With all the meds I am on, my doc sees me once a month now. He upped my Ritalin from 15 mg a day to 30 mg a day - lets see how that goes! He told me to stay on my usual meds. Of note - he told me to EXERCISE - NO MATTER WHAT, rain, shine, pain, fatigue, flareup - anything. He told me I HAVE to walk everyday, get my heart rate up, 5 minutes away from the house, 5 minutes back. Start with 10 minutes a day. I hope I can do it. It was 80 degrees here last week - and today it is snowing!