Ep 210 Chronic Fatigue Syndrome: Understanding the Overlap with ADHD. Dr. Joel Young Part 2
Text Dr. Lenz any feedback or questions This episode delves into the intersections of ADHD, Chronic Fatigue Syndrome (CFS), and Fibromyalgia (FM), drawing on clinical observations and research findings. It explores how ADHD traits can overlap with symptoms of CFS and FM, particularly focusing on non-restorative sleep and exertional fatigue. The discussion highlights the struggles patients face, the importance of a systematic diagnostic approach, and the need for better education and understanding among healthcare providers. The episode also touches on co-occurring conditions like restless leg syndrome and the treatment. Practical advice is shared for both patients and clinicians on recognizing and managing these interconnected disorders.00:00 Introduction and Initial Observations00:37 The Impact of ADHD on Chronic Pain01:23 Public Health Implications of Chronic Fatigue Syndrome02:46 Challenges in Diagnosing Chronic Fatigue Syndrome04:06 Understanding Fatigue and Its Different Forms06:54 Restless Leg Syndrome and ADHD09:10 The Role of Exercise in Managing ADHD and Fatigue18:49 The Overlap Between ADHD and Autism25:14 Conclusion and Final Thoughts International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Support the showWhen I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.* ...
--------
31:00
--------
31:00
Ep 209 Chronic Fatigue Syndrome: new research and Clinical Insights with Dr. Joel Young Part 1
Text Dr. Lenz any feedback or questions In this episode, Dr. Michael, a pediatrician and author of 'Conquering Your Fibromyalgia,' discusses the connections between ADHD, chronic fatigue syndrome, and fibromyalgia with Dr. Joel Young, a psychiatrist and head of the Rochester Center for Behavioral Medicine. The conversation delves into their shared experiences and research on treating these overlapping conditions, highlighting findings from clinical trials on LDX (Vyvanse) and Sorial (Armodafinil) as treatments for chronic fatigue syndrome. They explore the prevalence of ADHD in patients with chronic fatigue and discuss the limitations of traditional neuropsychological testing in diagnosing ADHD. Dr. Young shares insights on the effectiveness of targeted interventions and presents his clinic's innovative diagnostic tool, Mind Metrics, which aids in identifying psychiatric disorders in patients.00:00 Introduction and Background01:17 Guest Introduction: Dr. Joel Young02:02 Dr. Young's Journey and ADHD Focus04:03 Exploring ADHD and Chronic Fatigue Syndrome07:00 Clinical Trials and Findings09:47 Patient Experiences and Qualitative Insights10:11 Ongoing Research and Future Directions17:05 Challenges in Diagnosing Chronic Fatigue Syndrome24:16 Discussion on Neuropsychological Testing International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Support the showWhen I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.* ...
--------
31:52
--------
31:52
Ep 208 Exploring CFS: NIH Study Sheds Light on Neurological and Immune Dynamics Part 3
Text Dr. Lenz any feedback or questions This detailed podcast episode delves into the findings of a study on Chronic Fatigue Syndrome (CFS) using functional MRI and immune system analysis. The speaker explains the technology behind functional MRI and what it revealed about brain activity, specifically in the parietal temporal junction, which showed hypoactivity in CFS patients. The discussion extends to immune abnormalities, highlighting immune cell exhaustion, and hypothesizing links to persistent infections. The episode emphasizes the need for interdisciplinary, evidence-based approaches to treating these 'invisible' illnesses and calls for more integrated, patient-centric research. Other discussed topics include the limitations of current medical specialization and the need for generalist knowledge, the role of gut microbiome, and potential lessons from oncology on immune checkpoints.00:00 Introduction to Functional MRI01:48 Understanding Functional MRI Findings04:08 Immune System Insights04:54 Cancer Research and Immune Exhaustion09:01 Genetic Susceptibility and Long COVID10:33 Holistic Approach to Medicine13:34 Challenges in Treating CFS and Fibromyalgia15:38 Future Directions in Research22:40 Gut Microbiome and Immune Response25:41 Neurodivergence and Immune System29:25 Conclusion and Final Thoughts International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Support the showWhen I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.* ...
