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Carbohydrate cravings are especially common during exacerbations when energy is low. Although a psychological basis for these cravings has been proposed, evidence suggests that the source is largely biochemical, possibly related to abnormalities in neurotransmitter levels and metabolism. Consumption of simple carbohydrates may increase pain, cognitive dysfunction, and fatigue, causing a "boost and crash" cycle (in which blood sugar level rises and then plummets quickly and dramatically). Further, carbohydrates may be best tolerated in the evening. (Source: Chronic Fatigue Syndrome, Fibromyalgia, and Other Invisible Illnesses – The Comprehensive Guide, by Katrina Berne, Ph.D. Published by Hunter House books and available at www.hunterhouse.com.)

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Are you vitamin d deficient?

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