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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.*





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    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.*





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    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.*





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    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.*





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    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.*





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    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.*





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    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.*





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  • 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.*





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    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.*





    ...
  • Text Dr. Lenz any feedback or questions

    Transitioning to a Whole Foods Plant-Based Lifestyle: Insights For Better Health

    In this week's episode, the hosts delve into the concept of a whole foods plant-based diet, prompted by a listener question from Dan. Joy Lenz, a registered dietitian with an extensive background in nutrition and culinary education shares her personal journey into adopting this lifestyle and explains the fundamental principles that distinguish it from vegetarian and vegan diets. The discussion covers practical tips for transitioning to a whole foods plant-based diet, including examples of breakfast, lunch, and dinner transformations and the benefits of batch cooking. Joy dispels common myths and outlines numerous health benefits, such as improved gut health, weight loss, reduced inflammation, and lower risks of chronic diseases.

    00:00 Introduction and Listener Question
    00:25 Meet Joy Lenz: A Registered Dietitian's Journey
    00:50 Discovering the Whole Foods Plant-Based Diet
    05:48 Understanding Whole Foods Plant-Based Lifestyle
    11:18 Health Benefits of a Plant-Based Diet
    17:02 Debunking Myths About Plant-Based Diets
    19:13 Practical Tips for Transitioning to Plant-Based Eating
    24:23 Meal Transformations and Batch Cooking
    27:57 Conclusion and Next Week's Preview

    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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  • Text Dr. Lenz any feedback or questions

    In this insightful episode, the focus is on ARFID (Avoidant/Restrictive Food Intake Disorder), a complex eating disorder officially recognized in 2013. The discussion covers how ARFID differs from typical picky eating, its unique characteristics, manifestation, and common misunderstandings. The episode features the personal account of a young adult dealing with ARFID alongside anxiety, neurodivergence, and chronic pain. It emphasizes holistic treatment approaches, including therapeutic relationships, gradual exposure to new foods, and a biopsychosocial spiritual environmental model. The episode wraps up with practical advice for caregivers, educators, and healthcare professionals, highlighting the importance of empathy, patience, and collaboration in helping individuals with ARFID thrive. Additionally, it provides insights on how to support young adults and the importance of recognizing co-occurring conditions.

    00:00 Introduction to ARFID
    01:13 Understanding ARFID vs. Picky Eating
    04:02 Case Study: Navigating ARFID with Neurodivergence
    05:12 The Role of Gut Health in ARFID
    06:55 Therapeutic Approaches and Practical Advice
    10:56 Building Trust and Collaborative Treatment
    19:50 Holistic and Long-Term Strategies
    25:46 Conclusion and Resources

    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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    In this special two-part interview, Keira Oseroff Lambert, an expert in eating disorders, delves into the challenges surrounding food, eating, and nutrition. The discussion highlights influential models like Ellyn Satter's division of responsibility, strategies for addressing sensory sensitivities, and practical advice for supporting neurodivergent individuals. The interview provides valuable insights for parents, caregivers, and anyone interested in understanding the dynamics of eating behaviors.

    00:00 Introductions
    02:08 Keira's Journey and Professional Background
    04:24 Introduction to Ellyn Satter and Her Work
    06:30 Implementing Ellyn's Models in Real Life
    07:17 Personal Experiences and Professional Growth
    17:37 Practical Advice for Parents and Caregivers
    18:42 Challenges and Strategies for Picky Eaters
    39:14 Accommodating Neurodivergent Individuals
    51:48 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

    Impact of ADHD on Obesity and Weight Loss Management

    This episode explores the significant impact of ADHD on obesity and challenges in maintaining a healthy diet. Last week's discussion on the pleasure trap and social environment dynamics sets the stage for this week's review of a 2009 study on treating refractory obesity in severely obese adults newly diagnosed with ADHD. The study, published in the International Journal of Obesity, investigates whether ADHD pharmacologic treatment leads to sustained weight loss. The findings reveal a higher prevalence of severe obesity among individuals with ADHD and significant weight loss in treated individuals. The episode further delves into the complexities of ADHD's impact on time management, task completion, and emotional regulation, which are crucial for successful weight loss. Additionally, it discusses the implications for weight loss surgery candidates and the potential benefits of integrating ADHD treatment with lifestyle and dietary interventions, including whole food plant-based diets. The episode concludes with insights into treating binge eating disorder and its connection with ADHD, highlighting the effectiveness of medications like Vyvanse. Listeners are encouraged to consider the bio-psycho-social holistic multifaceted approach to managing obesity and chronic pain conditions like fibromyalgia.

