Grace, my 18 yo is a swimmer. When the pool isnt available, the coach will have them do drylands Grace hates it. The authors name always reminds me of that

I have begun reading. I am about to start Ch 4. He has already referred to Dr. Martinez-Lavin and Dr. Wood on fight or flight and dopamine. . This is changing how I think about FM.

I want to copy out for you the In a Nutshell bordered block at the end of Ch. 1

Fibromyalgia isnt forever -- you can recover!
People with fibromyalgia have an overactive sympathetic nervous system, also known as the bodys fight or flight response. An overactive fight or flight response results in the continual release of adrenaline, dopamine, and other important stress related hormones. If this elevated fight or flight activity continues, dopamine will become depleted.
Disruptions in your sleep cycle (which you may or may not be aware of) prevent dopamine from being replenished at night
When your body experiences fight or flight fatigue, dopamine loses its effectiveness as a filter. Its like taking out earplugs at a rock concert and discovering that the music is so loud it hurts. Once you lose the protection of dopamine, a pain blockier, all of your sensations (pain or otherwise) are suddenly amplified.
The pain caused by depleted dopamine continues to trigger the fight or flight response, and fibromyalgia becomes a self-perpetuating illness.
There is a solution to fibromyalgia. With knowledge and an effective treatment plan, you can rebalance your nervous system and reverse the fibromyalgia cycle.

In subsequent chapters, he mentions triggers that can be primary or secondary, and includes such as hypermobility, sleep apnea, PTSD, restless legs syndrome, other physical pain and emotional stress such as depression and anxiety! As I said, I am only about to begin Ch. 4, but I would highly recommend you take a look at it.