Thanks so much for the suggestions....a bit more due diligence is needed. My dx is cfs and hashimotos encephalitis, the later being auto immune. Main symptoms are brain fog, dizziness, and of course 24/7 fatigue. I have tried testosterone injections, various supplements, DHEA, vit B injections, etc. All have helped a bit, but I seem to be stuck at 75% of my "healthy" level of functioning. These cortocosteroid IV's are just a trial to see if something can re-set my immune system, and shut off the production of this one anti-body. Being in this state is so hard, part of me would sell my soul to the devil to be fully functioning again, and able to work full time again. Other side of course says to be patient, and hopefully things will improve over time. After 2 years it is hard not to be frustrated, something many out here could agree with. I just hate being tired all the time, always feeling like I could lay down and go to sleep. My other options according to my doc would be to try something like ambien to get better sleep consistently, or adderall every so often for a boost. I have tried this a few times when I have had something very important to attend...work related, family vacation, etc. and it does help, you have energy in a weird way. But, even fake energy feels good every so often. Any other advice? Sounds like you had good luck with this, that should make you feel lucky!