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失眠、疲乏、肌肉酸痛、肌痛、肌肉压痛、肌肉痉挛性疼痛
Fibromyalgia is chronic widespread pain disorder; women; tender points; fatigue; non-restorative sleep; normal labs; no inflammation.
Widespread pain; tender points; fatigue; sleep disturbance; cognitive ('fibro fog'); IBS; headache
Central sensitization; multifactorial; no inflammation.
Exercise; sleep hygiene; duloxetine/pregabalin/milnacipran; CBT; avoid opioids
Rheumatology / pain medicine.
Warm reminder: Health education reference only; seek care at regular hospital.
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