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['axspa']
the challenge of diagnosis - #nraxspa a patient case cont. woman has history of #fibromyalgia, #ibs, and depressive disorder plus hypertension. her only meds at this point are duloxetine (cymbalta) &amp; lisinopril. no nsaid. family history is important! cont.
#acr22 
?? I write so you can better understand life with: #ChronicPain #Fibromyalgia #Arthritis #Spondylitis #MECFS
?? Patient Advocate at #ACR22 for @spondylitis