Chronic Fatigue & Energy Issues
Fibromyalgia
Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive difficulties. Functional medicine addresses the multiple root causes including mitochondrial dysfunction, inflammation, gut dysbiosis, hormonal imbalances, and central sensitization to reduce pain and restore quality of life.
Common Symptoms
Recognizing the signs and symptoms of Fibromyalgia
Widespread chronic pain and tenderness
Severe fatigue and exhaustion
Sleep disturbances (non-restorative sleep)
Brain fog and cognitive difficulties ('fibro fog')
Headaches and migraines
IBS symptoms
Depression and anxiety
Sensitivity to light, sound, temperature
Numbness and tingling
Stiffness, especially in morning
Root Causes
Understanding what drives Fibromyalgia
Central nervous system sensitization
Mitochondrial dysfunction
Chronic inflammation
Gut dysbiosis and intestinal permeability
Hormonal imbalances (thyroid, cortisol, sex hormones)
Nutrient deficiencies (magnesium, vitamin D, B12)
Chronic infections (viral, bacterial)
Neurotransmitter imbalances
Trauma and chronic stress
Sleep disorders
Comprehensive Fibromyalgia Assessment
We identify the multiple contributing factors to create a personalized treatment plan.
Tender point examination
Thyroid panel (TSH, Free T3, Free T4)
Cortisol (salivary 4-point curve)
Sex hormones
Vitamin D, B12, magnesium, iron levels
Inflammatory markers (CRP, cytokines)
Gut microbiome analysis
SIBO breath test
Sleep study (if indicated)
Mitochondrial function assessment
Multi-Modal Fibromyalgia Protocol
Our approach addresses pain, energy, sleep, and underlying dysfunction simultaneously.
Low-dose naltrexone (LDN) for pain and inflammation
Magnesium glycinate (400-600mg daily)
Coenzyme Q10 and D-ribose for mitochondrial support
Vitamin D optimization
Omega-3 fatty acids
5-HTP or L-tryptophan for sleep and serotonin
Gut healing protocol
Anti-inflammatory diet
Gentle exercise (yoga, tai chi, swimming)
Stress management and meditation
Cognitive behavioral therapy
Sleep optimization
Expected Outcomes
Significant reduction in pain levels
Improved energy and reduced fatigue
Better sleep quality
Enhanced cognitive function
Reduced sensitivity to stimuli
Improved mood
Better quality of life and functionality