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The current American College of Rheumatology (ACR) criteria for FM diagnosis require the presence of chronic widespread pain for at least three months and assessment of patient symptom burden using the Widespread Pain Index (WPI) and Symptom Severity Scale (SSS)

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They can assess whether your symptoms might indicate a genuine enzyme deficiency requiring investigation, or whether they represent expected side effects of GLP-1 therapy that may be better managed through dietary modification, dose adjustment, or symptomatic treatment

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GLP-1 oversight is not a set and forget exercise it requires active stewardship