Interestingly, patients may tolerate the anemia quite well
This occurs because appetite returns to pre-treatment levels and the body's metabolic adaptations to weight loss persist, making weight maintenance challenging without continued intervention
This has led Russell12 to redefine FMS as Central Allodynia and Donaldson et al to call FMS a type of CNS Myalgia.27 This presence of CNS dysfunction, fibro-fog, memory problems, lowered pain threshold, sleep disorders, and other brain-processing difficulties is what appears to be the major differentiating factor between the categories of Classic FMS and Pseudo FMS
Nauck MA, Frid A, Hermansen K, et al
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