Fibromyalgia, Hypothyroidism, Thyroid Hormone Resistance

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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

November 7, 2003
News from the Center for Metabolic Health
and Dr. John C. Lowe & Dr. Gina Honeyman-Lowe

New Items:

NEWS ITEMS

1. We Need Your Help Improving Our Website, drlowe.com
2. Correction to Item in Last Newsletter
3. Drs. Honeyman-Lowe & Lowe Attend Pain Management Conference
4. HIPAA Regulations and Emails
5. Dr. Lowe to Start Metabolic Study in Two Months
6. Free of Charge: Forms for Self-guided Metabolic Rehab

We Need Your Help Improving Our Website, drlowe.com


We are about to improve our website, drlowe.com, in several substantial ways. We want the site to be user friendly for you, and we want to provide you with an appealing format and information you're interested in. Because of this, we're asking you to help us out by sending us any ideas you have. Maybe you already know of some changes you'd like to see. If not, we'll be grateful for any time you spend looking over the site and giving us suggestions. Please send your ideas to McDHealthScience@aol.com.

Correction to Item about NPTech Services in Last Newsletter


In our October 30th Center for Metabolic Health, LLC email newsletter, a miscommunication resulted in our making an incorrect statement about services offered by NPTech Services in the UK. Ron Turner, the biochemist in charge at NPTech Services, notified us of the mistake. Mr. Turner emphasized that "NPTech Services does NOT provide testing for patients ‘so that they can self-diagnose hormonal disorders.' NPTech Services carries out tests which are either requested by a doctor or healthcare professional and, in the case of a patient request, always on the understanding that the results will be shared with and interpreted by a medical practitioner. This is clearly stated on the Lab results report." We apologize for the error. Below is contact information for NPTech Services:

NPTech Services
Wellington House
96-98 Wellington Street
Newmarket, Suffolk CB8 8SX
Telephone: (44) 1638 665350 Fax: (44) 1638 664913
Web site: www.nptech.co.uk e-mail: info@nptech.co.uk

Drs. Honeyman-Lowe & Lowe Attend Denver Pain Management Conference


On September 5, 6, and 7, Dr. Honeyman-Lowe and Dr. Lowe attended the annual conference of the American Academy of Pain Management in Denver, Colorado.

On Sunday, September 7, Drs. Honeyman-Lowe and Lowe attended Dr. Jacob Teitelbaum's presentation of his treatment for fibromyalgia/chronic fatigue syndrome. His presentation reaffirmed some overlap between his and their approach to the nutritional and hormonal aspects of their respective treatment programs.

After the meeting on Sunday, Drs. Honeyman-Lowe and Lowe had lunch with Dr. Teitelbaum and his wife, Lori. Also present were Dr. Hal Blatman and his wife, Nancy, and author and social worker Rosalie Devonshire.

Dr. Blatman is a popular pain management physician who specializes in the treatment of myofascial pain syndromes. He is well-known for training other clinicians in myofascial trigger point therapy and for his contributions to the American Academy of Pain Management.

Rosalie Devonshire is a licensed independent social worker who does psychotherapy with adolescents. Her book "Taking Control of Fibromyalgia" was the first popular book on fibromyalgia; it has been available in bookstores for ten years. She and her coauthor are currently revising and updating the book. The book has a chapter by Dr. Teitelbaum on the treatment of fibromyalgia/chronic fatigue syndrome. At dinner, Rosalie asked Dr. Lowe and Dr. Honeyman-Lowe to write a chapter for the new edition describing the relation of fibromyalgia to hypothyroidism and thyroid hormone resistance. 

On her website, Rosalie has a page on flare-up management. Most patients, of course, can now fully recover from fibromyalgia. In the meantime, however, Rosalie's information on managing flare-ups may help in times when symptoms severely worsen. The page address is: www.fmsedsys.com/flareupmanagement.htm

HIPAA Regulations and Emails


The Health Insurance Portability and Accountability Act (HIPAA) went into effect in the US in 2003. The Act is a federal statute that requires all medical records and other individually identifiable information, used or disclosed by us in any form (electronically, on paper, or orally), be kept properly confidential. To be in compliance with HIPAA regulations, we will no longer be exchanging personal medical information via email. Instead, a brief phone consultation appointment should be scheduled for your questions and concerns to be answered. Thanks for your understanding. 

