< She complains of recurring fatigue--can't climb the stairs without getting tired.> Dear Chris. It is possible that this gal suffers from something enterely different. One group of diseases that is ALWAYS overlooked and is probably terribly underdiagnosed it the group of Glycogen Storage Diseases. I have type V (McArdle's) and was not dignosed until I was 43 years old. Most people who have it go undiagnosed for YEARS and are treated for everything else under the sun. GSDs are a metabolic form of Muscular Dystrophy. She can contact the MDA (Muscular Dystrophy Association) and ask her doctor to draw blood to check for muscle enzyme levels in her blood. They will be very high for this disease. The disease will affect her fatty acids as well. No anwer for the aspirin accept that I have taken 2-6 per day everyday since I was a child because of my muscle pain. I only cut back during pregnancy never stopped even during nursing 3 children. I switche to Ibuprofen many years ago when that came out as it is infinitely more effective for muscle pain. acetaphetamine is a joke . I don't know who that helps except babies with fevers. It is a real NO -NO for those of us with these GSD and liver problems. Debby feel free to email me privately for more information regarding GSDs