 [ Symptoms ] my family doctor and i have concluded yesterday after various tests and trials of other things over the last 1 5 years that i have fibromyalgia the symptoms coincidentally or not started when menopause started for me i am 54 i have been on hrt for one year and it has relieved the hot flashes but not the bodymuscle pain and sleep problems since all otc nsaids and arthritis type creams do not help he prescribed voltaren gel and to continue with all of the alternative therapies i am trying yoga walking monthly visit to chiropractor acupuncture and massage and meditation he said to try the gel for 4 weeks and if that did not work for me he would prescribe nortriptyline for sleeppain do you agree with his assessmentplan he did not think diet had any impact do you agree i am trying to eat a more plant based diet any suggestions you have would be most welcome thank you [ Disease ] your doctor is doing the right thing nsaids trial is standard procedure with concomitant alternative therapies if not responding then addition of antidepressants like nortriptyline is standard choice and wise one do as directed by your doctor visit our fibromyalgia health center for further guidance i hope it helps stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and can not be an alternative to actual visit to a doctor take care khan