Your MD will ask detailed questions about your medical history and examine you to ruler out other conditions or diseases that could explain your symptoms.Because the ACR criteria were developed for systematic investigation to establish facts studies, physicians who are not participating in research often diagnose the illness without planned coming together these strict criteria, but only after they have been unable to discover alternative causes of the pain and fatigue.I have been on Cymbolta for 8 weeks, I hurt from medical anxiety. I feel like I did 20 years ago so much happier. Also it didn’t yield me a burst of energy like Wellbutrin did, but Cymbalta made me feel more emotional towards others(rather than being numb to reality) Typically, people also complain of feeling abnormally tired, especially of waking up fatigued, although they have slept well. Pain may be either a general soreness or a gnawing ache, and stiffness is often worst in the morning time. For research studies, the American College of Rheumatology (ACR) has established criteria for fibromyalgia. the initial 2 weeks I did have a lot of side effects swetting, dizziness, insomnea, upset tummy, but after that I started feeling better. I can’t rave enough about it.Cymbalta I felt more be fond of myself (Unlike Welbutrin)and it made me FOCUS more at school/work. Your physician will check for tenderness and pain in the ACR-designated tender points. People with fibromyalgia also have got tender points, which are specific spots on the body that are painful to sense of touch. The cons to the drug,(had to wait 3 days to fill my prescription)thus if you quit physically cold-turkey, you could have severe brain zaps (it feels like an electrical electric current running through your brain and it occurs a few times per hour when the withdrawals start). To meet these criteria, one must have at least 3 months of unexplained, organic structure-wide pain and at least 11 of 18 tender points in specific locations.After asking about your symptoms, your doc will check for swelling, redness and impaired movement in parts of your organic structure where you’re having pain. Some people report symptoms of irritable gut syndrome, depression, anxiety and headache. I have lost 20 lbs because I no longer experience hunger all the time.