Hi folks, Just wanted to let all of you know that I took my copy of the Annual CFS & FM Treatment Guide to my doctor and we are both working on a treatment plan that is outlined in Dr. Charles Lapp MD article for effective treatments. This will be a slow process to see what works and what doesn't but I am encouraged at some recent results that I would like to share. First, I told my doctor that I wanted to work on the problems that seem to affect my life the most like my mental fog and my inability to stay focused on a single task that I may be doing during the day. So we started on Page 4 of the guide and Dr. Lapp suggestion to use low doses of CNS stimulants like methylphenidate (Ritalin), dexamphetamine (Dexedrine or Adderall), and modafinil (Provigil). He states the latter (Provigil) has an excellent safety profile, minimal effects on the cardio system, and little abuse or habituation potential. So I started taking Provigil (100mg in the morning, 100mg at lunch). Been on it for 4 weeks now and it is helping me enormously. My mental clarity has improved a great deal (although I am still only 15% of my normal self), I can do much more during the day which has seriously improved my outlook. One thing though, I found myself doing too much and discovering that I would suffer intense relapses of debilitating fatigue and pain, however I have since learned to manage myself and to stop and not over do it. My days have been better and it's given me the ability to cope, which I was starting to get pretty bad at. Warning: Provigil is a stimulant and can make the sleep problem worse. In my case, it affected my sleep for a short time and then resolved itself. I’m also taking 125mg Trazadone, 22.5mg Remeron, and 30mg Restoril at night to sleep better. I hope this information can help somebody. I know that all medications effects everybody differently but if you haven’t tried it yet, you might want to talk to your doctor and see if this might be something that might help you. I will keep you posted on any new (good or bad) findings as a result of my attempt to examine these treatment protocols with my doctor. Good luck to all. Till next time. Reallytired…..