Let's see:

1. You have an uncontrolled autoimmune disease.

2. You are on medications which can have severe effects on the body.

3. You have a history of anemia.

4. You have a history of depression and you are taking meds.

5. You recently had PEX, which can cause all sorts of imbalances in electrolytes, etc.

6. You had IV antibiotics which likely upset the balance of "good flora" in your system.

7. You have repeated high dose IVIG, which can wreak havoc on the kidneys if done too often. *The ol' "too much of a good thing" theory.

8. You maintain a busy social/travel schedule.

Still wondering why you may be tired?

Missy *Who just got up from a nap. I've been recovering from a virus...tired happens.