Solutions for fatigue?

Fatigue is just part of the game with this disease, I know, but my fatigue has been extra bad for several months.

I take HCQ, Methotrexate, folic acid. I also take a multivitamin daily.

I've done a lot of different bloodwork with my PCP a few months ago & everything was normal. (Vitamins, hormones, thyroid, etc..)

I had my regular follow-up apt with my rheumatologist in December & discussed it with her. She felt that my PCP had done a good job with all my blood work & she couldn't really think of anything else we should further examine.

She did mention that I could try a medication like Duloxetine and see if it helps improve my fatigue. She said she has patients who take it and have seen a big improvement on their fatigue with it.

I wanted to see if anyone else has tried this type of medication and found success? Or are there other types of treatments you've tried and found they help?

I scheduled a follow up with my PCP to further discuss my options and want to come prepared.

Thank you!