Usually my symptoms are pretty mild. Fatigue, lack of energy and drive, and a light-headed dizzyness are my most problematic symptoms. Still I am able to work full time. At times these flu-like symptoms are much worse and I feel so weak and dizzy I can't go to work. I was diagnosed with fibromyalgia 4 1/2 years ago. Since then when I've missed work it's usually been for about a week at a time, and often I've had a concurrent illness, such as a sinus infection. Then in January and February of this year I was down for over a month. My doctors didn't find any other illness or irregularities, and no treatments helped. It started and ended with no apparent cause or contributing factors. No added stress, no injury, no change in attitude or lifestyle. Now I'm missing work again. I've been out 7 days so far. I'm waiting for lab results and considering seeing a "specialist". However, most of what I've read about treatment options and research is focused on pain treatment. This feels more like sick than pain. These symptoms are more often associated with CFIDS. Suggestions I've read for dealing with them are mostly lifestyle changes- modifying the way one does things to conserve energy, avoiding over-exertion. But I didn't over-exert before this happened, and it's been 9 days now that I feel sickly. I don't think that's typical post exertion malaise. Maybe I just have to accept this is the way it will be at times, but it is difficult financially and emotionally. I work as an occupational therapy assistant in special education, and when I'm out, children don't get services they need. I'm under a good contract, but I still worry about job security. If there is something that can help me, I want to find it. Ideas, anyone?