Conquering Your Fibromyalgia Podcast

Text Dr. Lenz any feedback or questions When Fibromyalgia Masks Autism and ADHD: Diagnostic Overshadowing and Neuroplastic PainThe script argues that fibromyalgia’s pain, fatigue, and brain fog can act as “diagnostic overshadowing,” masking underlying undiagnosed autism and/or ADHD. Referencing Dr. Megan Anna Neff’s video on how autism can hide ADHD, the narrator (a physician) connects neurodivergent traits to central sensitization and nociplastic pain, suggesting a nervous system “born” with high sensory volume that overheats from lifelong adaptation to a neurotypical world. Examples include autistic rigidity and routines masking ADHD while fueling hypervigilance; combined ADHD task paralysis and autistic inertia contributing to “fibro fog”; special interests functioning as regulating deep focus but driving boom-bust cycles and stress on reentry; and layered masking that ends in collapse framed as flares. The script concludes that recognizing autism/ADHD improves self-understanding and guides lifestyle changes to reduce symptoms.00:00 Fibro as Medical Mystery00:35 Diagnostic Overshadowing01:08 Neurodivergence Behind Pain01:44 Autism Hiding ADHD02:30 Central Sensitization Link03:05 Rigidity Mask Explained04:45 Hypervigilance and Stress05:15 Task Paralysis and Inertia07:06 Special Interests Solar System08:39 Defensive Deep Focus Cycle10:08 The Grand Masking Trap11:50 Self Understanding as Treatment12:23 Closing and Next StepsClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions 2025 Pediatric Cyclic Vomiting Syndrome (CVS) Guidelines: A Brain–Gut, Migraine-Based Action PlanThe script explains updated 2025 guidelines for pediatric cyclic vomiting syndrome (CVS), framing CVS as a disorder of gut–brain interaction and a “migraine equivalent,” with up to 82% of affected children having personal or family migraine history, shifting treatment focus to the central nervous system. It highlights links to nociplastic pain/central sensitization and higher rates of neurodivergence (ADHD, autism), supporting a holistic biopsychosocial approach and trigger management, especially consistent sleep. Key terminology (abortive vs prophylactic therapy, strong vs conditional recommendations) is clarified. The only strong recommendation is early abortive anti-migraine therapy (triptans like sumatriptan or high-dose NSAIDs like ibuprofen) during prodrome; conditional options include aprepitant, ondansetron, and early IV rehydration. Prevention starts with lifestyle and supplements (riboflavin, CoQ10), then escalates to propranolol, cyproheptadine, or amitriptyline; topiramate is generally avoided unless others fail. The guidelines address catamenial and “calendar time” CVS, distinguish CVS from cannabinoid hyperemesis syndrome via six months of cannabis cessation, and emphasize creating a written green/yellow/red CVS action plan for home, school, and emergency care.00:00 Lost in the Fog01:56 CVS as Brain Gut Disorder04:19 Migraine Link Explained06:13 Nociplastic Pain and Sensitization08:48 Neurodivergence Connection10:50 Guideline Terms Decoded13:26 Abortive Rescue Plan17:18 Preventing Future Episodes22:05 Special Subtypes and CHS24:08 Action Plan Zones26:04 Holistic Approach and Wrap UpClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Dr. Megan Anna Neff on Late-Identified Autism, Autistic Burnout, and Self-CareClinical psychologist Dr. Megan Anna Neff discusses how discovering her child was autistic near the end of her doctorate led her to research autism in girls, recognize her own autism, and create Neurodivergent Insights to translate peer-reviewed research into visuals. She and the host describe gaps in clinical training, frequent missed or misdiagnosed autism and ADHD in adults, limited access to adult assessment, and the value and risks of formal diagnosis. Neff explains autistic burnout as nervous-system burnout marked by chronic exhaustion, increased sensory sensitivity and meltdowns, and loss of skills, and notes masking, life transitions, and alexithymia as contributors while cautioning to rule out medical causes. They address overlaps with chronic pain, suicidality risk, and poor response to CBT when neurotype is unsupported. Neff outlines her book "Self-Care for Autistic People" (sensory, physical, emotional, mental, social, and professional self-care) and shares where to find her work and community.00:00 Meet Dr Megan Neff01:32 The Zigzag Into Autism04:16 Health Psychology Roots05:14 Training Gaps In Adults08:32 Self Diagnosis And Screening13:01 What Is Autistic Burnout17:07 Misdiagnosis And Function21:38 Burnout Versus Medical Causes24:30 Triggers And Risk Factors27:21 Why Burnout Builds28:57 Sensory Safety First31:37 Quick Fix Coping Traps34:15 Screening and Misdiagnosis38:03 Liberation Then Grief40:39 Autistic Self Care Basics44:20 Book Chapters and Tips48:47 Advice for Three Groups52:59 Resources and FarewellClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start.  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Autism Acceptance Month Series: Beyond Awareness to Sensory Truth, Masking, and Invisible IllnessThe script introduces an April autism acceptance month video series aimed at moving beyond awareness to genuine acceptance by explaining the lived experience of autism, especially profound sensory differences, masking, routines as safety, and meltdowns as overwhelm rather than tantrums. It frames autism as a different way of being human in a world built for one “type of brain,” and highlights links between autism, ADHD, and chronic invisible illnesses. The series features guides including Dr. Megan Anna Neff (burnout, unmasking, self-care), Dr. Barry Prizant (autistic behaviors as coping strategies), Dr. Jennifer Frazier (bullying’s brain impacts and healing), and memoirist Leland Vitter (resilience and family support). Weekly topics include neurodiversity, harms of functioning labels, late diagnosis, masking, burnout, sensory self-care, bullying and gaslighting, advocacy, and revisiting the highly sensitive person concept with 2026 understanding.00:00 Sensory Overload Walkthrough00:23 Autism Acceptance Mission00:48 Beyond Social Struggles01:25 Masking Routines Meltdowns01:59 Meet the Expert Guides02:27 Dr Prizant Uniquely Human02:53 Bullying Brain Science03:17 Leland Vitter Story03:39 Week by Week Roadmap03:54 Late Diagnosis Unmasking04:07 Self Care and Sensory Tools04:16 Systems Solutions Advocacy04:35 HSP and High Masking04:56 More Than a Series05:11 Join the Comments05:20 Changing the Lens05:59 Closing and Next EpisodeClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions 2026 POTS Guidelines: What They Update—and the Biggest Blind Spots (Hypermobility, Neurodivergence, and Root Causes)The script reviews the new 2026 POTS Guidelines, noting improvements such as formalized diagnostic criteria, recognition of symptoms beyond tachycardia (GI issues, chronic pain, cognitive dysfunction), and first-line nonpharmacological strategies (fluids/sodium, compression) with a tiered medication approach before graded exercise. It argues the guidelines still miss key drivers for many patients by treating POTS too much as a standalone cardiac issue and failing to emphasize hypermobility/EDS as a common underlying structural cause, including not mandating routine hypermobility screening. It also highlights a major omission: the well-documented triad linking POTS, hypermobility, and neurodivergence (ADHD/autism), arguing that screening and support for neurodivergence can improve brain fog, stress/burnout, and even pain, and that ignoring this skews treatment toward cardiac drugs. The video further situates POTS within overlapping syndromes like fibromyalgia and ME/CFS and cites a 2026 case-control study connecting chronic pain/fatigue with higher odds of likely autism/ADHD, mediated by joint hypermobility, urging a more holistic diagnostic and treatment approach.00:00 Why Guidelines Miss You01:09 What 2026 Adds02:23 The Missing Why02:53 Hypermobility Blind Spot05:03 Neurodivergence Omission07:25 Treatment Algorithm Flaws09:42 Bigger Syndrome Constellation11:50 Key Takeaways Recap12:53 Advocate and Share13:36 Final ThoughtsClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions The 2026 Cholesterol Revolution: PREVENT Scores, Hidden Risk Markers, and CAC ScansThe script explains how 2026 ACC/AHA guideline changes aim to make heart attacks more preventable by shifting from short-term “10-year risk” thinking to “lower for longer,” precision prevention, and primordial prevention starting earlier in life. It critiques the older Pooled Cohort Equations for underestimating risk in younger people and introduces the PREVENT equation, which adds 30-year risk plus kidney, metabolic, and social factors. It highlights lipoprotein(a) as a largely genetic once-in-a-lifetime test and hs-CRP as an inflammation marker, and emphasizes coronary artery calcium (CAC) scoring as a tiebreaker for statin decisions (0, 1–99, ≥100). Cases illustrate these tools, including tighter LDL goals (<70 for high risk, <55 for very high risk/secondary prevention) and expanded therapies (statins, ezetimibe, PCSK9 inhibitors, bempedoic acid) alongside whole-food plant-based diet, exercise, and smoking cessation, with a 30-day action plan.00:00 Heart Disease Wake Up01:24 Why Old Risk Scores Failed02:18 A Personal Time Bomb03:29 Three Big Guideline Shifts05:53 Prevent Score Explained07:56 Hidden Risks Lp(a) hsCRP10:52 Calcium Score Reality Check13:52 Real Patient Stories17:06 Modern Meds And Myths19:58 Chronic