I’m unsure if this modality was already addressed to help assuage chronic fatigue with autoimmune disease present. I have RA and the blood markers for lupus. Also, I have congenital OA, sleep apnea, hypertension, osteoporosis, with the latter 3 associated with RA.

Besides finding the right medication mix (a biologic and Plaquenil, and lots more pharmacopeia), the biggest lifestyle change I made was to follow an anti-inflammatory, ketogenic diet. My energy level shot up to the point that I’m again mountain biking strenuous, single track, advanced trails, albeit much slower than I ever did before. My chronic brain fog (to the point where multi-syllabic words were beyond me) has dissipated, though it returns from time to time after significant energy expenditure. While I do not have the super high energy level of my pre-RA days, I’m grateful to again be active.

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