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A member asked:
Diag w/fm & cps.i have had 100+ onset symp in 3 mos & up to 73+hrs w/o sleep.anxiety & maj depression is getting worse.i cant live w/this pain. help?
A doctor has provided 1 answer
3 m FM/CPS, insomnia: What work up has been done to date? Recent travel outside the US? Would evaluate for possible autoimmine disorder/even sarcoid -consider sed rate, crp, CPK, ANA, DS DNA, rheumatoid factor, thyroid function, lyme. Check for reflux, H pylori ,sleep apnea/ periodic , limb movements, celiac/foods.. Check COQ 10 , Avoid alcohol caffeine, opioids. .Consider MRI. f/u/ w/ doc-rheumatology /neuro
Answered 7/9/2018
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