Видео

you too!

glad it was good for you!

Hi Samantha. Nice to see you again. I'm glad the algorithm reminded you too. If you want, you can join my email community, so you will get notified when I put out new stuff. www.DrShillerLearn.com. Wishing you well!

Glad it worked so well for you!

Thanks so much for your feedback and sharing your experience. I appreciate that you've learned so much about what supports your well-being. good to hear about how LDN is helping you. I totally hear about the difficult stressors you've had, and how you're contending with deeply wired stress reactivity, without alot of external support. It's a difficult situation. I don't know if this will be helpful, but here goes: I've come to see/believe that there is a place inside each of us that is "above" the biology and not dependent on the biology. Most people would call it a place of "spirit". I'm not talking about a religious perspective. It's an experiential perspective. Our elevated consciousness is not susceptible to the external or internal biological factors that drive the stress response. Sometimes we can learn to access it, and anchor ourselves there even in the context of stressful external and biological triggers. You could say that the observer is no longer sitting in the wildness of the body and emotion. It's sitting in a higher place. Anchored in stillness and clarity. And from there, it experiences the wildness and difficulties. It has a perspective of "I am not the pain. But I witness the pain". It's not an easy quick fix by any means. It takes time and practice to build the skill. But it is a possibility in some situations. How does that land for you?

It sounds like you’ve learned much about what works for you. Way to go!💪🏻 It sounds like you’re very motivated and smart and adaptable with a growth mindset. That’s the best foundation for healing. 😊 I wonder what would happen if you would redefine stress. Just like love and enjoying chocolate cake, stress is not only about what happens “out there”. Stress is how you experience your life. 🤔 I hear that you have many social burdens and I don’t judge your experience. But there is likely a possibility of learning to notice and choose how you respond to the external circumstances. Consider reading The Work, by Byron Katie. Let us know how it goes, please. :-) ❤️

glad it helped!

I'm so glad you liked it. Can you say what helped the most?

@@drshillermd I’ve never been able to sit still for meditation, but I’ve done tai chi for years (decades) and you made me realise the answer was there all along, also, your lovely relaxed and caring presentation really resonated with me

Glad you liked it! What was most helpful for you?

I agree that Lyme Disease needs to be suspected in anyone with fibro-like symptoms. But I caution that there is a danger with the Lyme diagnosis. Some people have clearly measurable evidence of Lyme. And they should be treated for Lyme. But some have no objective findings, and there is a clinical diagnosis of Lyme that some practitioners make, purely based on subjective symptoms. In some cases, a person can have late effects of Lyme with normal testing. So it's important to be open minded. But to not be so open-minded that your brain falls out. There is much room for error in those cases, where a person is diagnosed with Lyme with no objective findings. And the treatments are not without risk. So one needs to be very careful of whom you will allow to diagnose and treat Lyme.

agree 100%

So glad it was helpful. And keep in mind that fatty liver and pancreatitis can be connected. Think about the whole digestive system as one interconnected unit. Look for the drivers of inflammation, and think about diet, and nutritional support as potential parts of the solution.

@andrewdavidshiller4158 perfect thank you !I cut out sugars added alot more vegetables !No red meat,no fast food,I also try to walk for 30 minutes a day!Alot of veteran doctors do care about us nor tell us what's going on! I now ask alot of questions and also do my research!

Glad it was interesting for you. Sounds like a low threshold of energy production. I hope you're looking into why the system is sick and what you can do about it. Inflammation, dysbiosis, leaky gut, mitochondrial dysfunction, autonomic imbalance. It's a process to heal.

Hi Bonnie. I'm glad you like the video. 🙂 And I'm glad you shared your thoughts about adrenal/fatigue.🙂Let's clarify. I'm not suggesting that there chronic fatigue isn't real. It is. And in some cases, one of the major drivers of chronic fatigue is dysregulation of the adrenal hormone function. The "thing that's not a thing" that I was pointing out, is that it's not a disease of the adrenal gland. The adrenal gland isn't harmed or broken or sick. What gets sick in some folks is the feedback between the brain and the adrenal gland. It's like the thermostat gets turned down, and the adrenals don't produce a normal daily cycle of adrenal hormones. The problem is that the normal feedback that makes the brain stimulate the adrenals gets blunted. the gland itself isn't sick. That's evidenced by the fact that in most people who have dysregulated adrenals with fatigue, including many of my patients, when they get an ACTH stimulation test, their adrenal produces plenty of hormone. The problem is the feedback loop. Does that make sense from your end?

@@andrewdavidshiller4158 Yes, that makes sense. Thanks for replying!

