After waiting about eight months I saw Dr. Stephen Massaquoi at Mass General Hospital. Dr. Kenneth Sassower, a neuro and my sleep specialist, made the referral. The good news is that I was in a crash when I saw him; the bad news is that I was in a crash when I saw him. (I had waited a couple hrs and my appt was in the afternoon.) He spent a LOT of time with me and did the most extensive neuro exam I ever had. He also talked a lot about health ins (not mine) and elements of fatigue. I honestly don't remember what he said about them because at a certain point I tuned out. I assume he starts by prescribing enzyme co Q10. I was supposed to take 600 mg for a wk and then up to 1200 after I emailed his office. He said RARELY do patients get side effects but did mention diarrhea and constipation. I tried not to hear that because I usually get g.i. side effects. I have a history of Crohn's and chronic intractable GERD. Two days after the 600 mg. I had watery diarrhea which I thought I could control with 2 immodium. After ten days I couldn't handle the cramping, the immodium wasn't keeping me normal and I had no appetite. THIS IS NOT THE CROHN'S. I'VE BEEN IN REMISSION FOR YRS AND DON'T HAVE THESE SYMPTOMS. Also, I am no sissy when g.i. stuff happens. I stopped it today after taking 200 mg. and emailed him as directed. The good news about being in a crash is I had my labs done that day. He did mention a muscle biopsy but I blanked as to how he would determine this. I have to stay off Q 10 for at least a couple days; I know my gastro would have a fit. Also, I was acquiring something that resembled IBS and felt like I was exchanging one illness for another. Very disappointed but am awaiting email.