@annpeters I have Long COVID, which essentially boils down to chronic inflammation. I am of the belief that most autoimmune diseases are linked to inflammation in one way or another. There is research that has found that people with Long COVID and inflammation affecting the brain, has created a decrease in the dopamine neuron receptors. So, I also take Gabapentin and Cymbalta. I am on the lowest dose possible of these. The issue is that in the mornings, the fatigue and post-exertion malaise and pain feels like I have been in a car wreck, although this is not every morning. I am always fatigued in the afternoons, well, I am always fatigued, but it is worse at night and in the morning before I take my morning meds. I also had a reactivation of EBV when I first got sick in 2022. I had gotten Covid-19 in January of 2022 and then again in March 2022. I was a runner, weights, best shape of my life and then 3 months after I had Covid-19 for the last time, I woke up just plain sick, felt poisoned. I also believe that Long COVID mimics other autoimmune illnesses. I went through a ton of tests with a rheumatologist and all she had to say was that EBV was reactivated, my ANA was flagged and I had RA. I have since been tested again for RA and it did not show...It has been frustrating. In fact, in 2022, I told the Rheumatologist that I thought it was Long COVID...she rolled her eyes at me...so, I have had to do so much of my own research on all of this, reading papers, reading others posts on this site. Anyway, I am grateful as it could be worse. I have to remind myself of that daily as well. Sending you good thoughts too!