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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

Click here for the Fibromyalgia 101 link.

Click here to connect with Joy Lenz.

Support the show

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.*

...

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Impact of Menstrual Cycle and Menopause on Fibromyalgia and Chronic Pain and introduction to a proposed new syndrome, the Musculoskeletal Syndrome of Menopause.

This episode delves into the connection between hormones, fibromyalgia, and other chronic pain conditions like migraines and endometriosis, emphasizing the significant impact of a woman's menstrual cycle, perimenopause, and menopause on chronic pain. Various studies and polls on symptom severity during different menstrual phases and post-menopause are discussed. The crucial role of estrogen in maintaining musculoskeletal health is elaborated, along with the negative consequences of estrogen decline, such as increased inflammation, bone loss, muscle weakness, and osteoarthritis. The episode also covers the benefits and risks of hormone replacement therapy (HRT) in alleviating these issues, touching on the historical trends and evolving practices in HRT usage. A comprehensive approach to managing menopause-related symptoms, including nutrition, exercise, and personalized medical advice, is encouraged. The episode concludes by highlighting upcoming discussions on studies involving hormone therapy for fibromyalgia patients.

00:00 Introduction to Fibromyalgia and Hormones
00:20 Impact of Menstrual Cycle on Chronic Pain
01:16 Fibromyalgia and Menopause
01:27 Musculoskeletal Syndrome of Menopause
02:36 Estrogen's Role in Musculoskeletal Health
06:39 Managing Sarcopenia and Muscle Loss
08:41 Osteoporosis and Bone Health
13:58 Hormone Replacement Therapy Trends
17:15 Hormone Therapy Risks and Benefits
26:06 Hormone Therapy and Mental Health
28:32 Conclusion and Upcoming Topics

Click here for the Fibromyalgia 101 link.

Click here to connect with Joy Lenz.

Support the show

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.*

...

Text Dr. Lenz any feedback or questions

This episode dives into the complex relationship between migraines and hormonal changes, particularly focusing on estrogen. The discussion covers the prevalence of migraines, the distinction between migraines with and without aura, and the significant impact of reproductive hormones on migraine patterns, especially in women. Key topics include the discovery of the estrogen threshold, the influence of estrogen on neurotransmitter systems like serotonin and glutamate, and the potential of hormone-based treatments. The episode also examines the role of the trigeminal vascular system, calcitonin gene-related peptide (CGRP), and the impact of oral contraceptives on migraine frequency and intensity. Practical strategies for managing menstrual migraines and the importance of using headache diaries for accurate diagnosis are highlighted.

00:00 Introduction to Migraines
00:20 Types of Migraines and Auras
00:42 Sex Differences in Migraine Prevalence
00:59 Hormonal Influence on Migraines
01:53 Estrogen's Role in Menstrual Migraines
02:05 Historical Breakthroughs in Migraine Research
02:35 Estrogen Threshold and Migraine Triggers
04:10 Estrogen's Impact on Brain Function
07:29 Neurotransmitters and Migraine Pathways
11:15 Oxytocin and Migraine Prevention
13:20 Trigeminal Vascular System and Migraines
16:46 Calcitonin Gene-Related Peptide and Inflammation
20:38 Oral Contraceptives and Migraine Management
24:59 The Importance of Headache Diaries
26:45 Conclusion and Future Research

Click here for the Fibromyalgia 101 link.

Click here to connect with Joy Lenz.

Support the show

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.*

...

Text Dr. Lenz any feedback or questions

In this episode of the Conquering Your Fibromyalgia podcast, Dr. Michael Lenz delves into the complex relationship between hormones and chronic pain conditions such as fibromyalgia, migraines, dysmenorrhea, and others. The focus is on Premenstrual Dysphoric Disorder (PMDD), exploring the impact of estrogen and progesterone fluctuations on pain perception and symptom management. Key studies are discussed to highlight the relationship between menstrual cycles and fibromyalgia symptoms. The episode also covers the genetic, neurobiological, and environmental factors contributing to PMDD, as well as treatment options ranging from SSRIs and hormonal treatments to lifestyle changes and cognitive behavioral therapy. The intricate link between ADHD in women and mood disorders like PMDD and depression is also examined.

