Ep 201 Navigating Fibromyalgia During Menopause: HRT and Diet Options

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This episode continues the series on the connection between hormones and chronic pain syndromes, with a focus on the relationship between fibromyalgia and menopause. It discusses whether screening for fibromyalgia should be considered for patients experiencing unexplained chronic fatigue around menopause, reviews various studies on hormone therapy and its impact on fibromyalgia symptoms, and examines the role of food, particularly a plant-based diet, in managing hot flashes. Key findings from these studies highlight mixed results on hormone therapy's effectiveness in alleviating fibromyalgia symptoms, but underscore the importance of sleep and diet in managing both menopause and fibromyalgia-related issues.

00:00 Introduction to Hormones and Chronic Pain
00:12 Fibromyalgia and Menopause: An Intriguing Connection
01:31 Screening for Fibromyalgia in Menopausal Women
03:48 Hormone Therapy and Fibromyalgia: Research Insights
08:09 Detailed Study on Hormone Therapy and Fibromyalgia
12:22 Impact of Hormone Therapy on Sleep and Quality of Life
22:21 The Role of Diet in Managing Hot Flashes
27:14 Conclusion and Key Takeaways

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When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.

Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*