When my fingers and toes start to ache and the brain fog gets worse which leads to depression are signs I’m having a flare up. Lately it’s been more often than not due to stress of a new job.

My dr put me on low dose naltrexone and Meloxicam. They do ok. Stress causes my flare ups so I try to take walks in the park, read a good book, relax with my cats (cuddle time), listen to music.

I have tried meloxicam or tripoline and one other that I believe begins with an n and all of them have caused swelling. The pain is so bad that I'm literally not sleeping good at all. Although I will say that the stress has been pretty bad lately. I have been trying lots of self-care.