-IBIS-1.5.0-
tx
musculoskeletal system
fibromyalgia
nutrition

dietary guidelines

eating principles:
elimination/rotation diet, rotation diet, rotation diet expanded
anti-candida diet: eliminate sugar, fruit juices, vinegar, yeast and fermented products
high fiber
decrease use of stimulants, especially caffeine sources

therapeutic foods:
• foods that tonify the Kidney, nourish Xue (Blood)
• foods rich in bioflavonoids, Zinc, Vitamins E, C and B-complex
• garlic, onions
• meat, beans
• olives, rye, lima beans, rice bran, bananas, sprouts, watercress, apples (Jensen,
p. 61)

fresh juices:
• potato peeling broth (Jensen, p. 61)
• dried olive tea (Jensen, p. 61)
• nut milk and liquid chlorophyll (Jensen, p. 61)
• carrot (Walker, p. 137)
• carrot and spinach (Jensen, p. 61)
• carrot, beet, and cucumber (Walker, p. 137)
• carrot and celery (Shefi)
• celery and sour apple (Shefi)

avoid:
• food intolerances
• coffee, caffeine, sugar, refined foods, processed foods, sweets and candies, stress


supplements

Beneficial intestinal flora, diverse and vigorous cultures, including Lactobacillus acidophilus, Bifidus, especially if history of repeated antibiotics and/or positive stool analysis
• Quercitin and other related nutrients to reverse excessive intestinal permeability and stabilize and rebuild intestinal mucosa
Magnesium malate: 300-600 mg of elemental magnesium and 1,200-2,400 mg of malic acid daily for eight weeks found effective; relieved pain after only 48 hours (Abraham, GE, p. 49-59)
Malic acid
• Magnesium: aluminum detoxification (Domingo, JL, et al., p. 67-79.)
Krebs chelates: enable synthesis of adenosine triphosphate (ATP) and healthy mitochondrial respiration, as well as reducing anaerobic glycolysis and lactic acid formation (Carlsen, B.D., p. 1-8)
• Vitamin B1: thiamin deficiency symptoms closely resemble many of the symptoms experienced by FM patients, possibly related to reduced activity of some thiamin-dependent enzymes. (Russell, J, et al, 1992, p. 953-957; Eisinger, J, et al, p. 105-113; Eisinger, J, et al, 1994, p. 59-61)
Vitamin B12 IM
• Potassium magnesium asparate
• Bromelain 2500 mg three times daily between meals
• Vitamin C 3 g per day
• Bioflavonoids 3 g per day
• Zinc 15 mg per day
• l-tryptophan and/or 5HTP for serotonin and dopamine rebalancing
• Vitamin E 500 IU per day; early study found 100-300 IU per day, with positive and sometimes dramatic benefit in treatment of fibrositis (Steinberg, CL, p. 411-423.)
• Vitamin B6 50 mg three times daily
• Selenium 200-300 mcg per day (Bastyr)
• DHEA: 5-25 mg twice daily

» drug interaction:
Potassium and indomethacin (Indocin): as a prostaglandin inhibitor, indomethacin reduces renin and aldosterone, and consequently reduces potassium excretion and causes hyperkalemia (Goldszer, et al., 1981; 141: 802-804; Tan, et al., 1979; 90: 783-785; MacCarthy, et al., 1979; 1: 550)


footnotes

Abraham, GE, Flechas, J. Management of FibromyaIgia: Rationale for the use of magnesium and malic acid. J Nutr Med. 1992;3:49-59.

Carlsen, BD. Synthesis of Malate from Phosphenol Pyruvate by Rabbit Liver Mitochondria Implications for Lipogenesis. Bio et Bophysica Acta. 1988;965:1-8.

Domingo, JL, et at. Citric, Malic and Succinic Acids as Possible Alternatives to Deferoxamine in Aluminum Toxicity. Clin. Tox. 1988;26(1,2):67-79.

Eisinger, J, Zakarian, H, Plantamura, A, et al. Studies of transketolase in chronic pain. J. Adv. Med. 1992;5:105-113.

Eisinger, J, Bagneres, D, Arroyo, et al. Effects of magnesium, high energy phosphates, piracetam, and thiamin on erythrocyte transketolase. Magnesium Research. 1994;7(1):59-61.

Goldzer RC, et al. Hyperkalemia associated with indomethacin. Arch. Intern. Med. 1982; 141: 802-4.

Jensen, B. Foods That Heal. New York: Avery Publishing Group, Inc., p. 61. (1988)

MacCarthy EP, et al. Indomethacin induced hyperkalemia. Med. J. Austral. 1979: 1: 550.

Russell, J, Michalek, J, Flechas, J, et al. Treatment of fibromyalgia syndrome with SuperMalic: A randomized, double-blind, placebo-controlled, crossover pilot study. J. Rheum. 1995;22(5):953-957.

Steinberg, CL, The tocopherols (vitamin E) in the treatment of primary fibrositis. J. Bone Joint Surg. 1942;24:411-423.

Tan, SY, et al. Indomethacin-induced prostaglandin inhibition with hyperkalemia. Ann. Intern Med. 1979; 90: 783-5.

Walker, N.W. Fresh Vegetable and Fruit Juices. Prescott, AZ: O'Sullivan Woodside and Company, p. 137. (1936)