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Hot neck aches with fatigue

My friend has been extremely fatigued and gets a 'hot neck', and says his head feels like it weighs 800 pounds. He has been tested for all kinds of things by all sorts of specialities and has no new information. This is a guy who is very fit, exercises all the time, he's in good shape. Has anyone heard of a hot neck with heavy head and extreme fatigue as symptoms of something? He doesn't have cancer or anything and all his blood tests have come back clear. Please help!
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Does he also have a high lymph count?  Because I have a hot neck too ... for months now.  And no doctors I have seen can tell me what it is!
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st. louis, MO