So glad to hear your open-mindedness! In my experience, that's one of the key mindset pieces that distinguishes people who heal and live good lives despite fibro. If you can believe in your capacity to heal, and smile at the challenges, then you've got a good chance. :-). I invite you to keep learning. I have a few vids here on YT, and also on my blog. this is a good overview of the functional approach: www.drshiller.com/dr-shillers-integrative-approach-to-fibromyalgia/. Your healing path will be unique to you. Wishing you well.

I couldn't agree more, yoga made me feel awful as does even light weight training, the struggle is so real. I find each day completely different but thank you for mentioning this

@@claudial1240 You are welcome.

Thanks for your comment. It makes me think that either you're hugely more educated than most patients and doctors about fibro, or that you didn't really watch the video. The video shares quite a bit of information that many people don't know. Insights that are rarely shared in the conventional medical context. And I get lots of feedback that this information is extremely helpful for patients. I hear that from hundreds of patients, and from other comments on this video and others. I'm sorry you were unable to gather any insights and felt the need to complain about something that so many other people find helpful. Many people are stuck in a place where they've been told by their doctor that "we don't understand fibro--just deal with it". My view is much different and is supported by considerable underlying research. Applying that research has resulted in many people getting significantly better. A key part of that is understanding the multiple biological imbalances associated with fibro. That includes autonomic imbalance, low-grade inflammation, mitochondrial dysfunction, hormonal imbalance, soft tissue restriction, neuromuscular imbalances and so on. And how when we address them, many people feel significantly better and are able to improve their function. You're invited to learn more, unless you know all that already.

@@drshillermd . Yes...you are quite right...after all these years I do know a fair bit about it. Dr Sarno went into Fibro in great depth back in the day...one of if not the first to do so. What did you add to his and others pioneering work. ?..Dr Sarcasm.

@@xyzllii I didn't write with sarcasm. I'm glad you brought up Dr Sarno. His insights made huge contributions to pain care. But as far as I know, he didn't speak at all about the metabolic, biochemical, immunological, and hormonal aspects of FMS and other related syndromes.

I have had fibromyalgia for over 42 years after falling out of a moving car and also being in a very unhappy abusive marriage for 20 yrs. The abuse was horrific, my husband was an alcoholic drug user and dealer. He even shot at me with guns several times. All the while I tried to maintain a normal Christian home life raising our 3 boys. I am sure the stress from the terrorist threats from my husband caused the fibro to increase in pain. I have been married for 40 yrs to someone else that is very understanding and helpful with the fibro but I progressively get worse over time and more symptoms arise until it seems my whole body is affected. I go to Pain Management but all I receive there is pain meds and not enough to help me be able to do anything. Just enough to take some of the edge off, I am bedridden and tethered to oxygen machine. I listen to a lot of info about fibro but there is nothing I haven’t heard a bunch of times, nothing new or helpful. I have tried all the different meds for fibro nothing helped and several had bad side effects. Pain meds and Aspercreme and Tylenol is all that helps and soaking in hot water bath! I am beginning to wonder in my progression of fibro if it doesn’t eventually just wear us out and we die of exhaustion?! I feel so much of the time of being so tired and exhausted that I could just not wake up. Sleep is misery, I dread to sleep because after just 30min to 2 hrs sleep the pain wakes me up and it hurts to move anything I am so stiff from not moving for awhile!! I prop my head up with pillows and my feet for circulation but NOTHING really seems to help. I wish there could be legislation for mercy for diseases like I have to be able to receive medical pain meds of whatever sort there is to help us that just want some kind of life back, just to be able to cook a meal or clean our house just a little or have a social life! The law puts us in the same category as street drug addicts, we go to specialists and pay lots of money for help and we get dribbled out meds to us because street addicts kill themselves over dosing! How is that right in the law makers eyes? I was with the clinics permission taking Gummies, legal in TN, with 3% THC and it showed trace of pot in my urine test and I nearly got dropped from being able to be treated by that clinic!! The Gummies helped me sleep way better than other sleep aids! I just don’t understand why help is withheld from us by law!! We are suffering so much needlessly when there is help out there but doctors are watched like they are criminals too!! That is what I have to say about suffering for nearly 50yrs!!! I can guarantee a lot of fibromyalgia suffers consider suicide at least once or twice when they have flare ups, they can be mind boggling and intense, I know I have, but I know hell is real and I can not imagine going to another place after death and suffer for eternity! Serving God and having faith in God at least there is heaven to look forward to!!!

