Conquering Your Fibromyalgia Podcast

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 Disclaimer 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 Communic 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 Lenz 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 Action 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 Isolation 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 Takeaways 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 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 Goodbye 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 proce 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 Journey 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 Action 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 Support 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 Action 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 Thoughts 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 Tho 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 Insights 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 Reflections 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 Music 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 Hope 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 Wellness 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 Thoughts 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 Advocacy 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 Understanding 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 Thoughts 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 Takeaways 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 Takeaways 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 Advocacy 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 Thoughts 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 Thoughts 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 Encouragement 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 Building Trust and Effective Communication in Chronic Pain Care with Michelle MakosIn part two of this enlightening conversation, Michelle Makos shares practical strategies for building trust and effective communication between patients and clinicians, emphasizing the importance of validating patients' experiences. Michelle discusses the innovative peer method that is helping transform pain care, reflecting on the complexities in the patient-provider relationship. She offers valuable insights into understanding patients' values and addresses the essential role of self-efficacy and motivation in managing chronic pain. Through her work with Moving Through Chronic Pain and the pain management commission in Oregon, Michelle is dedicated to improving care and education for both patients and providers. This episode is a must-watch for anyone dealing with or treating chronic pain.00:00 Introduction and Recap of Part One00:21 Building Trust and Effective Communication03:14 Understanding Patient Values and Experiences08:56 The Role of Peer Support in Chronic Pain Management19:56 Functional Assessment and Validation29:47 Conclusion and How to Get Connected 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 Chronic Pain: Insights and Support with Michelle Marikos: Part 1In this episode, we transition from clinical perspectives on fibromyalgia to the lived experiences of chronic pain sufferers. Special guest Michelle Marikos shares her profound journey through chronic pain, surgeries, and the challenging world of opioid treatment. Highlighting the importance of peer support and clear communication, Michelle discusses her work with the PEER method, which supports both patients and healthcare providers. Her story underlines the interconnectedness of chronic pain with family and community, advocating for empathy and effective communication in managing pain. This conversation offers vital insights for both patients and providers, emphasizing that while a cure may not be immediate, there are ways to live a meaningful life alongside chronic pain.00:00 Introduction to Michelle's Journey00:49 Meet Michelle Marikos02:42 Michelle's Early Life and Injury04:02 The Struggle with Chronic Pain10:05 Discovering ADHD and Its Impact15:03 The Role of Family in Chronic Pain17:28 The PEER Method and Provider Training19:35 Expectations and Misunderstandings in Chronic Pain28:14 Reflections on Medical Training and Communication31:31 Conclusion and Final Thoughts 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 Practical Strategies for Managing Chronic Pain in Children: Insights with Dr. William FryeIn this episode, Dr. William Frye delves into practical