He needs to understand the difference between correlation and causation. Obviously the sicker patients use more corticosteroids because they are sicker. The steroids did not cause the fatigue. The lesson is to add more other medications, not taper the steroids. Also, the fatigue can cause anxiety and depression due to the situation, and, inflammation causes both fatigue, anxiety and depression.

I seem to have headaches and extreme exhaustion which last for nearly a month, before i start to feel normal.

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This is a Great Video! Lupus is such a weird disease