Unfortunatly the answer to your very last question is you can't, at least not everyone. My mom just ignores it and I thought my dad understood up till last week but its hard to talk to him, only cause he mumbles so much you can't understand him. LOL. I am currently taking savella myself but have been through many meds till I found it, unfortunatly for me it seams to have stopped working or I have built up an intollerance. I feel bad myself cause that always seams to me as well, with the I'm tired, or hurting, but my husband does seam to understand and he doesn't care weather the house is clean or nit but I do feel bad cause I feel like I say it all the time sometimes, and I know he has to get tired of hearing it cause I do. Your savella might not be the right medication for you. I felt so much better when it was working, and your boyfriend might not be the right one for you either. He should be able to understand and accept your limitations for what they are, if he can't there is someone out there who will. And just to let you know I have said the same thing about being sick and tired of being sick and tired, I wonder if that shouldn't be our motto, ha ha. Gentle hug, hope I helped some.