strategies for families and clinicians to help children manage chronic pain. Building on the challenges discussed in part one, he emphasizes the importance of non-pharmacological and multidisciplinary approaches, including sleep, nutrition, and healthy routines, alongside mental health. Dr. Frye highlights the significance of tracking headaches, establishing functional goals, and reducing catastrophizing thoughts through psychoeducation. Additionally, he shares success stories and offers hopeful perspectives for families navigating chronic pain management.00:00 Introduction and Recap of Part One00:21 Practical Strategies for Managing Chronic Pain00:57 Non-Pharmacological Approaches04:52 Importance of Sleep and Healthy Routines07:02 Tracking and Understanding Headaches11:49 Focus on Functionality Over Pain Reduction17:03 Psychoeducation and Pain Catastrophizing19:51 Success Stories and Final Thoughts 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 episode, we explore the complexities of pediatric chronic pain with Dr. William Frye, a pediatric psychologist at Johns Hopkins All Children's Hospital. Dr. Frye discusses the extended journeys families often undertake before reaching specialized care, the prevalence and challenges of polypharmacy, and the significant role non-pharmacological and multidisciplinary approaches play in managing pediatric chronic pain. The episode also delves into the importance of mental health, comprehensive patient assessment, and individualized treatment strategies. Dr. Frye emphasizes the need for holistic care, citing high rates of anxiety, depression, and even suicidal ideation among patients, and sheds light on the unique challenges neurodiverse individuals face. Stay tuned for part two, where practical strategies for managing chronic pain will be discussed.00:00 Introduction to Dr. William Frye01:27 Dr. Frye's Background and Journey into Pain Psychology02:24 Overview of the Headache Study03:33 Key Findings and Surprising Results05:41 Challenges in the Healthcare Journey08:05 Balancing Medication and Non-Medication Treatments14:47 Mental Health's Role in Chronic Headaches20:16 Unique Challenges for Neurodevelopmental Conditions24:11 Benefits of Multidisciplinary Care26:19 Conclusion and Preview of Part Two 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 Celebrating Four Years: Reflections, Fibromyalgia Insights, and Practical TipsIn this special fourth anniversary episode of the podcast, we reflect on four years of sharing expert interviews, insights, and listener stories. Join us as we celebrate this milestone with a scenic walk around Fowler Lake in Oconomowoc, Wisconsin, discussing the importance of movement and environment for those living with chronic pain. The episode delves into the science and personal stories behind fibromyalgia, chronic fatigue, and other invisible illnesses, exploring common misconceptions and frequently asked questions. We also provide practical tips for managing fibromyalgia and chronic pain, discuss the overlaps with ADHD and autism, and highlight the journey of understanding these complex conditions. Whether you're listening or watching on YouTube, this episode offers a blend of personal reflection, medical education, and encouragement from our growing community.00:00 Welcome to Our Fourth Anniversary Celebration!00:22 Reflecting on Our Journey and Future Plans00:34 Practical Tips for Managing Chronic Pain01:00 The Importance of Movement and Environment01:11 Understanding Fibromyalgia and Invisible Illnesses01:20 Personal Stories and Medical Insights09:42 Exploring Nociplastic Pain Syndromes25:04 The Role of Environment in Managing Fibromyalgia27:58 Conclusion and Gratitude 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 in a Complex World: A Deep Dive with Dr. Emily WoodIn the final episode of a three-part series, Dr. Emily Wood, a pediatric and adult psychiatrist with a focus on neurodivergent individuals, discusses pressing issues in ADHD care. Topics include the potential over-diagnosis and over-prescription of ADHD, the impact of stimulant shortages, and the repercussions of outdated policies and stigma. Dr. Wood highlights how modern societal pressures may amplify ADHD symptoms and advocates for medications as vital support rather than a last resort. The conversation spans the implications of legislation, stimulant classification, and the broader societal impact of untreated ADHD. The episode provides crucial insights for individuals with ADHD, their families, and healthcare professionals. Dr. Wood also shares her experiences and the importance of adapting treatment to meet