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October 2002, Issue 59
Below is the table of contents. Click here for more details about ordering back issues.

• Are all of your symptoms caused by fibromyalgia/chronic fatigue syndrome (FMS/CFS)?
- Expert advice by Don Goldenberg, M.D., Carol Beals, M.D., Charles Lapp, M.D., and Xavier Caro, M.D.
- Be wary of making assumptions
- Guidelines to help identify a new medical condition
- List of symptoms that may not be FMS/CFS
- Conditions that mimic FMS/CFS
- Other illnesses that commonly occur in FMS/CFS patients
- Hidden conditions that aggravate FMS/CFS
• New medications to consider
- Lidoderm patch, Provigil (modafinil) and Mirapex (pramipexole)
- Includes latest research to explain how these drugs work, optimal way to use them and most effective dose
• Blocking substance P
- How substance P is released
- Role of NK-1 receptors
- Why drugs that block NK-1 may be effective for treatment of fibromyalgia syndrome (FMS)
- The effect of noradrenaline (same as norepinephrine) on Substance P
- Is one class of drugs enough?
- Why other medications are important, such as Effexor (venlafaxine), Zanaflex (tizanidine), Pamalor (nortriptyline) and opioids (Ultram, morphine, etc.)
- Patient-focused article, reviewed by pain researcher Luc Jasmin, M.D., Ph.D., to ensure accuracy
• Sleep and snoring
- How oral appliances work to halt snoring
- An alternative to CPAP?
- Advice on acclimating to the appliance
- Questions to ask when finding an appliance expert
- Resources to help you locate a specialist
- Patient-focused article prepared with the assistance of TMD/FMS expert Herbert Gordon, D.D.S, Ph.D.
• Research on hormones that control blood volume and potentially dizziness
• New findings show that certain diets and supplements may aid fibromyalgia symptoms

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