1. Health

Discuss in my forum

Adrienne Dellwo

Protecting Your Liver With Fibromyalgia & Chronic Fatigue Syndrome

By March 11, 2010

Follow me on:

Did you know one of the hazards of fibromyalgia and chronic fatigue syndrome is liver damage? These conditions don't directly attack your liver, but the medications we take can do a lot of damage.

Anti-inflammatories (NSAIDs) and narcotics, especially those containing acetaminophen (such as Vicodin), send a constant stream of toxins through your liver. This means that the liver has to work extra hard, and that can take a toll. I've known this academically for a long time, but I recently came face-to-face with this very real complication of long-term medication use -- in a blood test last fall, my liver enzymes were through the roof. My doctor said I was at risk for developing fatty liver, with can lead to cirrhosis.

Now that scared the heck out of me! I can't really say I was surprised, but I was certainly shaken out of the "it won't happen to me" state of mind.

I've had heavy NSAID use since I was 13, when I was put on a daily dose of 1600 mg of Motrin (ibuprofen) for on-going pain from an earlier back injury. A year later, it was upped to 2400 mg. I stayed on that for a couple of years, until Motrin became available over the counter. I continued taking it then, but less frequently and in smaller doses. In my 20s, I also took a lot of Tylenol (acetaminophen) for carpal tunnel disorder. Since my fibromyalgia symptoms started about 4 years ago, I'd been on Relafen (nabumetone), a prescription NSAID, at the maximum daily dosage. Add in the occasional Vicodin, and my liver's been racing to keep up.

A couple months ago, I cut out the daily Relafen. I've taken some Aleve (naproxen sodium) and a little more Vicodin than usual, but I've tried hard not to medicate unless I really needed to. My doctor re-checked my liver enzymes recently, and one is normal and the other is only slightly elevated, so that's good news. The bad news is that my muscles have been tight, hard and spasmodic. (I should note that fibromyalgia is not considered an inflammatory condition, and much of my problems with inflammation are from myofascial pain syndrome and autoimmune thyroid disease.)

So I have 2 issues to deal with -- I need to get my muscle pain and inflammation under control, and I also need to protect my liver. For pain and inflammation, I'm stepping up my use of some treatments, including:

I'm also trying to use my diet to lower inflammation. Here's more information about that:

To protect my liver, I'm taking an herbal supplement called milk thistle. While it's not a scientifically proven or FDA-approved treatment, milk thistle is a traditional remedy that's believed to help your liver process toxins. I'm also considering a detox diet. As I often do, I turned to Cathy Wong, About.com's Guide to Alternative Medicine, for more information about protecting my liver. Here are some great articles from her:

I'll be getting my liver enzymes checked on a regular basis to make sure they stay down. If you have a drug history that's anything like mine, it might be wise to ask your doctor about getting a liver function test periodically.

Have you had abnormal liver tests or liver problems because of medications? How bad has it gotten? What have you done to counter it? Do you get your liver enzymes checked regularly? Leave your comments below!

Learn more or join the conversation!


Photo © A.D.A.M.

March 11, 2010 at 7:20 am
(1) Alison says:

Grape Seed extract is wonderful too:


I am a big fan for its ability to reduce skin problems among other things.

March 11, 2010 at 9:44 am
(2) Nancy A. says:

Another very important issue with NSAID use is gastrointestinal complications (stomach ulcers and GI bleeding). Occasional use is okay but everyday use, especially at maximum dosage, is not a good idea. In the 24 years I’ve had fibromyalgia, I’ve been hospitalized 3 times for GI bleeding due to NSAID use (this included aspirin, ibuprofen and Aleve). I will never take another NSAID again!

I’m now on the maximum dose of Lyrica for fibromyalgia — 450 mg day (150 mg taken 3 times a day). For breakthrough pain, I’ll occasionally take Tylenol. I’ve never taken narcotic painkillers for my fibromyalgia. If I build up a tolerance to the maximum dose of Lyrica, then I don’t know what I’ll do. I might have to resort to narcotics. Then I’ll have to start worrying about my liver.

Adrienne, you didn’t mention whether Lyrica is damaging to the liver. I never researched this myself. Thanks for your help.