Pain Connection21:45 Doctor Checklist And Challenge24:25 Choose Your FutureClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions In this enlightening video, we explore the concept of "tension myositis syndrome," a condition where the brain generates chronic pain, challenging traditional biomedical views. We examine Dr. Sarno's groundbreaking work and how he explained the "mindbody syndrome" through a neurodevelopmental lens. Learn how understanding the intricate connection between the brain and pain and the role of emotions and pain can help manage conditions like nociplastic pain, offering strategies for healing and regulation.Imagine Sarah, living with chronic widespread pain for over a decade, her muscles and joints constantly aching, waking up exhausted. This video introduces the concept of "tension myositis syndrome" (TMS), explaining it as a condition where the brain generates pain, challenging traditional biomedical approaches. We explore Dr. John Sarno's work and suggest a "nociplastic pain" lens, including strategies for managing "sensory overload" and regulating "neurodiversity" systems, offering new perspectives on "chronic pain" within the framework of "mindbody syndrome."Imagine Sarah, living with chronic widespread pain for over a decade, her muscles and joints constantly aching, waking up exhausted. This video introduces the concept of "tension myositis syndrome" (TMS), explaining it as a condition where the brain generates pain, challenging traditional biomedical approaches. We explore Dr. John Sarno's work and suggest a "nociplastic pain" lens, including strategies for managing "sensory overload" and regulating "neurodiversity" systems, offering new perspectives on "chronic pain" within the framework of "mindbody syndrome."Click here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Navigating ADHD and Chronic Pain: Dr. Kerry Shea's Journey from OB GYN to ADHD CoachIn this episode, we welcome Dr. Kerry Shea, an OB GYN who transitioned to working as an ADHD coach. Dr. Shea shares her personal experience living with ADHD and chronic pain, including a diagnosis of trigeminal neuralgia, and her struggles with various other invisible illnesses like endometriosis. Carrie explains how these challenges impacted her career in medicine and her eventual shift to coaching. She also touches upon the importance of understanding neurodivergence, the impact of chronic pain, and the necessity of a holistic approach to health and wellness. By sharing her story, Dr. Shea aims to validate the experiences of many who face similar issues and provide insight into coping strategies and the importance of seeking support.00:00 Introduction to Dr. Kerry Shea01:23 Carrie's Background and ADHD Diagnosis02:51 Medical Career and Chronic Pain Journey03:36 Struggles with Trigeminal Neuralgia and Work Environment05:40 Navigating the Medical System as a Patient07:16 Transition to ADHD Coaching07:45 Early Life and ADHD Awareness11:21 Chronic Pain and Neurodivergence16:57 Impact of ADHD on Medical Career28:34 Decision to Go on Disability37:11 The Challenges of Medical Specialties37:45 Physical Demands of OB-GYN38:12 Advice for Pre-Med and Med Students38:45 Chronic Pain and Early Symptoms39:38 Restless Leg Syndrome and ADHD42:41 Managing Restless Leg Syndrome48:05 Neurodivergence and Chronic Pain50:42 The Importance of Good Sleep58:55 Physician Burnout and Neurodivergence01:07:49 ADHD Coaching and Support01:11:08 Conclusion and Final ThoughtsClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start.  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions 00:00 A Mysterious Case00:59 Years of Unexplained Pain02:19 The Hidden Connection03:08 The Breakthrough Diagnosis04:03 Understanding the Science04:52 Sensory Processing Differences06:13 ADHD and Pain Regulation07:24 Amplifying Factors08:36 Diagnostic Overshadowing09:52 The Treatment Breakthrough10:40 Miraculous Results11:40 Multidisciplinary Approaches12:07 Community and Support12:43 Important Disclaimer13:07 Final ThoughtsClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Beyond the Pain Scale: Using WPI/SSS and FIQR to Measure Fibromyalgia Severity and Treatment ProgressThe script explains that fibromyalgia care often relies too heavily on a 1–10 pain scale, overlooking fatigue, unrefreshed sleep, brain fog, and daily function, which leaves patients feeling unheard and clinicians without clear data. It describes how the American College of Rheumatology shifted from the 1990 tender point exam to revised criteria (2010, refined in 2011 and 2016) using two quick questionnaires: the Fibromyalgia Survey Criteria—Widespread Pain Index (19 pain regions) plus Symptom Severity Score (fatigue, unrefreshed sleep, cognitive symptoms, plus headaches/abdominal pain/depression), combined as the PSD—and the Revised Fibromyalgia Impact Questionnaire (FIQR), a 21-item measure of function, overall impact, and symptoms scored 0–100. Examples show how these tools provide baselines, track change, guide treatment adjustments, and capture clinically meaningful improvement beyond pain alone.00:00 Beyond the Pain Scale01:04 Why Fibro Gets Missed03:36 Old Criteria to New Tools04:30 Two Key Questionnaires05:45 Widespread Pain Index07:49 Symptom Severity Score09:35 Diagnosis and Tracking Baseline10:50 Advocating at Appointments11:22 FIQR Daily Function12:59 FIQR Impact and Symptoms15:51 Meaningful Improvement Benchmarks16:16 Using Both Tools Together19:05 Tracking Life Factors Over Time20:35 Wrap Up and Next StepsClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Sjogren’s vs Fibromyalgia: Key Differences in Symptoms, Diagnosis, and TreatmentThe script explains why Sjogren’s disease and fibromyalgia are often confused due to overlapping pain and fatigue, noting studies suggesting over 30% overlap, and stresses that accurate diagnosis guides appropriate treatment. Fibromyalgia is described as a central nervous system disorder driven by central sensitization, causing chronic widespread pain for at least three months, profound unrefreshing sleep fatigue, and “fibro fog,” with normal inflammatory and autoimmune labs. Sjogren’s is presented as a systemic autoimmune disease targeting tear and salivary glands, causing measurable dry eyes and dry mouth (sicca), increased dental problems, and possible joint/muscle pain and organ involvement. The script contrasts diagnostic approaches (WPI/symptom severity vs antibodies, Schirmer’s test, salivary flow, and minor salivary gland biopsy) and treatments (exercise/CBT/sleep and neurotransmitter meds vs dryness management, pilocarpine/cevimeline, hydroxychloroquine, and immunosuppressants).00:00 Invisible Pain Explained00:49 Why Diagnosis Matters02:41 Fibromyalgia Basics03:22 Fibro Symptoms Checklist04:57 What Fibro Is Not05:25 Sjogren's Core Signs07:05 Systemic Sjogren's Pain08:04 Sjogren's vs Fibro09:42 Testing and Lab Clues10:36 How Doctors Diagnose12:57 Treatment Roadmaps14:52 Key Takeaways and Advocacy16:12 Final EncouragementClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Dr. Stephanie Pearson on Workplace Injury, Invisible Disability Claims, and Disability Insurance PitfallsDr. Stephanie Pearson, an OB-GYN, describes how a workplace shoulder injury during a delivery led to chronic pain, failed surgery outcomes, job termination after FMLA, and denial of her hospital disability coverage due to a fine-print work-injury exclusion, followed by a disputed workers’ comp claim and a settlement after litigation. She explains how invisible or subjective conditions (e.g., chronic pain, fibromyalgia, headaches) are often doubted by clinicians and challenged by insurers, why “gray” cases face scrutiny, and how documentation of worst-day functional limits and timely medical-record collection are critical, including possible IMEs. Pearson contrasts employer group vs private disability insurance, highlighting taxable group benefits, benefit caps, portability issues, and common two-year limitations for subjective illnesses, while private policies depend on underwriting, exclusions, and participation limits. She also discusses underwriting impacts of medical coding, runs a physician peer support group, and shares personal recovery supports and her company’s client advocacy approach.00:00 Meet Dr Pearson01:23 Injury In Delivery Room02:25 Surgery And Termination03:03 Denied And Sued04:11 Mental Health Crisis05:54 New Purpose And Company06:40 Invisible Illness Bias09:05 Building A Paper Trail12:59 Independent Medical Exams16:33 Group Versus Private Coverage19:25 Subjective Illness Limits23:12 Underwriting Exclusions24:28 Fibromyalgia Stigma25:15 Contracts And Legal Review25:44 Coverage Limits Explained28:44 Underwriting and Intake Process29:54 Medical History Surprises32:10 No Underwriting Options33:32 Psych Diagnosis Pitfalls36:26 Staying Properly Insured38:44 Claims Support and Follow Up39:49 Group Plans and Portability42:15 Physicians Support Community45:17 Family Silver Linings46:59 Closing Reflections and ContactClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Small Fiber Neuropathy and Fibromyalgia: Correlation, Not the CauseThe script examines why findings of small fiber neuropathy (SFN) in fibromyalgia created hope for an objective “proof” of pain, yet argues this link is often misinterpreted as causation. It explains SFN, diagnosed via skin punch biopsy showing reduced nerve fiber density, and notes studies finding positive biopsies in about 40–60% of fibromyalgia patients, including a 2018 meta-analysis reporting 49% prevalence. The script outlines