Diane Patterson
Office Manager:
(603) 391-6061


Dr. Lowe to Start Metabolic Study to Start in Two Months


In two months, Dr. Lowe and his research team will begin a new study at the Center for Metabolic Health. Members of the research team include Dr. Gina Honeyman-Lowe, internist Dr. John O'Hearne, Jackie Yellin, Jane Jones, RN, and others.

Two groups of subjects will participate: patients who meet strict criteria for fibromyalgia, and matched healthy controls. Researchers will measure the resting metabolic rates of the patients and control subjects. Other measurements will include body composition, weight, height, thyroid status, fibromyalgia status, and physical activity level.

Statistics will be used to determine whether patients' metabolic rates differ from those of healthy controls. Regression statistics will then be used to learn the relative contribution of various metabolism-influencing factors to any difference in the metabolic rates of the two groups.

The study is important to establishing whether fibromyalgia patients are in fact hypometabolic compared to healthy controls. Our assumption is that the patients' metabolic rates will be slower. If so, the regression statistics will clarify the metabolism-regulating factors most responsible for the slower rates.

Those who participate will have to be in Boulder for a week or two. The purpose is to undergo exams and measurements and an interview by a panel of doctors on the research team.

The Fibromyalgia Research Foundation (FRF) is sponsoring and funding the study. FRF is a non-profit organization for education and research. Dr. Lowe is its Director of Research. Please consider making a donation to FRF to be used specifically for this study. Any donation, no matter how small, will help—and will be greatly appreciated!

To donate, please see our donation page at www.drlowe.com/FRF/donations.htm. One easy way to donate is through PayPal; the system will be active within the next two days on the same donation page.

Available Free-of-Charge: Symptom-severity Scales 
and Graph for Self-guided Metabolic Rehab



Your Guide to Metabolic Health by Drs. Honeyman-Lowe and Lowe is a by-the-numbers book to self-guided metabolic rehab. Those who have read the book know of the emphasis the doctors place on using symptom-severity scales and a line graph during treatment. The scales and graph are contained in an appendix of the book.

Now, however, the scales and graph can be downloaded or printed—free of charge—from a page at drlowe.com. The scales and graph are essential to intelligently guiding your own rehab, as the doctors explain in Chapter 2 and Chapter 3 of the book.

Clinical Care


To inquire about long-distance consulting services or treatment at the Center for Metabolic Health, LLC, please contact Peggy Myers. You can reach her by e-mail at Tammy@drlowe.com, or by telephone at
(603) 391-6061.

The Metabolic Treatment of Fibromyalgia by Dr. Lowe in collaboration with Jackie Yellin. Hailed by many as the most comprehensive, extensively detailed, and documented book ever written on hypothyroidism, thyroid hormone resistance, and fibromyalgia. Order through McDowell Publishing Co., LLC: www.McDowellPublishing.com


October 30, 2003
News from the Center for Metabolic Health
Dr. John C. Lowe & Dr. Gina Honeyman-Lowe

New Items:

NEWS ITEMS


1. Valuable Tool for Finding Your Safe Dose of Thyroid Hormone
2. London Conference of Thyroid UK
3. Classes for Patients on Self-guided Metabolic Rehab

Valuable Tool for Finding
Your Safe Dose of Thyroid Hormone



Early in 2001, Dr. Gina Honeyman-Lowe had an idea that has saved enormous time and provided important documentation during her thyroid patients’ treatment. She noted that each time she assessed how her thyroid patients were doing on particular doses of thyroid hormone, she asked them the same questions about safety over and over again. The questions were about possible overstimulation from the hormone. For example, she would ask, "Since your last assessment, have you developed muscle tremors, rapid heart rate, excess body heat, etc. . . ."