From Adrienne: Great questions! Lyrica actually doesn’t damage the liver — it goes through the kidneys instead. Cymbalta and Savella both go through the liver. ~Adrienne

March 11, 2010 at 8:43 pm
(3) Mary says:

When my pain gets elevated, I use my wonderful, wonderful really hot! heating pad. When it was first suggested to me, I said , who would pay that much for a heating pad? But now that I’ve had one for so long, I can’t say enough good things about it. It takes some getting used to because it’s really hot and moist. Nearly everyone I’ve loaned mine to buys one. It has an automatic shut off. The heating pad somehow draws moisture from the air right into it.


I also am learning to meditate and put my mind somewhere else. Taint easy, but I’m bound and determined…

Medications do scare me re: what they do to our liver.

March 12, 2010 at 10:42 am
(4) judy says:

Acetaminofen and ibuprofen do tax the liver. Milk Thisthle is an execelent liver cleaner. If you choose to use Narcs. you can get propoxephen w/o tylenol or asprin. dr. will need to actually spend a little time in the PDR to find it.
Hydrocodone is not avail. w/o the junk. Oxy is avail. in a pure form. Do be aware that rebound pain does occur with strong narcs. I think the opiod recp. create a sudo pain but it seems to occur when oxy and hydro opiods are ingested as a form of on going releif. I know the pain is intense and pass judgement on NO one. Milk Thistle is a wonder herb and will lower liver enzimes. Not for Preg. or nursing women. Excuse my spelling. Big Phar could care less if your liver survives and they certainly will not advise you to keep the MT going as they set themselves up for law suits. I suggest taking 330 mg. daily for a 140 lb woman. When I did use the narcs. my liver was clean with MT. after 30 days of use.

March 12, 2010 at 2:23 pm
(5) Heather says:

Hi Adrienne,
May I ask how many mg’s of acetaminophen you were/are on per day?

From Adrienne: The only acetaminophen I’ve been on over the past few years is what’s in Vicodin. I generally take 1-3 tablets a week, with 500 mg of acetaminophen each. When I had carpal tunnel disorder, I took the maximum daily amount for several months, but then I was able to taper off. ~Adrienne

March 12, 2010 at 4:11 pm
(6) Barb says:

So sorry to hear about your liver issues. That has always been a concern of mine as I take a statin. My liver function is checked every 6 months and so far so good. Perhaps I should thank my doctor for refusing to give me painkillers all these years! Danged if we do, danged if we don’t. No fun either way.

March 12, 2010 at 4:38 pm
(7) Kaye UK says:

I share your concerns. I had fibromyalgia diagnosed 15 years ago after syptoms inc. chronic fatigue for many years before, myofacial pain too. I have been hypermobile all my life meaning dreadful pains in adulthood. 3rd generation autoimmune thyroid probs (both sides of family.) On a lot of pain meds, Trammadol top dose, and Paraecetemol aka Acetaminofen, Trazadone anti depressants, tiny dose of clonazepan when cramps are severe. At that point only hot aroma baths, hot wheat pillows and rest help but not easy with disabled husband (love of my life) and tiny diabetic grandchild most of the week. Other than that I have a happy life, I love & feel loved but I find it difficult to pace myself (despite self managment course) as when I am up I want to do everything, then suffer the anticlimax and disabling pain. Addrienne, thank you for sharing with us when you have so much to cope with yourself. Your honesty informs others.

March 12, 2010 at 11:03 pm
(8) CeCe says:

Have taken too many meds for too many autoimmune diseases plus fibro for too many years. Liver enzymes suddenly skyrocketed even though we had been doing monthly labs. Drs. had thought high levels were from meds but biopsy showed autoimmune hep. Meds are certainly hard on the liver (as well as other organs) but having good doctors and staying on top of our labs and overall health are paramount to keeping us safe and as healthy as possible. Just another line of thought on what we have to keep in mind and that the first line of thought on what’s causing our problems isn’t always the right path to take.

March 13, 2010 at 2:58 am
(9) Kate says:

Unsweetened cranberry juice is also good for eliminating toxins from the liver. I have 2-3 oz ever morning diluted w/lots of water. Warning – it is SOUR!!!

March 13, 2010 at 3:04 am
(10) Daniel says:

I think it best to avoid alcohol as well. It not only increases inflammation, it screws up my sleep. Combine that with our increase risk of liver damage and forget about it..

