Jacob Teitelbaum, M.D. on Diagnosing and Treating Fibromyalgia

In an interview with The Educated Patient, Jacob Teitelbaum, M.D., an expert in fibromyalgia and related conditions such as chronic fatigue syndrome (CFS) and long COVID, describes these illnesses as energy crises in the body, often triggered by factors like infections, autoimmune diseases or hormonal imbalances. This energy shortage impacts the hypothalamus, a key "circuit breaker" that regulates numerous bodily functions.

Teitelbaum emphasizes the importance of a comprehensive treatment approach, such as his SHINE protocol — optimizing Sleep, addressing Hormones, treating Infections, providing Nutritional support and incorporating Exercise as tolerated. Research has shown that this protocol improves symptoms in 91% of patients, significantly enhancing their quality of life. He highlights the challenge that most physicians are not adequately trained to diagnose or treat fibromyalgia, making it crucial for patients to seek specialists, such as rheumatologists or holistic physicians, who understand the condition. He suggests finding a practitioner through The Institute of Functional Medicine.

Teitelbaum explains that fibromyalgia often coexists with autoimmune diseases, affecting the immune system and brain’s microglia, which amplifies symptoms like chronic pain, fatigue, brain fog and difficulty sleeping. He encourages patients to self-advocate, use diagnostic criteria (such as the 2016 American College of Rheumatology guidelines) and pursue tailored, multidisciplinary care to address the systemic nature of these illnesses.

Teitelbaum views fibromyalgia as an umbrella term encompassing conditions such as CFS and long COVID, which he describes as post-viral fibromyalgia. He explains that these conditions all stem from an energy crisis in the body, often triggered by infections or other factors, leaving people trapped in a low-energy state. Despite their different names, Teitelbaum considers them variations of the same underlying issue.

By implementing the SHINE protocol and utilizing resources like educational materials and experienced specialists, patients can effectively manage their condition and significantly improve their quality of life.

For free informational tools and resources on fibromyalgia and long COVID, Teitelbaum encourages readers to email him directly at FatigueDoc@gmail.com.