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Beating Back Bacteria in CFS and Fibromyalgia





Dr. Jacob Teitelbaum

Dr. Jacob Teitelbaum's Column advice on CFS, Fibromyalgia and other Health Topics.









Jacob Teitelbaum MD is Medical Director of the Fibromyalgia and Fatigue Centers
( Senior author of the landmark studies "Effective Treatment of Chronic Fatigue Syndrome and Fibromyalgia -- a Placebo-controlled Study" & "Effective Treatment of CFS & Fibromyalgia with D-Ribose". Author of the best-selling book "From Fatigued to Fantastic!"(3rd ed-Penguin/Avery Oct 4, 2007) , "Three Steps to Happiness! Healing through Joy", and "Pain Free 1-2-3- A Proven Program to Get YOU Pain Free!" (McGraw Hill, 2006). He does numerous media appearances, including CNN and FOX National News and is a frequent guest on Oprah and Friends with Dr. Oz.. He lives in Kona, Hawaii. Visit his web site at


You can benefit from Dr. Teitelbaum's wisdom and experience by visiting us at The Environmental Illness Resource regularly to read articles from his latest newsletter!




Monday, April 2nd, 2012:


What's New in S.H.I.N.E. — Part XI: Beating Back Bacteria in CFS & Fibromyalgia

Waking Up in the Middle of the NightWaking Up in the Middle of the NightWaking Up in the Middle of the Night


by Jacob Teitelbaum MD



Dear Readers,
In a recent newsletter, I discussed NAET as a possible way to treat infections in CFS and fibromyalgia. In the past, I've also pointed out that the common viruses viruses are common culprits, and reactivated when CFS/FMS weakened the immune system.
Well, what's true of viruses is also true of bacteria and other antibiotic sensitive infections. Rare and unusual bacteria don't typically cause CFS/FMS. Rather, the weakened immune system of CFS/FMS allows a reactivation of symptom-causing infections such as mycoplasma and C. pneumoniae — infections that would otherwise be rapidly eliminated by a healthy immune system.
How can you and your doctor figure out if hidden bacterial infections are part of the picture of your CFS/FMS?
Well, if you have strep throat or a bladder infection, it's easy for a doctor to collect the bacteria, put it in a culture dish, and figure out the type of bacteria that's causing the problem — and treat it. But if you have one or more of the infections that are commonly seen in CFS and fibromyalgia (e.g., antibiotic-sensitive bacterial infections, viral, parasitic or Candida infections) there aren't any accurate tests for detection. That means these infections often need to be treated empirically without lab confirmation, based solely on symptoms and their response to treatment.
Here's how to figure out if a course of antibiotics may help you.
For example, some of my patients who take erythromycin or tetracycline antibiotic for a bronchitis that won't quit find that all their CFS/FMS symptoms improve — not just the cold! In that case, I recommend a twelve-week course of 500 milligrams of Zithromax daily or 100 milligrams of doxycycline twice a day. If you feel better on the antibiotic, keep repeating six-week courses until the symptoms stay gone (take the thymic hormone "ProBoost" for 3 months (helpful but optional), zinc 20 mg a day for 3-6 months, and the antifungal "Anti-Yeast," Nystatin, or Diflucan in conjunction with it).
Symptoms that make me suspect that a trial of antibiotics is warranted include (I find this is the case if any of the following are present):
  1. A fever over 98.6°F — even 99°F — and/or
  2. Chronic lung congestion,
  3. Recurrent scalp sores which scab,
  4. A history of bad reactions to several different antibiotics (people misinterpret the die-off reaction as being an allergic reaction),
  5. A history of your CFS/FMS transiently improving in the past when given an antibiotic,
  6. Severe vertigo — this is when you feel like you or the room is spinning in a circle, and is not to be confused with the disequilibrium experienced by most of us with CFS,
  7. Severe night sweats that persist after treating the Candida and hormonal deficiencies.

The basics of immune-building are the best way to keep bacteria at bay. You can boost your immunity by:
  • Sleeping 8 hours a night.
  • Optimizing adrenal gland function, to better handle stress.
  • Improving digestion.
  • Optimizing nutritional support.
  • Eliminating other chronic infections (e.g., Candida and parasites).

There are a number of articles on this site that provide practical info for dealing with hidden bacterial infections. Start with:
  • Treating Hidden Bacterial Infections in CFS & FMS

Other helpful articles include:
  • Avoiding and Treating Infections Without Antibiotics
  • Going After Hidden Infections
  • How to Optimize Your Immune (Defense) System — Naturally!

Love & Blessings,
Dr. T






Used with permission from Dr Jacob Teitelbaum's free newsletters-available at



Learn more from Dr. Teitelbaum's books:



From Fatigued To Fantastic


From Fatigued to Fantastic!: A Proven Program to Regain Vibrant Health, Based on a New Scientific Study Showing Effective Treatment for Chronic Fatigue and Fibromyalgia

Buy from

Buy From Back Bacteria in CFS and Fibromyalgia

Pain Free 1-2-3


Pain Free 1-2-3: A Proven Program for Eliminating Chronic Pain Now!

Buy from

Buy From Back Bacteria in CFS and Fibromyalgia




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