TITLE: 
                        
                            Reduction of Pain, Fatigue, Gastrointestinal and Other Symptoms and Improvement in Quality of Life Indicators in Fibromyalgia Patients with Membrane Lipid Replacement Glycerolphospholipids and Controlled-Release Caffeine
                                
                                
                                    AUTHORS: 
                                            Garth L. Nicolson, Robert Settineri, Gonzalo Ferreira, Paul Breeding 
                                                    
                                                        KEYWORDS: 
                        Pain, Fatigue, Gastrointestinal Symptoms, Quality of Life, Phospholipids, Caffeine 
                                                    
                                                    
                                                        JOURNAL NAME: 
                        International Journal of Clinical Medicine,  
                        Vol.9 No.7, 
                        July
                                                        26,
                        2018
                                                    
                                                    
                                                        ABSTRACT: Objectives: A preliminary, open label study was initiated to determine if oral wafers containing a combination of membrane glycerolphospholipids and controlled-release caffeine could reduce self-reported pain, fatigue, and gastrointestinal symptoms and improve quality of life (QOL) indicators in fibromyalgia patients. Methods: Pain, fatigue and other symptoms were determined using validated, patient survey forms completed over an 8-day test period and compared to baseline values. Participants included 21 patients (15 females and 6 males) of average age of 48.5 ± 9.8 years with a diagnosis of fibromyalgia. These patients consumed four daily chewable wafers containing glycerolphospholipids (4.8 g) and one controlled-released caffeine (184 mg) wafer that maintained caffeine levels at approximately one cup of coffee for over 8 h. Results: Participants in the study responded to the combination test supplement within days. By the end of the study there were significant overall improvements (36.1%, p p p  p p Conclusions: The combination membrane lipid replacement glycerolphospholipid supplement with controlled-release caffeine was safe and effective and significantly reduced pain, fatigue and gastrointestinal symptoms as well as improved QOL indicators in fibromyalgia patients.