I work full time and have had 4 days off work this year with low energy levels. I'm usually OK on Monday/Tuesday but by Wednesday evening I need to sleep when I get in from work. I walk to and from work and struggle to get over a railway footbridge because my legs get extremely tired. I'm always very groggy when I wake up.
I'm on Methotrexate injections (17.5) and recently started taking Amitrptyline which has improved my sleep. Moving my injection day gradually over the last couple of years has had no effect. The Rheumatology nurse isn't interested and my doctor just sends me for a blood test.
Has anybody been in a similar situation and been able to overcome this?