Q and A on Chronic Fatigue Syndrome and Fibromyalgia with Jacob Teitelbaum, M.D. – #13

Evaluating and Treating Hormonal Disorders in CFS/fibromyalgia

At this time we will proceed to discuss how effectively treat Chronic Fatigue Syndrome and Fibromyalgia. Because of the hypothalamic suppression, effective treatment falls into four broad categories. These include:
1) Treat the nutritional deficiencies
2) Treat disordered sleep
3) Treat hormonal deficiencies and
4) Treat the infections.

There are over 100 different problems that can occur in CFS/fibromyalgia that fall under these 4 broad categories .In addition, other problems such as Neurally Mediated Hypotension (N. M. H.) and its associated low blood pressure, coagulation problems, etc. also may benefit from being treated. These are all discussed at length in my book “From Fatigued to Fantastic”. We will, however, focus on these four key areas for now.Our placebo-controlled study (see the full text at http://www.endfatigue.com) proves that when these 4 areas are aggressively looked for and treated, 91% of patients with CFS/Fibromyalgia improve!

As the body needs to have basic building blocks for both maintaining health and treating illness, we will begin with nutritional deficiencies.

Often, when I first started practice, people would come into my office complaining of longstanding fatigue that was not quite as disabling as is seen in chronic fatigue syndrome or fibromyalgia. I never ceased to be amazed at how often these people improved dramatically by simply cleaning up their diets a little—cutting down on their sugar, caffeine, and alcohol intake; substituting whole grains for white flour; and adding an excellent nutritional supplement to their daily regimens. So let’s start with the easy things first.

Q: Why are nutritional deficiencies common in CFS/FMS?

A: Because the Western diet has been so highly processed, nutritional deficiencies are common. Let’s look at a few of the most important culprits


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Written by Dr Jacob Teitelbaum MD

Explore Wellness in 2021