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This simpler system requires the following for a diagnosis of fibromyalgia 4 : Pain in at least six of the following body regions: Head Left arm Right arm Chest Abdomen Upper back and spine Lower spine including buttocks Left leg Right leg Moderate to severe sleep problems or fatigue Symptoms present for at least three months Although there is no lab test for fibromyalgia, several blood tests may be useful to rule out alternative diagnoses, identify co-occurring conditions, and screen for health problems that might influence treatment

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