    00:00 Understanding ADHD's Impact on Obesity
    00:39 Exploring the Study on ADHD and Obesity Treatment
    06:39 Study Findings and Discussion
    14:01 Implications
    22:18 Binge Eating Disorder
    32:30 Conclusion 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.*





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  • Text Dr. Lenz any feedback or questions

    In this episode, listeners explore the challenges of maintaining a healthy diet, particularly a whole food plant-based diet, crucial for managing fibromyalgia and chronic pain. Dr. Lenz delves into the concept of the pleasure trap, the biological and psychological challenges posed by modern high-calorie foods, and the additional complexities introduced by conditions like ADHD. The episode provides strategies to overcome these barriers, emphasizing the importance of resetting taste buds, eliminating triggers, meal planning, and building a support network.

    00:00 Introduction to Fibromyalgia and Healthy Eating
    00:43 Challenges of Adopting a Whole Foods Plant-Based Diet
    02:21 Understanding the Pleasure Trap
    07:55 Overcoming Barriers to Healthy Eating
    10:57 Strategies to Escape the Pleasure Trap
    18:12 ADHD and Its Impact on Healthy Eating
    24:10 Conclusion and Next Steps

    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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  • Text Dr. Lenz any feedback or questions

    Exploring the Benefits of Plant-Based Diets for Osteoarthritis with Dr. Dirkjan Van Schaardenburg

    In this continuation of the conversation with a leading rheumatologist from the Netherlands, the focus shifts towards the Plants for Joints Osteoarthritis Trial. The trial targets individuals with osteoarthritis, demonstrating significant improvements in pain, stiffness, and physical function through a plant-based diet. He discusses the study results, comparing them to standard treatments like semaglutide, the challenges of funding non-pharmacological interventions, and the growing acceptance of dietary recommendations among rheumatologists. He emphasizes the potential of lifestyle changes in managing chronic conditions and shares anecdotes of patient success stories. The episode highlights the importance of dietary changes in medical practice and encourages listeners to consider a plant-based diet as a viable option for managing osteoarthritis.

    00:00 Introduction to Dr. Dirkjan Van Schaardenburg and the Osteoarthritis Study
    00:35 Overview of the Osteoarthritis Study Results
    04:06 Comparing Lifestyle Changes and Medications
    05:17 Dr. Dirkjan Van Schaardenburg Dietary Recommendations
    07:52 Challenges and Successes in Research Funding
    10:36 Long-term Effects and Patient Anecdotes
    16:42 Global Dietary Shifts and Implications
    25:24 Final Thoughts and Encouragement

    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 first episode of a two-part series, the Plants for Joints trial is explored, focusing on whether a plant-based diet can alleviate arthritis symptoms. A study participant shares his positive experience with dietary changes on his rheumatoid arthritis. Dr. Dirkjan Van Schaardenburg, a seasoned rheumatologist, discusses how lifestyle factors like diet, sleep, and exercise play a crucial role in managing arthritis. Promising results from the Plants for Joints trial show that a whole food plant-based diet, alongside proper lifestyle changes, can significantly reduce disease activity markers, comparable to modern drug treatments. The conversation also covers the metabolic mechanisms behind diet and arthritis, along with historical studies that laid the groundwork for current research.

