Can Yoga help if you have fibromyalgia?

With the current buzz around magnesium supplements it implies that we are all short of magnesium.  But are we? First it is important that you are aware there is currently no test to determine your magnesium levels that is cost effective or well validated.   Even clinical manifestations of magnesium deficiency are difficult to define due to magnesiums many roles in our body.  Despite this amoung researchers, magnesium defficiency is known as the silent epidemic of our times.  At first glance this seems a paradox how can people be low in magnesium if you can't measure it? The answer appears to be lifestyle and diet.   Less than 30% of U.S adults comsume the recomended daily allowance (RDA) of magnesium.  And nearly 20% get only half of the magnesium they need daily to remain healthy. So what are the symptoms of poor magnesium intake:

• Muscle cramps
• Facial ticks
• Poor sleep
• Chronic pain

My initial response to this question, is off course not.  A placebo is anything that seems to be a "real" medical treatment -- but isn't i.e. it is fake.  The judgement of what is fake is based on the availability of scientific evidence. Traditionally in medical trails patients don't know if they are taking a placebo.  For most of my readers, they would probably refuse to take a placebo, as they know its a placebo, so you would think your wasting your time.  I would agree with this, but was a bit surprised by some recent research. Around half of 97 patients with chronic lower back pain were given a pill bottle with the word "Placebo" printed on it - after they been told that a placebo contains no active ingredient - along with a standard NSAID (non-steroidal anti-inflammatory drug) pain killer, while the remainder of the group was just given the NSAID. After taking the pills twice a day for three weeks, the patients taking they placebo plus the NSAID reported a 30% reduction in pain compared with a 9% decrease in those given only the NSAID. So the researches discovered that a placebo may be effective treatment for lower back pain even when people know they are taking a placebo! Reference Carvalho, Cláudia; Caetano et al, 2016, Open-label placebo treatment in chronic low back pain: a randomized controlled trial, Journal of Pain, December 2016, Vol 157, Issue 2, p 2766 - 2772  

The causes of mental and physical fatigue experienced by people with MS are complex, and likely to include neural, inflammatory, metabolic, and psychological factors. None of the currently available approaches offers long term relief, say the researchers. Previous research suggests that dark chocolate, containing between 70 and 85 per cent cocoa solids, is associated with an improvement in subjectively assessed fatigue in people with chronic fatigue syndrome (ME). Cocoa, like dark chocolate, is rich in flavonoids––substances found abundantly in fruit and vegetables and associated with anti-inflammatory properties. This prompted the researchers to see if it might also be worth exploring Cocoa potential in helping to tackle the fatigue associated with MS. They randomly assigned 40 adults recently diagnosed with the relapsing remitting form of MS and fatigue to drink a cup of either high flavonoid cocoa powder mixed with heated rice milk (19) or a low flavonoid version (21) every day for six weeks.  Participants were instructed to wait 30 minutes before taking any prescribed medication or eating or drinking anything else, but otherwise to stick to their usual diet.  Fatigue and fatigability–the speed with which mental and physical fatigue set in–were formally assessed before the start, at the mid-point, and at the end of the trial.  And participants also subjectively rated their fatigue on a scale of 1 to 10, at 10.00, 15.00, and 20.00 hours each day, and monitored their activity with a pedometer.  After six weeks there was a small improvement in fatigue in 11 of those drinking high flavonoid cocoa compared with eight of those drinking the low flavonoid version. Those drinking the high flavonoid version showed a 45 per cent improvement in subjectively assessed fatigue and an 80 per cent improvement in walking speed.  Although not objectively measured, pain symptoms also improved more in the high flavonoid group. If the findings are confirmed in larger studies, it may offer a simple dietary approach to a persistent and hard to treat symptom, which affects nine out of 10 people with MS, suggest the researchers. Reference https://jnnp.bmj.com/content/90/5/507