current needs, emphasizing the significance of recognizing neurodiversity and providing comprehensive care.00:00 Introduction and Episode Overview01:10 Are We Overdiagnosing ADHD?01:27 The Impact of Modern Life on ADHD02:36 Medication and Safety Concerns04:15 Stimulant Shortages and Policy Issues09:25 Reclassifying Stimulants: Pros and Cons15:16 Personal Stories and Broader Implications17:56 Final Thoughts and Future Directions23:57 Connecting with Dr. Emily Wood26:19 Conclusion  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 part two of a three-part series, Dr. Emily Wood, a certified psychiatrist at SpectrumPsych, delves into the complexities of ADHD, autism, and their intersections with chronic pain syndromes. The episode covers the science behind stimulant medications, how they impact the brain, and their efficacy in treating core ADHD symptoms, improving emotional regulation, relationships, and long-term health outcomes. Dr. Wood also shares a compelling case study of a late-diagnosed autistic adult with ADHD. The conversation addresses public misconceptions about addiction, over-prescribing, and the erroneous links between vaccines and autism, while discussing the challenges posed by medication shortages.00:00 Introduction and Episode Overview01:33 Understanding Stimulant Medications for ADHD06:14 Real-Life Impact of Proper Diagnosis and Treatment11:16 Addressing Myths and Misconceptions15:09 Genetics and Multifactorial Nature of Autism19:25 Concerns About Stimulant Addiction27:07 Comprehensive Treatment and Patient Stories33:11 Conclusion  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 the first of a three-part interview, Dr. Emily Wood, a board-certified psychiatrist and PhD neuroscientist, discusses the complex links between neurodevelopmental conditions such as ADHD and autism, and chronic pain syndromes like fibromyalgia and chronic fatigue syndrome. Dr. Wood, who heads Spectrum Psych LA, sheds light on why these conditions are often overlooked in high-masking individuals and women and explains the sensory processing differences that contribute to chronic pain. The conversation touches on the shortcomings in traditional psychiatric training and the importance of reevaluating medical education to better serve neurodivergent individuals. Dr. Wood also shares insights from her unique training path and discusses the broader implications of misdiagnosis and lack of understanding in the medical community.00:00 Introduction to Dr. Emily Wood and Her Unique Expertise01:11 Exploring Overlooked Neurodevelopmental Conditions in Women01:55 The Intersection of Neurodevelopmental Disorders and Chronic Pain02:52 Dr. Wood's Journey and Insights into Psychiatry06:27 Challenges in Medical Training and Diagnosis15:54 Implications of Misdiagnosis and the Importance of Listening26:11 Concluding Thoughts  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 episode, Dr. Tamara Rosier, author of 'You, Me, and Our ADHD Family,' shares valuable insights on managing life with ADHD. She discusses emotional regulation, self-awareness, and strategic support, highlighting the pitfalls of following every emotion. She also explores the complexities of romantic relationships involving ADHD, focusing on the importance of personal growth and setting boundaries. The episode concludes with a discussion on the benefits of ADHD coaching, emphasizing its forward-focused and practical problem-solving approach. Listeners are left with a message of hope and the importance of becoming a safe person for others.00:00 Introduction 00:29 The Scorpion and the Skunk Analogy01:21 Emotional Errors and Big Emotions06:02 Navigating Romantic Relationships with ADHD07:52 Misguided Empathy in Relationships09:15 Advice for Those in Challenging Relationships19:04 ADHD Coaching and Therapy25:43 Conclusion and Key Takeaways 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 podcast episode, Dr. Tamara Rosier, a renowned ADHD coach and author, discusses her experiences and insights on managing ADHD within families.  