I don't take birth control, but take two different type of estrogen (hrt). One thing I didn't think of is that I do have fibromyalgia and although it is for the most part in remission, I do fatigue easy.

My Dr. talked to my about taking Quinine. I've heard alot of controversal stuff about it, and I really want to do this the healthy way, however I'm just getting so frustrated that I think if I can't find a way to stop the severe muscle 'attacks' I would go ahead and try it rather than stop riding. They're getting so bad at nite that I'm getting 3-4 a nite that wake me out of dead sleep screaming and cant go back to sleep for good 30 min to hr.