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text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.alternativemedicine.com/common/news/store_news.asp?task=store_news&SID_store_news=415&storeID=02AD61F001A74B5887D3BD11F6C28169 Alternative = Medicine=97Heal Thyself=97Spotlight on Fibromyalgia
 
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3D"Complementary

Heal=20 Thyself=97Spotlight on Fibromyalgia

By Jennifer Arnold

No one ever told Pamela Hirth that her aches and pains = were all=20 in her head, but she could tell that=92s what they were = thinking. =93I=20 could see the looks on their faces,=94 says the 48-year-old = resident=20 of Orange, Connecticut. And in her visits to doctor after = doctor,=20 she got nowhere trying to pinpoint the cause of her fatigue, = insomnia, and the constant pain in her arms and legs. So it = was a=20 relief when a rheumatologist finally gave her condition a = name:=20 fibromyalgia.

But even with the diagnosis, things didn=92t get much = better for=20 Hirth, a self-employed clothing designer and the mother of = three=20 boys. The rheumatologist prescribed an antidepressant, which = made=20 her feel spaced out. He recommended exercise, which helped = somewhat=20 but was hard to keep up with when she was so exhausted and = achy. And=20 a prescription anti-inflammatory drug helped cover up the = pain,=20 Hirth says, but didn=92t make it go away.

Then a friend convinced her to make an appointment with = David=20 Katz, a physician and director of the Integrative Medicine = Center at=20 Griffin Hospital in Derby, Connecticut. She figured she had = nothing=20 to lose, but she wasn=92t terribly optimistic. After five = years of=20 dead ends, she thought she had heard it all.

But after an initial consultation, Katz recommended a = treatment=20 Hirth hadn=92t heard of=97intravenous micronutrient therapy, = or IVMT.=20 Katz didn=92t promise anything, but he said that other = fibromyalgia=20 patients had gotten good results from the treatment. Hirth = scheduled=20 an appointment for the following week.

=93The results were almost instantaneous,=94 says Hirth. = The next=20 day, she got out of bed and began her morning routine=97a = time when=20 her fibromyalgia pain was usually at its worst. But this = morning was=20 different. =93I=92m sitting there drinking my coffee and = suddenly I=20 realize I=92m not in pain,=94 she says. =93It was like a = miracle.=94

Right now as many as eight million people in the United = States=20 would give anything to experience such a miracle, since = they, too,=20 suffer from fibromyalgia, a chronic condition marked by = pain, aches,=20 stiffness, disturbed sleep, and fatigue. Like Hirth, many = spend=20 years going from one doctor to another before getting a = diagnosis,=20 and even then find that conventional medicine has little to = offer.=20 No one knows for sure what causes fibromyalgia; at best, = treatment=20 involves a mix of medications and lifestyle changes that = require=20 lots of trial and error=97and don=92t always work.

But for the past 20 years or so, a small but growing = number of=20 alternative clinics across the country have been using IVMT = with=20 impressive results. Katz, a conventionally trained = internist, is a=20 relative newcomer; in the past two and a half years, he = estimates=20 he=92s treated 60 fibromyalgia patients with IVMT. But = he=92s also=20 gathered data on several thousand fibromyalgia and chronic = fatigue=20 sufferers who=92ve been treated at clinics across the = country.=20 Together, the findings paint a promising picture.

Overall, Katz has found that about 80 percent of patients = get=20 good results from IVMT, and very few experience any side = effects.=20 Among his patients, he says, about one in five feels better = after=20 the very first treatment, as Hirth did. =93Others improve = more=20 gradually, reporting changes after four or five = treatments,=94 he=20 says.

So what exactly is IVMT? The =93MT=94 stands for = micronutrient=20 therapy, in this case a high-dose combination of B-complex = vitamins,=20 vitamin C, magnesium, and calcium. The formula is sometimes = referred=20 to as =93Myers=92 cocktail,=94 after the late John Myers, a = Baltimore=20 doctor who pioneered the therapy in the 1960s and 70s as a = treatment=20 for fatigue, depression, and even chest pain.

But why not just pop supplements? That=92s where the IV = part comes=20 in: When the nutrients are delivered through a slow = intravenous=20 drip, the patient can absorb much higher concentrations than = she=92d=20 get from an oral dose.