why SFN is not a smoking-gun cause: it appears in only about half of patients, nerve loss severity doesn’t reliably match pain severity, and SFN occurs in other conditions. It contrasts fibromyalgia with classic SFN in onset age, symptom patterns, comorbidities, and nerve-loss distribution, and presents central sensitization (nociplastic pain) as the primary driver, with SFN possibly a trigger in some or a downstream effect in others, emphasizing treatments targeting the central nervous system.00:00 SFN Fibro Controversy01:54 What Is SFN02:57 Biopsy Evidence Buzz04:04 Correlation Not Cause05:54 SFN vs Fibro Differences07:30 Central Sensitization Explained10:12 Where SFN Fits In11:10 Back Pain MRI Analogy11:56 Treatment Focus And WrapClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions High-Masking Autism, Anxiety, and the Multi-System Pattern of Chronic Invisible IllnessDr. Michael Lenz reacts to Auticate's video on autistic health and connects it to fibromyalgia-like “multi-system” chronic invisible illness, describing 11 doctors in a year before an autism diagnosis and a pattern of persistent symptoms despite normal tests. The script reviews common co-occurring issues in autistic people: skin burning/itching and psoriasis, GI problems (GERD, bloating, diarrhea), chronic cough with inconclusive lung workups, urinary frequency/nocturia, insomnia and restless legs/periodic limb movement disorder, widespread muscle tension and pain consistent with fibromyalgia flares after meltdowns, migraines, immune/allergy conditions (including mast cell issues), possible POTS/dysautonomia, and frequent mental health misdiagnoses and medication side effects. It argues a major culprit is chronic anxiety/fight-or-flight from high masking, and explains why medical care is hard for autistic people (waiting, sensory overload, communication, dismissal). It offers self-advocacy tips (lists, disclosure, processing time, bring support) and calls for more integrated, autism-informed healthcare.00:00 Reacting 00:29 The Multisystem Pattern02:24 Skin Symptoms Explained03:41 Gut Issues and Reflux04:57 Chronic Cough Mystery06:25 Urinary Frequency and Pain07:42 Sleep Problems and RLS09:56 Muscle Pain and Flares11:11 Migraines and Sensory Overload12:53 Immune Issues and POTS14:18 Misdiagnoses and Masking15:32 The Culprit Anxiety Loop17:54 Why Doctor Visits Are Hard22:30 Self Advocacy Doctor Tips27:34 Wrap Up and Call to ShareClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Three Blood Tests That Reveal Your True Heart Attack Risk: hsCRP, Lipoprotein(a), and ApoBDr. Michael Lenz argues the standard lipid panel can miss key drivers of atherosclerosis, explaining why some people with “normal” LDL still have heart attacks, and recommends three additional blood tests to better assess risk. High-sensitivity C-reactive protein (hsCRP) measures inflammation, with higher levels indicating increased risk and supported by the JUPITER trial showing benefit of statins in people with normal LDL but elevated hsCRP. Lipoprotein(a) is a largely genetic, “extra dangerous” LDL-related particle linked causally to heart attacks, strokes, and aortic valve disease; a one-time adult test is recommended, especially with early family history, and high levels warrant aggressive control of other risk factors while targeted therapies are in trials. ApoB counts atherogenic particles and may predict risk better than LDL, particularly with insulin resistance or diabetes.00:00 Hidden Heart Attack Risk01:53 Inflammation Fire Alarm03:06 hsCRP Risk Levels04:21 Lipoprotein A Genetics06:08 What to Do If High06:59 ApoB Particle Count08:27 ApoB Targets and Discordance09:23 Putting the Three Together10:17 Final Takeaways and Next StepsClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Chronic Illness, Hidden Heart Risk, and the Coronary Artery Calcium (CAC) ScoreDr. Michael Lenz, a clinical lipidologist, explains that chronic illnesses involving pain, inflammation, or central sensitization (e.g., rheumatoid arthritis, lupus, fibromyalgia) can silently increase long-term risk of heart attack, stroke, and cardiovascular death—sometimes doubling or tripling risk—through systemic inflammation, stress-hormone-driven autonomic strain, and associated factors like obesity, tobacco/substance use, and inflammatory diets. He argues standard LDL-based risk calculators can miss this “invisible” danger and discusses advanced assessment, focusing on the coronary artery calcium (CAC) score: a brief, non-contrast CT scan that measures calcified plaque as proof of coronary disease. Citing the MESA study, he describes the predictive value of CAC, including “power of zero,” outlines score ranges and implications, notes limitations such as soft plaque, and urges viewers to discuss CAC, statins, lifestyle, and additional blood tests with their doctor.00:00 Chronic Illness Hidden Heart Risk02:10 Invisible Threat Explained03:50 UK Biobank Wake Up Call04:11 How Damage Builds Up06:20 Why Standard Tests Miss It08:21 CAC Scan That Changes Everything10:13 MESA Study Power of Zero12:32 Understanding Your CAC Score17:04 Treatment and Lifestyle Battle Plan18:51 Take Back Control ClosingClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Fibromyalgia and the Hidden Sleep Disorder Fueling Your Pain: How Restorative Sleep Breaks the Vicious CycleThe script explains fibromyalgia as a real central nervous system disorder marked by widespread pain, crushing fatigue, and “fibro fog,” driven by central sensitization and neurochemical imbalance (elevated substance P/glutamate and reduced inhibitory neurotransmitters). It argues that non-restorative sleep is a core driver of symptoms, highlighting Moldofsky’s findings of the alpha-delta sleep anomaly in which wake-like alpha waves intrude into deep slow-wave sleep, preventing tissue repair and pain regulation. Fragmented sleep also impairs diffuse noxious inhibitory controls (DNIC), worsening hyperalgesia and allodynia; experimental sleep disruption in healthy volunteers can induce fibromyalgia-like tenderness, and diary studies show poor sleep predicts next-day pain more than pain predicts sleep. Solutions emphasize prioritizing deep sleep via CBT-I, paced gentle movement (especially aquatic), mind-body practices, warm baths, screening/treating sleep apnea and restless leg syndrome, and clinician-guided options such as low-dose tricyclics/cyclobenzaprine (including FDA-approved Tonmya in 2025), gabapentinoids, and melatonin while avoiding benzodiazepines.00:00 Pain and Fatigue Cycle01:17 Central Sensitization Explained02:32 Fibromyalgia Symptom Breakdown04:25 Neurochemistry Behind Pain06:01 Non Restorative Sleep Mystery07:16 Alpha Delta Sleep Anomaly09:44 How Bad Sleep Creates Pain13:02 Sleep as the Main Lever15:05 Lifestyle Sleep Fixes18:15 Check Other Sleep Disorders19:04 Medication Support Options20:45 Take Action and Advocate21:56 Final Hopeful Wrap UpClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Making the Invisible Visible: A Longitudinal, Validating Framework for Fibromyalgia and Chronic Illness CareThe script contrasts patients’ experiences of chronic pain, fatigue, and brain fog being dismissed despite normal tests with clinicians’ uncertainty in brief, system-pressured visits, framing “medical gaslighting” as a patient safety issue. It proposes rewriting the clinical approach to invisible illnesses like fibromyalgia, chronic fatigue, migraines, and IBS by starting with deep listening, validating symptoms, and using standardized tools (Widespread Pain Index, Symptom Severity Score, Fibro Score Index, and Fibromyalgia Impact Questionnaire Revised) to confirm diagnosis, set baselines, and track change over time like an A1C. It emphasizes longitudinal mapping of symptoms across the lifespan, including early nervous system sensitivity, neurodivergence, hormonal transitions, and cumulative stress, plus screening for ADHD, autism traits, and sleep disorders. The framework includes pacing with activity tracking, trauma-informed care, careful documentation, flexible follow-up, coordinated care, and transparent uncertainty paired with belief and hope.00:00 Invisible Illness Reality00:39 Clinician Perspective Pressure01:10 Why Medicine Fails Here01:49 Rewriting the Care Script02:11 Start With Listening02:41 Measure And Baseline03:47 Build The Life Timeline05:50 Hormones And Stress Load07:05 Track Progress Over Time08:10 Pacing And Hidden Comorbidities09:22 The Gaslighting System Trap10:11 What Better Care Looks Like11:30 Hope And Closing CallClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Why I Don’t Recommend AG1: A Cheaper, Higher-Fiber Whole-Food Smoothie AlternativeDoctor Michael Lenz critiques AG1/greens powders as expensive, marketing-driven products ($79 for 30 servings) that rely on proprietary blends with unclear dosing, may reduce benefits compared with whole-food “food matrix” nutrition, and provide too little fiber (2 g per scoop). He argues real health comes from a whole-food, plant-based diet that can reduce inflammation and risk of chronic diseases, and offers a daily smoothie formula as a transparent, affordable alternative: water, two cups leafy greens, one cup broccoli sprouts (sulforaphane/NRF2), frozen berries and bananas (polyphenols, potassium), turmeric plus black pepper (curcumin + piperine), flax or chia (fiber/omega-3s), and lemon. He advises gradually increasing fiber to avoid GI distress, compares the smoothie (15–20 g fiber) plus overnight oats breakfast (~40 g fiber) to a common high-calorie, high-saturated-fat, low-fiber