NJ Fibromyalgia Treatment of FMS in New Jersey

Fibromyalgia: Flares and Stress

There is a sad and disturbing observation I have made over the past few months that I felt I needed to share with all my readers. Lately I have been witnessing many people having severe flares of their Fibromyalgia. I have seen this not only in my office but also in the blogs and messages I get on my new Facebook cause “The International Fibromyalgia Awareness Campaign”. There are now close to 2000 members supporting that cause, whose ultimate goal is to raise public awareness though the main stream media. Many are writing to me and complaining about increased pain and fatigue. They are describing what can only be considered a severe “Fibro Flare”. People that were doing extremely well managing their conditions are now having major exacerbations. On this website and also at IFAC I am getting daily emails from people that are expressing discouragement because they feel they are taking a step backwards in their healing. It is difficult to pinpoint exactly why this is occurring but I do have some theories as to the general “uptick” in flares. I also have suggestions for those of you that are presently experiencing a flare so that you can get back on track and feel some relief.

So, what is happening and why so many flares? I have heard some people saying that maybe it is the weather. We did have an unusually hot summer and the humidity has been extremely high. Now, the fall seems to be starting very wet and cool. Many researchers have defined a definite link between climate and body chemistry so that may be one cause. If the neurotransmitters are disrupted due to environmental factors, then it will obviously bring on a flare. Also with the severe heat that we had, especially up in the North East and Mid Atlantic states, many people decided to not be as active as they once were. Hot and humid conditions, kept them inside in air conditioning and lack of exercise exacerbated many of the myofascial trigger points. We then had a brief period of some really nice mild weather and it is possible that this brought on a sort of backlash because people sometimes make up for lost time. I have patients that were relatively inactive over the summer that then suddenly got outside and started doing all sorts of heavy yard work when the heat finally broke. They were exerting muscles that definitely aren’t ready for that type of workload. It’s a strange but typical type of backlash. Now the weather has been cool and damp. The change in barometric pressure makes us feel stiff. Both trigger points and tender points act up as the cold constricts blood vessels and tightens muscles. So the weather is likely one factor to flares but I believe there is a much more obvious and apparent reason.

My belief based on personal observation and experience is that the largest percentage of flares I am now witnessing is arising from stress. We are being bombarded daily with news concerning the situations our country is facing. Many people are out of work and many more are in financial trouble with their debt beyond control. We have millions of people that are upside down in their mortgages and even more that have lost hope of ever being able to pull out of the spiral they feel themselves in. Every week, I have 2 or 3 more patients telling me that they were let go from a job that they have had for 20 years. People are extremely concerned about the economy and this worry seems to be creeping into every aspect of their lives. Even those that are fortunate enough to have not been hit personally by this mess often have a loved one that is going through it and they worry about them.

I have patients that were managing their Fibromyalgia very well with a combination of techniques and therapies such as exercise, manual body work, chiropractic manipulation, acupuncture and nutritional supplementation. Now because of finances, they are unable to continue with many of these therapeutic modalities unless, as in the case of chiropractic, they are covered by their health insurance. The gains they had made bringing their body back into balance and finding relief has been slipping away. If you combine that with the fear of where they are headed with their accruing debt, you have a significant problem brewing. Stress plus a major change in lifestyle and therapeutic modalities equals a flare. Patients that were doing terrific and that I hadn’t seen in months or some cases even years have been calling for appointments. Most of them, when questioned, are expressing that they are under extreme stress. I have had patients say to me that they feel like they are in a “pressure cooker”. It is obvious that the mind body connection in these cases is the key.

I want to emphasize now that just because I am saying there is a stress factor responsible for many of the recent flares I am seeing does not mean that Fibromyalgia is a psychological or emotional condition. Fibro is not “in the mind” but it certainly is “in the brain”. It is partly a condition of neurotransmitter imbalance that can be greatly exacerbated when stress comes into play. An expression I often use in the office “psychology becomes physiology” describes this phenomenon really well. When we are stressed, especially for extended periods of time, the body reacts and chemical changes occur. Most of us have heard of “fight or flight” where the adrenal glands release adrenaline in a sudden burst due to a severe stressor. The story that comes to mind is of that little woman who lifted the car off of her son when the jack slipped and he became trapped. That adrenaline release can give someone the extra boost needed to run faster, and temporarily become stronger or perform better. It is protective and the body’s way of dealing with a dangerous situation. The problem arises when the stress factors that alert the adrenals and other glands become chronic and don’t go away. It is then that the chemicals produced by the body get out of control and turn from productive to destructive. These chemicals do even more damage when there is no release for them and no way for them to burn off or balance out.