March 13, 2010 at 11:51 am
(11) cynicalsis says:

Have gotten Porphryia from taking SSRIS for 13 years…Of course, noone tells you that they are of course, hepatically metabolized and along with a certain element contained in these drugs, some of us may get PCT…I go for therapeutic phlebotomy every 2 weeks for 2 years now to get my ferritin levels down and get my liver healthy….I took zoloft, paxil and lexapro…they did help but never agin will I take a drug…doing acpuncture and it is helping, but it is a slow process……If you try it, you must stick with it for results…I do need another modality to go along with it but am at a loss; perhaps chirophractic intervention….

March 13, 2010 at 2:33 pm
(12) Diane Devoe says:

I have been a Fibro patient for about 20 years now–along with a host of other “painful” dx’s. I have gone up the “pain med” ladder–to now where I take morphine for pain. However, for years now, I have had a reading of a certain liver enzyme called GGTB that is more than through the roof. I saw a rheumy dr for it–he said it was a abnormality of my body–but I still dont understand just what it is or what it means? Has anyone else had a extremely high GGTB result? Have you ever gotten an explanation for it? Thanks so much–and painfree days to all!

March 13, 2010 at 2:38 pm
(13) Ellen says:

I learned about liver toxicity resulting from use of NSAIDs and acetaminophen a long time ago. As a result, I stopped taking any mixed drugs that included acetaminaphin, and switched to the single-compound version. Now I take oxycodone, just that with no aspirin or acetaminaphen included. Because I have fibromyalgia only (with some osteoarthritis as well), I learned that NSAIDs and other anti-inflammatory drugs provide no relief for our pain, and so never took them after trying them early on after diagnosis. They produced absolutely no pain relief, so I stopped taking them. I believe the simpler the better, you know? Additionally, I understand that the FDA is reviewing the compound drug painkillers and is considering taking them off the market because of the acetaminaphen-related liver complications. Yes, over the long term the plain narcotics can affect the liver, but nowhere near to the extent and the NSAIDs and acetaminaphen do. Thanks for bringing up this topic.

March 13, 2010 at 5:56 pm
(14) Hello says:

Some herbs have caused elevated liver enzymes in me, so I discontinued them. I have found that my tight muscles, knots and horrible spasms improved 90% after using high dose T3 according to Drlowe.com protocol since I have low thyroid. Prednisone 7.5mg also helps with adrenal function and spasms. Very low dose Doxepin also loosens spasms and I take 10mg/day (20 drops). Now I only get one back spasm per month during my period and don’t need any pain meds any more. I just take it easy at that time.

March 13, 2010 at 6:01 pm
(15) Hello says:

I forgot to mention that Nexium 20mg/day also helps with spasms. I believe because it blocks histamine release in the stomach by the paretial cells and histamine can cause muscle spasms.

March 14, 2010 at 5:48 pm
(16) B.Madron says:

I have had Fibromyalgia and Psoriatic Arthritis for 6 years. Before graduating to Humira, I took Sulfasalazine and Methotrexate pills. About six months into treatment, my liver count came back very high. I was taken off the sulfasalazine and switched to Humira and Methotrexate injections. I have blood tests every 2 months. My liver count has been fine for the past 3 yrs. I suggest that everyone follow their Rheumatologists advice. Herbs and OTC pain relievers can have bad side effects too. You also have to get to a place mentally where you accept your condition and realize that you will never be completely pain free. Once you are diagnosed with an AutoImmune Disease you have a higher chance of developing another autoimmune disease (ie Autoimmune Hepititis) Do not drink alcohol. Everyone has their cross to bear in life. Also, if you have an autoimmune disease think twice before having children. Would you want a child to go through the pain that you are going through? I am divorced after 17yrs of marriage and I am glad that I kept putting off having kids.

March 16, 2010 at 2:23 am
(17) a guest says:

I just love what you said up there it so what I’m going threw right now. which is why I must tell in Utah the drug companies want to put Health food stores where you can buy supplement to help you but now legislater are trying to pass to pill to stop this and bascilly you have to get a written perscription from your docter if he ok it and then pay the drug companies for the drug! It’s a big deal when people can’t afford their meds all ready, just live another day. Do you buy food or do buy the prescritions? now we wont be able to buy anything and how will people like me survive! its a big deal if it all goes well and they get what they want. Then the other state are going to try it out for them self!! please if you live in salt lake utah call this number (202) 224-3121 that number is the capital swithboard or email them at——— ————-www.anh-usa.org Tell your senators and congress man of how this bill is misguiged bill and tell them not to support this bill! Your health will no longer be up to you if this billl pass! for more addition question go to this email: info@csofh.org
thanks so much for taking the time to reading this.

