@DrWendy 

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DrWendy

Ideas... advice

Hello everyone, I'm looking for some advice on - what to do about fatigue that gets worse, and worse as the day gets later. Most things are more possible in the mornings than toward the end of the afternoon. I have tried a little chocolate in the morning, which seems to make me more sleepy. I don't consume caffeine in tea or coffee, but I'm considering restarting a former long term caffeine/coffee habit. I gave up coffee around 15 years ago. I am also vegan and take vitamin B12 every day, as well as vitamins C, D3 and iron supplements (increased on doctor's advice after a blood test showed anaemia). I tend to do better after sleeping, but a 20 minute/ 30 minute sleep in the afternoon doesn't seem to help either. - What to do about an 'intention tremor'in my right hand. Neurologist says there isn't much to be done about this. Physios have suggested different things like a weight on my wrist or a tension bandage on my arm, neither of which have helped. Any suggestions for either problem would be welcome. Thank you Wendy
@Stumbler

@drwendy , fatigue is a difficult one. Usually it's down to management of the fatigue, i.e. pacing yourself through the day. There are a couple of medications which might help, Amantadine and Modafinil. Amantadine does not work for everybody. And, you may have problems getting modafinil prescribed. There's an article on Tremor here :- https://www.mstrust.org.uk/a-z/tremor , which you may have read already.

@LawrenceHofer

Good question fatigue I suffer from it to have to say having coffee after lunch and at coffee time 3 00 in the afternoon I'd say gave me a bit of energy