Joelle - hopefully bumping up to 3.0mg will help you out with the pain.
I bumped mine to 3.0 after two weeks because I was moving. It seemed to help a lot better with the fatigue at 3.0.
We ARE moving to Missouri this spring. Time to pack again.
I am so grateful to have my 4.5mg pills this week, it has made such a difference. I will NEVER run out again...this time I am programming it into my phone to refill two weeks BEFORE I run out!