I'm so excited to tell you all about my new doc and treatment!! I was dx'd with FM in 2000. Like a lot of you, I'm sure I have suffered since a young teen but after a VERY stressful 1999, I hit January 2000 crawling in pain. I live in western MN (near Fargo ND)so I explored and made appts with as many docs I could find to see what was going on with me. Finally, after 5 months, my hubby took me to the Mayo Clinic in Rochester. After a gazillion tests, it came down to FM. I had a sleep study and it showed I had arousal periods every 3 minutes during my sleep. *KEY info, keep reading.... Reaching Stage 4 and all that stuff was fine but every 3 minutes my conscious would "kick in" from the pain/discomfort I experience. Bottom line is none of the doc's had much to say about it except to exercise, work on my posture, diet, and take Aleve. Oh, and my sleep should be helped by the antidepressants I was already taking for depression. A quick summary from that point until now: In the last five years, after tons more doc's visits around the region and trying so many medications for sleep, fatigue, pain, etc along with natural remedies, I progressively got worse. You name it I was probably on it at one time or another. Plus gave the nutrition aspect 3 years of eating right, vitamins, etc. Nothing helped at all. I hit bottom physically and emotionally this past August and ended up in the psychiatric hospital. I couldn't take it any more. Of course the three doc's there had completely different opinions on Fibro & treatment for chronic pain (I don't know why I thought that ongoing viewpoint diversity would be differenet there!). I had another sleep study and now I was experiencing arousals every 2 1/2 minutes. I was a walking zombie. I could barely get out of bed to go to the bathroom most days. The pain and fatigue were at their ultimate torture levels. My psychologist suggested I visit the chronic pain clnic at the "Sister Kenny Institute" in Minneapolis. FINALLY I have found a doctor, nurses, therapists that BELIEVE in this DD and have the most enthusiasm, desire and skill I've seen in these past years to actually help me! I won't go into all the details now because I want to share with you what seems so simple but NO ONE ever suggested: "fix" the sleep/fatigue FIRST. I really believe I was miserable and had NO luck with everything I tried because my brain/body was too fatigued to function properly on it's own, let alone "process" what I was putting into it. So first try was Trazadone - after 6 weeks it didn't help at all. Then my doc suggested Zanaflex (Tinazadine muscle relaxer) PLUS Flexerall (cyclobenzaprine muscle relaxer). I have taken zanaflex for years - and I tried flexerall for a few months so I wasn't too thrilled..EXCEPT, as he explained, taking the two TOGETHER has shown to be very effective in a significant amount of patients. He also confirmed my thoughts about pain meds/etc not working until the fatigue/sleepoing is improved. So I started with 8mg Zanaflex (some patients take up to 20mn) PLUS 2.5mg Cyclobenz. I felt a *little* better the next few days but nothing to get excited about. Still sleeping and in bed most of the day. Day four I kicked it up to 12mg and 5mg respectfully. That was 10 days ago and these last 10 days I cannot believe how much I've improved. My fatigue has improved at least 70%!!! I still have pains to deal with but it's a heck of a lot easier to do so when you aren't so dang tired! Plus I know will approach that my next visit. I know reality doesn't mean I won't relapse, the med's will stop being effective, etc etc but for now I'm on cloud nine! I'm going to just count my blessings and thank God that I'm getting days of relief I haven't experienced for years. I finally have enough energy, ambition, and all around ability to make a decent meal 3x's a day and get some things done. The hardest part has been pacing myself and allowing myself enough breaks and all those things we need to do with this DD no matter how good we feel. Whew! Sorry for the long ramblings on but if it helps just one of you get relief I would be elated. My New Years wish to all of you is to give you the strength and courage to focus solely on your sleep/fatigue treatment until you find relief. Thanks for reading Scooter.