Clinical Nutrition Program Improves Fibromyalgia and Chronic Fatigue Syndrome
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1
Carrick Institute, United States
Background:
A 34-year-old female presented with chief complaints of chronic widespread pain and fatigue, weight gain, abnormal bowel habits, and post-prandial abdominal bloating and discomfort. Approximately 4 years prior she was found to have a positive ANA titer (1:640, speckled pattern) but did not meet the diagnostic criteria for a connective tissue disease. She was diagnosed with fibromyalgia and chronic fatigue syndrome and was prescribed Pregabalin and Duloxetine, both which did not help her pain and worsened her mood. She was currently on a gluten-free diet and had performed various elimination diets without significant benefit. Current medications included naproxen, ibuprofen, and nasal steroids. Current supplements included GABA, D-mannose, and a herbal sleep aid.
Methods:
Neurological examination revealed a hyperactive gag response and cold extremities but was otherwise grossly normal. Blood chemistry revealed low vitamin D (28.6), high absolute lymphocytes (3.4), high sex hormone binding globulin (184.6), and clinically significant results as follows: HA1c (5.5), calcium (8.9), phosphorus (3.1), LDH (121), ferritin (44), RBC (4.54), hemoglobin (13.4), percent lymphocytes (51%), T3 uptake (25), free T3 (2.7), and homocysteine (7.7).
She was instructed to stop her current supplements and placed on a poly-antigenic elimination diet with an emphasis on avoiding high FODMAP foods, fish oil, broad-spectrum digestive enzyme, and high potency allicin supplement. After one month, the following interventions were added, 2-5 day per month modified fast, the addition of eggs in diet, supplemental vitamin D plus K2, and N-acetyl cysteine.
Results:
After 30 days of treatment, less gas, bloating, constipation, and diarrhea were noted. After 60 days of treatment, previous improvements were maintained, and pain and fatigue were significantly relieved. After 90 days of treatment, the previous improvements were maintained and she additionally reported a total of nineteen pounds of weight loss.
Conclusion:
Clinical nutritional and supplementation program might be helpful in the management of patients with fibromyalgia and chronic fatigue syndrome. Further investigation into clinical nutrition and supplementation in the treatment of patients with fibromyalgia and chronic fatigue syndrome is suggested.
Keywords:
Fibromyalgia,
chronic fatigue,
Dysbiosis,
Elimination Diet,
nutrition,
supplementation
Conference:
International Symposium on Clinical Neuroscience 2018, Orlando, Florida, United States, 24 May - 26 May, 2018.
Presentation Type:
Poster
Topic:
Clinical Applications in health, disease, and injury to the nervous system
Citation:
Caffery
C
(2018). Clinical Nutrition Program Improves Fibromyalgia and Chronic Fatigue Syndrome.
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience 2018.
doi: 10.3389/conf.fneur.2018.60.00068
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Received:
31 Mar 2018;
Published Online:
14 Dec 2018.
*
Correspondence:
Dr. Chris Caffery, Carrick Institute, Cape Canaveral, United States, drcaffery@gmail.com