Fatigue getting worse

hi there

I feel your pain. I have PsA and suffer mostly with fatigue.

What I’m finding, is a lot might be connected to diet. Easy said - hard to actually identify.

Things that have helped are mostly removing things from my diet, rather than chasing supplements. I’ll list these in no particular order, it might be worth a try. I do think the gut is a driver of inflammation / fatigue.

Things to look at removing:

Gluten (there is gluten in everything - you’ll become an expert label checker)

Sugars ending in ose (fructose, glucose, lactose etc) I.e honey in my case is major cause of inflammation I think

Artificial sweeteners - all of them

Deadly nightshade veg (tomatoes, aubergines, potatoes, peppers, paprika etc)

Also staying hydrated really helps. This is hard for some reason - what do we drink if we can’t have artificial sweetener or sugars… I like herbal teas, cold and hot, and now aqua libra which says it has no sweetener or sugar…

I also think eating gut friendly fermented things really help like sauerkraut, kimchi, kefir and lots of firbre through more vegetables

There are lots of RA recipe books on Amazon - take a look maybe.

Of course the methotrexate might be contributing, so do ask for a review after 3 months (is the usual timeframe).

There are of course other reasons for fatigue like viruses and heart health, so do talk to your GP about it.

I hope this helps. It’s really frustrating to feel fatigued. Everyone is also very individual, so what works for me might not work for you, but I am confident my diet changes have helped reduce the fatigue albeit I still carry it every day.

Take care of yourself and let food be thy medicine. We are what we eat.