I am a New RA diagnosis 2020 but struggling with progressive, persistent fatigue x5 years pre diagnosis. Still struggling. On plaquenil now since July 2020. It helps with the joint pain. Not so much with the fatigue. Rheumatologist is recommending Methotrexate as a next step option. My concerns? A lot of information about MTX highlights that it can actually Cause fatigue, and lesser information is out there about it helping the fatigue. My question to the community? Are you taking Methotrexate and has it helped with your fatigue? If you are not taking Methotrexate and something else is helping - another medication - then what is that medication? I am doing all of the behavioral interventions with 8-9 h per night sleep on cpap, resting, prioritizing, weight lost [still overweight BMI though] all that, but really struggling. FYI The AIP diet has done wonders and I am grateful. I just want to be a normal functioning adult