Oil pulling is an effective way to remove toxins for patients with Chronic Fatigue syndrome . Oil pulling is the swishing of oil in the mouth to remove unhealthy bacteria while adding health benefits through the tissue of the gums, tongue and sides of the cheeks. Oil pulling is referred to Kavla Gandoosha or Kavala Graha from the text Charaka Samhita from the Ayurvedic and it is believed to cure more than 30 systemic diseases including diabetes, migraine, asthma, gum disease and chronic fatigue syndrome. Traditional oils used for oil swishing are sesame and sunflower, although contemporary practices include the use of coconut oil. Toasted sesame oil should not be used and organic oils should be used if possible. The oral health of an individual with chronic fatigue symptoms is directly related to their physical health. If a low grade infection is present the result is an increase in the pain, fatigue, cloudy thinking and inflammation of chronic fatigue syndrome. The way oil pulling works is that the bacteria that causes plaque is attracted to the acids in the oils. When these oils are introduce into the mouth the oils bind with the bacteria and are spat out and removed from the mouth. Rinsing with these oils will provide a much more hygienic mouth than traditional alcohol rinses. Another advantage of oil swishing is that the prolonged exposure of these oils in the mouth provides a means for the body to absorb essential nutrients and fatty acids sublingually which reduces inflammation caused from chronic fatigue disability. The swishing of these oils does not expose them to gastric juices and this is an added benefit for individuals with chronic fatigue syndrome and leaky gut. The procedure for oil pulling is simple. Before introducing food or water into the mouth, the individual places one tablespoon of oil in the mouth. Tilt the head back and let the oil surround the back molars. Swish the oil from the back of the mouth to the front by sucking in the cheeks, then puffing them out. Suck the oil through the teeth, and then move the teeth up and down in a chewing fashion. The oil should not be gargled. Repeat this procedure for 10-15 minutes. If this procedure is done properly the oil will become white, thin foam when spat in the sink. If the oil is yellow the procedure was not performed long enough. It is important to note that the oil should not be swallowed. If it was, all of the bacteria and toxins that were removed would be introduced into the stomach. If the oil swishing is performed mid day wait at least 4 hours after a meal before oil swishing. Do not be alarmed in the symptoms of chronic fatigue syndrome become worse for a short period of time while practicing oil swishing. If the symptoms become too uncomfortable reduce the frequency of the oil swishing procedure until the reaction is bearable.