Dr. Honeyman-Lowe realized that she could save time by creating a form patients would fill out as part of each reassessment. The completed form would make any symptoms of overstimulation obvious at a quick glance. Developing symptoms of overstimulation would be easy to spot by comparing a patient’s latest filled-out form with previous ones. Dr. Honeyman-Lowe developed the form, which she named "Are You Overstimulated?" The form is on page 357 of Your Guide to Metabolic Health and anyone can download or print it free-of-charge at: http://www.drlowe.com/clincare/clinicalforms/areyouoverstimulated.pdf

Dr. Honeyman-Lowe and Dr. Lowe now use the form with each new patient, and it has turned out to be more useful than Dr. Honeyman-Lowe originally thought. Other doctors have confirmed this. These doctors follow Dr. Honeyman-Lowe’s advice to ignore their patients’ thyroid function test results during thyroid hormone therapy. Instead, they adjust dosages according to how patients respond to a particular dose. As studies have shown, this approach produces far superior treatment results than does adjusting dosages according to thyroid test results.[1][2]

But these doctors have a grave concern: losing their medical licenses for not adjusting their patients’ dosages according to TSH test results—essentially for failing to comply with ordering more and more TSH tests.

The nature of the problem is what Dr. Lowe several years ago named the "tyranny of the TSH."[3,p.87][4,p.861] A doctor may learn that more patients get well when their thyroid hormone dosages are adjusted according to their clinical responses to the hormone. But he’s afraid to use this approach in lieu of ordering TSH tests. He remembers well the publicized cases of Dr. Barry Durrant-Peatfield and Dr. David Derry. The threat is ever present that his medical regulatory board, pressured by one or more endocrinologists, may reprimand him or even suspend his license to practice medicine.

The "Are You Overstimulated?" form offers some protection from this threat. The ultimate concern in medical care should be patient safety—remember the "do no harm" provision of the Hippocratic oath. Dr. Honeyman-Lowe’s form, when used properly, becomes objective documentation that a patient has not experienced symptoms of thyroid hormone overstimulation. And this is true despite dosage adjustments based on the patient’s clinical responses without regard for his/her TSH level. Having a series of completed forms in a patient’s file is one of the best ways of documenting that the patient’s thyroid hormone therapy has been harmless. This may provide your doctor with some peace of mind. It may do so by calming his fear of retaliation for failing to comply with the politically and financially motivated standard of repeatedly ordering TSH tests.

References

[1] Johansen, K., Hansen, J.M., and Skovsted, L.: Myxedema and thyrotoxicosis: relations between clinical state and concentrations of thyroxine and triiodothyronine in blood. Acta Med. Scandinav., 204(5):361-364, 1978.

[2] Fraser, W.D., Biggart, E.M., O’Reilly, D. S., Gray, H.W., and McKillop, J.H.: Are biochemical tests of thyroid function of any value in monitoring patients receiving thyroxine replacement? Br. Med. J., 293:808-810, 1986.

[3] Interview with Dr. John C. Lowe. In Living Well With Hypothyroidism, by Mary Shomon, New York, Avon Books, 2000.

[4] Lowe, J.C.: The Metabolic Treatment of Fibromyalgia. Boulder, McDowell Publishing Co., 2002.

Thyroid UK's London Conference


Thyroid Awareness Week began in the United Kingdom with the First Thyroid UK Conference on Saturday, October 25, 2003. The Conference was held at Friends House, 173 Euston Road, London, UK, from 9:15 am to 4:30 pm. A team of prominent, international speakers addressed the Conference on the latest developments in the diagnosis and treatment of thyroid illness. Dr. Gina Honeyman-Lowe and Dr. John C. Lowe were among the speakers.

Dr. Honeyman-Lowe and Dr. Lowe, however, weren’t present at the Conference. They were scheduled to speak in London, but they cancelled their appearance for two reasons: overwhelming evidence of grossly lax airline security in the US, and ominous information from captured Al Qaeda operatives that airliners from the US to Gatwick Airport in London are specific targets for terrorist attacks.

