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Fibromyalgia is a chronic pain condition that affects millions of people around the world, but its underlying causes are still not fully understood. Some experts have suggested that fibromyalgia may be an autoimmune disease, in which the immune system mistakenly attacks healthy tissues in the body.
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Is fibromyalgia an autoimmune disease? Yes and no. So fibromyalgia is a poorly defined term,
that's what it is. People who come to me with fibromyalgia come
to me with fibromyalgia because their previous Doctor, whether it was a GP or whether it
was a rheumatologist or whether it was a neurologist, Did all their testing, everything came out
normal, and pain all over the place. Some people are still using the, "I touched
you in 18 places and you were tender, so you Probably have fibromyalgia." So it's really kind of a garbage pail term
for "I don't really know what's wrong with You," but at least today they tell you that,
"Okay, I think you have something and I think It's fibromyalgia." So fibromyalgia means pain in the muscle fibers. So we know today that that's not totally what
happens by any means. Fibromyalgia, it's neurological, it's inflammatory. It can be inflammatory to the muscles, it
can be inflammatory to the joints. And so in and of itself, it wouldn't be defined
as an autoimmune problem. Now, having said that, one of the things that
will create a fibromyalgia type of clinical Scenario is autoimmunity. And the of the different auto immunities that
exist, the number one autoimmunity that I See in fibromyalgia is Hashimoto's. The second most common ones that I see would
be celiac, ulcerative colitis, Crohn's disease, Because they're gut, and 75% of your immune
system is in the gut, and then they create Issues. And so you don't have to have autoimmunity
for you to have fibromyalgia, I get people Who come in here who've been diagnosed with
fibromyalgia who do not have autoimmunity. What they do have is they've developed a leaky
gut. There's toxins getting out of the gut, there's
chemicals getting out of the gut. There's undigested food particles, there's
proteins, there's inflammatory proteins, there's All kinds of stuff getting out of the gut
going into bloodstream. And that can cause just a cascade of different
symptoms all over the place, which is more Or less fibromyalgia. You have all these different symptoms, they
move around. One day they're here, one day they're there,
one day they're gone, one day they're everywhere. One day they're in your brain.
And so gut problems can cause that. Blood sugar, believe it or not, blood sugar
called dysglycemia, blood sugar going like This, up and down, up and down, up and down. That can cause fibromyalgia type pain. Blood sugar going up and down can cause muscular
pain, blood sugar going up and down. Yeah, well, bone blood sugar is normal. Well, you don't have diabetes type two yet
and you're not hypoglycemic enough to be passing Out. So doctors don't really pay a lot of attention
to what's going on in between. And when your blood sugar's going back and
forth between high and low blood sugar, that Will cause fibromyalgia type of pain, especially
if you start morphing into pre-diabetes. You can be in pre-diabetes for like seven
to 10 years before it shows up on your blood Lab. But if you are like you have sweets, you crave
sweets, sweets don't satisfy, you just have To ate sweets and you have to have more, you're
urinating all the time with the key is like Have fatigue after meals. And occasionally I might feel better after
I eat, like I'm getting shaky, jittery and Then I eat, these are all the symptoms of
pre-diabetes. This is like the number one cause, so this
is the cause of 50% of small fiber neuropathy. While we're talking about fibromyalgia, well,
small fiber neuropathy causes numbness and Tingling and burning all over your body, which
a lot of fibromyalgia patients get. So fibromyalgia patients can be either autoimmune
or not, is really the answer to that. And it's just a cascade of a number of different
things of which I would say autoimmunity is Probably involved, I would probably say 60
or 70% of the time. Because a lot of times you'll have autoimmunity,
you'll have the leaky gut, you'll have the Blood sugar going up and down. You'll have the food, you'll have all of it,
which is what's driving your doctors batty Because no one medical professional fits into
that particular box. You have the rheumatologist here and you have
the neurologist here and you have the gastroenterologist There. And that's the problem. Once you get a fibromyalgia diagnosis, you
have to have the ability to evaluate all of Those at once and put the pieces together. So it's a yes and no answer.
It's a yes. And a lot of people, I would say more than
not, like 60, 70% autoimmunity is a factor. And then I would say the rest of the time
it's not. The rest of the time, it could be stress,
blood sugar fluctuations, it could be be leaky Gut, a small intestinal bacteria overgrowth
and all of those things without having autoimmunity. So that's the answer, it's yes and no. It can be autoimmune, but it doesn't have
to be. So I think that's the answer that you're looking
for.