American breakfast, and urges viewers to save money and try whole foods for a week.00:00 Why I Skip AG100:43 Marketing vs Reality01:27 Three Big Problems01:47 Proprietary Blend Trap02:55 Whole Foods Absorption03:37 The Fiber Dealbreaker04:23 Real Food Solution05:20 Anti Inflammatory Smoothie05:29 Smoothie Ingredient Formula05:56 Sprouts and Sulforaphane06:31 Berries Bananas Turmeric08:16 Fiber Ramp Up Warning09:35 Cost and Fiber Comparison10:49 Breakfast vs American Meal12:24 Final Takeaways and ChallengeClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Internal Tremors and Fibromyalgia: The Science Behind Invisible VibrationsThe script explains internal tremors (internal vibrations) as a subjective sensation of shaking or buzzing inside the body with little to no visible movement, often felt at rest and sometimes alongside fasciculations, myoclonic jerks, restless leg syndrome, or periodic limb movement disorder. It addresses fear of serious neurologic disease and emphasizes seeing a doctor to rule out causes like thyroid issues, Parkinson’s, multiple sclerosis, and ALS, while noting these often present differently with visible tremors. The video links internal tremors to central sensitization and altered interoception, describing fibromyalgia as a central sensitization syndrome where amplified nervous system signals are hard for the brain to categorize. Suggested strategies include medical evaluation, addressing co-occurring issues and possible medications, checking B12, tracking triggers like dehydration or blood sugar dips, nutrition emphasizing whole plant foods and less saturated fat, CBT, mindfulness and slow breathing, gentle movement, weighted blankets, pacing, and finding support communities, while noting ongoing research and emerging tools.00:00 Invisible Internal Vibrations01:09 What Internal Tremors Are03:10 Why It Feels So Scary03:44 Rule Out Serious Causes04:59 Nervous System Explanation05:18 Central Sensitization Basics06:06 Interoception and Buzzing07:29 Fibromyalgia Connection08:19 Calming Tremors Toolkit08:41 Doctor and Holistic Workup09:42 Nutrition and Triggers10:13 Stress Regulation Practices10:54 Gentle Movement and Grounding11:27 Pacing to Prevent Flares11:57 Community Support and Hope13:29 Wrap Up and Share StoryClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Gabapentin and Pregabalin Explained: Calming an Overactive Nervous System in Pain, RLS, Fibromyalgia, and SleepThe script explains gabapentinoids (gabapentin and pregabalin) as neuromodulators that “turn down” an overexcited central nervous system seen in central sensitization/nociplastic pain syndromes, helping conditions such as neuropathic pain, restless leg syndrome (RLS), fibromyalgia, anxiety, and sleep disruption. It clarifies they don’t act on GABA receptors; instead they bind the alpha-2-delta-1 subunit on calcium channels, reducing calcium influx and release of excitatory neurotransmitters (glutamate, substance P, norepinephrine), lowering pain, restlessness, and anxiety. The script highlights guideline shifts making gabapentinoids first-line for chronic RLS due to minimal augmentation risk versus dopamine agonists, notes pregabalin’s FDA approval for fibromyalgia (gabapentin used off-label), and emphasizes improved slow-wave sleep and restorative recovery. Practical guidance includes nighttime dosing, “start low and go slow” titration, side effects, off-label use, and the need for doctor supervision.00:00 Nervous System Overdrive01:41 Central Sensitization Explained03:52 What Are Gabapentinoids05:45 How They Work in Brain08:14 Restless Leg Syndrome Shift10:14 Fibromyalgia and FDA Approval12:05 Deep Sleep Healing Boost14:55 Nighttime Dosing Strategy17:04 Side Effects and Titration20:59 Off Label Uses and Kids22:49 Analogies and Key Takeaways24:51 Final Summary and DisclaimerClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Adult Autism and Masking: Why Diagnosis Matters and How to Recognize What’s Beneath the SurfaceDr. Michael Lenz interviews clinical psychologist Donna Henderson, co-author with Sarah Wayland and Jamel White of “Is This Autism? A Guide for Clinicians and Everyone Else” and a companion diagnostic guide, about why autism in adults is often missed, especially in people who camouflage. Henderson describes realizing autism in a client with many prior diagnoses and how the field’s training focused on stereotyped, observable behaviors rather than internal experience. They discuss how diagnosis can support self-understanding, self-advocacy, and self-compassion; the difference between social motivation and social energy; why autism in girls often becomes evident around middle school; and how neurocrash, burnout, sensory overload, and misinterpretations of affect can lead to dismissal in healthcare. Henderson argues for clinician education, careful interviewing over test scores, broader access to diagnosis, and considering autism before personality disorder labels.00:00 Late Autism Discovery00:27 Meet The Expert02:40 From Training To Insight06:42 Why Diagnosis Matters11:17 Beyond Observable Traits16:07 Social Energy Vs Interest20:11 Girls And Middle School Shift24:43 State Of Autism Today30:18 Clinicians Need Training37:45 Misdiagnosed As Personality39:37 Hoarding And Pink Flags41:57 Strengths And Sensory Overload44:39 Strengths Need Context45:37 Medical Care and Misread Signals47:35 Pain Expression and Masking50:35 Social Mislabels and Directness53:07 Neurocrash vs Burnout57:42 Reframing Kids and Parenting01:02:19 Cross Neurotype Communication01:06:22 Late Diagnosis Emotions01:09:58 Books Webinars and Finding Care01:17:18 Encouragement and Closing ReflectionsClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start.  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Walk and Talk in Austin: Activity, Weather, and Fibromyalgia InsightsDr. Michael Lenz records a walk along the Lady Bird Lake trail in Austin, Texas, including views of downtown and the Congress Avenue “bat bridge,” explaining how bats congregate there in summer but are gone by mid-November. He reflects on staying active with chronic pain and fibromyalgia, noting many patients were previously very active and may grieve lost abilities, and recommends starting low and gradually increasing movement. He discusses how weather affects symptoms, with many doing better in warm summers and worse in dark winters, while others struggle more in heat due to dysautonomia, temperature regulation issues, POTS, or autism; he shares a patient who felt significantly better while hiking in Central America. He notes nature and activities like kayaking can reduce perceived pain and closes with channel and podcast information and his medical background.00:00 Walk and Talk Intro00:33 Austin Bat Bridge01:55 Staying Active With Fibromyalgia04:47 Weather and Symptom Flares07:24 Music or Silence on Walks10:09 Colorado River and Lady Bird Lake11:59 Nature Therapy and Kayaking12:48 Downtown Views and Trail Life13:57 Wrap Up and About Dr LenzClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Cohort Study Links ADHD to Earlier and More Severe Perimenopausal SymptomsThe episode reviews a population-based cohort study using the Icelandic SAGA cohort (women aged 35–55; n=5,392) examining perimenopausal symptom severity in women with versus without self-reported ADHD (9.9%). Using the Menopause Rating Scale (MRS), Adult ADHD Self-Report Scale v1.1, and PHQ-15, researchers found higher overall perimenopausal symptom burden in women with ADHD (mean MRS 18 vs 13) across psychological, somatic, and urogenital domains, and higher prevalence of severe symptoms (overall PR 1.8; somatic PR 2.2; psychological PR 1.63; urogenital PR 1.57) plus severe general symptoms (PR 1.94). Symptoms peaked earlier in ADHD (ages 35–39 vs 45–49), suggesting onset up to 10 years earlier. Adjustments for sociodemographics, smoking, binge drinking, and PTSD (more common in ADHD) did not remove associations. Limitations include cross-sectional measures, self-reported ADHD, symptom overlap, and lack of treatment data; the script calls for tailored guidelines for perimenopausal women with ADHD.00:00 ADHD Meets Perimenopause00:23 Study Purpose And Rationale01:16 Cohort And Measurement Tools02:33 Menopause Rating Scale Breakdown03:17 Overall Symptom Burden Results04:11 Severe Symptoms And Ratios05:26 Earlier Onset By Age06:23 Confounders And PTSD Analysis07:38 Clinical Takeaways And Guidance08:39 Limitations And Future Research10:00 Wrap Up And Call To ActionClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Trigeminal Neuralgia Beyond Nerve Pain: Marsha’s Racing, Menopause, and Advocacy StoryThe episode explores trigeminal neuralgia as more complex than a simple nerve injury, often overlapping with nociplastic chronic pain features like widespread pain, fatigue, insomnia, and brain fog. Marsha, a longtime off-road racer, recounts an eight-year path to diagnosis after severe electric-shock facial and scalp pain, repeated ER visits, normal imaging, and feeling dismissed as drug-seeking. She describes TN as “torture,” worse than childbirth, and details treatments including carbamazepine, gabapentin, nerve blocks, and gamma knife, which provided about a year of relief but left facial numbness and corneal damage with vision loss. She also has Sjögren’s syndrome, concussion history, anxiety/depression, and discusses perimenopause/menopause timing, hormone therapy trials, and possible ADHD. Racing helps her cope mentally, though symptoms worsen after removing her helmet, and she emphasizes support groups, self-advocacy, and not giving up.00:00 Trigeminal Neuralgia Beyond Nerves05:05 Marsha’s First Symptoms07:26 ER Visits and Misdiagnosis08:35 Finally Getting a Diagnosis09:38 Becoming an Advocate13:49 What TN Feels Like15:58 Neuropathic vs Nociplastic Pain17:14 Treatments and Gamma Knife23:13 Concussions and Early Clues28:14 Hormones Menopause Connection36:38 Racing as Therapy39:23 Daily Management and Race Day Routine41:42 Racing as Flow State44:29 Adrenaline and Desert Races46:46 TN Community and Daily Struggles48:37 Fatigue Meds and Survival52:13 Living Without a Cure55:02 Faith and Being There56:38 High School Trauma and Isolation57:28 Neurodivergence ADHD and Pain01:07:55 Hormones Menopause and Treatment01:16:22 Final Encouragement and ContactClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start.  