Instead of a personal appearance, Dr. Honeyman-Lowe and Dr. Lowe gave their presentation by videotape. The tape is a slide presentation that includes some carefully-crafted illustrations by artist William Brooks, along with some footage of the doctors speaking. In the video, Dr. Lowe explains peripheral resistance to thyroid hormone and its proper treatment, and Dr. Honeyman-Lowe explains peripheral resistance to cortisol and its treatment.

TELECONFERENCE: Conference attendees watched the doctors’ videotape in the morning. In the afternoon, Dr. Honeyman-Lowe and Dr. Lowe took part in a Q-&-A session by telephone. As part of the panel of thyroid experts, they answered questions submitted by members of the audience.

OTHER EXPERTS AT THE CONFERENCE: Lyn Mynott, patient advocate and Chair of Thyroid UK, opened the Conference and introduced the speakers. The speakers were physicians and scientists who are experts in thyroidology and related fields.

* The eminent Dr. Barry Durrant-Peatfield spoke first. He is author of the popular book The Great Thyroid Scandal, which Dr. Honeyman-Lowe and Dr. Lowe strongly recommend to anyone with thyroid disease or adrenal insufficiency. Dr. Durrant-Peatfield’s topic was the diagnosis and treatment of adrenal insufficiency in thyroid disorders, with special reference to fluorine. Retired from clinical practice, he’s a treasured member of the team at Thyroid UK. He and his companion, Jo, work diligently to further the causes of the patient advocacy organization.

* Dr. John Mansfield spoke on the role of allergies and toxins in chronic disease, with special reference to mercury. Dr. Mansfield is widely known for his work in the diagnosis and treatment of allergic response. He has authored several books in this field, and he runs a busy private clinic in Banstead, UK.

* Dr. Brian McDonogh’s presentation was on detecting hormonal and nutritional deficiencies through live blood analysis. He is well known in the UK for advising patients on all aspects of general medicine, especially in reference to deficiency illnesses and nutrition. Dr. McDonogh has a private clinic in Crawley, UK.

* Ron Turner spoke on laboratory analysis of saliva and blood in the diagnosis of illness, with particular reference to hormone deficiencies. Ron Turner is a biochemist and runs the NPTech Services laboratory in Suffolk (UK), which specializes in the diagnosis and monitoring of hormonal disorders.

* Dr. Hamar Vogelaar’s presentation was on the importance of urine testing in hormone deficiencies, with special reference to thyroid and adrenal disorders. Dr. Vogelaar is a biochemist from the European Laboratory of Nutrients in Holland. The Laboratory is known internationally for its pioneering work in the use of urine for the diagnosis of hormonal dysfunction.

Dr. Honeyman-Lowe and Dr. Lowe are now working with artist William Brooks to refocus and expand their London video presentation. Within a couple of weeks, they’ll make it available on video, CD, and DVD. The new presentation will give patients and doctors an attention-holding audiovisual description of thyroid hormone resistance and its safe and effective treatment. (Information in the presentation on thyroid hormone resistance is based on Dr. Lowe’s more extensive coverage of the subject in his book The Metabolic Treatment of Fibromyalgia.

Dr. Honeyman-Lowe and Dr. Lowe’s aim is to give patients a presentation that’s easy and interesting to watch and listen to. They hope this will help some patients get their doctors’ cooperation by letting them see and hear the presentation. Williams’s beautiful illustrations in the partially-animated presentation will help serve this purpose.

A videotape of all the presentations at the London Conference is available from Thyroid UK. To order a copy, or for more information on Thyroid UK, contact:

Thyroid UK, 32 Darcy Road, St Osyth, Clacton on Sea, Essex CO16 8QF
Email: enquiries@thyroiduk.org  Website: www.thyroiduk.org

Classes for Patients on
Self-guided Metabolic Rehab



Are you interested in classes on self-guided metabolic rehab by Dr. Honeyman-Lowe and Dr. Lowe? The classes will be based on their new book Your Guide to Metabolic Health. If you are interested, Diane Patterson is compiling a list of those who want to attend. Before the classes begin, Diane will send people on the list details about the classes, including course content, locations, and times.

