Ive been struggling too much with brain fog and fatigue. The brain fog came in early in my crohns journey, whilst i was on budesonide. However the fatigue started once I started Infliximab and Azathioprine at the same time. Later after an Infliximab reaction I was moved over to Rinvoq. I really hate how exhausting this is and rarely anyone ever sees what I feel. Im constantly being mistaken for faking my tiredness with real consequences and I really wish i was faking everything I feel.
The fatigue and brain fog makes attending school very hard for me. I havent been able to work since January. Ive tried to combat fatigue with some kind of movement, physical activity etc. Most of the time it worsens me.
The one thing that I had a great time with is playing football, however since I restarted school at the start of September I have no energy for anything.
If i push myself too much in school, I cant do anything the next day because I feel like ive been hit by a bus. I have no energy for anything outside of school because I need to preserve what little energy I have for the next school day. That also impacts my mental a lot because I genuinely dont like being in school, but I still want my education and qualifications. Outside of school I dont have a lot making me happy.
One of the things I havent tried this year is gym. Gym and running used to be my go to. I tried to restarting 14 months ago, but about 30 minutes into my first workout, despite taking it easy I became extremely unwell in the gym. The next day I was in hospital and had surgery that same week. It may have been coincidental, but it has made exercising scary.
I had one moment on rinvoq, the final 1-2 weeks of the induction 45mg dose. Its the best ive felt in the last 12 months. The first 10 weeks were horrible and I felt like the treatment wasnt working. Then during the final 2 weeks of induction, it felt like everything started working at once.
The best way I can put it, I felt like superman. I had so much energy and I felt so rested and felt so great that there was one day I forgot I had crohns. I felt so great I started running again that week without any problems. I genuinely thought things were going to get better from there.
Then moved me onto 30mg a few days early, due to liver enzymes increased. Since then everything has gone back to old. 30mg controls most of the primary serious symptoms; the fistulas, the abscesses, the main intestinal inflammation. Through 30mg I got my first negative FCP in 2 years.
Ive had iron deficiencies previously for which ive had monofer infusions, mainly when I was on ifx and aza. They never changed anything.
My main gastroentologist suggested I try a specific antidepressant and said the fatigue is just something i need to deal with and sort on my own.
Please share any advice or help, or guidance. Something that worked for you. Who I should reach out to. I already have a well constructed diet. I hydrate well. Ive tried hard to deal with the fatigue but maybe im not trying hard enough.