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Additional weight puts more mechanical stress on joints, muscles, and soft tissues Obesity is linked to poorer sleep quality, which is already disrupted in fibromyalgia Reduced mobility makes it harder to stay active, which can worsen pain and stiffness On the other side, fibromyalgia makes weight management difficult because chronic pain and fatigue limit physical activity, certain medications used for fibromyalgia can cause weight gain, and disrupted sleep affects hormones that regulate appetite