Fibromyalgia explained

Fibromyalgia: What It is, Why It Happens & Why The Pain Is Real

June 16, 2026/by Kaplan Center
Dr. Gary Kaplan on hydration, Fairfax County Times

Ways to stay hydrated this summer as the temperatures heat up

June 8, 2026/by Gary Kaplan, DO
Consumer_Health_Digest_Mounjaro

Can Tirzepatide Slow Aging? Dr. Kaplan Examines the Evidence for Consumer Health Digest

June 8, 2026/by Kaplan Center

New Research Reveals Long COVID Is Being Significantly Underreported

June 4, 2026/by Kaplan Center
Dr. Gary Kaplan discusses Lyme Disease risk with InsideNOVA.com

Dr. Kaplan Explains Why Lyme Disease Is a Backyard Problem

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Dr. Gary Kaplan on Chronic Fatigue Syndrome

ME/CFS (Chronic Fatigue): What It Is, Why It Happens, and Why Recovery Is So Complex

May 22, 2026/by Kaplan Center
Tick-borne Illness & Lyme Disease

Tick-Borne Illness & Lyme Disease: What It Is, Why It’s Missed, and How to Protect Yourself Early

May 13, 2026/by Kaplan Center
Can Adults Develop Allergies in Adulthood

Developing Food Allergies in Adulthood

May 12, 2026/by Chardonée Donald, MS, CBHS, CHN, CNS, LDN
ALLERGY VS INTOLERANCE

Food Allergies vs. Food Sensitivities (Intolerance): Aren’t They the Same?

May 8, 2026/by Chardonée Donald, MS, CBHS, CHN, CNS, LDN
Welcome Jared Sharp NP

A Letter to Patients from Jared Sharp, NP

May 8, 2026/by Kaplan Center
Dr. Gary Kaplan on FOX5DC discussing food cravings.

What Your Food Cravings Really Mean + How to Manage Them Naturally

April 29, 2026/by Kaplan Center

Protect Yourself From Ticks & Lyme – Dr. Gary Speaks to NoVA Magazine

April 17, 2026/by Kaplan Center
Dr. Gary on Fatigue

Dr. Gary Speaks to Super Age on Finding the Root Cause of Fatigue

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TPE Explained

Therapeutic Plasma Exchange: What It Is, Who It’s For & Why It’s Moving Beyond the ICU

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Alzheimer's disease explained by Dr. Gary Kaplan

Alzheimer’s Disease Explained: Prevention, Diagnosis, and the Latest Treatment Options

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Spring clean your nutrition with these tips!

Spring Clean Your Nutrition

March 30, 2026/by Chardonée Donald, MS, CBHS, CHN, CNS, LDN
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Defeat Diabetes Month: A Personal and Professional Perspective on Blood Sugar Balance

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What we know about long COVID after six years

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Foods that benefit your gut and brain

Foods That Support Your Gut and Brain

March 19, 2026/by Chardonée Donald, MS, CBHS, CHN, CNS, LDN
How Nutrition Shapes Cognition and Mood

The Gut-Brain Connection: How Nutrition Shapes Cognition and Mood

March 18, 2026/by Chardonée Donald, MS, CBHS, CHN, CNS, LDN
Water aerobics for fibromyalgia pain

How Can I Stay Active with Fibromyalgia Without Overdoing It?

Living with fibromyalgia can present unique challenges, especially when it comes to staying active. It is not uncommon for people with fibromyalgia to feel nervous about exercising because they are scared about making the pain worse. However, in reality, exercise can help those living with fibromyalgia.

Research shows that individuals with fibromyalgia who exercise routinely can enjoy the following benefits:

  • Less pain & fewer tender points
  • Improved ability to do daily tasks
  • Reduced stress levels
  • More energy
  • Better sleep
  • Less stiffness
  • Improved mental health

If you have fibromyalgia, you can safely participate in regular, appropriate exercise without worsening your symptoms. The trick is finding the right balance between staying active and not overdoing it.

Here are a few tips on how to stay active with fibromyalgia safely and effectively.

1 – Choose Suitable Exercises
Not all exercises are created equal, especially when it comes to fibromyalgia. Consider low-impact activities that are gentle on the joints and muscles. This includes activities such as walking, swimming or water aerobics, or yoga. These exercises can improve cardiovascular health, flexibility and strength without putting excessive strain on your body. They also reflect exercises that can be started for those at any fitness level.

2 – Build Up Your Exercise Tolerance
With any exercise, the goal is to start slowly and gradually increase the intensity and duration of your workouts. For example, begin with short sessions of 10-15 minutes a few times a week. Gradually extend the duration of exercise as your tolerance improves. Listen to your body throughout this process and don’t push yourself too hard, especially when symptoms are flaring up.

