So true, B2Y. I've stopped fretting about it, though. I just go with it. Too much energy needed to fight it. I just take the opportunity to lay down and give thanks that I can.

So far this has been a good week for me. All kinds of energy and strength, when I'm up. I think my secret is to take lots of naps and before I get up, do my stretches and stuff.

Of course I know that this beautiful weather could change on a dime and the wind could shift, then my shoulders could droop and that same look that B2Y gets on her face, and boom.

The only two meds I've tried for fatigue were amantadine and provigil. Fail! I was allergic to the amantadine, and the provigil made me jittery and gave me nightmares. I decided I'd just use diet coke, save some money!

Others have tried different meds; perhaps someone will chime in?

One thing that frustrates me is the impossibility of determining whether a bout with severe fatigue is an exacerbation, a pseudo-exacerbation, or just a reaction to overdoing it. Or none of the above!

A period of 24 hours or more of SEVERE fatigue, separated from other episodes by at least 30 days, CAN be an actual exacerbation (otherwise known as relapse, attack, or flare-up). It CAN be, but that doesn't mean it is.

It can be a pseudo-exacerbation, or pseudo-flare--a temporary worsening of fatigue due to heat, illness, any number of things. OR....??

Every once in a while, like every year or two, I have a few days of extreme fatigue...I'm not usually sleepy, just tired, but during these spells I just can't get enough sleep, and can barely drag myself around. I guess it wouldn't change anything to know if they are technically flares.