It’s estimated that 4 million U.S. adults are affected by fibromyalgia, a persistent situation characterised by widespread musculoskeletal ache and stiffness.1 Fibromyalgia is extra frequent in ladies than in males, and usually impacts people between the ages of 30 and 50.2
This situation could make it difficult to carry out every day actions attributable to persistent discomfort and different debilitating signs. Whereas it has no identified remedy, fibromyalgia could be managed by a mix of therapies geared toward enhancing high quality of life.
An exploratory cross-sectional research revealed in July 2024 within the European Evaluation for Medical and Pharmacological3 offers additional insights into the mechanism of fibromyalgia, revealing two key vitamins that will have an effect on the severity of its signs — vitamin D and magnesium.
Fibromyalgia Signs and Analysis
For a few years, fibromyalgia was usually dismissed as a psychological or psychosomatic dysfunction, with some healthcare professionals attributing its signs to emphasize, despair or nervousness as an alternative of recognizing it as a definite situation. The shortage of clear diagnostic standards and the absence of goal laboratory exams contributed to skepticism about its validity as a real medical dysfunction.4
In 1990, the American Faculty of Rheumatology established diagnostic standards for fibromyalgia, which contributed to a broader acceptance of it as a professional situation. Its actual trigger continues to be not absolutely understood, however analysis has linked it to central nervous system dysfunction, particularly improper processing of ache alerts within the mind, leading to elevated ache sensitivity.5
Whereas there are not any lab exams for fibromyalgia, it may be identified based mostly on two standards: 1) experiencing widespread ache that has continued for greater than three months, and a pair of) the presence of different systemic signs,6 together with:7,8
Fatigue |
Sleep problems |
Cognitive impairment |
Nervousness and despair |
Migraine |
Irritable bowel syndrome |
Raynaud’s phenomenon |
Stressed leg syndrome |
Irritable bowel and bladder |
Pores and skin sensitivities and rashes |
Dry eyes and mouth |
Impaired coordination |
Standard remedy usually includes ache treatment or psychotropic medication like antidepressants. I do not advocate both of those as they fail to deal with the foundation reason behind the issue. Many fibromyalgia victims additionally don’t reply to traditional painkillers, resulting in a harmful cycle of overmedicating on these medication.
Vitamin D and Magnesium Deficiency Linked to Worse Fibromyalgia Signs
The featured research,9 carried out by researchers from numerous Italian establishments, aimed to analyze the hyperlink between fibromyalgia signs and particular micronutrients. “The administration of FM [fibromyalgia] wants a multidisciplinary strategy involving pharmacological and nonpharmacological methods,” the authors famous. “Amongst nonpharmacological approaches, diet performs a cardinal function.”
The researchers particularly centered on vitamin D, magnesium, vitamin B12 and iron supplementation, as these vitamins have proven promising leads to scientific trials. They measured the blood ranges of those micronutrients in 20 Italian ladies identified with fibromyalgia, in addition to in 20 wholesome controls. The severity of the sufferers’ signs was additionally evaluated utilizing a Fibromyalgia Impression Questionnaire (FIQ).
Curiously, whereas they discovered no vital variations in micronutrient ranges between fibromyalgia sufferers and wholesome controls, a better evaluation inside the fibromyalgia group revealed that increased vitamin D ranges had been related to higher bodily functioning, whereas increased magnesium ranges had been linked to decrease ranges of stiffness. The authors concluded:10
“Screening for micronutrient deficiencies in FM sufferers is beneficial in scientific observe. Supplementation in sufferers — even when not poor — needs to be thought-about because of the inverse affiliation between vitamin D and magnesium ranges and bodily operate/stiffness.”
The Position of Vitamin D in Musculoskeletal Well being
The researchers additionally carried out a complete assessment11 of the present literature on micronutrients’ impression on fibromyalgia, notably highlighting vitamin D for its potential advantages in assuaging fibromyalgia signs, particularly in sufferers with deficiencies.
“Vitamin D supplementation is being thought-about within the administration of FM as a result of roughly 40% of sufferers are vitamin D poor,” the authors wrote. “Moreover, a number of research have recommended that lowered serum stage of vitamin D is related to persistent ache, despair and nervousness in sufferers with FM.” They elaborated on the mechanisms by which vitamin D exerts its results:12
“Vitamin D is concerned in mind improvement and neuronal regulation, it might probably improve neuronal development components, cut back neuronal excitability and provide neuroprotective results. Vitamin D upraises the remodeling development factor-β1 (TGF-β1), opposing the elevated inflammatory cytokines in FM sufferers.
Moreover, contemplating that lowered bone mineral density (BMD) seems to be linked to the severity of FM ache, vitamin D is understood to be a part of the symptomatology itself. Lastly, vitamin D has a number of intramuscular actions, reminiscent of growing power and preserving the mass of the muscle.”
