Musculoskeletal/Connective Tissue Disorders - Fibromyalgia

Practice Guidance Toolkit

Key Nutrition Issues


Fibromyalgia (FM) is characterized by widespread pain and tenderness to touch in the joints and muscles, fatigue, sleep and memory problems, and cognitive complaints (1,2). It is most common in females (1). 
Individuals with FM often also suffer from depression, migraine or tension headaches, digestive problems such as irritable bowel syndrome and gastroesophageal reflux disease, irritable bladder, pelvic pain and temporomandibular disorder (1). Stress often worsens the symptoms, and the intensity of the symptoms varies within and between individuals. 
There is no cure for FM (1). A combination of medication and lifestyle factors (e.g. physical exercise, cognitive behavioural therapy) are used to treat the symptoms of FM.

 This toolkit discusses the following key nutrition issues related to symptom management of FM:
  •  weight loss 
  • specific diet patterns (such as the gluten-free, Mediterranean-style, vegetarian, low FODMAP)
  • use of supplements (coenzyme Q10, acetyl-L-carnitine, melatonin, vitamins C, D and E, soy protein and isoflavones, alpha-lipoic acid, omega-3 fatty acids, Chlorella green algae, nigella seeds, creatine, phytonutrients, probiotics, D-ribose, magnesium, tryptophan)
  • elimination of certain food additives (monosodium glutamate (MSG) and aspartame) and caffeine 

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Last Updated: 2022-11-18