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The Complex Interplay Between Obesity and Chronic Pain

In this episode of the 'Conquering Your Fibromyalgia' podcast, Dr. Michael Lenz delves into the intricate relationship between obesity and chronic pain syndromes, including fibromyalgia, chronic fatigue syndrome, and migraines. He explores how obesity and chronic pain often co-exist, affecting each other in a challenging cycle intertwined with feelings of shame, frustration, and hopelessness. Dr. Lenz discusses various studies and findings that highlight the prevalence of chronic pain among obese individuals, the potential physiological and psychological factors involved, and the implications for patient care. Emphasizing an evidence-based approach, he aims to provide listeners with strategies for managing both conditions, fostering a supportive and hopeful journey towards better health.

00:00 Introduction
00:33 Understanding Obesity and Chronic Pain
01:06 The Emotional Impact of Obesity
01:51 Frustration and Exhaustion in Weight Management
02:39 Defeat and Resilience
03:12 Hope and Self-Compassion
03:58 Diving into Obesity and Chronic Pain
04:10 Defining Obesity and Chronic Pain
08:15 Studies on Obesity and Chronic Pain
16:55 Obesity's Impact on Joint Pain and Surgery
24:42 Psychological and Lifestyle Factors
27:55 Clinical Implications and Conclusion

International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

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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.*

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