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<\/a><\/figure>\n<\/div>\nDiet and Supplements for Fibromyalgia \u2013 Non-Pharmacological Therapies<\/h3>\n
Recently, it has been proposed that an imbalance in nutrition, including essential minerals and vitamins, might play a crucial role in the development of fibromyalgia. 33. <\/sup>Research has found that fibromyalgia patients deficient in amino acids, magnesium, selenium, vitamins B and D may develop dysfunction of the mechanisms that block pain, together with fatigue and other fibromyalgia symptoms (see Figure 4). Pain levels are usually lowered when optimal (best) levels of nutrition are achieved. 33. <\/sup>\u00a0Consequently, this would suggest that adding supplements to the diet for fibromyalgia patients will help to improve pain. However, please be aware that some supplements can adversely interact with some medications; so please ask your pharmacist or doctor if you are unsure.<\/p>\n Figure 4: Graphic showing the effects of nutrient deficiency in fibromyalgia and how adequate supplementation can improve fibromyalgia patients\u2019 health. 33.<\/sup><\/p>\n A wholesome diet, nutritional supplementation, and exercise to tolerance<\/a> are the most common other metabolism-regulating therapies that fibromyalgia patients must use to fully recover. 15. <\/sup>For example, one study found that fibromyalgia patients who were treated with thyroid hormones and failed to adopt these metabolism-regulating therapies did not fully recover. These findings were consistent with years of clinical experience that supports the need for patients to use other metabolism-regulating therapies in addition to thyroid hormone. 15.<\/sup><\/p>\n A wholesome diet is therefore the recommended diet for fibromyalgia patients. The wholesome diet described by Nowicki and Lowe stabilises blood sugar regulation and insulin levels, and also reduces pain perception. \u00a0They recommend a diet that includes lean meats (particularly poultry), fish, fruits, vegetables, and a minimal quantity of whole grains. The diet also mini\u00admises foods high in arachidonic acid<\/a> (which increases the production of the pro-inflammatory substances), and additive excitotoxins such as monosodium glutamate and aspartame. Patients are also recommended to use organic foods and purified drinking water to decrease the quantity of chemical contaminants ingested. 15.<\/sup><\/p>\n The minimum high-potency multiple vitamin and mineral nutritional supplements recommended for fibromyalgia patients are as follows: 15.<\/sup><\/p>\n I started taking supplements regularly in 2016. One by one, I added a supplement every few weeks to see how I felt. If there was no improvement, I stopped it and tried another. Through trial and error, I found the combination that works best for me. I have my vitamins and minerals tested yearly to ensure I\u2019m not overdoing any of the supplements. The following list is the supplements that I have found be beneficial and take daily. <\/p>\n Another recent review of research found that pain and functionality, quality of life, quality of sleep, anxiety and depression and inflammatory biomarkers in fibromyalgia patients seem to improve with the following three types of diet: 34.<\/sup><\/p>\n Obesity can be a problem for fibromyalgia patients. For example, one review states that 35.7% of fibromyalgia patients are obese (Body Mass Index [BMI] of 30 and above), with higher figures reported for the USA. 35. <\/sup>\u00a0This review reported some evidence of obesity negatively impacting a range of symptoms, such as pain severity, tender point count, stiffness, fatigue, physical functioning\/disability, sleep, cognitive dysfunction, and quality of life (see Figure 5). They also found that only few studies addressed the effect of weight loss in fibromyalgia patients either by bariatric surgery, diet\/exercise combination or behavioural weight loss. However, limited data provide preliminary evidence for a potential benefit of weight loss in improving fibromyalgia symptoms. 35. <\/sup>So, this gives more weight (pardon the pun) to the hypocaloric and other weight-loss diets being effective in improving pain and other fibromyalgia symptoms.<\/p>\n Figure 5: Graphic showing the ways in which obesity adversely affects fibromyalgia patients. 36.<\/sup><\/p>\n Existing research investigating nutrition in fibromyalgia patients is scarce and low quality. Therefore, definitive conclusions about specific diets being more effective at improving fibromyalgia symptoms cannot be drawn. The use of targeted nutritional supplements appears to be effective in the management of fibromyalgia, but the up-to-date evidence remains weak. Further, higher quality clinical studies focused on the role of nutrition in the symptoms and\/or severity of fibromyalgia are needed. 34., 36. <\/sup>Although the research evidence remains weak, anecdotal evidence shows that supplements have some positive effects so it is worth trialing them for yourself for a month or two to see if you personally find them of benefit.