How Magnesium Helps Enhance Fibromyalgia Signs
As for magnesium, the authors famous13 {that a} deficiency is related to signs generally seen in fibromyalgia, reminiscent of muscle weak point, paresthesia (“pins and needles” sensation within the arms, legs and arms) and low-grade irritation. Moreover, a food plan low on this mineral has been linked to a lowered ache threshold in fibromyalgia sufferers.
Magnesium’s pain-relieving results are attributed to its capability to inhibit the N-methyl-D-aspartate (NMDA) receptor, which performs a job in central sensitization and ache hypersensitivity.14 Magnesium might not solely assist alleviate ache but in addition cut back stress linked to fibromyalgia, as proven in one other research revealed in Might 2022 within the journal Vitamins.15
The researchers discovered that supplementing with magnesium every day for a month helped enhance delicate to average stress whereas lowering ache. “This implies that every day magnesium might be a helpful remedy to enhance the burden of illness of fibromyalgia sufferers,” they concluded.16
Tips on how to Enhance Your Magnesium Ranges
There isn’t a simple blood check to find out your magnesium ranges, however one method to decide your standing is to fastidiously consider and monitor your signs, that are mentioned within the video above. Additionally, bear in mind that sure life-style decisions can deplete your magnesium shops, and sure dietary decisions might not give you sufficient every day magnesium.
One of many major causes for magnesium deficiency is a food plan wealthy in processed meals, as warmth and processing deplete magnesium from actual meals. Sure medication additionally have a tendency to scale back the quantity of magnesium in your physique, reminiscent of antibiotics, proton pump inhibitors and corticosteroids. To naturally improve your magnesium ranges, add well-cooked greens into your food plan, reminiscent of:
Spinach |
Collard greens |
Swiss chard |
Turnip greens |
Beet greens |
Broccoli |
Brussels sprouts |
Kale |
Bok choy |
Romaine lettuce |
Squash |
Dried seaweed or agar |
Whereas acquiring magnesium from dietary sources like darkish leafy greens is good, supplemental types of magnesium may enable you to guarantee enough consumption. With regards to oral supplementation, my private desire is magnesium threonate, because it seems to be essentially the most environment friendly at penetrating cell membranes, together with your mitochondria and blood-brain barrier.
The every day magnesium necessities range by age and gender, with grownup males needing roughly 400 milligrams (mg) and girls requiring about 300 to 350 mg.
Magnesium can also be misplaced by sweating throughout heavy exertion, lack of sleep and alcohol consumption. Energetic people and those that sweat considerably (e.g., by train or sauna use) might have 10% to twenty% greater than the Really helpful Dietary Allowance (RDA) to compensate for magnesium loss by sweat.
Daylight Is the Finest Supply of Vitamin D, however Hold These Caveats in Thoughts
I like to recommend getting your vitamin D from correct solar publicity, if attainable, because it offers advantages past vitamin D optimization, reminiscent of a lowered danger of most cancers,17 enhanced melatonin manufacturing18 and elevated longevity.19 Nonetheless, whereas solar publicity is essential for vitamin D manufacturing and total well being, it may also be dangerous if you happen to’re not cautious.
The advantages of solar publicity could be influenced by your food plan, atmosphere and physiology. By understanding these components, you possibly can take advantage of daylight whereas safeguarding your well being. Listed here are some key methods to contemplate:
Keep away from seed oils for safer solar publicity — One of the vital necessary components it is advisable tackle earlier than spending time within the solar is your food plan. Seed oils, that are excessive in linoleic acid (LA), can considerably impression your pores and skin’s response to UV publicity, as LA oxidizes when your pores and skin is uncovered to UV rays, resulting in irritation and DNA injury. In case your food plan consists of meals that comprise seed oils, watch out with solar publicity. I like to recommend avoiding excessive depth solar publicity till you’ve got been off these oils for at the least 4 to 6 months. |
Adapt to your geographical and environmental situations — Elements like altitude and atmospheric situations affect how solar publicity impacts you. Be aware of native atmospheric situations like cloud cowl and air air pollution, which might block UVB rays, lowering each its advantages and dangers. Should you reside in increased altitudes, the thinner ambiance lets extra UVB rays attain the Earth, making solar publicity extra intense. However, locations with lengthy winters or overcast skies naturally restrict your solar publicity. Even if you happen to’re nonetheless consuming seed oils, the danger is decrease in winter since you are not as uncovered to UV radiation. |
Personalize your strategy — Your bodily traits, reminiscent of pores and skin shade and physique composition, affect how it is best to handle solar publicity. Darker pores and skin has extra melanin and requires extra solar to provide the identical quantity of vitamin D as lighter pores and skin. Physique composition additionally performs a key function. Increased physique fats can retailer fat-soluble compounds, together with oxidized vegetable oils. Individuals with extra physique fats may should be additional cautious, as these saved oils can improve the danger of solar injury even after altering your food plan. |
