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Fatigue used to be my main issue. On a blog someone mentioned using modafinil. I looked it up. It is prescribed for narcolepsy and truck drivers, people who work midnight shifts etc. my doctor agreed to let me try it. Well it has been nothing short of a miracle for me. Initially took 100 mg in the morning. But that only took me to late afternoon. So now I take 100mg in the morning, then at noon I break one in half, then take another half at 3. Most days I make it to bedtime sometimes just needing to rest my eyes and legs for 20 minutes in afternoon. It is a controlled drug, brand name Provigil. The worst side effects I experience is being able to now sleep soundly at night. I am 71. I also take vyvgart, prednisone and mestinon. I have some weeks I feel like I am 50. Then I overdo and it takes me a few days to recover. It seems it is always a balancing act, but I am better than I was we years ago. Dx’d in 2020, symptoms began in 2013. It is definitely a life changing disease but being proactive one can manage it. Happy new year all.