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February 02 2008
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Fibromyalgia, Lyrica, and the New York Times

fibromyalgia, chronic fatigue, lyrica, pfizer, drugsIn the wake of the FDA approval of Lyrica, the first medicine approved to treat fibromyalgia, the New York Times has published a controversial article questioning whether the disease exists at all.

The Times claims that patient advocacy groups and doctors who specialize in fibromyalgia believe that the Lyrica approval is a milestone, and hope its approval will legitimize fibromyalgia in the same manner that Prozac legitimized depression. But, says the Times, other doctors believe that the disease does not exist, and that Lyrica will be taken by millions of people who do not need it.

Adding to the controversy is the fact that Lyrica itself is a drug originally designed for diabetic nerve pain that was rejected because of its unimpressive results and many side effects, including weight gain, edema, dizziness and sleepiness. This has left some wondering if the repositioning of Lyrica is little more than a cynical ploy to sell a failed medication. The potential for weight gain is a special concern, because many fibromyalgia patients are already overweight.

The Times article has already generated a good deal of online comment, and highlights the uneasy intersection where drug company greed and medicalization of nonexistent illnesses meets conventional medicine’s inability to diagnose and treat real problems.



Dr. MercolaDr. Mercola's Comments:

Fibromyalgia is a real and debilitating condition that primarily affects women, characterized by chronic, widespread pain with no known cause. According to advocacy groups, as many as 10 million people suffer from the disorder in the United States.  

Many sufferers are also afflicted with a variety of other nebulous conditions, such as: 

What Causes Fibromyalgia?

No one actually knows. However, brain scans of people with fibromyalgia have offered hard evidence of what patients already know: Their pain IS real – mainly because their threshold for tolerating pain impulses is substantially lower than that of most individuals. But the mechanism causing this lowered pain threshold is unknown.

Some experts, such as Dr. Frederick Wolfe, the director of the National Databank for Rheumatic Diseases and the lead author of the 1990 paper that first defined fibromyalgia’s diagnostic guidelines, now believes fibromyalgia is mainly a physical response to mental and emotional stress, depression, and anxiety about economic and social issues.

I would have to agree with his assertion. Nearly every person I have seen with fibromyalgia has suffered from an underlying emotional component.

Why Lyrica, or Any Drug is Not a Wise Option 

Since most fibromyalgia patients do not respond to conventional painkillers, the drug cartel has found a brand new market, wide open for the taking, with many people desperate for a magic pill. However, if you suffer from fibromyalgia, know that this is NOT your answer! In fact it is your most dangerous option, considering the many detrimental side effects of these drugs. 

Side effects of Lyrica in particular include: 

  • Weight gain
  • Edema
  • Dizziness
  • Sleepiness  

In 3-month trials of the drug, 9 percent of patients had a weight gain of more than 7 percent, and their weight kept rising steadily over time. This is most definitely a concern, especially when you take into account that the average fibromyalgia patient already weighs 180 pounds at an average height of 5 feet 4 inches, according to a 2007 fibromyalgia survey. 

Obesity in turn can lead to even worse health complications, including: 

  • Diabetes
  • Hypertension
  • Heart disease
  • Gallbladder disease 

This is a high price to pay, considering there are other, non-invasive options that will improve your overall health to boot. 

Unfortunately, Pfizer has the ability to brainwash you into thinking Lyrica might be the magical solution for you. They spent $46 million on direct consumer ads during its first nine months of advertising Lyrica in 2007, bringing in $1.8 billion in sales – a 50 percent increase from the year before.

Dietary Changes for Fibromyalgia

People with fibromyalgia may experience reductions in their symptoms by eliminating one or more foods from their diet, including:

  • Corn
  • Wheat
  • Dairy
  • Citrus
  • Soy
  • Nuts

Following my eating plan will aid you in eliminating these foods, and making these dietary changes does seem to help many. One study showed that nearly half of the patients reported “significant reduction of pain” after two weeks without eating any of the potential food allergens, and more than 75 percent reported a reduction of other symptoms such as headache, fatigue and bloating.

However, it is quite clear that most people with this disease will not relieve their symptoms completely through diet alone, even if they follow it perfectly. This is because nearly every person I have seen with fibromyalgia suffers from an underlying emotional component.

The One Treatment Option You CANNOT Ignore

Bioenergetic normalization of previous emotional traumas is the single most effective treatment I know of for fibromyalgia at this time.

There are many different energy psychology techniques that can be used here, but the Emotional Freedom technique (EFT) is still my favorite. EFT is a procedure that borrows from the much-heralded discoveries of Albert Einstein (everything, including your body, is composed of energy) AND from the ancient wisdom of Chinese acupuncture. For a look at the sometimes spectacular results EFT has with Fibromyalgia read this article from the EFT Website – “Fibromyalgia Patient—“I forgot what pain is all about.” 

