Dear Doctor I suspect the health damage many with autoimmune issues are dealing with could be multiple autoimmune issues caused by exposure to various glycol ethers. (Working as a school janitor is very health hazardous.) Even degenerative disk disease The glycol ether that harmed 1000 young men in the Exxon Valdez oil spill 'bioremediation' experiment was 2-butoxyethanol & it is often found in carpet cleaning products & many home cleaning products. The fatigue this chemical causes is autoimmune hemolytic anemia. I think it is 'the fatigue' that hides out for those with CFIDS, FM, CFS Sincerely, http://www.valdezlink.com/re/health/find.htm http://www.valdezlink.com/re/vets/aglycolether.htm http://www.valdezlink.com/re/help/senbyrde.htm