3 – Exercise with Breaks
Break up your exercise routine into shorter segments with rest periods in between. For example, instead of trying to complete a 30-minute walk at one time, divide it into three 10-minute walks spread throughout the day. This approach can help prevent overexertion, help you incorporate exercise into your daily routine, and minimize post-exercise fatigue.

4 – Consult with a Physical Therapist
There is great utility in speaking to a physical therapist before starting any new exercise routine. A physical therapist can teach you proper techniques to prevent injury and optimize the benefits of exercise, and they can give you a program to do at home to regain your strength and flexibility. Our physical therapists specialize in working with fibromyalgia patients and can provide personalized exercise recommendations based on your needs and limitations.

5 – Prioritize Rest and Recovery
Rest is just as important as exercise, especially for individuals with fibromyalgia. Allow yourself adequate time to rest and recover between workouts to prevent burnout and avoid triggering flare-ups.

6 – Stay Hydrated While Exercising
Proper hydration is essential during all forms of exercise. Drink plenty of water before, during and after exercise to stay hydrated and replace fluids lost through sweating. You should also fuel your body with nutritious foods that provide sustained energy and essential nutrients.

7 – Incorporate Exercise into Your Daily Routine (if possible)
Find creative ways to incorporate physical activity into your daily life, even on busy days. Consider taking the stairs instead of the elevator, park farther away from your destination to take extra steps, or do gentle stretches while watching TV. Integrating exercise into your routine makes it more manageable and sustainable over the long term.

8 – Monitor Progress and Adjust Accordingly
This point is crucial if you’re using exercise to reduce the severity of your symptoms. Keep track of your exercise routine, symptoms and progress over time. This will help you identify patterns and make informed adjustments as needed. Use a journal or fitness app to record your workouts, how you feel before and after exercise and any changes in symptoms. Use this information to help identify which exercises are most beneficial and track improvements as you go along. It can also be used as a motivation and goal-setting tool!

9 – Listen to Your Body
This is the most important point. Pay attention to how different activities affect your symptoms and adjust your exercise routine accordingly. If a particular exercise or movement exacerbates pain or fatigue, modify it or try something else. Remember that it’s okay to take rest days when needed and to prioritize self-care.

Incorporating exercise into your life with fibromyalgia can be empowering and beneficial. If you have fibromyalgia and would like help in incorporating physical activity in your life, please give us a call, we can help you. We’ll create a program that considers your goals and your limitations that will help restore balance to your nervous system and improve your symptoms.

References

Exercise and Fibromyalgia

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Functional_Medicine_for_Treating_Adrenal_fatigue

Adrenal Fatigue Could Be Why You’re So Tired

The adrenals are two small glands located above your kidneys. Despite their small size, they carry a lot of weight in making sure your body is functioning properly. These two small glands are responsible for secreting hormones that help regulate your metabolism, immune system, blood pressure, and your body’s response to stress.

How the adrenals work

When high-stress situations arise, your body’s innate “alarm” system, which helps adapt to the situation at hand, is triggered. The hypothalamus, an area in the brain that produces hormones, sends a signal to the adrenal glands to immediately release the stress hormones adrenaline, cortisol, and norepinephrine. This release generates a surge of energy which causes your heart to beat faster and your blood pressure to go up. This is called a fight-or-flight response.

Periods of chronic stress, whether physical, emotional, or psychological, cause an overproduction of these stress hormones, especially cortisol and adrenaline. Eventually, the adrenal glands are unable to keep up the production of the hormones that are being signaled and this is referred to as adrenal fatigue.

Functional Medicine Approach to Diagnosing Adrenal Fatigue

With a functional medicine approach, we dig deep into the root causes of your symptoms and look at all areas of health to determine where you may need additional support. You’ll receive a comprehensive and holistic treatment plan for a more complete and faster recovery. Please call us today, 703-532-4892.

Signs & symptoms of adrenal fatigue

Early signs of adrenal fatigue include:

  • Feeling ‘wired and tired’ (Do you have difficulty falling and staying asleep despite feeling exhausted?)
  • Afternoon slumps in energy (Do you need caffeine to get through the rest of the day?)
  • Increased anxiety
  • Carb cravings (Are you craving more sugary, salty, or starchy foods?)
  • Immune suppression (Are you noticing more frequent occurrence of upper respiratory illness or allergies?)

