| Home > Site Map > Conditions > C > Chronic fatigue-fibromyalgia |
| Other medical and psychiatric conditions that can produce fatigue should be ruled out, including Lyme's disease. This is an important clue, for successful early diagnosis and treatment. CFS and fibromyalgia are not "all or nothing" problems. The following is a summary of important areas that may require treatment in CFS and FMS. DHEA and 7-Keto DHEA may be useful; routine endocrine tests are normal in suspected cases of fibromyalgia. IGF1 levels are often found to be low in FMS patients and the few studies done so far have found symptomatic improvement of CFS and FMS patients with growth hormone injections. Evidence of this was provided by a study in which FMS patients were exercised to voluntary exhaustion on a treadmill; this is a standard test of growth hormone secretion. As pyridostigmine is known to reduce somatostatin tone in the hypothalamus, this result is compatible with the notion that growth hormone deficiency in fibromyalgia cases is a potentially reversible problem that has a physiologic basis i.e. increased hypothalamic somatostatin tone. Consider vitamin B12 injections at higher doses (2,000-5,000mcg) at least once per week and possibly more for at least eight to ten weeks. Consider treating persistent fatigue with CoQ10, evening primrose oil and possibly fish oil. There are extensive web sites on its use. |
| Immune System Imbalance (TH2 Dominance) Liver Detoxification / Support Requirement Low HGH (Human Growth Hormone) Mercury Toxicity (Amalgam Illness) Anxiety Depression |