00:00 Introduction to Hormones and Chronic Pain
00:56 Understanding Hormonal Fluctuations
02:26 Clinical Studies on Hormones and Pain
03:48 The Role of Estrogen and Progesterone
04:42 Historical Perspective on Premenstrual Disorders
06:28 Diagnosing PMDD: Symptoms and Criteria
07:39 Causes and Brain Sensitivity in PMDD
09:35 Genetic and Neurobiological Factors
10:45 Serotonin and Allopregnanolone in PMDD
12:06 Stress, Inflammation, and PMDD
13:33 Treatment Options: SSRIs and Hormonal Therapies
16:26 Advanced Treatments and Surgical Options
21:06 ADHD and Hormone-Related Mood Disorders
27:43 Managing PMDD: Lifestyle and Non-Pharmacological Approaches
31:12 Conclusion and Final Thoughts

Click here for the Fibromyalgia 101 link.

Click here to connect with Joy Lenz.

Support the show

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.*

...

Text Dr. Lenz any feedback or questions

The Interaction Between Hormones and ADHD in Women

In this episode, the speaker delves into the complex relationship between hormones and ADHD, particularly focusing on how hormonal changes impact women diagnosed with ADHD. They discuss the significant overlap between symptoms of ADHD and conditions like PMS and PMDD, and the lack of targeted research, which predominantly focuses on prepubertal males. The episode highlights individual variances in how women respond to hormonal fluctuations and ADHD medications, and emphasizes the importance of personalized treatment plans. Discussion also covers the societal and individual costs of undiagnosed ADHD and explores the dramatic improvement in quality of life when ADHD is properly diagnosed and treated. Dr/ Skoglund also touches upon bad advice often given to ADHD patients and underscores the need for structured routines. The episode concludes by exploring the positive impacts of proper ADHD diagnosis and treatment, through both professional and anecdotal experiences, alongside resources available for women seeking better understanding and support for their ADHD.

00:00 Introduction to Hormones and ADHD
00:27 PMS, PMDD, and ADHD Overlap
02:06 Hormonal Fluctuations and ADHD Symptoms
06:23 Clinical Experiences and Research
09:43 ADHD in Women: Misconceptions and Realities
14:21 Impact of Menopause on ADHD
27:34 The Importance of ADHD Diagnosis and Treatment
30:33 Resources and Final Thoughts

Click here for the Fibromyalgia 101 link.

Click here to connect with Joy Lenz.

Support the show

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.*

...

Text Dr. Lenz any feedback or questions

In this episode, the host interviews Dr. Lotta Skogland, a Swedish psychiatrist and author of 'ADHD Girls to Women: Getting on the Radar.' Dr. Skogland shares her extensive experience in ADHD and addiction, discussing the significant comorbidities and the unique challenges faced by girls and women with ADHD. The conversation delves into the biological, social, and psychological aspects that contribute to the underdiagnosis and mischaracterization of ADHD in females. Dr. Skogland emphasizes the importance of recognizing female-specific symptoms, the impact of fluctuating hormones, and the need for tailored medical approaches. The discussion also highlights systemic biases and the critical need for better awareness and understanding among healthcare professionals.

00:00 Introduction and Guest Welcome
00:45 Dr. Skogland's Journey into ADHD Research
03:07 Understanding ADHD in Women
05:27 Challenges in Diagnosing ADHD in Women
08:24 ADHD Symptoms in Girls and Women
12:43 Societal Biases and ADHD
14:30 Hormonal Influences on ADHD
18:31 Healthcare System Failures
22:38 The Importance of Listening to Patients
29:07 Conclusion and Final Thoughts

Click here for the Fibromyalgia 101 link.

Click here to connect with Joy Lenz.

Support the show

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.*

...

Text Dr. Lenz any feedback or questions

In this episode, Kristen Hovet interviews Dr. Lenz to explore the connections between neurodivergence, fibromyalgia, and chronic pain syndromes. They discuss the intersections of conditions like autism and ADHD with chronic health issues, emphasizing the importance of early diagnosis and comprehensive care. Through shared stories, they highlight the medical system's challenges for neurodivergent individuals and advocate for a compassionate, evidence-based approach to pain management. The conversation also tackles misconceptions about conditions such as fibromyalgia and chronic fatigue syndrome, advocating for greater empathy in healthcare. This episode offers invaluable insights and practical advice for medical professionals, individuals living with chronic pain, and anyone curious about the link between neurodivergence and health. Dr. Lenz shares personal stories and professional experiences to illustrate these points. Tune in for a crucial discussion on improving care for neurodivergent individuals.