Signs of more severe adrenal fatigue include:

  • Extreme fatigue
  • Depression/anxiety
  • Seeking more stimulants (drugs, caffeine, sugar)
  • In peri/post-menopausal women: a worsening of hot flashes & night sweats
  • Worsening blood pressure

What we can do

  1. Adrenal Stress Index: Our functional medicine provider can use a saliva test to get a better picture of how your adrenals are working. Based on the results, vitamin, glandular, and botanical supplements may be recommended to improve adrenal function.
  2. If you’ve worked on reducing your stress levels and cleaning up your diet, but still feel exhausted, there may be an underlying condition at play. We’ll assess all areas of your health to identify imbalances that could be exacerbating your condition.
  3. If our assessment supports the need for dietary changes, our nutritionist can help. Working with a professional will give you a deeper understanding of what your symptoms are telling you, tailored guidance on what foods to add or subtract from your diet, and encouragement to stay on track! For example, a low glycemic index* diet that includes lean proteins, healthy fats, whole grains, and low glycemic fruits and vegetables will support your adrenals by keeping your blood sugar stable, while processed and inflammatory foods will do just the opposite.
  4. Exercise and relaxation techniques may also be recommended. At the Kaplan Center, our providers can advise you on what type of exercise and relaxation techniques are best suited to help you manage your stress.

 

What you can do, today:

  • Dedicate 5 minutes each morning to meditating and make this a non-negotiable part of your daily routine. Starting your day this way will take your body out of flight or fight mode and into rest and restore mode. Throughout your day, notice your thoughts. This type of awareness will help reduce stress levels by empowering you to select more positive and supportive thoughts over negative and stressful emotions.
  • Food matters! Cut back or eliminate stimulants from your diet to lower the amount of stress hormones your body is producing.

Bottom line: Stress can have a real impact on your health. Listen to your body! If you’ve noticed changes in your energy levels, cravings, or mood, your body is sending you an important message. Ignoring that message could lead to more serious health conditions like weight gain, insulin resistance, high blood pressure, insomnia, and cardiovascular disease.

*Glycemic index is a ranking system for carbohydrates and how they affect your blood sugar levels. High glycemic foods can cause rapid spikes in blood sugar, while low glycemic foods are absorbed and digested more slowly, causing a slower and small rise in blood sugar levels.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

Natural Solutions for Cleaning Your Produce

Whether you buy organic or not, taking some time to properly clean your produce is an important part of any wellness plan that shouldn’t be overlooked.

Eating a rainbow of colors is one of the best ways to ensure you’re getting the necessary vitamins and nutrients to nurture your immune system. But remember, you’re not the first person to handle that apple you’re about to take a bite out of! Because it travels through many hands and has passed through many environments, all produce is a host for bacteria, and unless you’re buying organic, pesticides too.

Take for example the E.coli outbreaks in the United States over the last several years. These outbreaks are caused by infected romaine lettuce and responsible for causing illnesses across multiple states. This may be an extreme, but it illustrates the point — just because you don’t see it, doesn’t mean it’s not there.

Additionally, tomatoes, cucumbers, apples, bell peppers, and many other fruits and vegetables are covered with wax to protect from spoilage and to maintain hydration. But given a choice, is it something you want to eat? Likely not…

Our healthcare providers want to work with you to help you make positive lifestyle modifications that will benefit of your mind, body, and soul. Wellness is about making good choices and establishing good habits. If you are looking to improve your overall wellness, please give us a call today, 703-532-4892, to schedule an appointment with one of our experts.

The good news is that you DO have a choice! Bypassing a good wash leaves you susceptible to a wide range of bacteria and unwanted substances. Removing pesticides and de-waxing your fruits and vegetables is a fairly simple process and always recommended. It’s particularly important for berries and lettuces, even if they are organic, as they are a good host for powerful super bacteria.

We recommend the following two methods that use natural solutions to properly remove wax, pesticides, and harmful microbes before use (best to do this as soon as you unpack your groceries).

  • To de-wax & clean most fruits and vegetables:

    Place the produce in a container filled with baking soda and water, approx. 1 tsp per 2 cups of water, covering them completely and letting it soak for at least 20 minutes. The baking soda will remove the wax on the outer skin and, more importantly, has been shown to be effective in removing pesticides. You can follow this up with a solution of ¼ cup of 3% hydrogen peroxide and water (again, just covering the produce) to remove bacteria. The hydrogen peroxide is a powerful anti-microbial that will help remove bacteria from the surface of the produce and also helps in removing pesticides.

  • For produce such as leafy greens and berries*:

    Cover the produce in a solution of  ½ cup of 3% hydrogen peroxide and water for 20 minutes & rinse with filtered or spring water.

*Berries typically spoil faster after washing, so this process is best done right before eating.

Although this may seem like a time-consuming process the benefits are far-reaching. Once the habit is created it will become second nature and you’ll feel great about being proactive in your health.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2