Fibromyalgia research has shown the importance of specific endocrine glands and the hormones they release with the overall neurotransmitter balance of the body. The 3 endocrine glands that Fibro patients should be most interested in are the Adrenals, Pituitary and Hypothalamus. This is better known as the HPA axis and is directly related to the secretion of numerous chemicals that control the transmission of nerve impulses along with many other bodily functions. When stress throws these glands into and imbalance the result is often severe dysfunction of the autonomic nervous system causing an array of symptoms. This is the main connection between stress and Fibromyalgia and why the stress component needs to be addressed.

OK so what can we do for the stresses that we are facing? Well, for some of the stresses, there may be no immediate fix. Certainly, if someone is facing bankruptcy or losing their home, a cure to their financial mess may not be fast or easy. Although the situation may persist and may not be immediately remediable, there are still techniques we can use to help balance out the overall levels of stress hormones. Meditation is a very valuable tool that most everyone can do. Even those people that feel that they have no clue how to perform meditation can purchase CDs and listen to some guided imagery and meditative programs. There are countless meditative CDs available online at sites such as Amazon and in some websites people can even listen to samples before buying. There are also classes in yoga offered at most YMCAs and local health clubs that can offer a great form of not only relaxation but also stretching. A light easy walk for 20 minutes can also help to reduce stress and help reverse the downward spiral caused by a cascading imbalance of neurochemicals. Even the simplest act of playing soothing music throughout the day can help reduce stress. Other stress reducing techniques should also be considered and can greatly help keep your stress hormones under control. They include techniques and practices such as Ti Chi, Chi Gong and of course prayer.

When the overall situation we face can’t be immediately solved then we need to look at ways to offset or balance the stress with relaxation techniques. By doing so, the stress we face will become more manageable and subsequently the chemical fluctuations will be less dramatic. I have witnessed many patients turn their health around and improve the overall quality of their lives through simple meditative or relaxation techniques. For me, personally, it has been one of the most important factors to find balance and wellness. Please remember that flares will occur. We can’t have control over everything that happens in our lives. We can, however, control how we respond to them. Please don’t look at a flare as defeat. It is really a temporary condition and can be reversed much faster if we learn how to control our emotional response to it.


  • Bonnie Laniohan
    Posted May 13, 2011 at 6:32 am | Permalink

    It’s past 3am, can’t sleep as usual. I found your web site and found it interesting, and since I
    have been in a chronic fllare for the last 11months, I am constantly trying to find answers as to why so long a flare up. (OR AT LEAST THIS IS WHAT MY DR IS CALLING IT)
    I was told 5 years ago I had Fibro (I’m Sure it was much longer than that.) I’ve hurt but not like this…..My two shoulders are effected along with my arms. I can no longer dress myself completely w/o help. Can’t lower myself into a bathtub, can’t raise my arms over my head,or put them behind my back. I have NOT been pain free for 11 months

    My Dr just recently put me on Nortripyline ….she stopped at 50MG She said it would help with pain. (I have been on it for 5 weeks and can tell no difference) I’ was given percocet.


    Thank you
    (From one that doesn’t

  • Posted May 13, 2011 at 12:59 pm | Permalink

    Hi Bonnie, I am sorry that you are having so much pain. Often when someone has fibromyalgia they have other problems or conditions that coexist. I rather simple analogy of this would be someone having chronic lung disease and then also developing a upper respiratory infection of top of it. We call that co-morbidity and we often see it with fibro patients. Fibromyalgia does not exist in it’s own vacuum and many times patients have other problems along with it. Obviously I can’t properly diagnose you, because you are not my patient, but it is possible that you have separate shoulder issues along with your fibro. People can develop rotator cuff disorders because of the trigger points that they develop with the fibro. I would suggest you discuss this further with your treating doctor and maybe ask for some additional testing to see if you have some mechanical problems with the shoulders that can be easily fixed. The proper treatment may not fix your original fibro diagnosis but surely ease the local pain in your shoulders. Also, please remember that those of us with fibro have imbalances of certain neurotransmitters and that makes us feel pain at a much higher level. So, even a mild should issue can result in a lot of pain. I hope you feel better.
    Good Luck
    Dr. Mark