March 18, 2010 at 2:42 am
(18) guest says:

I have been worried about liver problems and meds for years- past few years liver enzymes were up, and doc said fatty liver, lose weight. Finally referred to GI, liver specialist -don’t know what outcome will be.

I was on NSAIDS for over 20 years -chronic pain after whiplash accidents before FMS diagnosed. Also added TCI’s for sleep and pain and then SNRI’s for pain. Now I’ve also read that combo of SSRI and NSAID can cause more bleeding.

So…then tried to cut down on NSAIDS, and took more Tylenol -but that’s really bad for liver.

So what are we supposed to do???

And if real problem to lose weight, have been told can be due to FMS, also due to meds, then what does this mean? Other doc just says eat less -but that doesn’t work….

March 18, 2010 at 8:25 am
(19) melani says:

The last few times I’ve requested lab tests, my doctor has said they were not necessary. When I first began seeing her, she tested more frequently and was more open to my requests for certain tests. I don’t know whether the insurance company has put pressure on her to decrease testing, or whether she thinks I just don’t need to have tests repeated. But, it’s been two years since I had any blood work-ups.
I hate to change doctors and start over, as I may likely end up in the same situation, or worse!

May 20, 2010 at 10:47 am
(20) Marie says:

It’s not just meds that effect your liver when you have fibro or an auto-immune disease/diseases associated with fibro. Everything possible that is toxic has an effect on the liver…pesticides on the food we eat (try to eat organic), chemicals in the cleaning products (try to use natural green products in the home, toxins in the air we breathe, cosmetics that we use (esp. hair dye has now been associated with primary bilary cirrosis), and on & on. So we have to pay special attention to almost everything that goes in our body, on our body, or around us to protect the liver from becoming more damaged. I gave up nail polish & hair dye, try to eat more organic & stop using toxic chemicals in my house to try to get my liver back in shape.

June 30, 2010 at 1:52 am
(21) zena says:

For me, what helps the most is heat and positive attitude. If I get stressed, the pain increases, if I am calm and relaxed, the pain subsides.
I get chilled easily and when I’m cold, the pain increases. I keep several natural heating pads that I heat on the microwave, I get them here http://www.agentlestrength.com/

Having an immediate heat source is a necessity for me, if I wait to long, it takes me that much longer to recover.

September 27, 2010 at 2:11 pm
(22) MassageHolster says:

Im a massage Therapist and have several clients with fibromyalgia.
What I hear from them is that massage and heat and activity is what works best for them (outside of meds) They will often say that it is very hard to get active but they know they will feel better if they do, but it is so hard to get started when you are in chronic pain. Sometimes massage is painful at first but gradually the pain subsides.
I would think that yoga would be very beneficial and helpful. I would love to hear some feedback from fibromyalgia sufferers that practice yoga and what it does for them.

October 3, 2010 at 1:50 am
(23) heatingpad says:

Move, I have to keep moving, I cant let myself be still for very long. I have to keep moving and stretching throughout the day. And heat, those are my two best friends. Im in the hot tub am and pm and will often carry my heat pad around with me

February 15, 2011 at 9:53 pm
(24) Miranda Rhuda says:

I was so relieved to find this blog. I just recently got the shock of my life when I was told I had high liver enzymes. I have been on an increasingly large amount of prescription drugs! I will in deed take Milk Thistle! I am hoping that I do not already have fatty liver and that the damage can be reversed.

June 4, 2012 at 2:26 pm
(25) theblondielou says:

I have been on NSAIDs for probably 30 years (first for menstral cramps, then headaches and migraines, then neck pain, then low back pain, then for myofascial pain syndrome…..first OTC and occasional low doses, then OTC high doses, and then prescription every day).

During which time I also did chiropractic for 9 years and physical therapy now for over 35 years. Also use heat/cold, specialty lumbar/cervical/arm pillows, exercise, etc.

Then ended up with daily excruciating severe/suicidial level pain and “chronic intractable failed neck pain syndrome (status post cervical fusion) with chronic daily headaches with a migraine disorder” 2-5x a week, fibromyalgia, osteoporosis, reflux, irritable bladder, hypothyroidism, exercise induced asthma….

