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241 N. Buffalo Ste 100      l      Las Vegas NV 89145      l       702.656.0016      l      www.DrAlexND.com

Such frustrating and debilitating conditions, 
Fibromyalgia and Chronic Fatigue often times go hand in hand.
But take heart. . . Dr Alex will work with you to
”help you feel better while you are getting better”.
Treatment  Programs Include:
Extensive Individualized Consultations with Health History
Micronutrient Testing
Appropriate Supplementation to Support Potentially Weakened System/Constitution
Infusion Therapies of vitamins and other nutrients

Fibromyalgia Syndrome
“When the head aches all the limbs ache.” Danish proverb

Fibromyalgia syndrome (FMS) affects 2-13% of the population and 80-90% of that population is female. 
It is characterized by widespread, chronic pain. There are several hypotheses on what causes the syndrome and there are many factors that should be examined before prescription medication is implemented to treat the symptoms.

Underlying Conditions to Consider in FMS:
Thyroid- 90% of FMS patients have some type of thyroid dysfunction. These types of dysfunctions are not necessarily brought to light with the standard, first line TSH test. More in depth testing might be necessary to diagnose this underlying condition.
Adrenocortical dysfunction- low or erratic cortisol levels can produce symptoms that mimic FMS such as low pain threshold, fatigue, weakness and exercise intolerance. 
Hypometabolism- resistance to thyroid hormone, nutrient deficiencies, low physical fitness and many drugs can contribute. Chronic pain and abnormal tenderness can result.
Diets that are high in arachidonic acid-- a fatty acid-- promote inflammatory cytokines that contribute to chronic pain.

Addressing and treating the above conditions may markedly reduce FMS symptoms. Instead of suppressing pain, we can work to address the underlying causes and contributing factors to the condition.

Chronic Fatigue Syndrome
“The strongest have their moments of fatigue.” Friedrich Nietzsche

Chronic fatigue syndrome (CFS) is not a new disease- the name is new. References to a similar medical condition can be found in medical literature references as far back as the 1860s. 
CFS is characterized by muscle pain and weakness, prolonged fatigue after exercise, migratory joint pain, depression, recurrent headache and sleep disturbances. 

Underlying Conditions to Consider in CFS:
Viral load- EBV, CMV, enterovirus etc.
Other infectious agents- Borrelia burgdorfi, HHV-6, Giardia lamblia
Food Allergy and/or Intolerance
Multiple Chemical Sensitivity
Other physical diseases need to be ruled out- diabetes, heart disease, multiple sclerosis, rheumatoid arthritis etc.

Multifactorial conditions require multifactorial treatment approaches. By eliminating offending agents and strengthening weakened systems, the body will restore itself to more optimal function. 
Alexandra Reimann, ND Naturopathic Doctor
Dr Alex ND & Associates
Naturopathic Medical Specialists

It is never too late to start on the path to health and wellbeing, nor is it ever too early.
Alexandra Reimann, ND Naturopathic Physician, Naturopathic Doctor   Dr Alex ND & Associates Naturopathic Medical Specialists