First a Big Welcome to you for finding us.

I wish that I had a Crystal Ball that I could see into that would give you a definitive answer to all of the issues but I don't. I received my dx of MS when I was 57. I am sure that there are others that may be of more help. Your neuro may be able to prescribe something to help with your fatigue issues. I take Provigil and I have also use Amentadine the both worked and helped me get through the day.

May you find the answers you seek and be able to keep your sense of humor for it will help you get through the days.