This article listing Dr. Lapps's top 11 ME/CFS/FM supplements made the blog rounds about a month ago. Since then, it's been stuck in the back of my mind because I've been thinking about doing a blog post that summarizes my personal philosophy on supplements: how many to take; how much is too much; how do you know if they're really working. Basically at blog post that summarizes this entire blog.
There seems to be a split among patients. Some think that most/all supplements are an expensive waste of time or they can't tolerate them, and others find they lead to small improvements in symptoms, which they deem to be worth the trouble and expense. While I understand both sides, I am in the latter group.
I take the first 6 supplements on Dr. Lapp's list (Multi-vitamin, B12, D3, Calcium, Magnesium & D-Ribose), plus 9 and 11 (DHEA & Fish Oil). At one time or another I have been on all of these supplements, except # 10, Lysine, which is only indicated for herpetic mouth sores.
I need to spend more time gathering and organizing my thoughts on this for a future blog post, but the gist of my thinking is this: It may be very difficult to notice improvements based on any one of these supplements alone. The differences are very subtle. But collectively, I think they do improve quality of life for patients and I think they help put a dam in the middle of the "cascade of symptoms" that often drags patients further and further down as the years go on.
More on this in a future post...