Newly diagnosed with RRMS, how do you manage the fatigue and brain fog?

Hi everyone. I’m 34 and was diagnosed with relapsing-remitting MS earlier this year after months of weird symptoms I kept brushing off. It started with tingling in my left hand, then a bout of optic neuritis that finally got me to a neurologist. The MRI lit up like a Christmas tree.

I’m about three months in and still trying to wrap my head around it. The fatigue is the part I wasn’t prepared for. It’s not “tired after a long day” tired. It’s “I made breakfast and now I need to lie down” tired. And the brain fog. I’ll walk into a room and forget why I went in. Mid-sentence I’ll lose the word I was reaching for. I used to read two books a month. Right now I can’t finish a long article.

My neuro started me on a DMT and we’re monitoring. She mentioned heat sensitivity (Uhthoff’s), which I’ve already noticed. A warm shower wipes me out for hours.

I’m trying to be patient with myself but I also want to actually do something. For those of you further along:

  1. What helps your MS fatigue on the bad days?
  2. Any tricks for the brain fog, especially at work?
  3. Did tracking your symptoms help you spot patterns or triggers?

Not looking for medical advice, just want to hear what’s worked for real people. Thanks for letting me vent.

3 Likes

Ten years in here. Fatigue is the wall, and pacing is the thing that finally helped. The rule I live by now: assume every day has half the energy you think it does, and protect that half. Heat is a wrecker, you’ll learn what your triggers are. Tracking honestly made the biggest difference for me. I thought my fatigue was random until I logged sleep + activity + symptoms for three months and saw my crash days lined up with poor sleep way more than with how busy I’d been. The brain fog gets a little easier to live with once you stop fighting it and start working around it. Hang in there.

Year 2 with RRMS, hi 👋 Brain fog at work is the worst. Two things that helped me: a running notes doc open in every meeting where I dump everything, and voice memos for anything I’d normally try to remember (grocery lists, the thing I was about to do before I got distracted, etc). Also told my manager. I was terrified to but it took so much pressure off. You’re not going crazy, this is the disease, and you’re allowed to need scaffolding.

1 Like

Welcome to the club no one wants to join. Three months is so raw, please be patient with yourself. The lying-down-after-breakfast thing is so real and I remember thinking I was being dramatic until I learned MS fatigue is its own neurological thing, not regular tired. You’re not lazy. You’re managing a disease. Sending you a lot of love.