When diagnosing Fibromyalgia we must rule out autoimmune diseases, chronic viral infections, and diseases such as depression.
Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals. Fibromyalgia is a disease that presents with severe fatigue, poor quality of life, and pain and sensitivity in the muscles (not joints) that make a patient so tender that they can’t stand to be touched.
Main signs and symptoms
- lack of energy.
- trouble sleeping.
- depression or anxiety.
- memory problems and trouble concentrating (sometimes called “fibro fog”)
- muscle twitches or cramps.
- numbness or tingling in the hands and feet.
- Itching and burning of the skin
40-70 % of people with Fibromyalgia also have GI symptoms like irritable bowel, bloating gas and nausea that comes and goes. 70% of Fibromyalgia patients have tension and migraine headaches.
Many of these symptoms overlap with several other illnesses such as Chronic Fatigue ( a low cortisol condition) that can follow a viral illness, as well as some autoimmune diseases, and the symptoms of low testosterone and low growth hormone, Like autoimmune diseases, fibromyalgia occurs in women more than men, and women over 40 more than younger women.
When diagnosing Fibromyalgia, we must rule out autoimmune diseases, Lyme disease, and other chronic viral infections, and diseases such as depression. Previously we just ruled out other diseases and put our fibromyalgia patients on an antidepressant for both the depression symptoms and the to relieve the pain. Fibromyalgia is a disease of low serotonin levels, so the antidepressant isn’t just for the mood portion of the disease but also to relieve pain.
Because we now know more about Fibromyalgia, we have found that there is usually an incident that caused severe chronic stress that de-regulated the hormones and neurotransmitters in the patient’s brain that later caused her to have fibromyalgia at a later date.
Chronic stress, like being abandoned as a child, or being abused at any age, severe illness including lyme disease, mononucleosis, PTSD, or any other lifestyle choice like drug use, or practicing obstetrics or ER medicine, that stresses the body.
The result of this stress results in chronic elevated cortisol and adrenaline. This wears out the brain and the adrenal gland and the patient can’t respond to stress of any kind anymore. Even being stroked gently feels like pain.
In The Journal of International Immunopharmacology, 2 March 2015, the article,
A novel use for Testosterone to treat central sensitization of chronic pain in fibromyalgia patients, discusses the association of low T and the incidence of Fibromyalgia. Low estradiol, low testosterone and low GH all occur when a patient has FBM. When these hormones are brought back to normal by replacing them, the symptoms go away! I have seen this many times and sleep, pain and pain all become normal as long as we can replace T and E2, an stimulate GH with somatotropin.
Other treatments include anti-inflammatory medications like Celebrex or NSAIDS, SSRIs, Pregabalin, sometimes low dose steroids, Testosterone, GH stimulation in both sexes plus Estradiol in women.
These are the treatments we employ when treating Fibromyalgia, and we watch all the symptoms of fibromyalgia go away when we start with T, E2, oral pregnenolone and GH stimulation. After that, we use the other, non-medical methods of treating Fibromyalgia.
The non-medical methods include:
- Set sleep hours at least 8 hours a night every night
- Dark sleeping environment
- Mediterranean low carb diet avoiding preservatives and chemicals in your food.
- Progressive exercise
- Nutritional supplementation
- Meditation and relaxation exercises
Nutritional Supplementation with:
- Vitamin D3, K2 and zinc piccolate
- Endodren adrenal supplement q am
- Lipo C vitamin
- Fish oil and flaxseed oil
- Methyl B vitamins
- Magnesium Glycinate 40 mg BID
- L arginine
- SamE 400mg three times a day
- Cucumin 800 mg three times a day
All of these are treatments for FB but the basis of treatment and the most effective is Bio-identical T pellets and E2 pellets + injectable sq sermorelin/ CJC to stimulate growth hormone.
Everything else is in addition to the hormone replacement.
The reason no one seems to have an answer for those of you who have FB “lies in the combination of knowledge (needed to diagnose and treat FB) from diverse fields including reproductive endocrinology related to the gonadal steroid hormones (estradiol, testosterone), nociception, neuro-endocrinology and reproductive immunology.” HD White, TD Robinson, International Immunopharmacology 27 (2015) 244-248.
It is for the very same reason that mainstream medicine has not yet acknowledged the amazing power of testosterone in the non-oral subcutaneous delivery system. It crosses the fields of OBGYN, Urology, Endocrinology, Rheumatology, Neurology, Psychiatry and immunology to see the many ways in which the replacement of Bio-identical T and E2 can treat many illnesses that we are currently using dangerous and ineffective drugs for. Testosterone loss is the first shoe to drop in the loss of homeostasis as we age, and the advent of multiple diseases that we still don’t know how to treat because we are too segmented in our specialties….no experts read the research of another specialty which is the arrogance of the specialists.. in the end we all lose because we only read the papers of what we already know!
Until we humble ourselves to read ALL research about diseases we don’t know how to treat, we will never get the proper treatment for our patients. This is my mission, and my goal…but no one in the many fields that are necessary to understand the many uses of testosterone and estradiol and how to safely treat our patients, so they NO LONGER have the diseases triggered by loss of the sex hormones.
This Health cast was written and presented by Dr. Kathy Maupin, M.D., Bio-identical Hormone Replacement Expert and Author, with Brett Newcomb, MA., LPC., Family Counselor, Presenter and Author. www.BioBalanceHealth.com.