\u00a0<\/p>\n CBD is a cannabinoid from the Cannabis sativa<\/em> plant that does not cause any intoxicating effects. You can find further information about CBD here<\/a>. CBD, unlike cannabis which contains THC and CBN, is considered to be a food supplement. Chronic pain, anxiety and mood disorders, and obesity have been linked to changes in the circulating endocannabinoids within the body. 37.<\/sup> CBD and other phytocannabinoids are thought to work by both substituting endocannabinoids and also helping to \u2018kick-start\u2019 the eCS when it is not functioning properly. Therefore, CBD has the potential to help the body to heal itself. Again, CBD can interact with prescription medication<\/a> so please speak to your pharmacist or doctor if you are unsure.<\/p>\n However, scientific research into the effectiveness of CBD alone in fibromyalgia patients is very limited at the moment. There are no published clinical controlled trials so far. As a result, the research is limited to surveys of fibromyalgia patients and their use of CBD. However, many fibromyalgia patients, myself included, have found CBD to be effective in reducing fibromyalgia symptoms, including pain. For example, one study incorporating a large online survey of 2701 fibromyalgia patients found that 32.4% were currently using CBD. 38.<\/sup> In conclusion, participants used CBD for pain and other fibromyalgia symptoms, reporting slight to much improvement across all symptoms. Also, around half of participants reported side effects, which were typically minor.<\/p>\n Furthermore, a secondary analysis of the same survey found that 72.0% of participants substituted CBD products for prescribed medications, most commonly NSAIDs (59.0%), opioids (53.3%), gabapentanoids (35.0%), and benzodiazepines (23.1%). As a result, most substituting participants had decreased or stopped using their pain medications. In addition, the most common reasons for substitution were fewer side effects and better symptom management. 39.<\/sup> These findings highlight the need for high quality, rigorous research into CBD for fibromyalgia, particularly examining the effects of substituting CBD for prescription medications.<\/p>\n Next: Alternative Therapies For Fibromyalgia<\/a><\/p>\n 15. Nowicki, J. and Lowe, J.C., 2020. Fibromyalgia Syndrome. In Textbook of Natural Medicine (pp. 1319-1329)<\/a>. Churchill Livingstone.<\/p>\n 33. Bj\u00f8rklund, G., Dadar, M., Chirumbolo, S. and Aaseth, J., 2018. Fibromyalgia and nutrition: Therapeutic possibilities?<\/a>. Biomedicine & Pharmacotherapy, 103, pp.531-538.<\/p>\n 34. Silva, A.R., Bernardo, A., Costa, J., Cardoso, A., Santos, P., de Mesquita, M.F., Vaz Patto, J., Moreira, P., Silva, M.L. and Padr\u00e3o, P., 2019. Dietary interventions in fibromyalgia: a systematic review<\/a>. Annals of medicine, 51(sup1), pp.2-14.<\/p>\n 35. D\u2019Onghia, M., Ciaffi, J., Lisi, L., Mancarella, L., Ricci, S., Stefanelli, N., Meliconi, R. and Ursini, F., 2021, April. Fibromyalgia and obesity: A comprehensive systematic review and meta-analysis<\/a>. In Seminars in Arthritis and Rheumatism (Vol. 51, No. 2, pp. 409-424). WB Saunders.<\/p>\n 36. Tomaino, L., Serra-Majem, L., Martini, S., Ingenito, M.R., Rossi, P., La Vecchia, C., Bamonti, F. and Vigna, L., 2020. Fibromyalgia and Nutrition: An Updated Review<\/a>. Journal of the American College of Nutrition, pp.1-14.<\/p>\n 37. Hillard, C.J., 2018. Circulating endocannabinoids: from whence do they come and where are they going?<\/a>. Neuropsychopharmacology, 43(1), pp.155-172.<\/p>\n 38. Boehnke, K.F., Gagnier, J.J., Matallana, L. and Williams, D.A., 2021. Cannabidiol use for fibromyalgia: Prevalence of use and perceptions of effectiveness in a large online survey<\/a>. The Journal of Pain, 22(5), pp.556-566.<\/p>\n![\"diet](\"https:\/\/fabulousliving.org\/wp-content\/uploads\/2021\/10\/FM-supplements-nutrition-therapeutic-1011x1024.jpg\")
<\/figure>\nWholesome Diet for Fibromyalgia<\/h3>\n
Nutritional Supplements for Fibromyalgia<\/h3>\n
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My Personal Nutritional Supplements <\/h4>\n
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<\/a><\/figure>\n<\/div>\nOther Effective Diets for Fibromyalgia Patients<\/h3>\n
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Obesity and Fibromyalgia<\/h3>\n
![\"diet](\"https:\/\/fabulousliving.org\/wp-content\/uploads\/2021\/10\/obesity-and-fibromyagia.jpg\")
<\/figure>\nNutrition and Diet for Fibromyalgia \u2013 Current Conclusions<\/h3>\n
![\"onnit](\"https:\/\/fabulousliving.org\/wp-content\/uploads\/2021\/11\/onnit-1024x576.jpg\")
<\/a><\/figure>\n<\/div>\nCBD for Fibromyalgia<\/h3>\n
Research on CBD and Fibromyalgia<\/h3>\n
CBD to Reduce\/Stop Prescription Medication<\/h3>\n
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<\/a><\/figure>\n<\/div>\nReferences<\/h3>\n