Any tips on managing fatigue? I am taking methotrexate and just started injecting simponi ( had 2) and a few days ago started with pain starting at my shoulder blade across to my neck. Most of the pain is muscle pain but I have such bad fatigue like I get when I'm having a flare but my joint isn't warm or red or appear swollen. It's really thrown me out it can't figure out if I'm flaring or not. Go has given me tramadol for the pain but the fatigue is totally wiping me out, need to lay down all day sleeping on n off and feel nauseous
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