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References 2010 Fibromyalgia Diagnostic Criteria - Excerpt. American College of Rheumatology , 2010, www.rheumatology.org/ Arnold, Lesley M., et al., AAPT Diagnostic Criteria for Fibromyalgia. The Journal of Pain , 2018, doi:10.1016/j.jpain.2018.10.008

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The theoretical mechanism involves reduced stomach acid, but clinical significance remains unclear