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Fibromyalgia is sometimes known as the invisible disease. We don't look sick. People find it difficult to understand that we really are sick and not just making excuses. You need to anticipate this, and the reactions that people will give you when you say no to things you don't feel able to do. Your true friends will understand; the others don't matter. And you must learn to say no or you will run the risk of causing a flare-up of your symptoms.