Nutritional Medicine: Fibromyalgia

Nutritional Medicine A Textbook by Alan R. Gaby, MD
Fibromyalgia: A Case Report

I saw a 48-year-old woman who had a 6-year history of fairly constant myalgias and arthralgias. Six months previously she was found to have an elevated sedimentation rate (50 mm/hr). She had been diagnosed by a rheumatologist as possibly having polymyalgia rheumatica, although the possibility of fibromyalgia was also considered. She also had migraines about 8 times per year and chronic nasal congestion.

During her first office visit she was given a therapeutic trial consisting of 6 ml of vitamin C (222 mg/ml), 4 ml of 20% magnesium chloride, 2.5 ml of 10% calcium gluconate, and 1 ml each of vitamin B12 (1,000 µg/ml), pyridoxine (100 mg/ml), dexpanthenol (250 mg/ml), and B complex 100. At the end of the injection reported with amazement that all of her muscle aches and joint pains were gone for the first time in 6 years.

The injection was repeated a week later (at which time her symptoms had not returned), followed by every other week for several months, then once a month for 3 years until I moved out of state. Her treatment regimen also included identification and avoidance of allergenic foods, and empirical administration of desiccated thyroid. She discovered that eating refined sugar caused myalgias and arthralgias, and that thyroid hormone improved her energy level, mood, and overall well-being. During the 3 years of monthly maintenance injections, she reported that mild symptoms would begin to recur if she went much longer than a month between injections.

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