Healthy Beginnings

Fibromyalgia: Putting Together the Pieces, Part 3


So, how do you treat fibromyalgia so that the patient can obtain a consistently successful result – de ned as having a 75-90 percent improvement in their symptoms in 4-6 months – and then possess the tools to maintain that result with as few supplements and medications as possible? The solution is complex, so here’s the CliffsNotes® version.

No two fibromyalgia patients are the same. All t into the PTSD, fight- flight, emotional trauma, Hashimoto’s, gut and peripheral neuropathy paradigm described in parts one and two of this series. To successfully treat the fibromyalgia patient, you must first determine what parts of this clinical picture are relevant to each person’s individual case before executing a treatment plan. This is vital to not only being able to obtain a successful long-term outcome, but to deal with each individual’s highly nuanced and different reactions to treatment along the way. We accomplish this in our office by a fibromyalgia-specific history – a 20-page long check sheet exploring all symptoms of all organs and organ symptoms, along with a 3-hour comprehensive neurological and general symptoms exam. This procedure then leads to the very targeted and specific testing that provides much of the data needed to execute an organized approach to that person’s case. There should be no guessing as to how to treat the case once this data is gathered.

The initial therapeutic attack must first take place simultaneously on the brain and intestines. As for the brain – the critical component is to understand the fight- flight mechanism that is flooding this system with stress hormones, and can cause all or part, or perpetuate, any of the following symptoms in the bro patient: brain fog, short-term memory loss, can’t fall asleep or stay asleep, fatigue, anxiety, panic attacks, depression, chronic sinus and lung infections, asthma, acid indigestion, poor gallbladder function, leaky gut, food sensitivities, chronic UTIs, chronic cystitis, chronic constipation, decreased estrogen levels, menstrual abnormalities, low libido, Hashimoto’s thyroiditis and chronic IBS. This chronic fight- flight mechanism is treated by brain rehabilitation exercises based o of that patient’s neuro-exam, and by correcting all aspects of physiology that alter blood sugar, cause inflammation or decrease oxygen to the brain.

The things that cause these alterations in brain chemistry generally start in the gut. And, you can’t x the gut if it’s being flooded by stress hormones causing perpetual leaky gut. So, you treat the brain and the gut at the same time so that helping one helps the other and, more importantly, prevents them from sabotaging the success you can have by only treating one at a time and having them sabotage each other’s responses to treatment. To treat the gut, you calm down the fight- flight stress response to find out what’s causing its metabolic problems (SIBO, parasites, virus, yeast, celiac disease, etc.), x these problems (this can be done mostly without medications), heal the leaky gut and lastly determine the person’s food sensitivities. The protocol is to be done EXACTLY in that order. This approach massively decreases the general inflammation and antibodies that are wreaking havoc with virtually all of the fibromyalgia patient’s symptoms starting with the brain and immune system.

As for your Hashimoto’s – this approach massively reduces the immune response to the thyroid and, in many instances, allows the thyroid to regain function without medications. But, if the thyroid doesn’t regain function because it is too damaged, you can now introduce thyroid medication and properly dose it so that it is effective in managing thyroid hormone levels.

Once you have followed this paradigm, if there are still remaining symptoms or organs that have not responded by dampening stress hormones, autoimmune attacks and correcting gut function, it will now become obvious why that is and what needs to be done. Example – estrogen remains low. You now can attack that directly with herbs, botanicals or HRT. But, in truth, there’s usually not many issues left to address after calming the stress response, rehabbing brain function and decreasing immune response.

And most importantly for the bro patient: LESS is more. Less supplements, less drugs, less (but not no) exercise. Fibro sufferers are historically sensitive to herbs, supplements, medications and too much exertion. In the end, you should be able to maintain your gains with as few as three supplements or less, an effective home brain rehab program (mine is 3-4 minutes 3x/day) and a patient specific dietary program. There is no one size fits all diet for the bro patient. I wish I could write so much more, but space is limited.

For more details, visit and type in the word “fibromyalgia” or any of the other topics mentioned in this three-part series and a presentation that goes into far more detail should be available. For more information, call Power Health at 775-329-4402 or visit