@@drshillermd I don't think you should give such people the time or energy. This video was very helpful for me and in this exact predicament and been thinking of which direction to go in terms of selecting activities that would not cause flareups as jogging at a easy pace for 10 minutes seems to be enough to cause me to crash the following days. I'm been thinking about including mindfulness and meditation into my daily routine and this video has helped me to really solidify my decision to dedicate myself to such practices and see what impact it will have so thanks :)

I'm so glad you found things that helped. As you probably learned, Fibro and chronic pain and fatigue are multi-factorial. So the best results often come from a multifactorial process. Just so you know, many people get insomnia when they take it at night. My practice is that I tell my peeps to take it at night. But if causes insomnia or wild bothersome dreams, I tell them to take it in the morning. And that usually fixes the problem.

@@drshillermd thanks a lot for the info!

@@aquious953 right on!

sorry to hear you're having such a hard time.

so glad to hear that you found something that works for you! 🙂

so glad to hear it was helpful for you

I tried it but made mine worse!

@@ritaagaba8321 Everyone is different. I've had many people who have felt worse when they tried LDN. It's usually for one of two reasons. 1. They started on a dose that is too high. There are many guidelines about starting people at 1.5mg. In my experience some people are much more sensitive or have adrenal imbalances so they can't tolerate a dose of 1.5mg. 2. They take LDN when they're taking opoiid meds. The LDN blocks the opioid so they feel crummy. 3. some people are sensitive to everything because of immune imbalances. Often a different hypoallergenic filler helps.

Glad it was helpful, Tina. Can you share anything about what was most helpful for you? What else do you need to know?

I'm glad you found ayurveda. There are powerful healing principles and practices there and I hope you have continued healing.

Thx

glad you liked it. Did anything in particular stand out?

You're welcome! Would you care to share what was useful about it for you? (I'm always looking to refine the sharing of info)

Doc. Shiller, I am a newly diagnosed Fibromyalgia patient. I'm just trying to educate myself actually. I've been dealing with chronic fatigue, sore joints, body pain, nausea, constipation and the list goes on. I've dealt with depression. I've been misdiagnosed with lupus. It's just hard when love ones thinks you making up all these symptoms in your head. Sighs

@@kloe89 Yeah I heard that about the loved ones. You're not alone in that. "The invisible disease". "Gosh, you look ok, sure it's not in your head?" My patients describe that all the time. Educating yourself is the best thing. There are ways to heal fibro. It's so important to get your head around the Gut-Mindbody-Immune connection and how it also relates to hormones, cellular energy. It's a process. Be patient. Forgive yourself and the people who don't understand. It's not your fault. But you do have an opportunity to transform your life. Feel free to check out some of the other stuff on my blog too.

Thank you Doc for all your kind words 🙏. Do have a blessed day 🙏

@@kloe89 you might like this video too www.drshiller.com/ldn-not-a-miracle-cure-for-pain-fatigue-fibromyalgia/

I agree with you 100% that nobody can understand the experience of chronic pain without experiencing chronic pain. But if you're experiencing chronic pain, it's also important to get a birds-eye understanding that is NOT experiential. To understand the big picture of what generates and worsens pain, what causes pain to ripple through your life and cause other medical problems, emotional problems, and functional loss. I hope that my videos and posts begin to provide that.

I feel the same way. I don’t feel like anybody understands what chronic pain feels like I’m 68. I’m just recovering from my 6 th back surgery . I have fibromyalgia. Also I don’t eat gluten and the foods that causes inflammation. I walk in exercise as much as I can tolerate I am very tired, I used to have an active life and now I don’t. Sometimes I just wish I could talk to somebody that was also in chronic pain.

Exactly. I can’t stand doctors telling me how doing this and that will help, and when it doesn’t, they don’t believe it’s as bad as it is. My pain is never below a 6/10, no matter what. The 24/7 pain is just torturous.

Yes I know what you mean, it’s only people with chronic pain and fatigue that truly understand. I’m over worrying what people think, if they visit and I’m laying down, resting because I haven’t slept the night before, too bad, just take me how I am. It’s not being lazy, it’s often just trying to get through another day. On better days I do all I can, but not over do it either. Im just great full I don’t have to work 😉 Take care, we must look after ourselves as best we can. Good luck 😊

Thank you Dr Andrew, I really enjoyed your video. I’ve liked and subscribed 🙏

Very well said!

you're welcome

Thats and interesting and very uninformed comment. Apparently you have read the clinical studies and basic research regarding the mechanisms of action.

