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Guaifenesin protocol is a popular, experimental, alternative treatment for fibromyalgia proposed in the 1990s by R. Paul St. Amand, MD . The treatment involves three parts: titrating to the proper guaifenesin dosage, avoiding salicylates, and following a low carbohydrate diet if the patient is hypoglycemic. Guaifenesin has not been approved by the FDA for the treatment of fibromyalgia, and the protocol has not been shown to be effective in clinical trials as of 2004. Rather, it has been adopted by some who heard anecdotal evidence of success.

1 Treatment Details

1.1 Guaifenesin Dosage

The dosage is individually determined by slowly titrating the dosage up until a worsening of symptoms is noticed and there is a decrease of the lesions that can be palpitated in the muscles. Patients begin with 300 mg twice a day and increase from there. The guaifenesin should be pure guaifenesin and not a preparation including other medications.

1.2 Avoiding Salicylic Acid

Salicylic acid in even tiny amounts blocks guaifenesin from binding in the kidneys. It is present in many drugs such as aspirin, Salsalate, Disalcid, Anacin, and Excedrin. Plants produce salicylic acid, so herbal medications must be avoided as well as plant oils, gels and extracts in cosmeticsCosmetics or makeup are substances to enhance the beauty of the human body, apart from simple cleaning. Their use is widespread, especially among women in Western countries (see gender role). In the 1800s, Queen Victoria publicly declared make-up impolite and any product that touches the skin. These ingredients include aloeabout 400 See list Aloe is a genus of plants belonging to family Asphodelaceae, with about 400 species. They grow in the drier parts of Africa, especially South Africa's Cape Province, and in the mountains of tropical Africa. They are succulent plants., castor oilCastor oil is a vegetable oil obtained from the castor bean (or preferably castor seed as the castor plant Ricinus communis L. is not member of the bean family). Castor oil is extremely versatile and unique in its composition. Castor oil consists for 90%, camphorCamphor also known as 1,7,7-trimethyl-bicyclo(2,2,1)heptan-2-one, d camphor, d (+)-camphor, (+)-2-bornanone, d-2-bornanone, 1,7,7-Trimethylnorcamphor, 2-Camphanone, 2-camphonone, Bornan-2-one, or Caladryl has the chemical formula C H O. General Name Camph, and mintThis article is about the herb. See Mint (disambiguation) for other meanings. Mentha aquatica ''Mentha arvensis ''Mentha citrata ''Mentha longifolia ''Mentha x piperita ''Mentha pulegium ''Mentha requienii ''Mentha spicata ''Mentha suaveolens True Mint s. Any plants can be eaten, however, because the small amount of salicylic acid present in food is broken down in the digestive system and tagged with glycineThis is an article about Glycine, the amino acid. For the plant genus containing the soybean, see Glycine (plant) Glycine is a nonpolar amino acid. It is the simplest of the 20 natural amino acids; its side chain is a hydrogen atom. Because there is a sec by the liverThe liver is an organ in vertebrates including humans. It plays a major role in metabolism and has a number of functions in the body including detoxification, glycogen storage and plasma protein synthesis. It also produces bile which is important for dige before reaching the kidneys.

1.3 Treating Hypoglycemia

Many symptoms of hypoglycemia (or perhaps more aptly titled Carbohydrate Intolerance) are similar to fibromyalgia, and while leaving hypoglycemia untreated will not hinder the reversal of the disorder with guaifenesin, the symptoms will continue to plague the patient. The only treatment is a life-long avoidance of simple sugars, caffeine, starchy foods, and any other foods that cause insulin spikes.





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