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Should You Accept a Fibromyalgia Diagnosis? Evidence-Based Response to “Don’t Accept Fibro” ClaimsDr. Michael Lenz reacts to a naturopath’s claim that fibromyalgia is “not an acceptable diagnosis,” acknowledging that patients often feel invisible and that fibromyalgia is diagnosed by symptoms after ruling out other conditions, but arguing this does not make it illegitimate. He explains fibromyalgia as a nociplastic/central sensitization pain syndrome supported by evidence such as amplified pain signaling on functional neuroimaging, disrupted deep sleep, neurotransmitter differences, and overlap with conditions like IBS, chronic fatigue, migraines, and TMJ. He critiques functional-medicine claims that fibro is primarily due to mold toxicity, food sensitivities, adrenal fatigue, leaky gut, or mitochondrial dysfunction, noting limited or debunked evidence and potential harm from chasing costly “root causes.” He outlines evidence-based, multimodal management: restorative sleep, gentle aerobic exercise and pacing, CBT/pain reprocessing and neuroscience education, addressing ADHD/autism/anxiety, and medications such as SNRIs and gabapentinoids.00:00 Why This Reaction01:04 Naturopath Claim Setup02:07 Invisible Illness Explained03:12 What She Gets Right07:31 Why Rejecting Is Harmful07:49 Real Science Of Fibro08:39 Functional Triggers List09:04 Gut Microbiome Claims13:39 Debunking Pseudodiagnoses15:05 Evidence Based Treatment Plan17:46 Should You Accept Diagnosis18:50 Closing TakeawaysClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Dr. Iris Manor on ADHD, Trauma, PTSD, and Resilience: Risks, Mechanisms, and TreatmentThe host interviews Dr. Iris Manor, a child and adolescent psychiatrist and ADHD researcher, about links between ADHD and traumatic stress disorders, including a Denmark study finding children with ADHD are about 11 times more likely to develop PTSD. Manor distinguishes trauma exposure from traumatic stress disorders and describes behavioral risk (novelty-seeking, impulsivity) and shared neurobiology (hippocampus/ventromedial prefrontal networks, inflammatory cytokines), including possible transgenerational effects of maternal trauma. She argues ADHD and traumatic stress are usually separate but interacting diagnoses, and emphasizes resilience through structure, goals, and avoiding helplessness, noting ADHD makes these harder. She warns clinicians often stop stimulants after trauma despite potential benefit, recommends treating ADHD (and parents’ ADHD), and highlights emotional dysregulation requiring treatment (often guanfacine) to enable ADHD and trauma care. The discussion also covers overlap with chronic pain/fibromyalgia and long COVID, autism-related vulnerability, and disagreement with claims that ADHD is primarily caused by trauma.00:00 Trauma and ADHD Link03:11 Why Risk Is Higher04:02 Biology and Inflammation08:04 Which Comes First09:49 Types of Trauma Examples11:52 National Trauma Risk Groups15:14 Covid and Chronic Pain20:42 Resilience Rules and Structure22:20 Treat ADHD During Trauma26:39 Family Screening and Care31:12 ADHD Impact on PTSD Treatment33:33 Emotional Dysregulation Hierarchy35:51 Guanfacine for Dysregulation38:36 Autism Risk and Safety40:13 Therapy Can Backfire41:29 Why Trauma Sticks44:07 Mental Fatigue and ADHD47:22 Does Trauma Cause ADHD49:24 Neurodiversity and Impairment53:25 Treat ADHD Like Medicine57:41 Complex Pain Case Discussion01:02:30 Fibro Screening Tools01:04:53 Next Steps and Wrap UpClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start.  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Abdominal Migraines, Weather, and Early Fibromyalgia Clues: Pediatric Case and Listener FeedbackThe episode shares insights on fibromyalgia-related problems with a focus on the role of weather and activity in flareups and how symptoms can begin years before an adult fibromyalgia diagnosis. A pediatric case is presented of a 10-year-old boy with intermittent severe upper abdominal pain lasting hours to a day, nausea without vomiting, reduced appetite, and mild to moderate headaches, with no red-flag symptoms (no fever, diarrhea, bloody stools, weight loss, rash, bruising/petechiae, or joint swelling) and a normal physical exam. Family history includes migraines (maternal aunt), fibromyalgia (maternal grandmother), and restless leg/growing pains (father). The diagnosis is abdominal migraines, and the discussion emphasizes treatment approaches including restoring consistent exercise (noting a drop in activity during winter after basketball season), improving sleep regularity, considering coexisting restless leg syndrome and iron deficiency, maintaining a healthy diet, and screening for stressors and untreated ADHD. The episode also discusses how colder weather and shorter days can reduce activity and contribute to symptom worsening, and recommends tracking steps and adapting with indoor activity or appropriate clothing; it notes that extreme cold or heat can trigger fibromyalgia pain flares. Listener feedback includes praise for a five-part ADHD series with Dr. Dodson and a question about finding fibromyalgia care in Tampa, Florida, with guidance to start with primary care and noting rheumatologists often diagnose fibromyalgia after ruling out inflammatory disease.00:00 Episode Overview00:37 Pediatric Case Setup01:54 Key History Questions04:43 What Changed This Winter06:42 Exam Findings07:45 Diagnosis Abdominal Migraine08:31 Treatment Basics10:19 Weather Exercise Connection14:56 Fibromyalgia Early Clues15:49 Listener Feedback Q&A16:42 Finding Fibro Care17:53 Wrap Up and GoodbyeClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions The Hidden Fibromyalgia Epidemic: How Bias Leaves Millions Undiagnosed—and How AI Can HelpThe script explains fibromyalgia as a chronic, long-term condition marked by widespread pain, profound fatigue, cognitive difficulties (“fibro fog”), and related mood issues, affecting an estimated 2–4% of the U.S. population (7–14 million) but potentially far more due to underdiagnosis. It describes how the condition is often missed because it is “invisible,” lacks definitive objective tests, and commonly leaves patients in diagnostic limbo for about five years while being dismissed as stressed, depressed, or imagining symptoms. Although the 2016 American College of Rheumatology criteria rely on the Widespread Pain Index and Symptom Severity Score, the script argues diagnosis often fails at the moment clinicians don’t suspect fibromyalgia—driven by longstanding gender and age stereotypes that frame it as a middle-aged women’s disease. It highlights research showing that unbiased application of criteria yields a much closer gender split (about 59% female, 41% male), and that many more men report symptoms than receive diagnoses. The script centers on a study of over 21,000 pain-clinic patients who completed tablet questionnaires with a digital body map; an AI clustered pain patterns into nine groups and identified a “widespread heavy” cluster strongly associated with fibromyalgia, where patients were nearly 30 times more likely to have a fibromyalgia diagnosis than those with low back pain. Yet more than two thirds of patients flagged by the AI lacked a clinical fibromyalgia diagnosis; an objective “informatics proxy” applying the formal criteria found 66.3% of the widespread-heavy cluster met diagnostic criteria, while only 22.4% were diagnosed. The missed patients were more likely to be male and older, demonstrating diagnostic bias. Extrapolating from these findings, the script suggests the true U.S. population meeting criteria could be 21–42 million. It proposes integrating digital body maps and machine-learning alerts into clinic workflows to prompt unbiased evaluation, while emphasizing existing tools already work if applied. The script also frames fibromyalgia as nociplastic pain (central nervous system hypersensitivity), warning that procedures aimed at tissue damage (injections, nerve blocks, surgery) often don’t help and may worsen outcomes, and pointing instead to medications, graded exercise, and cognitive behavioral therapies. It concludes with advice to recognize widespread pain as a key signal, challenge bias (especially for men and older adults) by requesting review of ACR criteria, advocate for better screening, and invites viewers to share experiences, like, subscribe, and enable notifications.00:00 The Hidden Pain: Why So Many Suffer Without a Name01:53 Fibromyalgia 101: What It Is and How It Feels03:37 The Invisible Illness: Stigma, No Tests, and Years in Diagnostic Limbo04:42 Why Diagnosis Fails: Criteria vs. Bias in the Exam Room05:46 Gender & Age Bias Exposed: The Men and Older Adults