Fibromyalgia (FM) and Chronic Fatigue Syndrome (CFS) may be the same thing. The diseases are characterized in medicine as Waste Basket Diagnoses which simply means a disease with symptoms that fit no other specific disease pattern. In FM/CFS the patient presents with severe fatigue and aching and after testing, the patient does not have any testable Arthritis, is not anemic, is not low on thyroid or potassium, does not have some sub acute viral infection like EBV (the mononucleosis virus), does not have Lymes disease and does not have an occult (hidden) malignancy (cancer). Our first goal is make 100% sure that the patient does not have any of the above. The most common thing physicians do is under-evaluating the thyroid (Click Here to go to article on thyroid) and not looking at Free T3 levels. Barring that being normal, we focus our attention on things Doctors dont look for, such as exposure to Heavy Metals (Click Here for information on Trace Mineral Analysis). If nothing stands out, we work on Ramping Up cellular metabolism and force the body to metabolize aerobically (using oxygen) and this approach appears beneficial. FM/CFS pain is similar to the pain unconditioned runners have when they overdo exercise which is due to lactic acid (the end product of anaerobic metabolism which means the patient is under utilizing oxygen) accumulating in the tissues.