And I started an opioid pain management program 3-95 on a daily basis which included opioids with and without Tynenol as well as numberous medications for my above issues as well as for nausea, lethargy, etc.

It is amazing my liver has lasted until the ripe age of 54. I am at my thinnest ever in my life (highest weight 300 lbs 30 years ago; now 135, size 4, 5’4″, low b/p, low pulse, low cholestrol and trigylerides. Now I have a diagnosis of fatty liver (no alcohol most of my liver and none whatsoever since 1990), no fried foods, rarely eat out, rarely eat meat. everything non and low fat…. No smoking ever, no illegal substances.

Have had ultrasound and MRI and have been told I have a dilated common bile duct with no mass and no stones…. I did have a tubal ligation at age 24 where they lost a rubber band for 30 minutes and never found it when it popped off my fallopian tube so I wonder if that could have caused this.

I am having trouble finding an opioid without tynenol that helps my migraine. The last time I tried to order the oxycodone without tynenol from my mail order prescription plan they said they did not have any and my doctor had to then send in a prescription with the tynenol again.

August 17, 2012 at 10:05 pm
(26) carol says:

I am diabetic, fibromyalgia, Sjogrens , and good ole arther, and now lichen sclerosis. I am taking so many meds it isn’t even funny…now i have added milk thistle…I also take metformin,zocore, losartin, women’s one day for persons 50 plus, b12,and acyclovere, (shingles) esteral(estrogen)..and inject myself with victoza to help with diabetes..it is not insulin …don’t use insulin.

August 20, 2012 at 11:16 pm
(27) Sandy says:

I’m reading through these comments and everything sounds so familiar. I had back surgery in 1996 for ruptured disc. It was a failed back surgery which left me in more pain than what I had originally. Was given narcotics but chose not to take them unless I really had to have them, and instead took Tylenol. I took no more than I should have and usually 8-10 hours apart. I’ve never smoked, exercised as much as possible with back pain, maintained healthy weight. My liver enzymes were only mildly elevated for years. Never really high and Dr were telling me it was medication. About 4 years ago I started having extreme fatigue and first they said CFS and Fms. My husband went over seas with Army and I started getting really sick at my stomach, nausea, fatigue worsened, and heart burn. I thought it was ulcer from stress of worrying about him being safe. Several doctors later, many test later, then a CT scan showed fatty liver, portal hypertension, spleenamegaoly so was referred to hepatologist who did a biopsy, which showed NAFLD that’s caused scarring and Cirrhosis (NASH). They do not have answers, enzymes were NEVER really high only mildly elevated, every test has been ran to determine cause of Cirrhosis but all negative. Fatty liver is all that test show. I believe in my heart it was the Tylenol, which I was taking becaused I assumed it was safer than the narcotics. I’m only 40 and have researched a lot in the past few years. Everything we do affects our liver! Food we eat, hormones and antibiotics given to animals that we consume. My worry is that liver disease is going to be an epidemic. I wonder how many of us are walking around that have scarring already and don’t even know? Only way to know for certain is biopsy. I’ve seen several hepatologist since my diagnosis and it’s clear that they too are alarmed.

October 22, 2012 at 9:10 pm
(28) Leonie Edwards says:

Lee says
Fibro over 15yrs CFS Also. So much medication caused liver and kidney damage among other things. Point is now only take occasional paracetemol . Dr put me on Low Dose Naltrexone and could only tolerate 1.5mgs. Pain used to be 12/10 literally . Now most days 1/10 and sometimes 3-5/10 on a very bad day after a big day the day before.
You need to get it from a compound chemist so they can reduce the dose from the normal capsules.

March 14, 2013 at 4:08 pm
(29) Look At This says:

hello there and thanks on your info _ I_ve certainly picked up something new from proper here.
I did however expertise several technical issues the usage of this
web site, as I skilled to reload the website a lot of instances prior to
I may get it to load correctly. I have been brooding about in
case your web hosting is OK? Not that I’m complaining, however slow loading circumstances times will sometimes impact your placement in google and could damage your high quality rating if ads and ***********

March 16, 2013 at 1:38 am
(30) Sandra A says:

My lover tests where coming back with high levels of inflammation and showed a fatty liver. They did biopsies to see how bad it was. Luckily it isn’t any more serious than a fatty liver with some elevated inflammation levels. Because of this, I decided to stop taking my cholesterol medications because they can cause pain and weakness in the muscles which I have of course been suffering for years. One of the side effects of cholesterol lowering drugs. I can no longer take the anti-inflammatories to help with the pain since my stomach is not tolerating these medicines without creating another set of problems in my digestive tract. I’m staying with the thyroid medications and usings some extended relief muscle relaxers to keep the pain and muscle spasms at bay.