@@drshillermd it works for rich white women to can their hysteria and it works for rich drug addicts who can't control themselves maybe. But For chronic diseases, like chronic pain, which is the leading reason people go to see Doctors and is the most prevalent disease in the world, it does nothing. Can you present me the studies how low dose naltrexone effects the most common disease amongst humans ?

I'm so glad you are getting benefit from the pilates and stretching. And glad you respect your boundaries around the jumping. Exercise can be very energizing. Enjoy. 🙂

Pilates has been God sent to me

@@babycoleangel I'm so glad to hear that pilates has been good for you.

That sounds beautiful. Did I say that, or is it your reflection and sharing?

You said it towards the end of the video and I loved it! 8:19 💟@@drshillermd

You actually used the word "soft" a wee bit earlier.

If weight training works for you, by all means keep doing it. I'm not saying its a bad thing, if your body can tolerate it. But if you can't tolerate weight training, and you know that the right kind of exercise might be useful, then you can to decide....do you want to stay rigid in your preferences, or do you want to find what works for you. It's up to you. :-)

Resistance or weight training is my medicine of choice ! Be wary of one size fits all advice. Most fibromyalgia advice comes from those who don't even have it. Would you hire a plumber to sew your wedding dress ?

@@cdracos1 Thanks! Yeah, I've been experimenting with the types of weights training I can do without overdoing it. I've cut out big compound exercises for now (i.e., squats, deadlifts), am doing lots of isolation and have cut my workout sessions down to make sure I'm only in the gym for around an hour because I used to spend too long in the gym each session. I have been on uni break for a few months and realised that when I have more work/life balance, my weights training doesn't make me feel as exhausted as when my life is full on busy. I don't think my training will ever be the same, but I definitely think it's something I can keep in my life.

Would using light weights help ? I know I can’t push myself too hard. I exercise with a senior group, I really enjoy it, but the next day I’m exhausted and can’t do much. Pace is the way to go, but I’m a little all or nothing 😩 Thank you for this video, I enjoyed it.

@@WendyHannan-pt7ez it's super important to find **your** sweet spot. Nobody can predict what your body needs. I can't give medical advice on youtube. But what I tell my patients is to start light and gentle. And build from there. Everyone has a "threshold" above which they overdo it and can we be wiped out for days. For people with fibro the threshold is lower and sometimes the post exercise malaise is worse. So don't worry about anyone else's truth, and find yours. 🙂

Hi and thanks for your comment. I'm not aware of functional MRI being in use anywhere to guide treatment. Some people do quantitative EEG and brain mapping and do therapeutic EEG biofeedback, but I'm not aware of studies showing benefit. Regarding inflammation, I don't think the usual causality assumption of "A causes B" is so relevant in FMS. The way it looks to me from a systems biology point of view is more like "There is synergy and vicious cycles of relationship among Gut dysbiosis and leaky gut, autonomic imbalance, immune imbalance, mitochondrial dysfunction, pain processing, hormonal balance, etc". Trying to pin FMS pain on "nerve inflammation vs rheumatoid type inflammation". I don't know what that means. Whenever there is inflammation, there is neurologic changes. When I hear "Rheumatoid type inflammation" I think of specific body antigens to which the immune system is sensitized, and thus creates autoimmune damage and pain. That kind of inflammation can certain feed the cycle of relationships that leads tot he FMS picture, which is probably why people with autoimmune disease have a much higher incidence of FMS. But you have to also ask, "what is causing the immune system to be sensitized in RA, so that it attacks the body". That's where the systems biology view fits.

@@drshillermd thank you for your reply. It would be really nice to have medical diagnostic tools to identify the cause of Fibromyalgia. It’s difficult to trust or really know what the best approach is to this condition. In my heart I believe it is possible to recover, but it’s challenging to figure out how. I have both CRPS and fibromyalgia. It’s been 14 years, and treatments have been as aggressive as ketamine and lidocaine infusions and radio frequency ablation with minimal success. At least 20 different medications over the years. I won’t even begin to list all the natural treatments, supplements, exercises, diets etc that I’ve tried. The only thing that has had a significant impact has been medical cannabis oil with both CBD and THC. CBD alone did not help. Is that an indication of what part of the brain/body is being affected? Regardless, I want to resume and live a normal life and continuously move past the pain. I walk for hours, been doing some pretty intense renovations, workout and live an active life. However, not sure if pushing through pain and fatigue is hurtful or helpful. I just don’t really care for gentle yoga and Thai Chi, but intellectually I understand why it’s recommended. I think there needs to be a balance between doing something you love, but also something that is helpful. I’m certain that a lot of people living with this condition just want their identity back, but the big question is how? I know that is complex.

ok. I hope that's going well for you.

thank you