  • Karen Rickard
    Posted August 9, 2012 at 11:44 am | Permalink

    I was diagnosed with Fibro in 1999. Had it for years before diagnosis. I too have been in the longest flare I have ever experienced. I also can’t lift my arms, and the fibro has flared through out my arms and shoulders and neck. My doctor found that I have bursitis, complicated by fibro. I had steroid shot in my bursa, which calmed the bursitis down. but the fibro persisted and the changing weather brought the bursitis back. If I try to exercise the pain is so tremendous I can’t handle it. I have refused for years to take pain medication but now find it completely necessary. I can only pray we have an early fall and some temperate weather. If the weather varies more than 20 degrees in an 24 hour period I flare, and this has been documented. I am the absolute best in knowing when weather will change. If I had my rather’s, I would rather not be a weather forecaster……praying for an end to chronic conditions.

  • Posted August 9, 2012 at 12:06 pm | Permalink

    I agree that there is so much stress all around us. Being able to cope with pain is something I deal with on a daily basis. Even though I exercise and do everything I can to manage the symptoms, I still deal with a level 5 pain on a daily basis. Actually, level 5 is a pretty good day. I can’t remember being pain free. I take supplements and limit the amount of medication that I’m prescribed. For example I have to take tinzanidine for the muscle spasms in my legs and I take 5 mg. of oxycodone when I have to take the edge off of the pain. I’ve resigned myself to the pain and just try to keep it manageable. I am a typical type A personality but I also have tried to manage that as well….I mean…it really doesn’t matter if my DVD’s are in alphabetical order does it?

    Any thoughts on other coping strategies or mechanisms? I do write a blog (I’ve included the website) and try to keep up on the latest info..


  • Posted August 9, 2012 at 12:28 pm | Permalink

    Dr Mark, Well written article that offers a glimpse at the layers of this disease. I agree with everything you’ve written and agree this is a complex syndrome. I would add that patients must work at teasing apart emotional pain over their lifetime from physical pain in the present. My experience is that they immesh. To effectively manage pain in the present I traveled to places I never thought I would find myself seeking skills and coping mechinisms I never knew existed. I almost ran out in the first classes thinking I don’t belong here. But, persevering I gained meaningful and useful skills. I also found swimming and equalling th epressure on my body helped. I loved sitting on the bottom of the pool being engulfed by the pressure all over. I swam until my jaw and cervical spine would not let me continue. Even becoming a lifeguard because I could do in the water that which I couldn’t do on land. It allowed me a freedom of movement I had lost when I could no longer ride a bike because of balance issues. I was left in a flare and again seeking remedies adjusting diet and environmental toxins. Next yoga revived me from flare and took me to a new level of fitness and wellnessover 2 yrs. I was able to teach at the local cacner center and this lasted over 2 years. Until the tumors in my feet and hands started to limit my ability to practice on the floor. Taking my mat practice little by little, the to a chair then to the breath work only. Stress has played a role in my setbacks and I cut life and those stressors back little by little. Social engagemnets get cancelled last minite mostly to weather factor I have no control over. I digress,,,, What works for a time may not always remain the solution. Why is it General Practicing MD’s have little working understanding of the limbic, lymphatic and nervous system? Or is that an illusion? Do you need to get a referral to an Endocronologist for this to be a meaningful conversation?

  • Posted August 9, 2012 at 5:48 pm | Permalink

    Great site! Great blog!
    I am an advanced health and fitness specialist who focuses on pain management. Many of my clients have fibromyalgia and I am seeing the same increase in flares. I absolutely agree that stress is a trigger for flare-ups.

    One common trait I see in many people with fibromyalgia is the need to “be in control” and when times are stressful and they feel out of control, they tend to tighten up muscles in an effort to regain control. I call the muscles that tighten up the “bully muscles” and trigger points often develop on these muscles. One trick I teach my clients is the “freeze game”: While you are going about your normal activities, tell yourself to freeze and hold your position exactly as is. Notice your personal tension areas and relax those muscles. Common tension areas are the neck, the lower back, the shoulder hunchers and mini-hunchers, the rearend, the feet, the hands, and the jaw. Then breath slow deep breaths, repeat the phrase “let go,” and release these areas (for example, drop your shoulders) before going on with your activity. This will help you discover where you tighten up when you are trying to control things. If you play this game regularly, you will be able to sense when you are going into control mode and be able to stop it sooner. It’s amazing how well it works!