In essence, EFT is an emotional version of acupuncture except that needles are not involved. Instead, certain release points are stimulated by tapping them with your fingertips. Further, the basics of EFT can be learned by anyone and can be self-applied (usually in minutes).

Additional Treatment Options

Aside from making the appropriate dietary changes to eliminate potential food allergens, and using EFT to simultaneously treat underlying emotional traumas that keeps your pain locked in place, there are a few other treatment options to keep in mind:

Neurostructural Integration Technique (NST) -- NST is another powerful tool that works synergistically with my eating plan and the energetic balancing of EFT.

It is a series of gentle massage-like techniques that have profound and amazing muscle normalization effects. Unlike massage, or most manipulation or adjustments, the benefits seem to be long lasting; generally 3-10 minute sessions are all it takes for permanent relief - assuming one has addressed problem foods and previous emotional traumas.

You can go to our NST therapist page to find a therapist close to you.

Chiropractic Care -- Especially the disciplines in chiropractic that address the emotional components, like TBM, NET and BEST.  Dr. Kent provides some excellent recommendations  on how to locate a good chiropractor if you don’t currently know of one.

Exercise Regularly-- Exercise is also a key to good health. However, most people with fibromyalgia have so much muscle pain that they cannot exercise. NST is one technique that can reduce the pain so that you can resume gentle exercise.

Sleep Well – Proper sleep is vital for optimal health and emotional balance. If you suffer from any sleep disturbances, I recommend you review and incorporate one or several of my recommendations for a good night’s sleep.

Avoid Fluoride – The fluoride in your drinking water is a known toxin; the waste product from aluminum and fertilizer plants, which is continually deposited into your body. If you ingest more fluoride than your body is capable of eliminating, various stages of fluorosis may ensue. Symptoms of early skeletal fluorosis include:

  • Pains in your bones and joints
  • Burning, prickling, and tingling in your limbs
  • Muscle weakness
  • Chronic fatigue
  • Gastrointestinal disorders 

For the sheer fact that these symptoms are similar to some of those associated with fibromyalgia, eliminating fluoride as much as possible is recommended.


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Community Comments ( 246 )
Comment on this Article
  
  
Patty D
[ Joined on 06/07 ] [ Posted on January 16, 2008 ]
34 Points        
   
 
Savvy User
There is a LOT of evidence that fibromyalgia and chronic fatigue are related and that one of the triggers is a viral infection such as Epstein-Barr (the mono virus).  Don't let anybody tell you they aren't real.  They are very real and extremely debilitating.  Maybe they are "syndromes" not diseases, but that doesn't make them any less real to the people who suffer.  I don't agree with marketing a drug like Lyrica for it, but I also get furious when doctors, nurses or anyone else says it's not real.  While it's true, lifestyle and dietary changes can reverse it, so too, do the same things reverse most other "diseases".  Don't trivialize fibromyalgia just because a specific cause hasn't been pinpointed.  No 2 people with diabetes or heart disease have exactly the same constellation of symptoms either.
 [ Reply ]
Mercola
  
foxtroter
[ Joined on 09/06 ]  [ Posted on January 17, 2008]
19 Points        
   
Savvy User
  Mercola
Patty D--you say: "They are very real and extremely debilitating.  Maybe they are "syndromes" not diseases, but that doesn't make them any less real to the people who suffer."

I couldn't agree with you more. 
Mercola
  
Patty D
[ Joined on 06/07 ]  [ Posted on January 17, 2008]
14 Points        
   
Savvy User
  Mercola
Dr. Fox, my daughter has fibromyalgia horribly.  She goes to the same chiropractor I go to, has gone to the same diet classes, learned the same information etc.  She is not yet willing to make the lifestyle changes that could help, but with chiropractic care and some supplements she is improving gradually.  I think the world of my chiropractor and wish I had tried one a long time ago instead of listening to the neurosurgeon telling me that a chiro would make me worse!!!  I tell everyone I know about chiropractic.
Mercola
  
SignificantHealing.com
[ Joined on 03/07 ]  [ Posted on February 2, 2008]
5 Points        
   
Apprentice User
  Mercola

My goodness, I have to agree with ET.  The answers are right in front of our faces.  I WAS diagnosed in 2000 with Fibromyalgia, and went straight to work to figure out what this series of symptoms really was.  I just KNEW that it was not a disease.  I drank herbal potions, took over a hundred herbal capsules daily and improved and improved and improved.  Over time I came to the conclusion that this was an issue of toxicity.  Finally, I found Natural Cellular Defense liquid zeolites, and finished up the detoxification of the circulatory system with that.  You can email a gal named Leah that I know who has all the research on it, if you like.  Her email is carlandleah@netzero.com.  

