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PMR and Fatigue. Interesting study

Polymyalgia Rheumatica (PMR) | Last Active: Sep 27 8:18pm | Replies (18)

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@oldbtstlshrp2

Since my recent PMR/Prednisone episode is trying to take over my life, I was prescribed a visit to a dietician. Although I thought my wife and I ate healthy, and avoid red meats, discovered many ways to improve the daily diet. I base ours on the majority of a Mediterranean/Diabetic type diet. The most important topic I was informed of by the dietician was "No Naked Carbs" , meaning every time you ingest carbs, must be accompanied by a Protein. There are tons of small portion/high proteins out there like Chia or Hemp heart Seeds to sprinkle on your oatmeal or salads, etc, for one example. These seeds also lower blood sugars and pressure. A Low Fat Mozzarella cheese stick is a good snack to go with some whole grain crackers for those hunger strikes or carrots as a carb, almonds or walnuts? My wife & I noticed on the third day a large change of feeling good as compared to the prior diet habits. If you choose a good diet, high in Proteins, low in carbs, No Sugars (10gr or less per day), higher Omega 3 fats, moderate intake of Turmeric; you will feel better and keep that as a habit. This helps, but is does not cure or alleviate the Prednisone/PMR topic. As a group, we need all the help we can get, to overcome the Prednisone intake side effects. Best Wishes.

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Replies to "Since my recent PMR/Prednisone episode is trying to take over my life, I was prescribed a..."

In Europe, the incidence of PMR is less the closer to the Mediterranean people are. Maybe diet has something to do with it.

Then again, maybe they don't really know how to diagnose PMR in places like Italy.

"As the Italian case highlighted, a different epidemiological perspective seems mandatory."
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780278/
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The more I read about PMR/GCA, the less I know what is true and what isn't true. I just take the position that I know nothing.

My original autoimmune problem was diagnosed 35 years ago. That problem was said to be genetic. I liked that excuse for my autoimmune difficulties.

I have learned about S.A.D. --- Standard American Diet. Our diet probably explains a lot of things about the obesity epidemic in the USA. I didn't know white adipose tissue (WAT) adds to inflammation but Prednisone deposited the adipose tissue on my belly. I didn't have that much fat there before PMR and Prednisone.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6179510/#:~:text=White%20adipose%20tissue%20(WAT)%20is,while%20exercise%20mitigates%20WAT%20inflammation.
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On a happier note, I do believe diet has a lot to do with it. I'm trying to improve that area of my life. I just have a short attention span for anything related to eating. Half my mouth is numb so I don't particularly like the taste of anything. The texture of food is also a problem for me when I put it into my mouth. Lettuce is like paper. I avoid nuts and things that crunch because pieces get lost and I don't know where they are in my mouth. Mushy food is good for me and something sweet still registers in my brain.

My numb mouth and numb tongue was a complication from trigeminal neuralgia surgery. I used to get an electric shock when I tried to eat something so numb is better.

"Trigeminal neuralgia symptoms may include one or more of these patterns: Episodes of intense shooting or jabbing pain that may feel like an electric shock. Sudden episodes of pain or pain triggered by touching the face, chewing, speaking or brushing your teeth."
https://www.mayoclinic.org/diseases-conditions/trigeminal-neuralgia/symptoms-causes/syc-20353344#:~:text=Branches%20of%20the%20trigeminal%20nerve,-Trigeminal%20neuralgia%20results&text=Trigeminal%20neuralgia%20symptoms%20may%20include,speaking%20or%20brushing%20your%20teeth.
Trigeminal neuralgia was my deterrent from eating too much of anything. I could sneak mushy stuff past my mouth if I put it in and swallowed quickly without chewing.