It seems that fatigue has affected all aspects of life in the years I have had treatment for multiple myeloma. (Into 4th year.)The cancer causes fatigue, and all treatments list fatigue as most common side effect. My greatest challenge has been to manage time so fatigue doesn’t rule every day, and I wonder how others deal with it. My greatest strategy comes from recognizing that there is major difference between physical and mental fatigue. I have activities that are doable when physical fatigue limits what I do, like writing, mind games, or reading. But having physical energy doesn’t always mean I feel like quilting, baking, etc. I just feel lazy! How do you deal with your fatigue so you stay productive in a good way that keeps you happy?