Please rule out all other reasons for fatigue, don't assume it is Ra. I have had low thyroid, low B12, Low vitamin D, and sleep apnea. All of these cause severe fatigue.

I try to practice good sleep hygiene, which sounds crazy but was how one doctor described adjusting sleep habits. I try for at least 6 hours of sleep every night, I can function on less but feel groggy. I only take a nap on weekends if I am sick or flaring, most times I keep to a schedule and just push through. Exercise helps me sleep at night so I am not so restless, and no caffeine in the PM, no TV or computer an hour before bed. If I wake up, within an hour of my alarm clock, I just go ahead and get up. I think fatigue is so common for not only this condition but many others. Many days I look around and everyone seems tired and crabby! If I know I got over 5 hours of sleep than I just tell myself that I am not tired, that it is just my immune system trying to trick me. I have to keep pushing myself to keep moving. My uncle with RA told me that for our disease "motion was lotion" and sitting still or laying down for too long will make you stiffer and more sore.

Ihave not slept a good nights sleep since August 2019. Every time I move I wake up from the pain. I am widowed and my daughter helps me out of bed at times and often has to help me dress? If I could get a good night rest I know I would feel so much better.

My fatigue is relentless. Only time is when I'm well rested do I feel like doing very little house work. I also have leg n thigh weakness. Tight thighs. Can't walk w/o tight n weak.

Depression doesn't help and w pain too, too much.
Hopefully better days lie ahead for all.

Merry Christmas

I take sulfsalizine and plaquenil