--------
33:41
--------
33:41
Ep 207 NIH CFS Study: Advancements in Chronic Fatigue Syndrome Research Part 2
Text Dr. Lenz any feedback or questions In this episode, we delve into the ongoing research and new findings related to Chronic Fatigue Syndrome (CFS). The discussion covers the development of standardized diagnostic criteria known as the Hingston Criteria, as well as the discovery of biological abnormalities in CFS patients. Key areas of focus include the autonomic nervous system, heart rate variability, and muscle strength. The episode also touches on the concept of 'effort preference' and the complex interplay between sympathetic and parasympathetic nervous system activity in chronic conditions like CFS and fibromyalgia. Additionally, the episode previews upcoming discussions on findings from functional MRIs of the brain in CFS patients.00:00 Introduction and Importance of Defining the Disease00:15 The Hingston Criteria: A New Standard for Clinical Trials00:59 Biological Evidence and Clinical Trials02:13 Autonomic Dysfunction in Chronic Fatigue Syndrome04:14 Sympathetic and Parasympathetic Systems Explained08:24 Chronic Stress and Its Impact on Health10:21 Comparing Functional Somatic Syndromes and Stress-Related Syndromes20:59 Muscle Strength and Cognitive Effort in CFS22:28 Understanding EMG and Its Diagnostic Value26:57 Effort Preference and Its Clinical Implications28:42 Conclusion and Next Week's Preview International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start. Support the showWhen I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.* ...
--------
45:12
--------
45:12
Ep 206 The Science behind Chronic Fatigue Syndrome with Dr Nath Part 1
Text Dr. Lenz any feedback or questions In this episode, we kick off a series on chronic fatigue syndrome (ME/CFS), often overlapping with fibromyalgia. The discussion features Dr. Avindrah Nath, a leading expert on neurologic infections and intramural clinical director at the NIH. Dr. Nath provides insights from his extensive research on ME/CFS, which includes a comprehensive study involving metabolic, neurologic, and cognitive tests. Delving into the relationships between post-viral syndromes, chronic fatigue, and fibromyalgia, Dr. Nath explains the intensive process of selecting pure patient samples for accurate study results and debunks common misconceptions. The episode also covers the criteria for diagnosing ME/CFS and fibromyalgia, highlighted by personal accounts from those living with these conditions, and explores the controversial topic of whether they represent the same or different illnesses.00:00 Introduction to Chronic Fatigue Syndrome and Fibromyalgia02:18 Meet Dr. Avira Nath: Journey into Chronic Fatigue Syndrome04:38 The NIH Study: Unveiling Chronic Fatigue Syndrome07:14 In-Depth Testing and Patient Selection09:44 Diagnostic Criteria: Chronic Fatigue Syndrome vs. Fibromyalgia13:24 Symptom Comparison and Overlaps25:34 Patient Experiences and Definitions of Fatigue29:00 Conclusion and Next Steps International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Support the showWhen I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.* ...
When I started this podcast—and the book that came before it—I had my patients in mind. In the exam room, time is limited. But the need for understanding complex, often misunderstood conditions like fibromyalgia is vast. That’s why I created this space: to offer deeper education, validation, and hope.If you’ve been told that fibromyalgia "isn’t real'" or that it’s "all in your head," I want you to know: I see you. I believe you. And you're not alone. This podcast is here to affirm what you’ve lived through and to explain the science behind what you’re experiencing.Whether you're living with fibromyalgia, supporting someone who is, or a healthcare professional seeking to better serve your patients, I hope you’ll find trusted, evidence-based insight drawn from my 28+ years as a medical doctor, pediatrician, internist, lifestyle medicine physician, and clinical lipidologist.Together, let’s bring compassion and clarity to a condition that’s too often misunderstood—and help make the invisible, visible. You can learn more at www.conqueringyourfibromyalgia.com.
Ireland