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I’m a rheumatologist. I use the F word. Fibromyalgia isn’t a trash-can diagnosis — it only becomes one when no one explains what it actually means. Medically speaking, fibromyalgia is a central pain processing disorder — not an autoimmune disease and not “nothing.” It reflects how the brain and nervous system amplify pain and sensory signals, even when labs and imaging are normal. Here’s what that actually means 👇 🔹 Not a diagnosis of exclusion Fibromyalgia describes central sensitization — pa
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