2022-05-24, Tuesday - 20%. Sleep quality 95%, but long: 10h30! & not particularly restorative… cold and unwell… Ache 35%, short pains.
Symptom overview sorted by the ACR 2016 criteria
Widespread pain (WPI): 8 +3 = 11
Overall Ache Areas (mainly limbs): = 8. Severity: 30%. Suppleness (vs. stiffness) 75%
Local Pain Areas (mainly spine): = 3. 15%
(Non-pain) Symptom severity (SSS) 3+3+2+0+1+0 = 9:
Fatigue vs. Energy (FM + MCAS) 3 out of 3 (Energy 20%)
Waking unrefreshed 3 out of 3 (Sleep quality 95%, but long: 10h30!)
Cognitive symptoms 2 out of 3 (mainly fog; alertness 80%)
Headaches: 0 out of 1 (Rare, mainly in the weeks after the jabs)
Pain or cramps in lower abdomen: 1 out of 1 (despite avoiding triggers: stomach & gut)
Depression: 0 out of 1 (No; seldom blue)
Feeling Well: sleep 80%, sleep breaks 80%, day 70%
MCAS / allergic 15% (except energy, subsumed under FM-fatigue above) Some sinuses & headache & nausea in the evening, also in the morning, despite 1 DAO.
Treatments overview
Self-treatments >1h/d
Chinese acupuncture 1h15h/wk
Triggers & resulting Symptoms
SLEEP (click for details): 10h30, up 3x (40') "✅", but ➔ Feeling 80% well, Ache 2 of 7 ✅, getting up: 80%/2 ✅. So sleeping this long is GOOD? Hard to translate that into %. Interesting to see how that develops in the course of the day.
cold shower p0 Sleep 23:00-
02:30 15’ 80%/2 p0 st1 sip fw1’ air. itchy scalp. B1
06:30 3’ 80%/2 p0 st1 sip fw1’ air sinuses & stomach nauseous slightly ear plugs not necessary! (neighbour above not at home) → ear plugs
08:15 20’ 80%/2 p0 st1 sip fw1’ air nostrils & sinuses & stomach nauseous & sore throat alls slightly (ear plugs) fairly normal stools B2-4
-10:10
Sum: 1h+10h10-(15+5+20=)40’ = 11h10-40 = 10h30, up 3x (40’)
ACTIVITIES (aim: 40% energy) ➔ ACHE: 60%/3 (cold and unwell), TT 3:1, 60%/3 . Restaurant, resting, phoning a bit ➔ 70%/3.
ACTIONS ➔ PAINS: neck: hurting, altho flexible GI jaw . In this heat I’m able to take off my woolen socks, only 3 pairs, not 5. But Tuesday is colder, back to 4 or 5.
(e.g. lie, stand, loins, sit, arms up, neck, stiff, walk, cycle, 0xp1-2, GI, talk, mask.)
MCAS/HIT-Symptoms/Triggers/Treatments: Except lack of real energy as ever. . Praps the sinuses & headache from 5 to at least 11 weren’t (just?) from going out, but from bits of walnuts, soy coconut yogurt etc. all without DAO. Avoided cake today, cos I hadn’t taken DAO before. Hope the GABA in the evening takes the burning down a bit more.
Fibro & Touch:
Covid-danger:
Treatments
Docs:
Chinese Acupuncturist - #18 on 17th . (Sleep & +25% GABA helping.) #19 on 27th.
SELF-PHYSIO (click for details): 60'.
Combine: next? RR!! airing 4x2’, cold shower (10’), cream fc/ey/hd/ft 1x1’, teeth 1x2’, HWB 3’, breath exercises 1’, Timing, hunchback-pillow 15’, palpate 1’, belly 3’, back 12’, plantar/calf stretch 3’,
facetime 2x1’, horse stance 1’, aloe vera 1’, massage gun 20’, twist-stretch 5’, balance roll standing 5’, yoga/stretching 5’, “cross”-legged 20’, Y. Nidra 20’, breath-hold 12’, hair/nails 3’, neck 1+ 2’, neck 2 4’, loins 5’, jolt-jump 1’, marionette-hang 1’, workout 7’, hand-exerciser 3’, shaking dance 1’, acupressure 6’, bent leg fall 1’ (calendula/tea tree x1’).
Supps May 11th (~27): Supp costs:~289€/m (May 16th) CHANGED: Still 4 passiflora, 5x0.6g GABA, most stuff back on. DAO seldom. PLANNED/TAKEN TODAY: click for details:
ZERO now: Arg, B3/Nia, EGCg, Mum, Mg Mal 45mg, Nc 1*.5g, (Nd), (extra) Ω3, Pe, Ps, (Rib), Se, Sr 31125k, Zn.
REGULAR as of May 5th (25): ALA .2g, B2 2*.1g, B12 5mg/3m, C 2*.5g, Cr 31g, Cu 1x, usually 0 DAO before meals, D3 1/w, EGCG 0x(50%, incl. theanine?).5g, EllagicA .2g (+43mg vit. C), Fev .4g (+.2g MSM), Ga: 4*.6g+.4g=~2.8g, Gi 3*?, Glu:~0.8g, Hon (2%).4g=8mg, Luteolin .2g, Ω3 0x5mg, Mg Gly 1x50mg, P5 27mg, Pf 1-3.35g, pine bark 1*.5g, Pq 1, Q10 (ubn) !1*.1g/d, Qc 4*.5g/d, Rs (50%) 2*.4g, Ro 2*.3g(+9mgC), Sa .1g, Sily (80%)*.5g (+83mg L-cholin) , The .2g (+.15g polyphenols).
