How do you know if your symptom is MS fatigue?

I'm truly sorry to hear about the challenges you're facing with fatigue. Fatigue is brutal and it's so hard to treat, if not nearly impossible, so you're not alone in battling this symptom. Because you're managing several other health issues, it can be really hard to determine which condition is causing which symptom. And to make matters even more confusing, some conditions share the same symptoms, so it's possible a lot of what you're experiencing is intertwined with all of the conditions you have to deal with. I want to share with you an article that talks about fatigue and how to manage it with MS. You can access it here- https://multiplesclerosis.net/treatment/manage-fatigue. One thing I would suggest is starting a symptoms journal. If you haven't started one already, start recording how your feeling, at certain times of the day, and especially along with when your taking any medication. Keeping a log will help you record how your feeling and you can share this with your doctor. They may be able to see a pattern and have a better chance pinpointing why you're feeling the way you do and near down which condition could be highly impacting you in this area. Lastly, here is a thread that received a lot of responses from our members as they described how fatigue has impacted them in their MS journey. It may offer some insight and assurance to you as you work on finding some relief- https://multiplesclerosis.net/forums/fatigue-and-ms. In all, take things one step at a time and be kind to yourself. We're here with you. Kindly, Latoya (Team Member)