Pay shut consideration to your pores and skin — Your pores and skin can clue you into how a lot publicity is an excessive amount of. To find out if the time you are spending below the solar is secure, particularly if you happen to’ve been consuming seed oils, be careful for indicators of redness or burning. UV rays interacting with vegetable oils in your pores and skin can improve the danger of sunburn and pores and skin most cancers over time. To guard your self, keep away from letting your pores and skin burn, because it signifies overexposure. Should you discover any redness, search shade without delay. Should you do not discover even the slightest trace of pink in your pores and skin, it is a good signal that your solar publicity was inside a secure vary. As you cut back linoleic acid in your food plan, your danger of sunburn and pores and skin most cancers will drop considerably, however keep cautious, particularly in the course of the transition interval. |
Keep away from peak daylight hours in the course of the transition interval — That is usually an hour earlier than and after photo voltaic midday. In a lot of the U.S. throughout summer time, this implies staying out of direct solar from 11 a.m. to three p.m. throughout Daylight Saving Time, or 10 a.m. to 2 p.m. in Customary Time. As your physique clears out collected seed oils, you possibly can regularly lengthen your solar publicity. Over time, it is best to have the ability to safely get pleasure from an hour or extra throughout these peak daylight hours. |
Use protecting aids in the course of the transition interval — If it is advisable spend time within the solar earlier than your physique has absolutely detoxed collected seed oils, these compounds can supply helpful assist: • Astaxanthin — This highly effective antioxidant helps improve your pores and skin’s resistance to solar injury. Taking 12 mg every day can neutralize free radicals and cut back irritation, offering additional safety towards UV radiation. • Niacinamide cream (vitamin B3) — Making use of niacinamide topically earlier than going below the solar might help enhance your pores and skin’s barrier and shield towards UV-induced DNA injury. • Child aspirin — When taken 30 to 60 minutes earlier than solar publicity, it might assist decrease your danger of pores and skin most cancers by inhibiting the formation of dangerous oxidized linoleic acid metabolites (OXLAMs) in your pores and skin. • Molecular hydrogen (H2) — H2 offers an additional layer of safety towards solar injury and mitigates the results of vegetable oils. It operates on the mobile stage by neutralizing dangerous free radicals, particularly hydroxyl radicals. It might additionally penetrate cell membranes to focus on irritation and oxidative injury instantly on the supply whereas preserving helpful reactive oxygen species (ROS). Past its protecting function, H2 boosts vitality ranges and enhances restoration, making it a helpful assist for mobile well being, notably when coping with solar publicity and dietary challenges from vegetable oils. |
Suggestions for Vitamin D Supplementation
Should you’re unable to get enough solar publicity, vitamin D supplementation could also be crucial. Whereas some tips advocate 40 ng/mL (100 nmol/L) as an optimum dose, I imagine that is solely the cutoff for sufficiency.
For well being and illness prevention, I like to recommend you intention for optimum ranges between 60 ng/mL and 80 ng/mL. In Europe, the measurements you are on the lookout for are 150 to 200 nmol/L, respectively.
To find out how a lot vitamin D3 it is advisable take, measure your vitamin D stage, ideally twice a yr. It is necessary to keep in mind that calcium, vitamin D3, magnesium and vitamin K2 should be correctly balanced for optimum total well being.
Should you discover supplementation is critical after a serum vitamin D check, additionally complement with magnesium and vitamin K2 (MK-7) to make sure correct steadiness. Then, bear in mind to retest in three to 4 months to be sure to’ve reached your goal stage.
Different Methods to Enhance Fibromyalgia Signs
Other than optimizing your magnesium and vitamin D ranges, implementing these methods might enable you to alleviate fibromyalgia signs and enhance total well-being:
1. Attempt whole-body vibration remedy — Analysis suggests whole-body vibration remedy might assist sufferers with fibromyalgia. In a 12-week research20 involving 60 fibromyalgia sufferers, researchers discovered that those that participated within the remedy confirmed enhancements in motor operate and gait velocity, as measured by numerous exams.
To be taught extra about the right way to make the most of this type of remedy, take a look at my article “Make the most of the Energy of Vibrations to Promote Wellness.”
2. Scale back your EMF publicity — Electromagnetic fields (EMFs) from gadgets like cell telephones, Wi-Fi routers, and different electronics might exacerbate fibromyalgia signs by disrupting the metabolic processes linked to ache and oxidative stress, in addition to selling irritation.21
Decreasing your publicity by easy measures reminiscent of turning off Wi-Fi at evening, utilizing wired connections as an alternative of wi-fi, minimizing cellular phone utilization, incorporating EMF shielding gadgets and making a low-EMF atmosphere in your house could make a distinction in lowering symptom severity.
3. Follow Emotional Freedom Methods (EFT) — EFT is a mind-body approach that mixes components of cognitive remedy and acupressure by tapping on particular meridian factors on the physique whereas reciting constructive affirmations. This system might assist cut back stress and emotional triggers, which might instantly impression bodily ache.
For fibromyalgia sufferers, EFT might assist alleviate each the emotional and bodily elements of the situation. You are able to do this your self, at house, and it takes only a few minutes to be taught. For an indication, see the video beneath.