What-when-details: Updated Feb 15th (before: see the reference post)
/20:10 A1/2 “19:00” PF#1 Cr#1 0mal#1+2 1P5P (0Se) PQQ 3mlxΩ3 & Qc. Meal: DAO.
/22:00 A3 “21:00” PF#2 .6 GABA&.4glu#1 & 1Lut (slp!) & Qc +0NAC
Chamomile tea.
/23:00 A4 “23:00” PF#3 .6 GABA&.3glu#2 & Ellagic acid + 0 Rupafin
/02:30 B1 “01:00” .6g GABA PF#4
/08:15 B2 “07:00” +ALA+1x pine bark, (teeth) +!Ro
/08:15 B3 “07:00” (-30’) Q10#1 Qc#1 Rs#1 SAM-e
/08:15 B4 “07:00” 0xEGCg + Fev/MSM + Sily
/11:05 C1/2 “MEAL!” 2Cr#2 .6GAB#3, (C2:) .1gB2, gink#1, Cu (or Zn) 1xHon, 0 DAO +1gly
/11:05 C3 “MEAL” .5gC#1 2The2 (0NAC)+PEA
/13:05 C4 “11:00” (+2h/) gi#2 0gly#1. Nd#? & Ellagic acid
DAO (D1) “13:00” 0psyllium
/?15:00 D2/3 “15:00” .5gC#2,Cr#3,!.6GA#4,gink#3,0gly#3+4, 0NAC#5 DRINK!
/18:00 D4 “17:00” (“meal/acids+2h”) Qc#4.Rs#2, Nd#? +!Ro
eve:
“18:00” Prepare: 1) Cpl & chk/C supp-chg. 2) Remove “v”, cut, save, paste 1x & unhide & paste 2nd (+1 to date and ##). Close 2nd TAB!
(Nov 4th, Jan 10th: B12 5mg methylcobalamin s.c.; last: Apr 10th.)
The day's 16 supp-compartments (10', plus 5' making capsules)
Pf: 0A1+1A3+0A4+0B1, B2:A1+C2 C:C3+D2 3x2Cr: A1+C1+D2, Ell: A4,C4. Ga: A3,A4,C1,D2, Glu: A3,a4 Gi: C2,C4,D3 0x2Gly0x2Mal: 0C4+0D3,0A2 Qc: A2.A3.B3.D4 Ro:B2,D4 Rs:B3,D4 SINGLE: A3: Luteolin A4: Rup! B2: ALA+2 pine B3:Sa+Q1 (->ubiquinone <150mg/d!) B4: EGCG&Fev/MSM&Sily C2:Cu(0Zn)&Hon C3:2Th+PEA (A2:Ω/Pq:meal) DAO before every meal.
(A2:0Se), (B2:0mu), (5NADH if nec.) (D1:0Pe). (0 Nia) (0Nc: A3, B1,C1,C3,D2) (0P5:A2) (0Sr: B1,C4,D4)
Development
’Research’ today:
New UK guidelines for fibro sound like good news: GPs can “now” make a diagnosis even quicker… without referrals. On detailed reading however they are based on the ACR criteria, but deliberately leaving out the bits about further testing quite apart from the fibro diagnosis!
This introductory page leads on at the bottom to a page with short summaries for patients and docs.
These “first UK guidelines for the condition” aren’t really new, they are just based on the ACR 2016 criteria and the “diagnostic worksheet” used is almost identical to the ACR 2016 modified criteria
BUT an important part of those - conspicuously left out by the UK version - are the following lines in the ACR criteria " The fibromyalgia diagnosis can now be made irrespective of other diagnoses (you do not need to rule out all other conditions that could explain the symptoms, if criteria 1-3 are all met). and " Fibromyalgia is diagnosed if you meet all 3 criteria 1-3, independent of whether other diagnoses contribute to these symptoms. This is new: FMS diagnosis used to require that there be no other diagnosis to explain the findings. "
As the Walton Centre article above says: " The new guidelines aim to support clinicians in the diagnosis of FMS, without the need for rheumatology referral, preventing unnecessary surgery, enable patients to be placed on the appropriate treatment pathway earlier and empower patients to be more knowledgeable about their condition ." Saving time … and money and bother… It will (try to) end the “diagnosis of exclusion” concept and further testing before and after the fibro diagnosis.
By the way - The “information sheet for patients” has in the third line “It is a condition that changes the way the nervous system processes sensory signals; pain can result from this”. Ironically, this is is based mainly on the “CSS hypothesis” (fibro caused by changes in the brain/spine, making it a central sensitisation syndrome), whilst Goebel (lead author here) had initiated a study published last summer which was touted as implying that fibromyalgia is mainly an autoimmune disorder.
Lessons in self-care #314 The waiter taking my order for a salad without any spices, tomatoes etc. kept shaking his head, cos he was so confused.
Things I love about myself #13 I almost always mean well. Even tho sometimes others seem to think I don’t. But that’s not my ‘fault’.
- My food
- 1st Jab-sfx-summary, last edit: Feb 7th.
- My blog references, e.g. abbreviations, supp chart/overview
- My “How to symptom track & trigger hunt”
- Next up…: Summaries & finishing off treatment list…