    You are providing a valuable service. Keep up the great work!
    Cindy Killip

  • Linda Marie
    Posted December 24, 2012 at 2:04 pm | Permalink


    I was recently diagnosed this year w/ Fibromyalgia. I also have herniated discs in lower back, IBS, EBV, hypothroidism and mild hypoglycemia. I have never felt so exhausted, anxious and depressed as this past year. I started a new job approx one year ago and it is slowly killing me. It is a struggle getting up in the morning and commuting and by 3pm, I feel like going home. My job is mentally exhausting. I have tried going to a chiropractor for years, Physical Therapy and medications. I am sensitive to many meds and cannot tolerate any antidepressants. Recently I started taking Savella and hopefully this will help me w/ the Fibro. I am also on Oxycodone for the back pain. Any advice or suggestions would be very much appreciated. Thanks!

  • Jeannine
    Posted March 6, 2014 at 7:34 am | Permalink

    I just need confirmation if I have it or not. 25 yrs ago it was bad and lasted about three years. Since then, maybe one or twice a year, usually a week or two , with it lasting the longest about two months.
    My worst affect is tightness in chest and having to breathe deeply to keep releasing the buildup. Also aches in shoulders arms and legs. Stress makes it worse. Is this fibromyalgia???? I can feel crappy for hours or days at a time and then feel great, does that make sense?

  • Hope B.
    Posted July 1, 2014 at 11:51 pm | Permalink

    Please help me help my good friend! He has fibro & it is flared up more than ever these days. He is under a barrage of emotional stress every day! My husband & I have been witness to this. I am trying to get him to see that the stress is making his symptoms worse! if you could email me something I can have him read he comes over ,I would be very thankful. This person has already had a few strokes in the past, & bouts with major depression. Anger is also an issue for him. He is a very caring & loving person with a great personality. Thank you so much for any kind of help!!! Mrs. Hope B

  • Kathleen Rose
    Posted October 12, 2014 at 2:12 pm | Permalink

    Thank You For Hope…
    Its been so many years of pain.

  • Venice
    Posted October 15, 2014 at 6:10 pm | Permalink

    I just happen to come across this site looking for any help with my fibro flare up. I also have RA, Rumatod arthritis. I live in Canada in one of the largest city, toronto. I can tell you from my experience that I do not know of any doctor that speclize in Fibro because they don’t think it is a dieases. I have had to fight tooth and nail to get disability because I just can’t work. I am sure I am not the only one who lives in Toronto with fibro. The only drug that help me was prenosone, a steroid. You can only be on this for a short while, which I am no longer on. I have been given ever drug know to mankind for pain, but they never worked. When will the Canadian medical society recognize Fibro? Not until either their spouses or relative get Fibro will something be done. I go through pain everyday, like everyone here in this forum. I am a widow and have one of my daughter still living at home. The stress she goes through having to help me dress, and helping with everything else makes me sad and a burden to her. She should be living her life instead she has me to content with. When will I see the light of day? Probably when I die, then there won’t be any more pain. I am sorry everything has been bottled up. But I just can’t understand why in Canada the only response I’ve gotten from specialist is there nothing they can do and they can’t help me anymore. Am I not worth anything? So my journey continues….in pain.

  • Cathy
    Posted November 13, 2014 at 5:22 pm | Permalink

    I am so sorry that you have no one in the medical profession to help you. I have had fibromyalgia almost 18 years and I do understand the neglect by doctors because it exists in the usa also. I do not understand why they do not treat your rheumatoid arthritis because there are many drugs available for that condition. Also, many people have tried Low Dose Naltrexone which even a general practioner can prescribe. There are meds out there and I hope you continue to look for a doctor who will help you. Don’t give up.