00:00 Introduction to the Episode
01:07 Exploring Neurodivergence and Chronic Pain
02:20 Personal Stories and Medical Insights
04:45 Misconceptions and Realities of Fibromyalgia
06:39 Advocating for Neurodivergent Health Needs
11:01 Challenges in Medical Training and Practice
31:48 Understanding Pain Perception in ADHD
36:37 Concluding Thoughts and Future Directions

Click here for the Fibromyalgia 101 link.

Click here to connect with Joy Lenz.

Support the show

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.*

...

Text Dr. Lenz any feedback or questions

In this episode Dr.  Lenz, is interviewed  by Kristen Hovet, host of The Other Autism Podcast. The conversation delves into Dr. Lenz's medical background, his dedication to lifelong learning, and his focus on chronic pain syndromes such as fibromyalgia, EDS, POTS, and more. Dr. Lenz explains three types of pain: nociceptive, neuropathic, and nociplastic pain, and discusses the significant overlap between invisible illnesses and neurodivergence, including ADHD and autism. The interview sheds light on the challenges and misconceptions in diagnosing these conditions, emphasizing the need for a holistic, evidence-based approach to support patients.

00:00 Introduction to the Interview
00:17 Meet Dr. Michael Lenz
02:50 Understanding Chronic Pain Syndromes
06:27 Exploring Fibromyalgia and Related Conditions
08:31 Personal Journey and Insights
18:06 Challenges in Diagnosing and Treating Chronic Pain
32:11 Tailoring Treatment for Neurodivergent Patients
41:22 Conclusion and Next Episode Teaser

Click here for the Fibromyalgia 101 link.

Click here to connect with Joy Lenz.

Support the show

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.*

...

Text Dr. Lenz any feedback or questions

In this week's episode, we delve into Annie Kotowicz's book 'What I Mean When I Say I'm Autistic,' exploring her autistic life. The episode highlights her personal experiences before and after diagnosis, offering insights into sensory sensitivities, social interactions, and the nuances of living as an autistic adult. Addressing common misconceptions, Annie's narrative is a blend of memoir and manifesto, aimed at helping both autistic individuals and those around them better understand and appreciate the autistic mind.

00:00 Introduction to This Week's Episode
00:17 Inside the Mind of an Autistic Woman
00:52 Understanding Autism and Its Impact
02:07 The Importance of Adult Diagnosis
03:13 Personal Experiences and Reflections
05:41 Discovering Autism in Adulthood
09:45 The Concept of Masking
18:34 Sensory Sensitivity and Empathy
28:54 Conclusion and Final Thoughts

Click here for the Fibromyalgia 101 link.

Click here to connect with Joy Lenz.

Support the show

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.*

...

Text Dr. Lenz any feedback or questions

In the second half of the conversation with dietitian Joy Lenz, practical advice is shared on transitioning to a healthier, more plant-based diet. Topics include common nutrient deficiencies like fiber versus protein, tips for incorporating plant-based protein sources such as legumes, nuts, and whole grains, and dealing with dietary concerns and social challenges. Joy provides insights into common pitfalls people face when going plant-based and offers solutions, including her work with clients. Strategies for meal planning, handling cravings, and personalized diet plans are also discussed.

00:00 Introduction to the Conversation
00:19 Protein vs. Fiber: What's More Important?
01:05 Addressing Protein Deficiency Myths
03:44 Plant-Based Protein Sources
05:42 High-Fiber Plant-Based Foods
08:31 Common Mistakes in Transitioning to Plant-Based Diet
13:51 Navigating Social and Family Challenges
18:50 Working with a Dietitian
26:10 Conclusion and Final Thoughts

Click here for the Fibromyalgia 101 link.

Click here to connect with Joy Lenz.

Support the show

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.*

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