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A patient satisfies the diagnostic criteria for FMS if the following 3 conditions are met: Although the precise mechanisms contributing to the pathophysiology of FMS remain to be fully elucidated, it is thought that patients with fibromyalgia have impaired endogenous analgesic systems, in particular suboptimally functioning descending inhibitory pathways, which normally function to ameliorate pain as well as abnormal pain processing

If you take an additional boost of vitamin B12 in addition to maintaining a healthy diet and exercise routine, you will find that you lose weight more quickly