Fibromyalgia has been recognized for decades and described but it wasn’t until 1990 that specific criteria for its diagnosis were made.

Trigger Points

The two most prominent symptoms of fibromyalgia are fatigue and sleep disturbances. 

Race is controversial because non-whites are more likely to have less economic resources and live in deprived areas of the world where medical care is not as available. 

SAMe is S-adenosylmethionine

Above is a order in which pharmacotherapy should be attempted.  Corticosteroids have shown no efficacy in studies. 

Hyperthyroidism could cause insomnia and diarrhea.  We might have two things going on.