<s>[INST] I have Fibromyalgia and experience each day fine needles and pain througout my body. It comes and goes and I try to walk three times a day, and hope to go back to swimming at the local pool or go to Silver Sneakers. I don t take the pain killer pill Tramadol unless absolutely uncomfortable and can only take 1x a day. Is there anything more I should do everyday, also I take Calcium/Vitamin D tablet once a day and a multiple vitamin which often helps in a couple of hours. I think I should be on a regime each day but can t get regimented. I have lost 25 pounds but still need to lose another 50lbs. Thank you for any suggestions or regime I can do daily that may improve this pain, confused on clear treatments. [/INST] Well, you certainly are taking the right actions to help fibromyalgia. Some of it is due to depression and antidepressants are generally used for it. Otherwise, it is perhaps a dysregulation of the nerves that damp down pain. This is more or less corrected by exercise up to the point of the exercise causing pain. The pain from the exercise resets pain perception. It is temporary and needs to be done regularly. </s>