March 17, 2013 at 8:44 am
(31) Glory says:

Link exchange is nothing else except it is simply
placing the other person’s web site link on your page at proper place and other person will also do similar in support of you.

Here is my web site; Glory

March 18, 2013 at 11:19 am
(32) Susan M says:

I have ‘fibro’ too – and was recently diagnosed with HH .. Hereditory Haemochromatosis. However, I am not overloading iron, yet my liver enzymes are not good and never have been. I took NSAIDS most of my adult life for pain due to back injuries. High liver enzymes CAN be down to HH and most docs/folk haven’t even heard about it – while it’s the worlds most common genetic disorder – and can and does kill !

If you have never been tested for this – and especially if you are of ‘Celtic Extraction’ – I would do so because you could have this too – and it won’t be helping you at all and mimics fibro so very well ! And in THAT case … taking Milk Thistle has been deemed dangerous!

Just a thought for you !!!

August 13, 2013 at 10:08 pm
(33) Tammy Reese says:

I really appreciate this blog for bringing up the liver problem symptoms.I believe this blog will help many people out there who are suffering from liver disease.
Keep this up and be healthy to all who gonna read this!

August 31, 2013 at 7:38 pm
(34) Cheyanne Smith says:

I was diagnosed with Fatty Liver about 3 months ago. Bllod work showed elevated enzymes and an ultrasound confirmed the fatty liver Dx. When I finally got back in to see my DR ( 6 weeks later) the PA said to me” Well you have fatty liver, see you for blood work in 6 months.” Really, I mean REALLY?
I had no idea what would cause it, what would fix it, should I panic. I was just brushed off and sent home. Through my history of fibromyalgia, I have only take Tramadol . I have also self medicated with tylenol and ibuprofen. But never to excess on any. Taking 3-6 tramadol daily for 10 years I was shocked when I was told about the fatty liver. I don’t drink, don’t smoke, am no where near obese and I am not diabetic. So what am I to think??? Gastroenterologist wants to do a liver biopsy which is scary. I am going to ask for repeated enzyme test first. I am so confused. Living without the tramadol is going to be dam near impossible. I am raising my 5 year old grand daughter and I can barely move some days. What to do ??

November 12, 2013 at 6:48 am
(35) Susan Shaw says:

I have just been diagnosed with Non-Alcoholic Steatohepatitis and it has reached the stage where l have Moderate Fibrosis and Mild Scarring. I too have been on drugs for muscle pain (Gabapentin) for quite a few years, Amitriptoline for Insomnia as l have Fibromyalgia, Omeprazole for Gastritus. I also have been diagnosed with M.E now too. I am not obese, nor do l have Diabetes, l am just unlucky as it is my make up, apparently. I had to go private to get this far, as been battling with illness for years and my work have had about enough of me. I have been on Climaval for about 6 months as Guys in London said l was deficient in oestrogen as l have had a hysterectomy 6 years ago. All of this is enough to deal with but l also have scoliosis, Spondylosis in my lower back and neck and shoulders, slipped disc in my L6/7 and degenerated discs in my neck C4/7, and l also have osteoarthritis in my feet which is so painful. I have had 2 colonscopies in the last year and an endoscopy. I have had several scans, and nuclear scan, only to be told l had a fatty liver and discharged as they did not want to do a Liver Biopsy as risky. I then went private, had 52 blood tests and an MRCP scan. I was then told they were skipping the Fibroscan and going straight to the Liver Biopsy as was really necessary. Hence, Non-Alcoholic Steatohepatitis. Not sure why and no cure. So annoyed with the NHS as they have discharged me so many times over the last 7 years. Maybe something could have been done sooner.

Leave a Comment

Line and paragraph breaks are automatic. Some HTML allowed: <a href="" title="">, <b>, <i>, <strike>
  1. About.com
  2. Health
  3. Fibromyalgia & Chronic Fatigue

©2014 About.com. All rights reserved.

We comply with the HONcode standard
for trustworthy health
information: verify here.