Kelly,
I can relate to how you're feeling. Yesterday the neuro said that spring and fall, with the change of the seasons, are the most common time for flare ups. I didn't consider my overwhelming fatigue to be a flare up but I suppose it is. Of course I didn't call the office about it

instead just waiting for my infusion day. That frustrates the neuro but if it were something really bad, he knows I would call. (Like vision problems or inability to walk or something.) He knows that I know the signs of PML too and the DH knows what to watch for.
He adjusted my meds and gave me some new RXs that I'll get on Monday if they have them ready at our slow pharmacy. I had to go to the slow one because there was a coupon for the Nuvigil for $50 off.
Feel better soon and don't overdo it.

Maybe this will pass for any of us having change of season blues and fatigue after fall sets in for sure.
Vonn, Maybe it's the same thing for you? I hope it isn't lupus or RA but if it is, they do have meds for them. I would think if it's MS too you would just stay on that too? But if it's affecting your liver, you don't want to be on it anyway.
Everybody... have a nice weekend and...

... hugs going out for all.