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Jacob Teitelbaum, Integrative Medicine, answeredIn real life, most people who have fibromyalgia also have chronic fatigue syndrome (and vice versa). Unfortunately, the research and clinical definitions used for these conditions sometimes create more confusion than help. Basically, if you have persistent severe exhaustion that does not go way with vacation combined with severe insomnia and brain fog, you likely have chronic fatigue syndrome (or a related process) whether or not it fits the exact diagnostic criteria. If you also have widespread pain, you likely also have fibromyalgia.