** 1. Since diagnosis is made by a specialist, event then consider second opinion for available options and conservative management. PS. immune marker will help establish prognosis and available options of the disease, thus is worth pursuing. 2. because there is no identifiable cause thus treatment is symptomatic, as a result both pharmacological and non pharmacological measures are used as adjuvant to get a good control of pain and extended symptom free period, such as: . Relaxation and stress management [stress is trigger response to fibromyalgia symptoms], thus yoga & Pranayama are helpful . Physiotherapy: wax massage, ultrasound/infra red technique to minimize pain. . Diet rich in omega 3 is considered helpful in alleviating fibromyalgia symptoms. . In Ayurveda we consider/manage the disease under Mans-Medo Gat Vaat , thus prescription medicines available are: chandraprabha vati, navak guggulu, trifla kwath,panchskar churan, navkarshik guggulu.