- Frameworks·June 1, 2026· 22 min·HCM interpretationEducational only
What Actually Causes Fibromyalgia? The Mitochondrial, Mast Cell, and Small Fiber Neuropathy Mechanisms Standard Treatment Misses
Fibromyalgia has four upstream drivers: mitochondrial dysfunction, mast cell activation, small fiber neuropathy, and gut-brain axis dysfunction. Lyrica and Cymbalta act on central amplification, not on the peripheral lesions producing the input — which is why response is so often partial.
#fibromyalgia#chronic-pain#mitochondrial-dysfunction#mast-cells#small-fiber-neuropathy#gut-brain-axis#host-capacity-model#lyrica#cymbalta#central-sensitization#post-exertional-malaise#mcas#sibo#oaklander#cd38Read mechanism → - Frameworks·May 31, 2026· 22 min·HCM interpretationEducational only
What Actually Causes Chronic Migraine? A Mechanistic Reading of Treatment-Resistant Migraine
Chronic migraine has four upstream drivers: mitochondrial bioenergetic failure, dural mast cell activation, gut-brain axis dysfunction, and hormonal-vasomotor instability. Most treatment-resistant cases (including CGRP antibody non-responders) need the dominant driver addressed at its upstream point.
#chronic-migraine#migraine#cgrp#vestibular-migraine#hormonal-migraine#mitochondrial-dysfunction#mast-cells#gut-brain-axis#host-capacity-model#mcas#sibo#riboflavin#coq10#perimenopause#treatment-resistant-migraineRead mechanism →
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New mechanistic essays delivered when published. Compatible with the existing Substack readership at @mohammedattallah.