I know exactly how you feel the fatigue is absolutely awful I stay so tired I just recently stopped taken my methatrexate because I think it was increasing my fatigue to the point that I was going to be unable to work and I pray that it doesn't affect my joints real bad I go to the doctor Thursday and I'm going to let her know and see if she has any suggestions for anything different have you ever took methotrexate

I was using a lot of Prednisone daily and once each week, methotrexate in conjunction with the enbril injection... until covid hit. I lost my health insurance so I was unable to get any meds but I believe that it was a good thing. I did contract covid-19 in January of this year and I was still off all of my meds. I have recently started on some of my meds again but I'm trying Emeril without the methotrexate. The overall physical achiness that came with it I don't have to deal with anymore. But I have noticed an increase in My overall exhaustion with life both physically and mentally. I don't know if that's because of circumstance or if it is related to the medications. I range from sleeping like a quote unquote normal person 8 hours a day to my morning usual 12 to 14 hours a day and during flares I can sleep for literally days at a time. For the few months before I was diagnosed with ra I was sleeping on average 20 hours of every day. I hope you find a combination of treatments that work for you and that you're able to pull yourself out of The chronic sleepy brain fog that we all seem to deal with.