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A Program Consisting of a Phytonutrient-rich Medical Food and an Elimination Diet Ameliorated Fibromyalgia Symptoms and Promoted Toxicelement Detoxification in a Pilot Trial

Joseph J. Lamb, MD; Veera R. Konda, PhD; David W. Quig, PhD; Anuradha Desai, PhD; Deanna M. Minich, PhD; Lincoln Bouillon, MS, MBA;
Jyh-Lurn Chang, PhD; Alex Hsi, MPH; Robert H. Lerman, MD, PhD; Jacob Kornberg, MD; Jeffrey S. Bland, PhD; Matthew L. Tripp, PhD

Chronic conditions like fibromyalgia (FM), chronic fatigue syndrome, and multiple chemical sensitivity significantly affect the quality of life in a sizeable proportion of the population. FM, characterized by morning stiffness, fatigue, sleep disturbances, and widespread pain, is estimated to affect 3.4% of women and 0.5% of men in the United States.1 FM represents a significant financial burden for our health care system. A recent epidemiologic survey showed that the mean annual expenditures for FM patients, approximately $11 000, are comparable to those for rheumatoid arthritis patients.2 Twenty percent of these patients reported short-term disability, and 65% had work absence days.2 Overall, FM patients average 39.7 doctor visits per year.3 No clear-cut pathophysiological mechanism has been identified for FM. It has been suggested that FM is caused by central nervous system malfunction leading to amplification of pain transmission and interpretation,4 possibly related to neurotransmitter imbalances.5 External stimuli, including infection, trauma, stress, and toxicity, may contribute to the development of these imbalances. Some have suggested that FM is a disorder of premature neurologic aging.6 The lack of a clear etiology challenges the allopathic acutecare model. All too often, acute-care medicine utilizes a reductionistic “name it, and blame it” model. Diseases and particularly syndromes, defined by signs and symptoms, are generally assumed to have one cause and then treatments are selected. Hence, in the absence of a unique etiology and defined biomarkers, FM is generally diagnosed by exclusion. Indeed, in spite of the serious and pervasive disruption in a patient’s life, many practitioners and caregivers continue to consider FM an entirely psychosomatic illness.

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