<s>[INST] I have just been told I have fibromyalgia a couple of months ago and have tried Cymbalta and sevella and had problems with both I am overweight and will not take lyrica because can cause weight gain what else can I do for the pain I cannot take anti inflamatories they bother my irritable bowel I need somrthing but the dr I go to just doesn t seem to help [/INST] exercise is the most effective management for fibromyalgia. Antidepressants especially amitryptiline is also helpful </s>