Patients suffering from fibromyalgia will experience a gauntlet of symptoms ranging non-specific chronic musculoskeletal pain, unrelenting fatigue and bouts of depression . These are just a few of the many complaints that patients may have when first diagnosed with the disease and treatment options can be as frustrating. Only a few monotherapies like Savella and pregabalin exist that can effectively target the vast array of symptoms we can expect and bring fibromyalgia pain relief. Supplements for fibromyalgia exist on the market that can help patients find additional relief. These can range for compounds to help fight pain and sleepless nights like melatonin and 5-HTP, using drugs like NADH to boost energy levels and even using fish oils like omega-3 to reduce inflammation. New theories about the etiology of fibromyalgia postulate that patients may have some type of mineral imbalance that could be responsible for that could be responsible for this condition. Here, we will discuss what those minerals may be and 5 vitamins that will help manage your fibromyalgia symptoms.
Considering that the majority of patients that suffer from fibromyalgia are women, Vitamin D supplementation is something that should already be part of their drug repertoire. As high as 16 percent of the population may be suffering from fibromyalgia and the incidence is almost entirely limited to the female population in their mid-30s to 60s . This wedge of the population also has a high likelihood to develop osteoporosis as they age due to the depletion in levels of estrogen as women approach menopause. A good way to prevent this crumbling of bones is through vitamin D supplementation as a prophylactic way of care .
Taking Vitamin D is a good way to "kill two birds with one stone" if you find yourself suffering from fibromyalgia. Multiple studies from around the world have found a link between chronic fatigue syndromes like fibromyalgia and hypovitaminosis D (low vitamin D levels) . Studies have also been done to determine if vitamin D supplementation can improve symptoms of patients suffering from fibromyalgia. In one study, 66 patients suffering from low Vitamin D levels and fibromyalgia were given daily supplementation of the vitamin at a dose of 50,000 IU weekly and it was determined that at the conclusion of the study, women experienced a significant reduction in fibromyalgia pain once levels of vitamin D reached a concentration of more than 30 nanograms per milliliter. As levels further increased, pain levels subjectively decreased. 
If taking large pills daily is not something entirely appealing to you and you happen to be living in a tropical oasis, sun tanning can also be beneficial to you. In other study, 33 lucky Norwegian patients with fibromyalgia were flown to the Dead Sea and instructed to lay on the beach for a period of 3 weeks to determine if vitamin D levels from sunlight improved their fibromyalgia symptoms. At the conclusion of the study, it was determined that spending time outdoors significantly increased vitamin D levels and patients reported a subsequent decrease in pain levels. 
Essential Elements like Calcium, Magnesium, Iron and Manganese
Another troubling fact about fibromyaglia is that levels of essential elements like calcium, magnesium, iron and manganese are all reduced compared to normal controls. These are other agents that should be considered when you are shopping for supplements for fibromyalgia. In this investigation, 44 patients suffering from fibromyalgia were asked to give hair samples to determine mineral composition of their hair strands. Hair is something that we routinely use in medicine because it gives a more precise picture of toxins that a patient may consume over a period of time and brittleness and shine can indicate mineral imbalances . Once analyzed, the hair for patients told a shocking revelation depicting the mineral status of patients suffering from fibromyalgia. Here are the results for the four elements in normal controls compared to those with fibromyalgia: calcium levels 1,093 µg/g for reference group to 775 µg/g for fibromyalgia group, magnesium 72 µg/g for reference group to 52 µg/g for fibromyalgia group, iron 7.1 µg/g for reference group to 5.9 µg/g for fibromyalgia group and finally manganese 190 ng/g for reference group to 140 ng/g for fibromyalgia group. 
It is apparent that minerals are much lower in patients suffering from fibromyalgia compared to those who are healthy. Patients who take additional supplementation from calcium and magnesium in conjunction with their vitamin D supplementation should benefit substantially from pain symptoms and will also improve their bone density to stave off osteoporosis . Iron supplementation is something to consider for the chronic fatigue that is linked with fibromyalgia. When patients are anemic, (low levels of iron), they suffer from a lack of energy and vigor. Taking these pills will enhance the number of red blood cells in circulation and make a patient feel more energetic and awake . Manganese also has a role in energy levels but physiologically speaking, it is most beneficial when it comes to our inflammatory responses. Increased intake of manganese should help down-regulate the immunological attack seen in fibromyalgia patients and help find fibromyalgia pain relief .