I'm meeting with my PCP to discuss stimulants to help with fatigue/fog that's now affecting my productivity at work. Would love to hear about other people's thoughts and successful treatments. My rheumatologist is suggesting possibly changing from Methotrexate to Arava to help. I'd previously been on methotrexate at a higher dose without any fatigue effects and haven't researched Arava. I take Vitamin D so I don't think there's a deficiency there. What would you do?