Thanks in advance for letting Diane know if you’re interested in the classes. You can let her know by sending her an email at Tammy@drlowe.com or phoning her at 303-413-6003.

Clinical Care


To inquire about long-distance consulting services or treatment at the Center for Metabolic Health, please contact Peggy Myers. You can reach her by e-mail at Tammy@drlowe.com, or by telephone at
(603) 391-6061.


August 3, 2003
News from the Center for Metabolic Health
and Dr. John C. Lowe & Dr. Gina Honeyman-Lowe

New Items:

NEWS ITEMS

1. 39 Most Common Signs of Hypothyroidism
2. Classes on Self-Guided Treatment with Metabolic Rehab
3. How Best to Use Your Guide to Metabolic Health
4. $10 August Discount Off The Metabolic Treatment of Fibormyalgia
5. Dr. Honeyman-Lowe’s & Dr. Lowe’s Respective Clinic Hours

39 Most Common Signs of Hypothyroidism
& Thyroid Hormone Resistance


On February 24, 2003, we posted to drlowe.com a list of the most common symptoms of hypothyroidism and thyroid hormone resistance. That webpage is now one of the most popular on drlowe.com.

The popularity of the symptom list has prompted us to now provide a list of the most common "signs" of hypothyroidism and thyroid hormone resistance. Signs are abnormalities that other people, such as doctors and your loved ones, can observe and verify. Pointing out signs to others may help persuade them that you need thyroid treatment or that your current treatment isn’t working. We expect that this list will help many thyroid patients. The signs list is posted at:
http://www.drlowe.com/geninfo/hyposigns.htm

Classes on Self-Guided Treatment with Metabolic Rehab

Patients in the US, UK, and Canada have long been frustrated, disheartened, and even angered by the incompetence of conventional doctors at treating them effectively for thyroid and other metabolic problems. These emotions are understandable, since the doctors’ incompetence has left millions of patients chronically ill from untreated or under-treated hypothyroidism, thyroid hormone resistance, low adrenal function, and other hormone problems.

To get themselves well, many people now use the Internet to obtain their medicinal products, most of which are food-based and over-the-counter. By doing so, they’re taking responsibility for their own health and freeing themselves from the doctors’ incompetence. Many of the people, however, don’t know which products may be best for them. Nor do they know how best to use the products. To help them learn, we’re considering holding educational classes. In the classes, we’ll teach people the principles and practice of using the products safely and effectively, and we’ll instruct them in getting well through self-guided metabolic rehab.

Soon critics will argue that rather than teaching people, we should discourage them from guiding their own treatment, and we should encourage them to leave treatment to licensed doctors. Unfortunately, the record shows this argument to be absurd. People in general could not possibly do a worse job at metabolic treatment than most doctors do. Many people have now concluded that if they're to get well, they must guide themselves through treatment, and they're doing it. We believe they can do a better job of it if taught how to do it properly, and we're prepared to teach them.

Our classes will be based on our new book, Your Guide to Metabolic Health. The book is literally a by-the-numbers guide to getting well. We're hearing from more and more people that the book is serving them well in their self-guided treatment. We believe that reading the book before the classes will enable people to get more from them.

It’s important to note that the relationship between those who'll attend the classes and us won’t be clinical; instead, it will be educational. Accordingly, those who attend won’t be patients; they’ll be students.

Whether we begin setting up and conducting the classes will depend on people’s interest them. People who might benefit most from the classes will be those with symptoms of fibromyalgia, chronic fatigue syndrome, hypothyroidism, thyroid hormone resistance, adrenal fatigue, or low adrenal function. Of course, relatives, friends, and others who care for and support people with such symptoms will also be welcome at the classes.

If you’re interested in classes on metabolic health and self-guided metabolic rehab, you can help us by letting us know. Please send Peggy Myers an email at MetabolicHealth@aol.com. Giving her your city or full mailing address will help us decide which locations are best for holding the classes. Thanks in advance for your help.

