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    I have been on spiriva for about a month and i must say there is a improvement in my pain level. the only side effect at first was nausea and then that went away after the first couple of weeks because the body needed to get used to it but after you are over that hump the only side effects for me was hot flashes and sweats. however, to be out of pain is all that i care about. i was out of work for a year and a half and now i’m able to function and work again. i thank god for spiriva and my doctor who suggested it. she has never steered me wrong. to anyone who has fibromyalgia please try this medicine and give it a little while to work. stick out the …

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