hi meg sorry you're having a rough time. have you already optimized all your nutrient levels? many of the nutrient imbalances/deficiencies seen in ms patients can contribute to fatigue.
READ ME key info on nutrient targets - www.thisisms.com/ftopict-2489.html
my approach: no meds so far - just nutrient-dense anti-inflammatory whole foods, and supplements where needed
info: www.whfoods.com, www.nutritiondata.com