How Best to Use Your Guide to Metabolic Health

Our new book, Your Guide to Metabolic Health, has quickly become very popular. Many patients who’ve read it have then arranged for telephone consultations with us. In general, these patients who’ve read the book, compared to those who haven’t, get more from their consultations.

In the book, we’ve given all the background information most patients need to get well. The remainder of the book is a step-by-step guide to self-directed treatment. Patients who read the book before consulting with us have learned much of the background information, and they’re using the simple self-guiding method to lead themselves through their own metabolic rehab.

These patients consult with us only on occasion, usually when they encounter some obstacle to their progress and need help getting past it. Most of them are more knowledgeable than other patients and usually ask more advanced questions. Because of this, we typically spend less time with them on the phone, and this reduces their consulting fees.

Because of this observation, we’re encouraging patients to read the book before arranging to consult with us. It’s certainly not necessary that they do so, but we believe it’s to their advantage.

To read about Your Guide to Metabolic Health, see the following website: http://www.McDowellPublishing.com/ygmh.htm

$10 Discount Off Price of 
The Metabolic Treatment of Fibromyalgia
Only Through August 31, 2003


During August, McDowell Publishing Company is offering a $10.00 discount off the cost of The Metabolic Treatment of Fibromyalgia. The retail cost of the book is $99.95, but those who take advantage of the discount will pay only $89.95. The Company hopes the discount will help those who want the book but are faced with vacation expenses. 

The Metabolic Treatment of Fibromyalgia is a companion book to Your Guide to Metabolic Health. We're proud to say that many patients have told us that they obtained a copy of the book, loaned it to their doctors, and finally got effective treatment.

The discount will continue through midnight, August 31, 2003. To read about the book and discount, see:
http://www.mcdowellpublishing.com

Dr. Honeyman-Lowe’s & Dr. Lowe’s Respective Clinic Hours

Some patients prefer to see or consult by phone with one of us, either Dr. Honeyman-Lowe or Dr. Lowe. Peggy Myers can arrange an appointment for you with either of us. You can reach her at
(603) 391-6061. Our respective days and hours are:

Dr. Lowe–Wednesdays and Thursdays, 10 AM to 5 PM, Mountain Time Zone.

Very best wishes,
Dr. John C. Lowe
1800 30th Street, Suite 217-A, Boulder, CO 80301 USA
Tel (603) 391-6061 Fax (303) 496-6200 Tammy@drlowe.com
 


July 13, 2003
News from the Center for Metabolic Health
and Dr. John C. Lowe & Dr. Gina Honeyman-Lowe

New Items:

NEWS ITEMS

1. Dr. Honeyman-Lowe Interview on National Radio Talk Show Monday
2. The Garlic Cure: A Book We Strongly Recommend
3. Dr. Lowe Interviewed by Two Publications
4. Dr. Lowe's Work Noted in Medical Hypotheses

Dr. Honeyman-Lowe to be Interview
on National Radio Talk Show


Tomorrow morning, Monday, July 14, 2003, the popular radio talk show host Deborah Ray will interview Dr. Gina Honeyman-Lowe. Deborah asked Dr. Honeyman-Lowe to be on the show after reading Your Guide to Metabolic Health, which she calls "a terrific book."

Deborah interviewed Dr. Honeyman-Lowe two years ago about poor metabolic health and metabolic rehab. The show was a success, just as this second interview is sure to be.

Deborah's show, Health-Talk Radio, is nationally syndicated and has millions of listeners. You can find a radio station in your listening area that carries the show. Just send an e-mail request with your city and state to: affiliate@healthytalkradio.com.

The interview will begin at 9:15 am Eastern Time. The on-air call-in number is 800-307-3002.

Dr. Lowe Interview by
Writers for Two Publications


On June 13, 2003, Dr. John C. Lowe was interviewed by writers for two different publications. First, Gina Shaw, a writer with the Journal of the American Chiropractic Association, spoke with him. Gina was writing an article about soft tissue treatments that will appear in the October issue of the Journal.

