What can help with fatigue associated with fibromyalgia, MS and recent gastric bypass surgery?

Published: July 23, 2013

I have MS, fibro, osteoarthritis, and the fatigue is so bad that I can hardly get out of the bed. I had a gastric bypass three months ago and have lost sixty pounds but the fatigue has only gotten worse instead of better. I have tried taking your powder vitamin but it always makes me sick to my stomach. Do you have any suggestions on what I need and why the multivitamin is making me sick and how to take care of that. Thank you.


Several issues:
1- MS can cause fatigue as can the fibro. The SHINE protocol helps both. Interestingly, the medication symmetrel 100 mg 2 x day has been shown to be uniquely helpful for MS fatigue.
2- Gastric bypass routinely causes numerous and severe nutritional deficiencies, so a high potency multi is critical. The powder is so strong though (17,000 mg of nutrients) that it can cause a bit of what is called "dumping syndrome" in some of those with gastric bypass. If this is a problem, simply take 1/4 scoop 1-2 x day. If still a problem, take the daily energy B complex 1 a day plus Natrol's "My Favorite Multiple Take 1" one a day. Then add the Jigsaw Sustained Release Magnesium 1-2 once or twice a day as is comfortable.

Dr. T

Jacob Teitelbaum, MD

is one of the world's leading integrative medical authorities on fibromyalgia and chronic fatigue. He is the lead author of eight research studies on their effective treatments, and has published numerous health & wellness books, including the bestseller on fibromyalgia From Fatigued to Fantastic! and The Fatigue and Fibromyalgia Solution. His newest book (June 10, 2024) is You Can Heal From Long COVID. Dr. Teitelbaum is one of the most frequently quoted fibromyalgia experts in the world and appears often as a guest on news and talk shows nationwide including Good Morning America, The Dr. Oz Show, Oprah & Friends, CNN, and Fox News Health.

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