Advanced Diet Information Sheet
What About Gluten?
Gluten is a protein found in grains such as barley, rye, wheat and oats. Gluten sensitivity can result in some fibromyalgia-like symptoms. Sensitivity to gluten can range from mild to extreme, with the extreme form being known as celiac disease or sprue. Blood tests and biopsies are usually performed to confirm a celiac disease diagnosis, and blood tests are also available to test for milder forms of sensitivity.If you are gluten-sensitive and you have an invisible illness, eliminating gluten from your diet may result in symptomatic improvement. If you are not gluten-sensitive and you have an invisible illness, eliminating gluten is unlikely to produce any symptomatic improvement aside from placebo effect.
Other Nutritional Considerations
Pain, fatigue and financial limitations may underlie decisions that result in a sub-optimal diet and nutrient deficiencies. Food intolerances and Irritable Bowel Syndrome (both common with fibromyalgia) may also contribute to the development of nutrient deficiencies. Fibromyalgia and CFS, for example, seems to create nutrient deficiencies and/or higher than normal requirements for certain nutrients. If you are concerned you may be low in a specific nutrient, please contact a health care practitioner for assessment.
The key to avoiding this? Start low and go slow. Start with small amounts, eaten once per day. As you adapt to the change, try increasing the amount or frequency but not both at the same time.
Make sure your diet adheres to these basics to keep your blood sugar in the right zone:
- Choose real, whole foods.
- Avoid foods that contain artificial ingredients or are highly processed.
- Follow The Dysglycemia Diet.
- Spread your calories throughout the day; avoid skipping meals.
- Drink water throughout the day; dehydration is a cause of fatigue.
Food sensitivities to things other than gluten can also contribute to chronic widespread pain and fatigue. For this reason, it is often worthwhile for people with chronic pain to be assessed for a broader spectrum of food sensitivities.
Do not undertake supplementation without medical supervision because some nutrients can be toxic and/or interact with medications you may be taking.
 Gibbons, Christopher H., et al. “Experimental hypoglycemia is a human model of stress-induced hyperalgesia.” PAIN® 153.11 (2012): 2204-2209. http://pfizerpro.com.co/sites/g/files/g10012911/f/publicaciones/2012_153_11_Experimental-hypoglycemia-is-a-human-model-of-stress-induced-hyperalgesia_2204_2209.pdf
 Cryer, Philip E. “Symptoms of hypoglycemia, thresholds for their occurrence, and hypoglycemia unawareness.” Endocrinology and metabolism clinics of North America 28.3 (1999): 495-500. http://www.ncbi.nlm.nih.gov/pubmed/10500927