. This hypersensitivity explains the tenderness associated with the tenderness associated with fibromyalgia. Hypersensitivity is also associated with excessive pain even under mild stimuli to pain.
             Changes in the muscle metabolism are also a potential cause of fibromyalgia. The changes in muscle metabolism may lead to decreased blood flow and diminished strength. When there is a dysfunction in the metabolic process, congestion takes place in the fibrous tissue since there is no energy supply, Oelke 7 insights further. This leads to severe pain in the joints and muscles in the body. The body requires energy known as adenosine triphosphate (ATP) in carrying out various functions. In this case, every cell in a healthy person contains a balance of the substances used to create ATP. The balance of these substances is basically out of balance among the individuals diagnosed with fibromyalgia. This can be used to explain fatigue among the fibromyalgia patients.
             Oelke 7observed that fibromyalgia patients may be deficient of
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