Nutritional Treatments
Source: “From Fatigued to Fantastic” by Jacob Teitelbaum, M.D.
Nutritional Treatments for CFS/Fibromyalgia
___ 1.** Energy Revitalization System - Daily Energy Enfusion Powder (Berry or Citrus) - ½-1 scoop a day (as feels best) blended with milk, water or yogurt with 1 capsule of the included Daily Energy B-Complex (also available separately). If diarrhea occurs, mix the powder with milk and/or start with a lower dose and work your way up to the dose that feels best or divide the daily dose into smaller doses and take 2-3 times a day. These products are made by Enzymatic Therapies and are available in our web site store and most health food stores.
___ 2. * Complete GEST Enzymes (Enzymatic Therapies)/Similase GS (Integrative Therapeutics ) - 2 capsules with each meal to help digest your food properly. If you have ulcers or they irritate your stomach begin with GS Similase.
___ 3. Calcium - 500 to 1000 mg daily with 400 units of vitamin D (a chewable calcium or Calcium Chelate is recommended). If you get a non-chewable tablet, see if it dissolves in 2 to 3 inches of vinegar over 1 hour (swirl a few times). If not, it won’t dissolve in your stomach, and you need to get a different brand. (Do not drink the vinegar). You can also avoid this problem by using capsules or liquid filled gel caps. Taken at bedtime, it may help sleep. Calcium can block thyroid absorption if taken within 4 hours of each other.
___ 4. Lipoic Acid - 200mg a day (protects the liver) whenever you’re on Sporanox, Nizoral, or Diflucan (#94). If you have active Hepatitis or Cirrhosis, consider 300 to 2000 mg a day depending on it’s severity. In addition, it has been shown to be helpful for diabetic neuropathy and burning mouth syndrome (200 mg 3 times day for 2-5 months) and is likely helpful for many kinds of nerve pain.
___ 5.* Vitamin B-12 (Rx) - 1 I.M. injection (1 cc = 3000 mcg) 3 to 7 times weekly for 15 doses, then as needed (e.g. 1 to 12 times a month). This needs to be made by a compounding (holistic) pharmacy (e.g. Cape Drugs 800-248-5978).
___ 6.* NAC (N-Acetyl-L-Cysteine) - 500-650 mg a day for 2-3 months. Makes Glutathione.
___ 7.* Iron (Chelated Iron) (Ultraceuticals) - 29 mg plus 100 mg Vit C - Take one tablet a day. Or Chromagen Forte (Rx, iron) - one tablet a day. Do not take within 6 hours of thyroid or Cipro (antibiotic), as this can prevent their absorption. Take on an empty stomach (i.e.- take between 2 and 6 PM on an empty stomach). It is OK to miss up to 3 doses a week. Stop in 4 to 6 months or when your Ferritin blood test is over 40. If afternoon fatigue is a problem, consider continuing iron supplements until your Ferritin level is over 100. Iron may turn your stool black. If this is a problem, Flora Dix iron is much easier on the stomach and is not constipating
___ 8.* Eskimo 3 Fish Oil or Arctic Omega - ½ to 1 Tablespoon a day or 1 softgel 3 times a day for 3 to 9 months until the dry eyes and mouth resolve, and then as needed. Use this brand as most others are rancid and often contain mercury, lead or other toxins. Dry eyes, mouth, & hair, pain, and excessive hard ear wax suggest a need for this.
Natural Treatments FOR ANXIETY Symptoms of CFS/Fibromyalgia
___ 9. Calming Balance (Health Freedom Nutrition) or Tranquility (Ultraceuticals) - (Vitamin B1) 500 mg, passion flower, Theanine, magnolia, B vitamins, and magnesium 1-3 caps 1-3x day is outstanding for anxiety (the effect increases with 1-4 weeks of use).
Mitochondrial Energy Treatments
Use these for 4-9 months. Then drop the dose to the lowest dose that maintains the effect (or stop it if no benefit).
___ 11. * Acetyl-L-Carnitine - 500 mg - 1 capsule once or twice a day for 3 months. Then 250 to 500 mg/day or stop it. Although important in CFS/FMS, it is even more important to take this if you also have Mitral Valve Prolapse, MS, and/or elevated blood triglycerides. This helps with weight loss.
___ 12. Coenzyme Q10 - 200 mg - 1x a day. Especially important if taking cholesterol lowering prescriptions (e.g. Mevacor). Take it with vitamin E or a meal that has fat, oil supplements or in an oil based form to improve absorption. Vitaline makes the best form and this is the one I recommend. It also already contains vitamin E to enhance absorption.
___ 12A.** D-Ribose(Corvalen) - 1 scoop of powder 3x day for 3 weeks, then 2x day. If too energizing, take with milk or food or lower the dose. Effects are usually seen within 2-3 weeks.
___ 13. Magnesium/Potassium Aspartate - two 500 mg capsules - 2 x a day (need to use a “fully reacted” brand) for 3 to 4 months.
___ 14. Daily Energy B-Complex - 1 capsule in the morning or mid day (by Enzymatic Therapies). (Already contained in # 1- The Energy Revitalization System Berry or Citrus.)
___ 15. NADH (Enada brand) - 10 mg sublingual tablets - dissolve one under the tongue (or swallowed two 5 mg tablets) each morning. Take it on an empty stomach first thing in the morning (leave it by your bedside in the bottle or foil wrap with a glass of water) at least ½ hour before eating. It takes 2 months to see if it works.
Other Nutrients
___ 16. Betaine HCL (Hydrochloric Acid) - 650 mg capsules. Take 3-7 capsules during each meal. Use less or stop if heartburn occurs. Do not use if you have ulcers.
___ 17. Magnesium Glycinate 75 mg/Malic Acid 300 mg (Fibrocare) - 2 tablets 3x a day for 8 months, then 2 tablets a day (less if diarrhea is a problem. Start with 1 to 2 a day and slowly work up as able without getting uncomfortable diarrhea. You can take up to 10 a day for constipation. Taking it with food may lessen diarrhea. If pain or fatigue recurs on lowering the dose, increase it. Taken at bedtime, it helps sleep.
___ 18. Vitamin E - 400 units a day (natural).
___ 19. Physicians Protein Complex - 1-2 scoops a day.
___ 20. Potassium - Micro K Extentabs 10 MEQ (Rx) - 1 capsule 1-2 times a day for 8 weeks.
___ 21. Inosine (from compounding pharmacists) - Can raise a low uric acid (uric acid acts as a peroxynitrate scavenger and can be helpful in multiple sclerosis and other neurologic diseases).
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