  • Posted January 27, 2015 at 5:45 am | Permalink

    I have similar symptoms as posted above. Diagnosed a year ago with fibro although I must have it longer; my pain is concentrated on my arms, shoulder and lower back. I developed bursitis, had 2 cortizone shot recently with no relief. Sometimes I do get flare up on my kneeds and wrists. I can’t type, lift my arms, lift weights which I need for my osteosporosis. I had for years IBS andthe GI doctors can’t seem to find the cause. I tried to eat healthy most of the time, no fry or fatty foods. I have tried everything to feel better and now I’m at the end of my rope. I had to take disability because my 3hr rd trip commute aggravates my chronic fatigue and pains. I have no energy to even try to go for a walk. I’m a type A personality and this is not resonating well with me, my mind is raising daily to do things as my brain is active but my body is not cooperating. Hence I have severe depression. Also my liver enzymes are high. I am looking for a complete revamp of my life style I am tired of feeling this way, Help

  • Cynthia Byer-Craney
    Posted March 9, 2015 at 3:17 pm | Permalink

    Im currently in a major exacerbation entering my 3rd day of excruciating pain and fatigue. It’s usually more under control.
    My stress level is about the same as usual. I did just get back however of 4 days with my 4 and 2 yr old grandchildren. The youngest had croup and I’m curious if there’s a connection to my flare. All I can do is rest/ sleep. Very different from my norm.
    Thank you for your interesting article.

  • Elaine Caruso
    Posted May 3, 2015 at 7:49 am | Permalink

    I was dx’ed with Fibro first, and that was at least 22 years ago. Then I was misdiagnosed with Lyme’s disease, but properly diagnosed with psoriatic arthritis in 2003/2004. As recently as two years ago I was dx’ed with Rheumatoid arthritis although I am sero negative, I do respond to the biological drug Orencia. Trouble with these diseases is that even as a well informed/experienced patient, its hard to tell what pain is coming from what. I was also found to have a swollen optical nerve, and MS was a possibility, although after a year ruled out. Lately -especially this last year-the level of fatigue is unbearable, and the chronic headaches especially over the eye with the swollen optical nerve are ungodly. I have been on pain meds now consistenly since 2006 but I refuse to take the big guns (oxy) having witnessed the havoc they wreak on peoples lives. All three of my children were dx’ed with arthritis as well, all are in treatment, but my older one was also diagnosed with Fibro. I just wish more was known about Fibro or as much as the arthritis. If I knew the symptoms I experience are related to the Fibro I would probably stress less! Stress is the absolute enemy, and they are right when they say to pay attention to the adrenal/pituatary/hypathalamus glands. I cannot tolerate temperature extremes at all. If I have a fight or flight response to a situation it takes me days to recover. The Disc disease affects me greatly as well. Have already had several epidural packages, in addition to one surgical fusion in my neck. The other night I found out a friend died, and had a visceral reaction. Almost immediately, the pain in my neck was crippling me, and I couldn’t turn my head. I really wanna have more control than that over my body but the doc tells me its “somatization”. Thank God for anti depressant meds. This is a very debilitating thing,. I went from being a self employed executive making really good money to being on SSDI and hating life. I honestly think its the fibro that cripples me more than the RA unless I have MS and dont know it. Wish I could make heads or tails of it and be more proactive in preventing flares.

  • TL
    Posted July 12, 2015 at 4:14 pm | Permalink

    I just wanted yo share my latest discovery. I have been a sufferer for only 3 years but in the last 5 weeks I have gone from being in so much pain that I was unable to stand and walk to almost being pain free. The big discovery was that stress and anxiety had such a huge impact on me. It was amazing! This is what happened.
    One morning I woke (with low levels of pain) to find that my fridge had stopped working. After some frantic phone calls it was all sorted. However, within 4 hours I could no longer walk down the stairs and so weNT to bed where I lay in agony til my husband came home. I took normal and extra med. For over 2 weeks I was housebound! And even after that was only able to go out for very short periods. Over the next 3 weeks some amazing things happened. A newspaper article highlighted possible links of stress and anxiety on CFS . I wondered if there may be a connection with fibromyalgia too. I then read a magazine article about coping with stress and went to a convention where stress was discussed and how to manage it. I started to apply what I learned immediately. The consequence is that not only am I more relaxed but my pain is at a level that makes me wonder if I may soon be able to come off my med. Will check with doctor first of course. But it’s so brilliant to feel like I am on my way to a more pain free life. Long may it continue. May others find the success I have. X

  • Posted July 21, 2015 at 12:11 pm | Permalink

    I was diagnosed with fibro about 30 years ago when you never heard of anyone with fibro. I live in a very rural area 60 miles from a large city. I looked for years for a massage therapist within a reasonable distance. Finally found one. The massage has been Tremendous help. However, about two years ago I lost my job of 38 years to downsizing. I felt better at first not being on a computer for 8 hrs + a day. However, this summer (2015) has been awful. The flare just goes on and on. I cannot sleep which only makes matters worse. The neck, shoulders and arm are so bad I can barely use the arm. I take 60 mg of Cymbalta each day and Tramadol when pain is unbearable. Was walking 2 miles per day but now only about 1/2 mile per day. Has anyone found any natural solutions for the sleep issue?

