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Other common symptoms include: Extreme sensitivity to pain Stiffness Fatigue and tiredness that do not improve with rest Sleep disturbances, including poor sleep quality and restless legs syndrome Cognitive difficulties, often referred to as “fibro fog,” affecting memory and concentration Emotional and mood problems, such as depression and anxiety Various other symptoms, including headaches, irritable bowel syndrome (IBS), and sensitivity to temperatures and loud noises Diagnosis of Fibromyalgia Diagnosing fibromyalgia can be challenging due to the absence of a specific lab test and the overlap of its symptoms with other conditions