Being Missed08:10 AI Steps In: Digital Body Maps and the ‘Widespread Heavy’ Cluster10:53 The Shocking Gap: Two-Thirds Flagged by AI Had No Diagnosis13:52 What This Changes: Better Screening, Nociplastic Pain, and Real Treatment Paths16:52 Takeaways & Advocacy: How to Get Taken Seriously (and What to Ask)18:17 Closing: Share Your Story and Help Bring This Epidemic Into the LightClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions 5 Lesser-Known Symptoms of Fibromyalgia: Understanding the Hidden CluesThis episode addresses the frustration of constantly feeling pain and fatigue despite normal medical tests and discusses fibromyalgia as a possible cause. It highlights five often-missed symptoms of fibromyalgia: extreme skin sensitivity (allodynia), non-cardiac chest pain (costochondritis), vision problems and sensory overload, pelvic and bladder issues (similar to interstitial cystitis), and widespread burning, tingling, or numbness (paresthesia). The goal is to provide viewers with information and validation to facilitate better conversations with their doctors, helping them feel more in control of their health. The episode emphasizes that fibromyalgia symptoms are real and offers hope for a path forward.00:00 Introduction: The Frustration of Unexplained Pain00:24 The Mystery of Fibromyalgia01:11 Symptom 1: Extreme Skin Sensitivity (Allodynia)02:49 Symptom 2: Non-Cardiac Chest Pain (Costochondritis)05:17 Symptom 3: Vision Problems and Sensory Overload07:11 Symptom 4: Pelvic and Bladder Issues09:10 Symptom 5: Widespread Burning, Numbness, and Tingling11:05 Conclusion: Empowering Your Health JourneyClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Debunking Myths About Fibromyalgia Diagnosis: A Doctor's Reaction to Naturopathic ClaimsDr. Michael Lenz reacts to a naturopath's controversial statements about fibromyalgia diagnosis, emphasizing the importance of evidence-based medicine. He discusses the legitimacy of fibromyalgia as a real condition characterized by altered pain processing in the central nervous system. Dr. Lenz debunks myths about root causes like mold toxicity, food sensitivities, adrenal fatigue, and mitochondrial dysfunction, advocating for a holistic, science-based approach to managing these chronic invisible illnesses, also known as nociplastic pain syndromes, which fibromyalgia epitomizes.00:00 Introduction and Personal Story01:04 Controversy Around Fibromyalgia Diagnosis01:56 Understanding Fibromyalgia: Symptoms and Diagnosis03:12 Challenges with Fibromyalgia Diagnosis04:58 Functional Medicine Perspective13:39 Debunking Functional Medicine Claims15:07 Evidence-Based Solutions for Fibromyalgia18:50 Conclusion and Call to ActionClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Understanding Fibromyalgia Flares Through Motion Sickness in Autism and ADHDJoin Dr. Michael Lenz as he explores the connection between motion sickness and fibromyalgia flares, particularly in individuals with autism and ADHD. Discover how sensory processing differences and predictive coding play a role in chronic pain and stress responses. Learn practical strategies for reducing unpredictability and supporting neurodivergent individuals living with fibromyalgia and other pain syndromes. Like, subscribe, and share for more science-based insights into chronic pain and neurodiversity.00:00 Introduction: Motion Sickness and Fibromyalgia00:37 Understanding Motion Sickness01:32 Neurodivergence and Sensory Processing02:09 Fibromyalgia and Sensory Mismatch03:25 Managing Life with Neurodivergence03:52 Compassionate Interventions04:14 Conclusion: Insights and SupportClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Exploring ADHD and Perimenopausal Symptoms: Insights from a Recent StudyIn this episode, we examine the intersection of ADHD and perimenopausal symptoms using a recent cohort study from Iceland, Sweden, and the Netherlands. The study aimed to fill a knowledge gap about the impact of perimenopause on women with ADHD. Findings indicated that women with ADHD experience more severe and earlier onset perimenopausal symptoms compared to women without ADHD. The discussion highlights major findings, methodology, potential confounding factors, and the implications for healthcare professionals and women with ADHD. Tune in for a comprehensive look at this significant research!Watch on YouTube Here00:00 Introduction to the Study00:23 Research Goals and Hypotheses01:16 Study Methodology03:17 Key Findings on Symptom Burden05:26 Age and Timing of Symptoms06:23 Contributing Factors and Comorbidities07:38 Implications for Healthcare08:39 Study Limitations and Future Research10:00 Conclusion and Call to ActionClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Unveiling the Truth: CBD, Marijuana and Fibromyalgia and Chronic Pain - Groundbreaking Research FindingsJoin us in this episode as we welcome Marianne Rasmussen, a health scientist with extensive experience in fibromyalgia research, to discuss a pivotal study on the efficacy of CBD in treating fibromyalgia. Marianne shares her journey from a registered nurse to a PhD researcher, her passion for fibromyalgia patients, and the surprising results of her rigorous trial. Despite high hopes, the study revealed no significant benefits of CBD over placebo for pain, quality of life, or functional ability. We delve into the recruitment process, the importance of patient care, and the broader implications of these findings. This enlightening conversation sheds light on the complex world of fibromyalgia treatment and the power of compassionate healthcare. Don't miss this deep dive into cutting-edge research and its impact on patient care.00:00 Introduction and Guest Welcome00:36 Guest Background and Experience02:27 Motivation Behind the Study03:59 Study Design and Methodology06:21 Key Findings and Surprising Results08:14 Patient Recruitment and Randomization11:24 Treatment Details and Side Effects16:36 Placebo Effect and Patient Care24:27 Broader Implications and Recommendations31:20 Conclusion and Final ThoughtsClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Understanding the Link Between ADHD and Trauma with Dr. Iris ManorJoin us as we explore the intricate connections between ADHD, PTSD, and trauma with Dr. Iris Manor, a renowned child and adolescent psychiatrist and director of the lifespan ADHD clinic at Gaha Mental Health Clinic. In this in-depth discussion, Dr. Manor sheds light on why individuals with ADHD are more prone to developing traumatic stress disorders and PTSD, backed by research and case studies. We delve into the biological, behavioral, and environmental factors contributing to these conditions, as well as the essential treatment and management strategies. Dr. Manor also emphasizes the importance of treating ADHD to mitigate the impact of trauma and provides valuable insights into the role of family dynamics in recovery. Whether you're a clinician, a parent, or someone living with ADHD and trauma, this episode offers vital information and practical advice.Watch on YouTube Here00:00 Introduction to the Podcast and Special Guest01:19 Understanding the Link Between ADHD and Trauma03:20 Behavioral and Biological Explanations05:22 Genetic and Environmental Factors07:53 Impact of Trauma on ADHD14:16 COVID-19 as a Trauma and Its Effects19:23 Treatment and Resilience Strategies26:05 Positive Magic Circle for PTSD and ADHD26:31 Screening Parents for ADHD and PTSD26:49 Diagnosing and Treating Families29:22 Challenges in Treating ADHD and PTSD31:36 Emotional Dysregulation and ADHD33:48 Medications for Emotional Dysregulation36:23 Autism, ADHD, and Trauma39:07 The Impact of Trauma on ADHD44:48 ADHD Awareness and Treatment50:45 Final Thoughts and Advice for CliniciansClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start.  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions The Princess and the Pea: A Tale of Sensitivity and NeurodivergenceExplore the timeless fairytale of 'The Princess and the Pea' through the lens of modern science and neurodivergence. This video reinterprets the story as an early description of heightened sensitivity, similar to conditions like fibromyalgia, chronic pain, ADHD, and autism. Learn about nociplastic pain and how it parallels the experience of those with hypersensitive nervous systems. Discover the importance of empathy and validation in addressing chronic pain and neurodivergence, and join the conversation by subscribing to the Conquering Your Fibromyalgia podcast for more insightful stories.Watch on Youtube Here00:00 The Prince's Quest for a Real Princess00:20 The Princess and the Pea Test00:56 A Deeper Meaning: Sensitivity and Neurodivergence01:20 Understanding Nociplastic Pain01:54 The Struggles of Hypersensitivity02:16 Sensory Processing in Autism02:59 The Princess's Restless Night03:35 Lessons in Compassion and Validation04:42 Honoring Sensitivity with Empathy and Science04:47 Subscribe for More InsightsClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions In this enlightening episode, we welcome special guest Luke Thompson, who has a diverse background as a philosophy professor, pastor, author, and theology professor. Luke shares his insights on existential questions, particularly focusing on how different worldviews interpret pain and suffering. He delves into the perspectives of renowned philosophers like Jean-Paul Sartre and Friedrich Nietzsche, contrasting them with Christian viewpoints, especially those of St. Augustine and the biblical book Ecclesiastes. Through an engaging dialogue, Luke discusses the significance of having a meta-narrative and the implications of living with or without transcendent meaning. This conversation promises to provide profound reflections for anyone grappling with chronic pain, existential questions, or the search for purpose in life.With on YouTube Here00:00 Introduction to Our Special Guest: Luke Thompson00:42 Understanding Fibromyalgia: A Chronic Pain Condition01:26 Exploring Different Spiritual Paradigms01:47 Existence vs. Essence: Sartre and Augustine05:15 The Meaning of Pain and Suffering07:54 The Concept of Metanarrative12:57 Solomon's Wisdom: Everything is Meaningless17:37 Nietzsche's Madman Parable: God is Dead22:59 Short-Term vs. Cosmic Meaning28:47 The Source of Human Value30:17 The Role of Curiosity in Science32:45 Understanding Pain and Suffering35:24 Finding Meaning in Life's Pleasures38:21 The Christian Metanarrative47:08 The Importance of a Metanarrative50:36 The Impact of Losing a Metanarrative55:03 The Deeper Why Questions01:00:13 Final Thoughts and ReflectionsClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start.  