Welcome to NeuroTalk! Minah Byrd

You might be interested in d-ribose.

Here is a link to a thread about it, and acupuncture.

http://neurotalk.psychcentral.com/sh...ghlight=ribose

Ribose is part of the molecule adenosine. This is then part of ATP, ADP and AMP in the mitochondria. Adenosine is also the signaler of sleep. I've found that ribose is very helpful for chronic pain, and sleep problems.

Also if your B12 is low, you are not making melatonin. MethylB12 is the cofactor for converting serotonin to melatonin.
So do a blood test for that too. You should be at 400 or better, and not in the low ranges which are mistakenly given as "normal"..

http://neurotalk.psychcentral.com/thread85103.html
This thread has current medical information about this subject.

Thirdly, you will need to test your Vit D levels.
You can see significant improvement in a chronic condition like Fibro with raising your levels to the new suggested ones:
http://neurotalk.psychcentral.com/thread92116.html

And high dose tramadol can cause urinary retention and constipation in some patients.