@gingerw , I agree, I feel very disappointed about lack of energy…especially when ambition is high and I so enjoy everything I do. Feels very weird the throbbing achiness and fatigue that suddenly hits. I know I have to plan accordingly. I go back to dr April 28th. The dr oversees my case, adamantly insisted I repeat bloodwork every 4 months. Last time, I saw an assistant and he booked me for 6 months. I have discussed my symptoms, but I feel there's not much to help since my labs are stable. I haven't bothered lately. Anyway, it helps to know this may be related. I sincerely hope you beat this, and get well… sorry to hear your in smoldering…will they treat in anyway, or just watch? thanks for sharing!!