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions The Science Behind Music's Power to Relieve Chronic PainFeeling trapped by chronic pain and dependent on pills? Discover how music can rewire your nervous system and alleviate pain, anxiety, and depression. Join Dr. Michael Lenz as he delves into robust scientific evidence—from randomized controlled trials to systemic reviews—that highlight music's efficacy in treating chronic pain conditions like fibromyalgia. Learn how self-chosen music, through mechanisms involving neurochemicals like beta endorphin and oxytocin, can act as your brain’s natural pharmacy. Dr. Lenz provides practical takeaways on harnessing the power of music to activate your body's internal pain relief systems, reduce stress hormones, and improve emotional well-being.Watch on YouTube Here00:00 Introduction: Music as Medicine01:20 Scientific Evidence: Music's Impact on Pain03:31 Mechanisms of Music-Induced Analgesia04:26 Neurochemicals and Pain Relief08:21 Practical Applications and Benefits09:54 Conclusion: Harnessing the Power of MusicClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions In this episode of the Conquering Your Fibromyalgia podcast, host Mike introduces the podcast's first medical doctor guest, Dr. Maureen Allen. Dr. Allen shares her extensive journey from being a nurse to becoming a family medicine physician and an emergency medicine expert in Nova Scotia, Canada. The episode dives deep into the complexities of managing chronic pain, explaining how palliative care intersects with chronic pain treatment and the challenges patients face in finding the right care. They discuss the distinctions between acute and chronic pain, the role of emergency departments, and the need for a bottom-up approach to pain management. Dr. Allen also highlights the importance of patient education and shares insights from her own practice to help listeners understand and manage chronic pain more effectively.Watch on YouTube HERE00:00 Welcome to the Conquering Your Fibromyalgia Podcast00:10 Introducing Dr. Maureen Allen00:55 Dr. Allen's Medical Journey01:54 Chronic Pain and Palliative Care02:36 Addressing Misconceptions About Substance Use04:00 Challenges in Diagnosing Fibromyalgia05:39 Pain Education and Management in Canada09:08 Emergency Departments and Pain Management13:09 Understanding Chronic Pain Flare-ups20:13 Patient Concerns and Misdiagnoses23:29 Understanding Chronic Pain24:22 Acute Pain vs. Chronic Pain25:30 Pain Protective Behaviors27:33 The Role of Exercise in Pain Management32:27 The Intersection of Anxiety and Pain36:05 The Importance of Education and Support40:29 Real Stories and HopeClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions In this episode, we welcome Amy Larocca, author of 'How to Be Well: Navigating Our Self-Care Epidemic, one Dubious Cure at a Time'. Amy joins us to discuss the intersection of fashion and wellness, chronic invisible illnesses, and the deceptive allure of the wellness industry. From her observations as a fashion journalist to her personal experiences and deep dive into the world of wellness, Amy reveals the psychological and cultural forces at play. We explore the commercialization of self-care, the rise of wellness trends, and the problematic blend of functional medicine with profit-driven motives. Amy also touches on the controversial role of celebrities, such as Gwyneth Paltrow, in promoting pseudoscience, and the constant societal pressure on women to achieve an unattainable standard of 'wellness'. Join us as we dissect the myths of the wellness industry and delve into the true meaning of self-care.Watch on YouTube Here00:00 The Origins of a Name00:22 Introducing Amy Larocca: From Fashion to Wellness01:11 The Intersection of Fashion and Wellness02:37 The Rise of Wellness Trends04:10 Motherhood and Wellness06:59 Gwyneth Paltrow and the Goop Phenomenon17:13 The Allure and Pitfalls of Functional Medicine23:49 The Growing Gap in Healthcare Access25:21 Debunking Health Myths25:43 The Juice Cleanse Phenomenon28:41 Balancing Humor and Seriousness in Health29:04 The Absurdity of Health Trends30:35 The Exploitation of Wellness39:36 Biohacking and Its Implications41:32 The Role of Lifestyle Medicine43:35 Concluding Thoughts on WellnessClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions New Breakthrough: The Neurobiological Basis of Fibromyalgia Pain RevealedAre you or a loved one struggling with widespread pain often dismissed as stress-induced? Dr. Michael Lenz uncovers groundbreaking data showing that such pain is linked to measurable changes in the brain's structure. This episode delves into a massive study involving over 40,000 participants from the UK Biobank, validating the fibromyalgia index (FMI) as a reliable marker for nociplastic pain, especially seen in fibromyalgia. Key findings spotlight the altered structural connectivity within brain regions like the periaqueductal gray and amygdala, elucidating the link between chronic pain and symptoms such as fatigue and depression. Tune in to grasp a deeper understanding of the biological underpinnings of nociplastic pain and its ramifications for targeted treatments.Watch on Youtube Here00:00 Introduction to Nociplastic Pain01:32 Groundbreaking Study on Fibromyalgia Index01:52 Understanding Nociplastic Pain and Fibromyalgia02:52 Brain Networks and Pain Modulation04:08 Key Findings on Structural Connectivity04:53 Specific Brain Circuits and Symptoms06:10 Mediation Models and Symptom Domains07:10 Specificity of the Fibromyalgia Index07:48 Conclusion and Key Takeaways08:16  Final ThoughtsClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Navigating Chronic Pain and Pseudoscientific Treatments: A Deep DiveThe podcast episode features a conversation centered around the challenges and misconceptions in treating chronic conditions like fibromyalgia and ADHD. Topics covered include the shortcomings of mainstream medicine, supply issues of necessary medications, and the appeal of pseudoscientific treatments. Discussions extend to alternative therapies like EMDR for PTSD, their scientific validity, and potential psychological benefits. The episode critiques pseudoscientific grifts in wellness industries, emphasizes the importance of evidence-based medical approaches, and shares personal anecdotes to underline the significance of comprehensive, scientifically grounded care. The conversation concludes by advocating for skepticism over cynicism and the ethical duty of clinicians to empower patients with accurate information.00:00 Introduction and Patient Case Study00:05 Challenges with Fibromyalgia and ADHD00:31 Alternative Medicine and Root Causes01:43 Mainstream Medicine vs. Alternative Medicine03:08 Exploring EMDR Therapy03:54 The Purple Hat Metaphor05:15 Debate on EMDR's Effectiveness08:05 Neuroimaging and Mental Health Diagnosis11:54 Critique of Alternative Pain Models16:55 Red Flags in Evaluating Therapies19:08 Personal Story and Motivation22:14 Final Thoughts and AdvocacyClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Navigating Mental Health and Chronic Illness: Cutting Through Pseudoscience with Dr. Jonathan SteaIn this episode, clinical psychologist and science communicator Dr. Jonathan Stea joins the show to discuss the intersection of chronic illness and mental health. As an advocate against pseudoscience, Dr. Stea offers insights on identifying and avoiding predatory wellness trends while finding effective, evidence-based treatments. Highlighting the multifaceted reasons why people turn to alternative therapies, Dr. Stea emphasizes the importance of accurate information and ethical healthcare practices. The conversation addresses the proliferation of pseudoscientific diagnoses and the complex factors contributing to misinformation in the wellness industry.00:00 Introduction: Navigating the Maze of Mental Health and Wellness00:20 Meet Dr. Jonathan Stea: Separating Fact from Fiction00:46 The Rise of Alternative Therapies04:26 Understanding the Appeal of Pseudoscience05:57 The Cognitive and Social Factors at Play10:58 The Allure of Integrative and Functional Medicine18:24 The Harmful Impact of Pseudoscience19:57 Common Pseudoscientific Practices in Mental Health21:47 The Danger of Fake Diagnoses23:57 Conclusion: The Need for Evidence-Based UnderstandingClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Unmasking Medical Misinformation with Scott CarneyIn this episode, we delve into the intricate world of