    00:00 Introduction to the Plants for Joints Trial
    00:41 Personal Testimony: Life Before and After the Trial
    01:16 Challenges and Commitment to a Plant-Based Diet
    01:56 Remarkable Improvements and Quality of Life
    02:43 Recommendations for Others with Rheumatoid Arthritis
    03:21 Interview with Dr. Dirkjan Van Schaardenburg
    06:25 Understanding Metabolic Factors and Inflammation
    10:04 Historical Studies on Diet and Arthritis
    13:29 Details of the Plants for Joints Trial
    18:25 Results and Impact of the Trial
    26:40 Compliance and Lifestyle Changes
    29:52 Conclusion and Next Episode Preview

    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 weight loss series delves into the connections between obesity and chronic pain, and the benefits of weight loss on reducing chronic pain. The episode discusses a detailed analysis of a study conducted in New Zealand that revealed the effectiveness of a whole food plant-based diet in achieving significant weight loss and improving health outcomes such as cholesterol levels, waist circumference, and medication usage emphasizing the diet's comparative advantages and its practical application in reducing pain associated with conditions like obesity and fibromyalgia.

    00:00 Introduction to Weight Loss and Chronic Pain
    00:57 Exploring Diets for Weight Loss
    02:09 Whole Food Plant-Based Diet Study
    02:54 Study Methodology and Participant Criteria
    04:59 Dietary Intervention Details
    08:15 Study Results and Analysis
    14:44 Comparing Weight Loss Interventions
    19:40 Whole Food Plant-Based Diet and Fibromyalgia
    22:29 Fibromyalgia Study Results
    26:35 Conclusion and Next Episode Preview

    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

    Teresa's Journey: Overcoming Fibromyalgia with Dr. Michael Lenz

    In this special Christmas episode of the 'Conquering Your Fibromyalgia' podcast, Dr. Michael Lenz shares the inspiring story of his patient, Teresa, who successfully reversed her fibromyalgia through a comprehensive holistic approach. Teresa recounts her long struggle with chronic pain, fatigue, and numerous failed treatments until she found hope and effective strategies with Dr. Lenz. This episode marks the beginning of a series exploring her journey from extreme fibromyalgia to a life of significantly reduced symptoms. Listeners will learn about the importance of proper diagnosis, the role of coexisting conditions like restless leg syndrome and ADHD, and the impact of lifestyle changes like diet and pacing in managing fibromyalgia.

    00:00 Introduction and Christmas Greetings
    00:10 Teresa's Fibromyalgia Journey Begins
    00:32 Challenges and Misunderstandings
    01:00 Meeting Dr. Lenz
    02:16 Teresa's Struggles with Daily Life
    05:23 Seeking Medical Help
    10:40 The Turning Point
    13:29 Living with Fibromyalgia
    15:34 Diagnosis and Treatment
    26:10 Restless Leg Syndrome and ADHD
    33:58 Struggles with Retention and Bullying
    34:39 Family Awareness and Genetic Factors
    35:31 Early Symptoms and Academic Challenges
    36:01 Career Aspirations
    37:42 Managing Coexisting Conditions
    39:13 Pacing and Lifestyle Adjustments
    46:43 Dietary Changes and Health Improvements
    01:01:50 Encouragement for Those with Fibromyalgia
    01:03:55 Support and Understanding from Family and Friends
    01:08:40 Final Thoughts and Gratitude

    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, we continue our series on weight loss, obesity, and their link to chronic pain syndromes. Joined by a member of the American College of Lifestyle Medicine, Dr. Michael Greger we discuss various weight loss strategies, including bariatric surgery, GLP-1 agonists, and the benefits and risks of these medical interventions. The discussion focuses on the potential of whole food plant-based diets as a natural alternative for long-term weight loss, backed by evidence such as the BROAD study from New Zealand. Highlighting the role of natural satiety hormones and the benefits of plant-based nutrition, this episode aims to debunk myths around diet and redefine approaches to sustainable, health-promoting weight loss.

    00:00 Introduction to Weight Loss and Chronic Pain
    01:19 Risks and Benefits of GLP-1 Agonists
    03:26 Natural Alternatives to Weight Loss Drugs
    04:02 Understanding Appetite and Obesity
    06:43 Challenges of Calorie-Restricted Diets
    08:21 The Role of Environment in Obesity
    09:40 Sustainable Weight Loss with Whole Foods
    17:07 Thermogenic Effects of Plant-Based Diets
    18:51 Changing Cravings and Palate Adaptation
    22:31 The Power of Healthy Eating
    30:01 Conclusion and Encouragement

    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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