No one knows exactly how Myers came up with the specific=20 combination of nutrients. He never published or publicized = his work,=20 but he did have a small following of loyal patients who = swore by the=20 therapy. After Myers=92 death in 1984, some of these = patients appealed=20 to Alan Gaby, an alternative-minded physician in Baltimore. = Gaby did=20 some research, and began administering his own version of = the=20 cocktail. After seeing results in many patients, he began = spreading=20 the word.

The therapy isn=92t for everyone; Katz doesn=92t = recommend it for=20 people with blood disorders such as hemophilia, kidney = disease, or=20 congestive heart failure. (In different ways, people with = each of=20 these conditions could react negatively to either IV = administration=20 or excess fluid volume in the body).

But in most cases, IVMT seems safe and effective. = Patients may=20 feel a slight pinch and then a warm sensation in their arm = at the IV=20 site, but other than that the therapy is painless and takes = only=20 about ten to 15 minutes.

Most practitioners recommend a series of eight weekly = treatments,=20 followed by a break to assess results. =93A lot of patients = come back=20 within a month, saying their symptoms are starting to = recur,=94 says=20 Katz. While IVMT doesn=92t make the pain go away forever, = even=20 short-term relief=97from a therapy patients can repeat if = they need=20 to=97is welcome to people who=92ve been suffering for years. =

So why aren=92t more people using it? Although IVMT has = been around=20 for decades, very little research has been published on it, = and it=92s=20 remained just under the radar. Few physicians=97and even = fewer=20 patients=97have heard of it. (Katz didn=92t learn of it = until a=20 naturopath who was a resident on his staff brought it to his = attention.) After conducting the survey, reading the limited = literature, and contemplating the lack of options for his=20 fibromyalgia patients, he decided to give it a go.

=93When I=92ve exhausted my ability to treat patients = based on=20 randomized trials, and they=92re still in pain, what do I do = then?=94=20 asks Katz. =93Human needs extend beyond the edge of the = evidence, and=20 fibromyalgia is a perfect example.=94

Even doctors who have been using IVMT for years can=92t = fully=20 explain why it works. Some scientists believe the high=20 concentrations of micronutrients help strengthen the immune = system,=20 reduce free radical damage, improve cellular membrane = quality, or=20 boost cellular energy production.

Katz has his own hypothesis: He believes that the = nutrients help=20 blood vessels dilate more effectively, boosting blood flow = to=20 muscles. Without adequate blood, muscles are starved for = oxygen, and=20 carbon dioxide and other potential toxins can build up in = the=20 tissues, causing pain.

=93It fits what we know,=94 says Katz. =93We know that = physical=20 activity helps relieve fibromyalgia symptoms, and exercise = also=20 increases blood flow.=94 This theory may also help explain = why=20 fibromyalgia occurs more often in women than in men. Since = women=20 have narrower blood vessels than men, even a slight = deterioration in=20 vessel tone could reduce blood flow to the muscles.

While the reputation of IVMT is growing, it can still be=20 difficult to find an experienced practitioner. Katz = recommends=20 contacting integrative medicine centers in your area to find = local=20 providers (see =93Finding IVMT Near You,=94 page 32, for = more=20 information). If you get no reaction to =93IVMT,=94 ask = again using the=20 term =93Myers=92 Cocktail=94; not all clinics are familiar = with both=20 names.

=93IVMT is governed by state requirements on who can do = IV=20 therapy,=94 said Katz. =93In some states naturopathic = physicians can do=20 it; in some they can=92t.=94 Expect to pay $15 to $100 per = session; in=20 some cases, insurance will cover a portion of the cost.

The Yale-Griffin Prevention Research Center in Derby,=20 Connecticut, is currently involved in an IVMT study = sponsored by the=20 National Center for Complementary and Alternative Medicine. = (The=20 research, which began in June 2004, will conclude in = September=20 2005.) That may provide more answers=97but for now, IVMT = patients like=20 Hirth are just happy with the improvements they=92re seeing. =

These days, Hirth visits the clinic every ten days or so = for a=20 treatment. Even when she had to skip a few weeks because of = travel,=20 she found that her symptoms were less severe than before. = =93I have=20 more endurance and I can work longer without getting = tired,=94 she=20 says. Her pain is reduced, she=92s sleeping better, and she = has more=20 energy throughout the day. =93In the mornings I can just get = up and=20 go,=94 she says. =93I=92ve got my life back.=94=20

 
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