  • Berne
    Posted August 6, 2015 at 1:06 am | Permalink


    I am encouraged to find Dr. Mark’s website as I live in Texas and have not found a practitioner to work with me who has FMS. I’ve read through everyone’s comments and wish that folks would spend less time on our complaints and issues and more time writing about specifics that have helped instead so that we have a real healing community. This is a problem that I’ve seen in other FMS online support groups. Focusing on the pain, limitations and issues is not helping me to move forward in health or hope. Please share specifics as to what has worked, i.e., trigger point therapy, a specific chiropractic adjustment or yoga position. For example, I have found it helpful to lie on the floor with my feet up on the couch. I push my core up off of the floor so that my weight is on my shoulders. I hold this pose until it feels like the tension in my neck and shoulders is releasing.

  • Berne
    Posted August 6, 2015 at 11:11 pm | Permalink

    To TL and Rebecca,

    What specific stress reduction and/or relaxation behaviors have you performed that has made a difference. Health is in the details.

    As to sleep, this is like addressing the common cold unless we know what the levels of our neurotransmitters are, what levels of sleep we enter into during sleep and how long we stay in one of these levels. Sleep for FMS and CFIDS is much more complicated so there is no one solution. I take Lunesta but don’t want to do so. My friend takes a product called Zen.

  • Lora
    Posted August 21, 2015 at 11:00 am | Permalink

    I have had fibro for many years and have had many sensitivities to medications so I learned to avoid stress and exercise and that’s what works best for me. Recently I was injured at work at my left shoulder and now appear to have ” frozen shoulder” . Anyway my work has been very unsupportive and actual cruel and has caused me so much stress I can’t stand it ! I have fallen into a bed of fibro symptoms because of the stress and I just don’t know what to do anymore . I am in pain I can’t sleep I have numbing and tingling in my face and neck and hands. I think I’m going to have to ask my doctor to take me off work so I can get away from the stress .

  • Kathy Jackson
    Posted November 27, 2015 at 3:31 pm | Permalink

    The day before Thanksgiving I received a steriod injection (cortisone) administered by my rheumatologist. The shot was actually administered in my right knee to ease the pain of a torn meniscus. I had previously rejected getting this is injection over a dozen times…I actually had a bad feeling about it. I received the shot around 11:30am, by late afternoon I was feeling really bad, I was hurting all over, meanwhile I continued to take my prescribed dose of pain meds prescribed by the same rheumatologist. As the night continued the pain worsened. The next day was
    Thanksgiving…I woke around 6am in such pain I thought of going to the ER and asking for a shot of morphine, knowing the side effects I suffer from morphine, but that’s how bad i felt and how desperate I was. I hurt so bad and my regular pain regiment was not working at all. So instead of going to the ER I began taking my meds every 2 to 3 hours instead of every 4 to 6 hours. I spent the day in bed, even though it hurt to lie in bed. With God’s grace and mercy I made it through the night, it was one of the most horrific attacks I have had since being diagnosed in 2002. I was still in pain the day after Thanksgiving but where the pain registered a 15 on Thursday, by Friday it was down to 9, which was still bad, i was still bed riddren but I felt i could deal with it much better than what i went through the day before.
    My question to you is this (sorry for the lengthy introduction)…could the steriod injection have triggered or exaserbated my fibromyalgia? And, by the way…the injection did not ease the pain in my knee at all…it still hurts. Please respond as soon as possible. My rheumatologist would like to administer another steriod injection, this time in my back, to help with a pulled muscle I suffered in an elevator accident. Every fiber of my being is telling me not to get the injection…then I ran across your blog and was intrigued. I would like an expert’s view, opinion, and / or researched statistics to help me with this situation. Thank you!

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