In the interview, Gina asked Dr. Lowe questions about diagnosing and treating soft tissue problems. He explained that the most common soft tissue disorder is myofascial pain syndrome. This  syndrome involves pain-referring trigger points in muscle and its connective tissues. He explained that well-trained clinicians can effectively treat these syndromes, promptly stopping the pain. He also talked about underlying problems that can make some patients resistant to myofascial therapy. One of the most common of these is untreated or under-treated hypothyroidism.

The second interview was by Julia Calafano. Julia is a writer for the magazine titled First for Women. She was writing an article for the magazine on hypothyroidism. Dr. Lowe described for Julia the major problem for hypothyroid patients today: Ineffective treatment by conventional doctors resulting from the scientifically false beliefs of endocrinologists. He said that over the last thirty-years, the false beliefs of the endocrinology specialty have created a worldwide public health crisis. He explained to her how this happened, which he describes in great detail in The Metabolic Treatment of Fibromyalgia. He detailed how hypothyroid patients can escape the ravages of the endocrinology specialty’s approach and find effective treatment through alternative thyroid doctors.

The Garlic Cure:
A Book We Strongly Recommend

We've started a book review section on drlowe.com. The first book review is on "The Garlic Cure." This is an extraordinary book that we believe can benefit virtually all our readers. Read Dr. Lowe's review of the book at: http://www.drlowe.com/books/garliccure/garliccure.htm

Dr. Lowe's Contribution to the Field
of Fibromyalgia Noted in Medical Hypotheses


The world's most prestigious journal on theoretical medical science is Medical Hypotheses. An article currently in press in the journal is titled "A metabolic basis for fibromyalgia and its related disorders: the possible role of thyroid hormone resistance." The authors are R. L. Garrison, a medical physician, and P.C. Breeding, a chiropractic physician.

In their article, the authors discuss hypothyroidism and thyroid hormone resistance as major causes of fibromyalgia symptoms. They recommend that terms such as fibromyalgia and chronic fatigue syndrome be replaced with a new umbrella term, "chronic metabolic debilitation syndrome."

They write that Dr. W.M. Ord was the first to relate symptoms of chronic metabolic debilitation, such as widespread pain and fatigue, to thyroid dysfunction. He did so in 1877 after finding in autopsies that patients with the symptoms had fibrosis of the thyroid gland. In 1899, Dr. Hertoghe successfully treated patients with the symptoms with thyroid gland extracts. In the mid-20th century, Dr. Broda Barnes popularized this treatment approach.

The authors continue, "Modern work along this line has been dominated by Lowe." They explain three of his main contributions to the field: proposal of a plausible thyroid-related mechanism of fibromyalgia; finding of a high percentage of abnormal thyroid test among patients, including the TRH-stimulation test; and double-blind clinical trials in which fibromyalgia patients recovered with the use of T3.

They explain, "Lowe's hypothesis of thyroid resistance grew out of efforts to reconcile the clinical disparity between the strikingly hypothyroid appearance of these patients with their normal serum thyroid hormone levels. Thus, Lowe brought the thinking of Ord, Hertogue, Barnes, and Albright forward to the turn of this century."

Upon reading the article, Dr. Lowe said, "As time passes, it's steadily more widely recognized that my colleagues and I were right all along about fibromyalgia. I want to emphasize ‘my colleagues and I.’ The research and clinical work that has freed so many patients from their fibromyalgia symptoms has not been a solo venture. Jackie Yellin, Dr. Gina Honeyman-Lowe, and others have contributed to both our theoretical and experimental work, and when our work is cited, we should always receive credit as a team."

Clinical Care

To inquire about long-distance consulting services or treatment at the Center for Metabolic Health, please contact Peggy Myers. You can reach her by e-mail at Tammy@drlowe.com, or by telephone at
(603) 391-6061.

© 2003 John C. Lowe. All rights reserved. This Center for Metabolic Health, LLC Email Newsletter may be copied and distributed subject to three conditions: (1) All text within the full document or any section copied must be copied without modification with all pages included. (2) All copies must contain the following copyright notice: "© 2003 John C. Lowe" (3) Neither this full document nor any section of it may be distributed for  profit.