Today, I am free from not only a diagnosis, but also pain, stiffness, depression (I felt sad about my situation and did not like this diagnosis), medication, and so on.   Everyone benefits from detoxification!  Our environment is just bombarding us with way more toxins than our bodies were designed to eliminate on their own.

Mercola
  
jeftekhar
[ Joined on 06/06 ]  [ Posted on February 2, 2008]
3 Points        
   
Novice User
  Mercola

Your comments that FM symptoms are very real is of course true. My symptoms reduced when I addressed each of the following conditions, using very few prescription drugs: viral, bacterial, and fungal infections; yeast overgrowth; presence of toxins, including heavy metals; adrenal and other hormone imbalances; arthritis; insomnia; fatigue; and depression.

I also believe fibromyalgics' metabolism does not process waste efficiently, so an organic, balanced diet with limited sugars and no wheat or corn-based carbs, avoiding inflammatory foods, and moderate exercise help a lot. The most comprehensive manual I have found is Teitlebaum's "From Fatigued to Fantastic." I found this best used in conjuction with a holistic medical doctor familiar with the protocols--it was  too complicated for me to sort out on my own, and each person's medical profile is different.

Several people I know with FM have commented that weather affects them a lot, as it does me--symptoms worsen when the barometer drops, cold and damp, but also too warm humidity are really tough. I have not found a good explanation or counter to this, other than to anticipate and plan my energy expenditure accordingly, when possible. Any ideas here?  

When I get sleep, the depression lifts along with the fatigue. But so far I have found only a prescription drug, Ambien CR, to be an effective sleep aid with, for me, no immediate unwanted side effects. Any other ideas, anyone?

I agree with Dr. M that many of our symptoms are physical manifestations of emotional issues. (This was hard to admit, but hard to avoid after addressing all the physiological issues and still feeling not quite right). EFT sounds promising for both depression and sleeplessness.

Judy E

Mercola
  
raindropGuy
[ Joined on 06/06 ]  [ Posted on February 2, 2008]
14 Points        
   
Novice User
  Mercola

I would like to second Patty D's position that Fibromyalgia is real. From the research I've done into my own case of Fibromyalgia, it appears almost certain that it stems from an atypical polio. Even my doctor agrees that its clinical presentation is indistinguishable from post-polio. Mine hit at the time of taking the Sabin oral polio vaccine.

I also take exception to Dr Mercola's assertion that there is an underlying emotional component to Fibromyalgia.  I suppose that, whoever you check for whatever, you could -- if you looked -- find an underlying emotional component. However, I believe that with TRUE Fibromyalgia -- unless I have something else -- emotions are NOT an underlying cause.

Some years ago, I saw a chiropractor who was really big on EFT and other bioenergetic normalization techniques for dealing with previous emotional traumas. Personally, I never found ANY of this to be helpful in any way.

What I've found to be most helpful is therapeutic-grade essential oils -- particularly the oils that are most oxygenating, anti-viral or nerve-regenerating. Using the oils took me from over 30 years of severe disability to being able to start my own business.

Mercola
  
katz
[ Joined on 11/06 ]  [ Posted on February 2, 2008]
4 Points        
   
Apprentice User
  Mercola

I have Fibromyalgia, It is real, infact I almost killed myself by not heeding to the signs of heart attack as I could not recognize the heart pain as the real thing because I have lived with pain for many years due to untreated Lymes Disease, at the time I thought it was costal chondritis of my rib cartlidge as I was a nurse, I hurt all the time somewhere with pains coming and going,so I disreguarded the pain, by the time the heart problem was found I was 50,unable to work and pain so bad I couldnt sleep,my chest hurt but still this was not unusual for the fibromyalgia,anyway I went in for a angiogram and had a tripple bypass as I had a 100% and 2-95% blocked arteries and I couldnt tell the difference in pain due to fibromyalgia pain !   BEWARE !! BEWARE !! Fibromyalgia is REAL ! with that said ,it's not curable just like untreated Lymes disease. I was a busy,active,outdoors person as that's my personality ,Fibromyalgia is not for the wimpy whinny couch potato person, we with Fibromyalgia just have to modify our lives now around the pain but HEED the unusual constant pain with getting it cheked out.

Mercola
  
Pat Ormsby
[ Joined on 06/06 ]  [ Posted on February 3, 2008]
4 Points        
   
Savvy User
  Mercola

I agree with you completely, Patty!  Thank you for writing!  What I found most appalling about the above article is that in order to "legitimize" a condition so that a traditional doctor will not tell you "it is all in your head" a chemical compound (aka pharmaceutical) needs to be found which can be sold to you for its treatment.  I would expect EFT, nonetheless, to be effective against fibromyalgia.  It does wonders for allergies!  But few try to tell you that allergies are all in your head or that you are malingering.  The callousness of these people gives me great pain!!!  (Hand me those tranquilizers, thank you.)

