by up to 46.8%.

SPRINGER NATURE

46.8%

Oxaloacetate Treatment for Mental and Physical Fatigue in ME/CFS and Long COVID

Six weeks of oral anhydrous enol-oxaloacetate using a dose-escalating methodology. The study included 76 patients with ME/CFS and 43 patients with long COVID. Fatigue reduction among ME/CFS participants was dose-dependent, ranging from 21.7% at the lowest dosage to 33.3% at the highest dosage after six weeks. Long COVID participants experienced fatigue reductions of up to 46.8%.

SPRINGER NATURE'S JOURNAL OF TRANSLATIONAL MEDICINE

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RESTORE ME: Randomized Controlled Trial

An 82-person, randomized, double-blind controlled study at the Bateman Horne Center in Salt Lake City, Utah. Oxaloacetate significantly reduced fatigue by more than 25% from baseline over 90 days, with 40.5% of participants classified as enhanced responders averaging a 63% fatigue reduction.

FRONTIERS IN NEUROLOGY

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REGAIN: Randomized Controlled Trial for Long COVID

A randomized, double-blind controlled clinical trial evaluating oral oxaloacetate in 69 adults with Long COVID over 42 days. The oxaloacetate group experienced significantly greater improvements in fatigue, total symptom burden, and cognitive performance.

FRONTIERS IN NEUROLOGY

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Relationships between Fatigue, Cognitive Function and Upright Activity in ME/CFS

A Frontiers in Neurology analysis of cognitive performance and upright activity data from the 90-day RESTORE ME trial found a statistically significant between-group difference in cognitive improvement at day 60 and in upright activity at day 30.

FRONTIERS IN NEUROLOGY

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Clinically proven to lower fatigue

Clinically proven to lower fatigue

Clinically proven to lower fatigue

Clinically proven to lower fatigue

WHY OXALOACETATE: THE SCIENCE

CFS Patients Have Low Oxaloacetate Levels

Metabolomic studies in ME/CFS patients vs. normal controls indicate that oxaloacetate levels are significantly reduced in the plasma of ME/CFS patients.

The Journal of Molecular Biosystems published a 2017 clinical trial showing a statistically significant shortage of oxaloacetate in ME/CFS patients compared to a normal control group.

Ordinary foodstuffs do not contain enough oxaloacetate to overcome this shortage, so the dietary management of ME/CFS patients cannot be achieved by the modification of the normal diet alone.

Microscopic view of cells
Oxaloacetate CFS bottle

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Oxaloacetate CFS – 500mg.

A Medical Food For Chronic Fatigue Syndrome.

Oxaloacetate may help alleviate physical and mental fatigue symptoms associated with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).*

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What is A Medical Food?

Medical Foods

Are always to be used only under the supervision of a licensed healthcare provider. Provide support for the nutritional management of a specific disease or condition that has distinct and established nutritional requirements. Support those who have trouble digesting and absorbing food and certain nutrients and cannot nutritionally manage their condition through diet modification alone.

Dietary Supplements

Provide supplementary nutritional support for healthy people. Are intended to affect the normal structure or function of the human body. While benaGene is a dietary supplement, Oxaloacetate CFS is not.

Oxaloacetate CFS is a medical food, a classification distinct from dietary supplements.

Expert Insights & Clinical Perspectives

Dr. Vernon: New Clinical Data on Oxaloacetate As A Breakthrough Treatment for ME/CFS and Long COVID

Dr. Vernon: New Clinical Data on Oxaloacetate As A Breakthrough Treatment for ME/CFS and Long COVID

Based on the results of peer-reviewed clinical trials, doctor and patient reports and the existing body of research investigating Oxaloacetate, the U.S. Food and Drug Administration has allowed the following structure/function claim for Oxaloacetate CFS: “Oxaloacetate may help alleviate the physical and mental fatigue associated with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).”

Oxaloacetate CFS Data Presented at The 2025 International ME/CFS Conference

Oxaloacetate CFS Data Presented at The 2025 International ME/CFS Conference

Watch the ME/CFS Research Foundation's featured lecture on Oxaloacetate treatment for ME/CFS and Long COVID by Terra Biological Chief Science Officer Alan Cash.

To explore more presentations from the 2025 International ME/CFS Conference, visit the full YouTube conference playlist.

For more information on ME/CFS Research Foundation, visit the ME/CFS Research Foundation website.

International Association for Chronic Fatigue Syndrome Presents

International Association for Chronic Fatigue Syndrome Presents

The Groundbreaking Research on Oxaloacetate for ME/CFS and Long COVID

David Lyons Kaufman, MD is a world-renowned expert in ME/CFS and fierce patient advocate. He is the founder of the Center for Complex Diseases and a member of Stanford University’s ME/CFS Research Center.

Free Patient Support Resources

Oxaloacetate CFS includes patient support materials such as guided meditations, a wellness journal, and educational blogs to support your patient’s healing journey. These resources are designed to provide ongoing guidance and support clinical care.

  • Wellness journal
  • Guided meditations
  • HSA/FSA Approved
  • Wellness journal prompts
  • Monthly Wellness Blogs

If you would like to receive these journals at your clinic, please email us at info@oxaloacetatecfs.com with your shipping information and how many journals you would like.

Request Journals For Your Clinic
Wellness journal and patient support materials

A Clinically Proven Medical Food For Chronic Fatigue Syndrome

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