Hello everyone. I am new here and live in the mountains of Nevada in the US. I was diagnosed with RA in 2004--ironically the year I retired. The middle joints of all my fingers are ruined. I feel so tired all the time. I take Methatrexate once a week, and I haven't really had an increase in symptoms since I started it. I feel foggy headed the day after I take it, and it exacerbates the fatigue, but that's about the extent of it. I hate the fatigue so much. I thought joining a forum might help me find ways other people cope with this disease.