Mercola
  
terryd1960
[ Joined on 04/07 ]  [ Posted on February 3, 2008]
2 Points        
   
Novice User
  Mercola

Patty D - you know what my doctor told me about the word "syndrome"?  It's the word the medical profession uses for a seemingly-related group of symptoms when they don't know what's making a person sick.  For example, they used to call PCOD (polycystic ovarian disease) PCOS (polycystic ovarian syndrome) until they understood the pathology of the disease (not necessarily the cause, but the relationship between the various symptoms and effects of the disease, and the path the disease usually takes.)  So now whenever I hear the word "syndrome", I know it's just a euphemism for "I don't know what's wrong with you or how to fix it, so we'll just have to experiment until we (hopefully) find something that helps you."  

Mercola
  
Haras
[ Joined on 02/07 ]  [ Posted on February 4, 2008]
       
   
Novice User
  Mercola

jeftekhar, damp weather, either hot and humid or cold and wet is the perfect environment for mould to grow.  If you're sensitive to yeasts (ie. have had chronic systemic candida) then you will react to the microtoxins they produce and release into your home environment.  Hope this helps.  Good luck with your healing journey to everyone.  Good health is a journey, not a destination.

Sarah

Mercola
  
Tuesday :)
[ Joined on 09/07 ]  [ Posted on February 5, 2008]
1 Points        
   
Novice User
  Mercola

Google NO/ONOO cycle... It's a good theory and might help. I've been sick 10 years and I'm still searching. I've had emotional childhood traumas, physical trauma(whiplash), candidiasis, and when I was 18 I overdosed on Maggie Moo's(ice cream), had a terrible allergic reaction and possibly a virus for 5 weeks and never recovered from it. I believe I could get some relief from combining all the info I've found. The dilemma is I barely have the energy to work at all. How am I supposed to save the money to buy my health? And that's where the depression comes in... It's hard to keep fighting, but I have to. If I push myself to earn the money, will I do it, or will I crash? And if I finally get the money, will the treatment help at all? Such is 1/3 of my life. Thank all of you for being open about your illnesses and confirming that it exists. I do not want to hear "There's nothing wrong with you" or "maybe you're a hypochondriac" one more time. Thank you for sharing your hard earned information as well. Maybe if we all work together we can find a way to beat it!

Mercola
  
Barbiec1953
[ Joined on 06/06 ]  [ Posted on February 19, 2008]
       
   
Novice User
  Mercola

Judy E, This is what my chiropractor recommended and

I purchased from his office... PINEAL PLUS by Atrium

and AdrenaCalm Cream by Apex Energetics. Within 30

minutes I can actually feel my body relax and I start

to feel sleepy.  I have been so grateful for these

products

  
  
chirojenn
[ Joined on 08/07 ] [ Posted on February 2, 2008 ]
16 Points        
   
 
Novice User

In my chiropractic practice, I seem to attract chronic fatigue and fibromyalgia patients.  During the exam I am barely able to touch them as their threshold for pain is so very low.  But, after just a few weeks of care, they are able to receive an adjustment without flinching away from the pain.  

By giving my patients the gift of EFT, it empowers them to do something proactive on their own and take control.  EFT helps the brain balance from being too "right brained", which tends to lead patients into fight or flight response 24/7.  The left brain, or more logical side, kicks in and is final able to determine that every experience in life, whether it be past, present or future is not a threat.  The reason why women are more suseptible as women are more right brained to begin with.

By putting them on an autoimmune supplement protocol for 30 days, regular specific, upper cervical chiropractic adjustments, determining their metabolic type, and the use of a cold laser, I see patients everyday walk away from the prison of fibromyalgia.

Fibromyalgia is a real condition, but it's not a disease.  It's a physiological response that is caused by a continued adaptive stress on the body.  We are not genetically capable to be in a fight or flight response all day, everyday.  Fight or flight is a protective mechanism to be used to run away from danger, such as running away from a tiger.  Our modern "tigers" consist of the constant bonbardment of bad news on TV, fear mongering advertising, chemicals in food, the list could go on and on.

I love what I do. I always see tears from these patients on the first day in my office, but the tears I see later are those of joy.  They are the ones that are finally in charge of their health, not the pharmaceutical companies or the allopaths who have made them victims.

 [ Reply ]
Mercola
  
Herbal Annie
[ Joined on 06/06 ]  [ Posted on February 2, 2008]
4 Points