She highlights the importance of understanding ADHD symptoms as neurological challenges rather than character flaws. Dr. Rosier shares personal anecdotes illustrating the impact of ADHD on her upbringing and family dynamics, emphasizing the need for compassion and understanding. She introduces the 'window of tolerance' concept to help manage emotional regulation, discusses the significance of building healthy familial relationships despite executive function challenges, and underscores the transformative role of medication in widening the window of tolerance. This episode provides valuable strategies for fostering better relationships in ADHD-affected families.Checkout the first of a 3 part interview I did with her 2 years ago.00:00 Introduction to Dr. Tamara Rosier01:31 Personal Stories and Family Dynamics03:44 Challenges and Compassion in ADHD Families06:16 Parenting with ADHD: Real-Life Examples10:48 The Window of Tolerance Explained25:21 Medication and Managing ADHD25:53 Conclusion and Key Takeaways 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 This episode delves into the intersections of ADHD, Chronic Fatigue Syndrome (CFS), and Fibromyalgia (FM), drawing on clinical observations and research findings. It explores how ADHD traits can overlap with symptoms of CFS and FM, particularly focusing on non-restorative sleep and exertional fatigue. The discussion highlights the struggles patients face, the importance of a systematic diagnostic approach, and the need for better education and understanding among healthcare providers. The episode also touches on co-occurring conditions like restless leg syndrome and the treatment. Practical advice is shared for both patients and clinicians on recognizing and managing these interconnected disorders.00:00 Introduction and Initial Observations00:37 The Impact of ADHD on Chronic Pain01:23 Public Health Implications of Chronic Fatigue Syndrome02:46 Challenges in Diagnosing Chronic Fatigue Syndrome04:06 Understanding Fatigue and Its Different Forms06:54 Restless Leg Syndrome and ADHD09:10 The Role of Exercise in Managing ADHD and Fatigue18:49 The Overlap Between ADHD and Autism25:14 Conclusion and Final Thoughts 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 episode, Dr. Michael, a pediatrician and author of 'Conquering Your Fibromyalgia,' discusses the connections between ADHD, chronic fatigue syndrome, and fibromyalgia with Dr. Joel Young, a psychiatrist and head of the Rochester Center for Behavioral Medicine. The conversation delves into their shared experiences and research on treating these overlapping conditions, highlighting findings from clinical trials on LDX (Vyvanse) and Sorial (Armodafinil) as treatments for chronic fatigue syndrome. They explore the prevalence of ADHD in patients with chronic fatigue and discuss the limitations of traditional neuropsychological testing in diagnosing ADHD. Dr. Young shares insights on the effectiveness of targeted interventions and presents his clinic's innovative diagnostic tool, Mind Metrics, which aids in identifying psychiatric disorders in patients.00:00 Introduction and Background01:17 Guest Introduction: Dr. Joel Young02:02 Dr. Young's Journey and ADHD Focus04:03 Exploring ADHD and Chronic Fatigue Syndrome07:00 Clinical Trials and Findings09:47 Patient Experiences and Qualitative Insights10:11 Ongoing Research and Future Directions17:05 Challenges in Diagnosing Chronic Fatigue Syndrome24:16 Discussion on Neuropsychological Testing 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 This detailed podcast episode delves into the findings of a study on Chronic Fatigue Syndrome (CFS) using functional MRI and immune system analysis. The speaker explains the technology behind functional MRI and what it revealed about brain activity, specifically in the parietal temporal junction, which showed hypoactivity in CFS patients. The discussion extends to immune abnormalities, highlighting immune cell exhaustion, and hypothesizing links to persistent infections. The episode emphasizes the need for interdisciplinary, evidence-based approaches to treating these 'invisible' illnesses and calls for more integrated, patient-centric research. Other discussed topics include the limitations of current medical specialization and the need for generalist knowledge, the role of gut microbiome, and potential lessons from oncology on immune checkpoints.00:00 Introduction to Functional MRI01:48 Understanding Functional MRI Findings04:08 Immune System Insights04:54 Cancer Research and Immune Exhaustion09:01 Genetic Susceptibility and Long COVID10:33 Holistic Approach to Medicine13:34 Challenges in Treating CFS and Fibromyalgia15:38 Future Directions in Research22:40 Gut Microbiome and Immune Response25:41 Neurodivergence and Immune System29:25 Conclusion and Final Thoughts 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 episode, we delve into the ongoing research and new findings related to Chronic Fatigue Syndrome (CFS). The discussion covers the development of standardized diagnostic criteria known as the Hingston Criteria, as well as the discovery of biological abnormalities in CFS patients. Key areas of focus include the autonomic nervous system, heart rate variability, and muscle strength.  