Fibromyalgia, Hypothyroidism, Thyroid Hormone Resistance

Dr. John C. Lowe, PLLC

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The Metabolic Treatment
of Fibromyalgia

by Dr. John C. Lowe
Readers' Comments

Your Guide to
Metabolic Health

by Dr. Gina Honeyman-Lowe & Dr. John C. Lowe

 

How I Monitor
a Patient's Progress During
Metabolic Testing

Dr. John C. Lowe

How to Contact Us
Q&As About Measuring the Metabolic Rate
What's Included in a Metabolic Evaluation
Instructions for Preparing for a Metabolic Evaluation
How I Measure a Patient's Resting Metabolic Rate

To measure a patient's resting metabolic rate, I a MedGem "indirect calorimeter."  This instrument is hand-held by the patient. These instrument is a Class II Medical devices available only to licensed practitioners.

While measuring the patient's resting metabolic rate, I watch graphs on a computer screen. The lines and bars in the graphs let me know whether the patient's breathing is steady or varying too much. Based on my experience in measuring metabolic rates, I can usually tell from reading the graphs whether or not the patient is in a true resting state. If not, I can determine why the patient isn't in a resting state and correct the problem. To illustrate, I give an example below.

 | Volume of Air and the VO2 | Recalculation of RMR with each breath |
Graphic Display of the Volume of Breath and the VO2


The green line in the graph above represents the volume of air taken in by the patient. The blue line represents the volume of oxygen (VO
2) in the air.

Detecting Problems During the Test


How Graph Monitoring Helps. When I monitor a graph with the MedGem, I
often identify problems during metabolic testing. Above is the bar graph of a patient's metabolic rate. The software recalculated her resting metabolic rate with each breath. The vertical green bars represent the recalculated metabolic rates. Her recalculated metabolic rates were extremely low until almost midway through the test. Then her cell phone, which she hadn't turned off, rang. When the phone rang, the graphic representation of her metabolic rate spiked upward. I show this point in time by the red arrow.

Because the recalculated metabolic rates remained markedly higher after the phone rang, I stopped the test. The patient then told me that after her phone rang, she was preoccupied with who might have called. I had the patient check her cell phone to make sure the call wasn't an emergency. Then, with her mind at ease, she was again able to deeply relax herself. During the second test, her overall metabolic rate was consistent with the first half of the graph above, which was severely abnormally low. Without the either this MedGem graph, I wouldn't have known that the cell phone had markedly raised the patient's metabolic rate above her true resting rate.

This example illustrates that in some cases, getting an accurate measure of a  patient's resting metabolic rate depends on careful monitoring during the test. I am painstaking in preparing patients for their metabolic tests and in conducting the tests. And I am meticulous in using the test results and all the patient's other metabolism-related information to formulate a regimen of "metabolic rehab," the treatment approach I began developing years ago. By using all the information I have on the patient, I'm able to individualize his or her program of metabolic rehab. This approach is time consuming and mentally demanding, but these are necessary if I am to provide patients with the best possible care.

How to Contact Us | Q&As About Measuring the Metabolic Rate
Instructions for Preparing for Your Metabolic Evaluation