Hi Folks - I'm new to this board but I've done some surfing and this one seems to have the most support for people. I was "officially" diagnosed this past Tuesday. I have to say that I am not thrilled to be eliminated from all the other categories of autoimmune dysfunction and given a diagnosis that is made by eliminating all the other diagnoses. My dismay is compounded by the fact that I am also Bipolar and have non-autoimmune thyroid disease also. Basically everything fell to hell after I had my second child at 37 and I've been on the doctor parade since giving birth 13 months ago. My problem is not so much the pain right now but the fatigue. Its killing me. I am so damned tired. Since my Rheumatologist bounced me back to my Psychiatrist for the medication balancing act, and telling me to exercise. I felt like telling him, "Thanks buddy - I know it will make me feel better but what's your strategy for giving me the energy to get to that point in the first place?!!!" My psychiatrist is going to try symptomatic treatment of the fatigue with Ritalin. Has anyone else tried this therapy? Any success? I am determined to try just about anything at this point. I work full time and I have already sucked up a third of my vacation days for the entire year and I want to have fun and enjoy my family again!!! On the plus side, I have worked in the pharmaceutical industry for the past 16 years and I know a lot about drugs, side effects, etc. I am an EMT in MA and I have a BA in Chemistry so I can help with some of the scientific mumbo jumbo! Thanks for being here!