Hey Izzy. I have had RA since I was nine years old, and I went through puberty and high school, etc. with it. Things have changed since then but they haven't changed THAT much, so I know what you are dealing with. I dealt with fatigue, pain, and exhaustion when I was dealing with my RA at that age. What makes it worse is that everyone else has so much energy and stamina at that age. It makes it that much more visible. You are definitely not alone in experiencing it, so I can say that for sure. As for something that can help remedy it, well, that's a different story. I wish I had some sort of magic pill or wand that could cure RA fatigue, but it's so different for everyone. I know I need 9 hours of sleep if I want a full, well, "full," energy day, or even a shot at one, and also no alcohol or anything like that which, I'm sure, isn't easy at 18. I don't want to bring you down, though, just keep trying different routines and remedies and you may end up finding a method that works for you to at least alleviate enough of it to make things bearable. I always carried meds around with me to every party, get together, etc., and I always made sure I was the one driving so I could head home if I needed to no questions asked. On the other hand, it took me twenty years almost to find the food triggers that made me worse. It ended up being sugar and, to a lesser degree, wheat carbs. It may be worth doing some trial and error to find some of yours, but it may take a while. I know it's probably not the answer you wanted to hear at 18 but will just leave you with the fact that me and other community members here know EXACTLY how you feel having it at a young age because we did also. Let us know if there's anything we can do to help and remember - you can always come here to chat, vent, or talk to others who get it. Keep on keepin' on, DPM