She does have fatigue and has even had to not go to classes in college to sleep some. Nausea yes but more than that the just not wanting to eat and stomach hurting. But I have noticed since she switched to tacrolimus for treatment liver enzymes are finally normal and she is 2.5 mg from coming completely off Prednisone. We chose to seek a second opinion on treatment and are now with a very knowledgeable Dr. Out of Houston. The thing that upsets me most is we waited so long to go to someone else. With the enzymes normal she has not had as many boughts with nausea or stomach issues but we will see how things go with her back in school and more stressed with classes. Thankfully this is her last year and I'm hoping if enzymes stay normal she won't have those really bad days she can't even go to class.