In this episode of Zebra Talks, host Dr. Libby Hinsley welcomes Dr. Melissa Koehl to discuss her journey with Hypermobile Ehlers-Danlos Syndrome (EDS) and how it has shaped her career in physical therapy. Melissa shares her personal struggles with diagnosis, the importance of recognizing hypermobility in the context of fibromyalgia, and the intersection of these conditions with other systemic issues like dysautonomia and mast cell activation syndrome. She also discusses the significance of personalized exercise programs, gut health, and the holistic approaches necessary to manage these complex conditions effectively. 00:00 Introduction to Zebra Talks 00:35 Meet Melissa Kahle: A Journey with Hypermobile EDS 01:40 Melissa's Personal and Professional Journey 03:35 The Diagnosis and Its Impact 06:19 Exploring Fibromyalgia and Hypermobility 06:48 Understanding Fibromyalgia: Diagnosis and Criteria 12:04 Treatment Approaches for Fibromyalgia 16:13 Exercise and Movement Strategies 22:35 Exploring Mast Cells and Fibromyalgia 24:28 The Gut Microbiome and Pain Connection 24:53 Personal Struggles with SIBO 29:20 Navigating Healthcare as a Hypermobile Human 31:59 Creating Resources for the Hypermobile Community 37:33 Final Thoughts and Resources