Below is a list of various nutrients that affect a person with Fibromyalgia.

• Carnitine - deficiency causes muscle pain due to inefficient cellular energy metabolism (mitochondrial myopathy) which presentas as fibromyalgia.
• Choline & Inositol - altered levels of both nutrients seen in fibromyalgia; choline & inositol are involved in pain perception.
• Serine - blood levels of this amino acid are much lower in fibromyalgia patients.
• Vitamin D - low levels impair neuromuscular function and cause muscle pain. Deficiency is common in fibromyalgia patients.
• Vitamin B1 - Thiamin (B1) deficiency mimics fibromyalgia symptoms including serotonin depletion (decreased paing threshold), a decrease in repair enzymes (muscle soreness) and poor energy production (muscle fatigue).
• Antioxidants - low antioxidant status increases pain in fibromyalgia, which is often considered an oxidative stress disorder.
• Zinc - blood levels of zinc are associated with a number of tender points in fibromyalgic patients.
• Magnesium - involved in pain perception pathways and muscle contraction; treatment with magnesium can improve tenderness and pain.
• Selenium - deficiency is linked to fibromyalgia; in one trial, symptoms improved in 95% of patients supplemented with selenium for at least 4 weeks.

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