Just wanted to say welcome to the forum. First of all, I don't work, but I do understand that many individuals here do or have and have had to change many parts of their lives to adapt to the disease. When your symptoms get bad, there is no acting "normal". The fatigue is a big part of it for some. Like I said, I didn't work, but I was very active with my kids, president of the PTO at their school and was always going 240. When my disease started to progress, I realized that I had to eliminate the stresses out of my life, and take care of me first, or I wasn't going to be there for anyone in the future. Once I did that, everything started to quiet down in my body. Rest, Rest, Rest was the key. I know that may not be always an option for you, cuz you do work fulltime, but let me give you this warning, if you don't listen to your body and what it needs, and you push it, your disease will progress. Don't try and pretend that you are okay on the days that you aren't. It sounds like you are trying to do the best, by getting exercise, and eating right and that's important. How long have you been on the plaquenil? I have found that this has been the best drug for me, and has been keeping the disease quiet for the most time. But it took me about a year before I really felt it was doing what it needed to do. Hope this helps in anyway.
Hugs and angels,
DX - sle and carpal tunnel
RX - plaquenil, prednisone, lisiniprol, etolodac, folic acid, tramadol (as needed), hormones, and lots of vitamins