The episode also touches on the concept of 'effort preference' and the complex interplay between sympathetic and parasympathetic nervous system activity in chronic conditions like CFS and fibromyalgia. Additionally, the episode previews upcoming discussions on findings from functional MRIs of the brain in CFS patients.00:00 Introduction and Importance of Defining the Disease00:15 The Hingston Criteria: A New Standard for Clinical Trials00:59 Biological Evidence and Clinical Trials02:13 Autonomic Dysfunction in Chronic Fatigue Syndrome04:14 Sympathetic and Parasympathetic Systems Explained08:24 Chronic Stress and Its Impact on Health10:21 Comparing Functional Somatic Syndromes and Stress-Related Syndromes20:59 Muscle Strength and Cognitive Effort in CFS22:28 Understanding EMG and Its Diagnostic Value26:57 Effort Preference and Its Clinical Implications28:42 Conclusion and Next Week's Preview 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 kick off a series on chronic fatigue syndrome (ME/CFS), often overlapping with fibromyalgia. The discussion features Dr. Avindrah Nath, a leading expert on neurologic infections and intramural clinical director at the NIH. Dr. Nath provides insights from his extensive research on ME/CFS, which includes a comprehensive study involving metabolic, neurologic, and cognitive tests. Delving into the relationships between post-viral syndromes, chronic fatigue, and fibromyalgia, Dr. Nath explains the intensive process of selecting pure patient samples for accurate study results and debunks common misconceptions. The episode also covers the criteria for diagnosing ME/CFS and fibromyalgia, highlighted by personal accounts from those living with these conditions, and explores the controversial topic of whether they represent the same or different illnesses.00:00 Introduction to Chronic Fatigue Syndrome and Fibromyalgia02:18 Meet Dr. Avira Nath: Journey into Chronic Fatigue Syndrome04:38 The NIH Study: Unveiling Chronic Fatigue Syndrome07:14 In-Depth Testing and Patient Selection09:44 Diagnostic Criteria: Chronic Fatigue Syndrome vs. Fibromyalgia13:24 Symptom Comparison and Overlaps25:34 Patient Experiences and Definitions of Fatigue29:00 Conclusion and Next Steps 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 episode, Heather addresses the misconceptions surrounding ADHD, particularly the notion that intelligent and successful individuals can't have ADHD. She emphasizes that ADHD can often be the underlying cause of various misdiagnosed conditions like depression, anxiety, and eating disorders. Heather discusses her evolved therapeutic approach, which involves providing more active coaching and grounding clients to prevent them from feeling like they're spinning without direction. She highlights the importance of self-trust, proactive self-care, and healthier dopamine sources for managing ADHD. The conversation also touches on the role of psychoeducation in relationships, the impact of chronic pain, and the benefits of finding the right type of therapy for ADHD. Heather concludes by encouraging listeners to examine and challenge the stories they tell themselves and to seek therapists who truly understand the ADHD brain.00:00 Addressing Misconceptions About ADHD01:35 The Role of a Therapist in ADHD Treatment02:48 Navigating Therapy for ADHD06:00 The Impact of ADHD on Relationships09:06 Understanding Dopamine and ADHD14:03 Personal Journey and Coping Strategies19:01 Final Thoughts and Encouragement 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 episode, Heather DeAngelis, an APSARD member and ADHD specialist, joins the host to discuss her unexpected journey into the field of ADHD therapy. Heather shares her experiences and insights into managing ADHD and its related conditions, including binge eating disorder. The conversation delves into the importance of Acceptance Commitment Therapy (ACT) and its applications, particularly for those with chronic pain syndromes and other challenges. Heather emphasizes the necessity of understanding one's brain and behavioral therapies beyond conventional methods. The episode concludes with an acknowledgment of the complex relationship between physical and emotional pain, and the significance of an integrated approach to treatment.00:00 Introduction and Guest Welcome00:50 Heather's Journey into ADHD Specialization02:00 Understanding ADHD and Co-occurring Conditions03:35 Binge Eating Disorder and ADHD08:47 Acceptance Commitment Therapy (ACT)27:59 Emotional Regulation and ADHD29:42 Integrative Approach to Mental and Physical Health35:03 