Many patients improve. Some patients, evaluated several years later, no longer experience enough symptoms to meet the criteria for fibromyalgia. We feel that people with JPFS will need to pay careful attention to sleep, exercise, and stress levels throughout their life in order to decrease symptoms of fibromyalgia. With careful attention to a healthy lifestyle, people with JPFS can live very happy and healthy lives. The quality of life can be excellent and people with JPFS often have successful personal and professional lives.