Fibromylagia

Question 1

Fibromyalgia

Answer 1

A condition of chronic widespread pain and abnormal pain processing mechanisms.

Question 2

Fibromyalgia: Symptoms

Answer 2

Pain
Fatigue, sleep disturbance, stiffness, headaches, bowel disturbances, anxiety and depression.

Question 3

Fibromyalgia: Causes and risk factors

Answer 3

• Trauma ― physical and emotional, HPAA dysregulation
• Hypothyroidism
• SIBO
• Dybiosis
• GBA
• Infections - EBV
• Nutritional deficiencies: Vit D, B12 and Mg
• Gluten
• Genetics (MTHFR, COMT)
• Heavy metals

Question 4

Fibromyalgia: Natural approach

Answer 4

• PK diet?
• Gluten-free diets
• Low FODMAP diet
• Support the thyroid, adrenals, GIT as needed.
• Reduce glutamate levels

Question 5

Fibromyalgia: Supplements

Answer 5

Magnesium
Vitamin D
Vitamin B6
CoQ10
5-HTP

Question 6

Fibromyalgia: Mg

Answer 6

Dose: 200-500mg

NMDA antagonist
Anti-nociceptive - analgesic

Question 7

Fibromyalgia: Vit D

Answer 7

Modulate central pain
Reduces PGE2

Question 8

Fibromyalgia: Vitamin B6

Answer 8

50-100mg

Co-factor for conversion of glutamate to GABA

Question 9

Fibromyalgia: CoQ10

Answer 9

Dose: 300mg daily

Antioxidant
Mitochondrial dysfunction
Electron transport chain

Question 10

Fibromyalgia: 5-HTP

Answer 10

Dose: 100-300mg/day

• 5 - HTP is the direct precursor to serotonin,
  which plays a role in descending pain regulation.

Question 11

Fibromyalgia: Herbs

Answer 11

Ashwagandha - HPA axis and GABA
St Johns Wort - increases seratonin and dopamine
Devil’s Claw - Anti-inflammatory

Question 12

Fibromyalgia: Other

Answer 12

Reduce toxic load
Chelate heavy metals
Optimise glutathione
Saunas
Epsom salts
Support methylation
Support sleep
Exercise
Support stress
Tissue sales
Capaicin -> substance P