sometimes i have fatigue daily other times it may be twice a week.
for a time it is everyday.
hard to figure it out.
i take B-12 liquid every day leave it under the tongue for a min then swallow. it has helped me.
set a limit of how much you do daily.
REST IS KEY AS WELL 😁

Fatigue is on my daily schedule. I try to stay busy. Distraction helps

Fatigue is a staple of MPNs and it is explained away and dismissed, although it can be disabling
https://onlinelibrary.wiley.com/doi/epdf/10.100...

"Prominent symptoms include fatigue (92.7%), early satiety (61.9%), abdominal pain (45.9%), abdominal discomfort (53.2%), inactivity (60.5%), headache (48.3%), concentration problems (61.7%), dizziness (55.2%), numbness (61.3%), insomnia (65.4%), sad mood (62.7%), sexuality problems (57.9%), cough (46.4%), night sweats (56.4%), itching (52.6%), bone pain (48.5%), fever (20.2%), weight loss (34.2%), and impaired quality of life (84.2%)"
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC46...

Trust your body and ask for sick-leave or disability when needed. As this is a rare disease and many doctors have very little knowledge about it, they can be rather dismissive of the suffering MPNs can inflict on patients.

For me, this disease is disabling. I need help in my daily life and any effort above what I can do in a day could leave me bedridden for weeks.

Impact of Inflammation on Myeloproliferative Neoplasm Symptom Development

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4619953/

Fatigue comes with your blood levels being too high or too low and trying to do too much at one time. Pace yourself. Take breaks in between.