Conclusion and Next Week's Preview 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 This episode deviates from the norm to feature excerpts from a heartfelt interview with Chuck Carroll, host of the Exam Room podcast, as shared on the Fit Vegan podcast. Chuck, known as the weight loss champion, opens up about his life beyond losing over 200 pounds and adopting a plant-based diet. He discusses his battles with fibromyalgia, chronic fatigue syndrome, and gut-brain interaction disorders, exploring how these conditions are often misunderstood and overlooked, particularly in men. The conversation delves into Chuck’s personal struggles with addiction, severe binge eating, and the emotional rollercoaster that accompanied his journey towards better health. He provides insights into how stress and emotional turmoil exacerbated his condition, despite his diligent adherence to a healthy diet. This episode is particularly timely during fibromyalgia awareness month and aims to shed light on the intricate relationship between diet, mental health, and chronic illness.00:00 Introduction: Challenging Beliefs About Chronic Pain and Weight00:06 Meet Chuck Carroll: The Weight Loss Champion's Hidden Struggles02:39 Chuck's Early Life and Struggles with Food Addiction04:41 The Turning Point: Considering Gastric Surgery08:53 Life After Surgery: The Battle with Food Cravings09:29 Exploring a Plant-Based Diet for Recovery14:13 The Onset of Chronic Illnesses16:19 Navigating the Medical Maze: Searching for Answers17:27 The Role of Stress and Emotional Turmoil21:22 Living with Chronic Pain: Daily Struggles and Coping Mechanisms23:23 The Importance of Holistic and Compassionate Care32:24 Facing Public Scrutiny and Misunderstanding38:01 Finding Hope and Moving Forward38:46 Conclusion: A Message of Resilience and Support 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 second part of the interview with Laura Valero, a nurse practitioner living with fibromyalgia, the discussion focuses on practical guidance for new practitioners. Laura shares her experiences navigating the biomedical approach to fibromyalgia treatment at a new practice. The importance of using diagnostic tools like the widespread pain index and symptom severity score, and the necessity of patient education and empathy was emphasized. Highlighting the need for a holistic, lifestyle medicine approach, Laura also discusses her personal journey, the impact of ADHD on fibromyalgia, and the lack of training and understanding among clinicians. The interview underscores the value of patient-centered care in managing chronic conditions.00:00 Introduction to the Interview with Laura Valero00:20 Guidance for New Practitioners00:51 Challenges in Fibromyalgia Diagnosis and Treatment01:37 Using Diagnostic Tools Effectively02:58 Patient Interaction and Care03:24 Understanding and Managing Fibromyalgia Pain05:59 The Importance of Patient History08:23 Environmental and Lifestyle Factors12:17 The Role of Education in Fibromyalgia Treatment17:45 ADHD and Fibromyalgia Connection22:54 Functional Medicine vs. Lifestyle Medicine26:20 Impact of Menopause on Fibromyalgia27:46 Benefits of Adderall for Fibromyalgia30:55 Advice for Clinicians and Patients32:35 Conclusion and Contact Information 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 episode, the conversation delves into the unique journey and insights of Laura Valero, a nurse practitioner living with fibromyalgia and rheumatoid arthritis. Laura shares her path from military intelligence officer to healthcare provider, detailing her late-life transition into medicine sparked by extensive exposure to lifestyle medicine and personal health challenges. The dialogue highlights significant knowledge and training gaps in diagnosing and managing fibromyalgia, migraines, ADHD, and related conditions. Laura discusses the transformative impact of adopting a whole food plant-based diet, obtaining ADHD diagnosis and medication, and extensive experience in primary care. Key themes include the importance of integrative medical education, the role of lifestyle changes in managing chronic conditions, and the necessity for empathetic and comprehensive patient care.00:00 Introduction and Missed Connections00:06 Discovering the Podcast and Book00:57 Guest Introduction: Laura Valero01:50 Laura's Background and Career Journey05:05 Transition to Plant-Based Lifestyle06:41 Health Challenges and Diagnoses07:22 Impact of ADHD Diagnosis08:37 Helping Patients with Fibromyalgia21:07 Challenges in Primary Care33:43 Conclusion and Key Takeaways 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...