health, wellness, and medical misinformation with Scott Carney, a medical anthropologist and investigative journalist. Scott shares his journey from academia to mainstream journalism, exposing fraudulent practices in the wellness industry. The conversation navigates the challenges of differentiating evidence-based medicine from pseudoscientific claims, the rise of wellness gurus exploiting vulnerable populations, and the complex nature of health solutions in the digital age. Scott reveals the manipulative tactics of influencers like Mark Hyman and products like AG1, highlighting the psychological and financial pitfalls of believing in unproven therapies. The discussion also addresses the broader implications of this trend, including the erosion of trust in legitimate authorities and the increasing difficulty of finding reliable health information online. Scott advocates for critical thinking, skepticism, and staying informed to avoid falling prey to health scams.00:00 Introduction to Scott Carney01:00 Scott Carney's Background and Career02:04 The Wellness Industry and Evidence-Based Medicine03:59 Challenges in Evaluating Medical Claims04:52 Historical Medical Practices and Modern Misconceptions07:11 The Internet's Role in Health Misinformation12:57 Functional Medicine and Its Pitfalls19:44 The Business of Health Influencers22:42 Case Study: Athletic Greens (AG1)31:48 The Future of Health Information and Skepticism39:20 Conclusion and Final ThoughtsClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Transforming Health Over 50: Maxim Segouin on Plant-Based Living and FitnessIn this episode of the Conquering Your Fibromyalgia podcast, we continue our conversation with Maxim Seguin, who delves deeper into the mindset shifts, daily habits, and powerful stories that have enabled countless individuals to transform their health through a plant-based lifestyle and physical movement. Seguin shares invaluable insights on the importance of protein and fiber, mindset barriers, and the benefits of strength training, especially for individuals over 50. He also highlights the role of community support and practical strategies for integrating fitness and healthier eating into one's life. This episode is packed with inspiring stories and actionable advice for anyone looking to improve their well-being.00:00 Introduction and Episode Overview00:43 Protein vs. Fiber: What's More Important?01:54 Mindset and Coaching Strategies05:00 Success Stories and Transformations08:47 Key Habits for Health After 5010:53 Why Focus on People Over 50?12:29 The Importance of Strength Training17:12 Debunking Fitness and Nutrition Myths20:10 Overcoming Barriers to Change22:13 The Power of Supportive Relationships24:28 Fit Vegan Program and Community33:51 Conclusion and Key TakeawaysClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Maximizing Vitality: Movement, Nutrition, and Mindset In this episode of Conquering Your Fibromyalgia, Dr. Michael Lenz discusses the benefits of movement for chronic pain and fatigue with Maxim Sigouin, host of the Fit Vegan Podcast. They explore overcoming exercise fears, pacing, recognizing soreness, and balancing nutrition with plant-based diets. Key takeaways include starting small, listening to your body, and celebrating progress. Ideal for those with fibromyalgia, chronic fatigue, or anyone looking to improve strength and energy.00:00 Introduction to Conquering Fibromyalgia01:23 Meet Maxim Sieging: A Journey to Plant-Based Living02:49 Transformative Stories and Starting Small05:03 Finding the Right Balance in Exercise09:24 Understanding Delayed Onset Muscle Soreness (DOMS)12:46 Pacing and Assessing Your Fitness Level21:58 The Role of Nutrition in Fitness and Health27:04 Vegan vs. Whole Food Plant-Based Diets30:13 Practical Meal Ideas for a Plant-Based Diet33:10 Conclusion and Key TakeawaysClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Beyond Weight Loss: Chuck Carroll's Transformative Journey with Chronic Pain and Invisible IllnessIn this episode, we share a compelling and deeply personal interview with Chuck Carroll, host of the Exam Room Podcast, originally featured on the Fit Vegan Podcast. Known as the Weight Loss Champion, Chuck's journey extends far beyond shedding over 200 pounds. He discusses his experiences with addiction, trauma, and invisible illnesses including fibromyalgia, chronic fatigue syndrome, and disorders of gut-brain interaction. Chuck's story sheds light on the complex relationship between diet, chronic pain, and mental health, touching on his struggles with binge eating and the limitations of conventional treatments. Through candid recounting and medical insights, Chuck highlights the importance of a holistic approach to managing chronic conditions. His journey is a powerful reminder of resilience, hope, and the ongoing battle many face in their search for wellness.00:00 Introduction: Challenging Beliefs About Chronic Pain and Weight00:20 Meet Chuck Carroll: The Weight Loss Champion's Hidden Struggles01:03 Living with Chronic Pain: Chuck's Personal Battle02:37 The Reality of Binge Eating and Early Health Struggles04:39 Considering Gastric Surgery: A Desperate Measure06:49 Post-Surgery Realizations and Dietary Changes08:52 The Shift to a Plant-Based Diet14:11 Facing New Health Challenges: Gut-Brain Disorders17:25 The Role of Stress and Emotional Turmoil19:29 Navigating Chronic Pain and Seeking Answers35:00 Support Systems and Coping Mechanisms38:12 Conclusion: Resilience and AdvocacyClick here for the YouTube Channel  Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions The Reality of 'The Biggest Loser': A Medical PerspectiveWatch the video hereDr. Michael Lenz, a pediatrician, internist, clinical lipidologist, and Lifestyle medicine physician, reviews the Netflix documentary 'The Biggest Loser' from a medical perspective. He discusses the extreme and often dangerous tactics used on the show, the emotional and psychological consequences for contestants, and the implications for long-term health. Dr. Lenz highlights evidence-based treatments for weight loss and related conditions like binge eating disorder and ADHD. Through clips from the show and interviews with experts, he stresses the importance of compassionate, evidence-based care for sustainable health changes.00:00 Introduction and Purpose00:26 The Reality of The Biggest Loser01:33 Personal Struggles and Insights03:33 Medical Perspectives on Weight Loss07:02 Extreme Measures and Their Consequences09:53 Emotional and Psychological Impact11:04 Temptations and Traps14:39 Medical Conditions and Personal Stories18:32 Long-Term Health and Sustainability23:35 Conclusion and Final ThoughtsClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Golden Girls and Chronic Fatigue Syndrome: Lessons from Dorothy's JourneyDr. Michael Lenz, a pediatrician, internist, clinical lipidologist, and lifestyle medicine physician, explores the depiction of chronic fatigue syndrome and fibromyalgia through the character Dorothy from the Golden Girls. Reflecting on specific scenes from the 1989 episodes, Dr. Lenz highlights how experiences with these conditions are often dismissed by the medical community, yet remain profoundly debilitating for patients. The episode illustrates the importance of compassionate, holistic care and validates the real suffering behind such invisible illnesses. Dr. Lenz also shares the backstory of how these episodes were inspired by the show creator Susan Harris' real-life experience.00:00 Introduction to Chronic Pain Syndromes00:15 Dorothy's Struggle Begins01:59 Understanding Chronic Fatigue Syndrome03:09 Medical Dismissal and Patient Frustration04:24 The Impact of Personal Stress06:15 The Role of Psychiatry in Chronic Illness09:31 Family Support and Validation11:47 The Medical Maze and Specialist Referrals22:57 A Compassionate Diagnosis28:31 The Backstory of the Golden Girls Episodes29:29 Conclusion and Final ThoughtsClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...

Text Dr. Lenz any feedback or questions Checkout the video here.Opioids and Fibromyalgia: Understanding the Risks and AlternativesIn this episode of the Conquering Your Fibromyalgia podcast, the host delves into the complex and often controversial topic of using opioids for treating fibromyalgia. The discussion is anchored around a comprehensive review from the Mayo Proceedings and explores why opioids, despite being widely prescribed, are not effective for fibromyalgia patients and may even be harmful. The podcast also covers the mechanisms of fibromyalgia, how it differs from other pain disorders, and why alternative treatments such as FDA-approved medications, exercise, sleep management, and cognitive behavioral therapy are more effective. Listeners are encouraged to seek professional medical advice before making any changes to their treatment plans.00:00 Introduction to Opioids and Fibromyalgia01:23 Understanding Fibromyalgia and Opioid Use03:18 Medical Guidelines and Opioid Efficacy05:39 Neuroimaging Insights and Opioid Hyperalgesia07:28 Expert Opinions and Alternative Treatments08:28 Reasons for Continued Opioid Prescriptions09:27 Psychological and Social Factors10:26 Moving Forward: Multidisciplinary Care12:14 Guidance for Current Opioid Users16:24 Final Thoughts and EncouragementClick here for the YouTube Channel  Support the showWhen I started this podcast and YouTube Channel—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. 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 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace per...