After 5 years of not managing well, I am so much better now. I avoid caffeine, alcohol and strenuous exercise and negative , mean people. I take a low-dose mild anti-depressant Wellbutrin which isn't an SSRI so I don't have the fatigue compounded by those drugs.I go to bed at the same time every night and get 8 hours regardless. I plan for flareups, so I have adequate canned food, and enough paid time off so I won't lose my job ( no vacations to Florida for me). I require my family to be proactive in dealing/adjusting and not make things worse than they are by blame or ignorance although I encourage them to grieve my old life as I do at times and make sure all family members have been educated by my Dr. I do what I can when I can and that is enough. I take Daypro for it's antiinflammatory properties for my joints, so my pain from my arthritis is not amplified.I do not allow myself to get caught up in every snake oil "remedy" out there, I will try alternative treatments but only if approved by my Dr, who says no harm will result and I determine it is worth the money to try it, there are folks/companies who want to cash in on our dream to make this go away by taking a little pill, or taking a supplement. I go to church to maintain community and my faith and I stay grateful I am alive and people love me.