Hi Jen
My energy levels seems to peak and trough all the time; some days I'm raring to go, other days I can hardly think clearly for fatigue. I complained to my rheumatologist about it and he said that sadly the fatigue is really difficult to treat, and that I should learn to pace myself...easier said than done!
My theory is that when the body is fighting infection or the immune system is having a little blip, we may not feel any outward signs but we don't know what wars are being raged inside us, and this will zap our energy levels. Don't know if it makes any medical sense but that's what i feel. Because i am also coeliac, I also feel pretty rundown if i've had gluten by mistake, as that must make my immune system flare up.
I hope your appointment goes well next week, i had my bloods done today for an appointment on the 13th!
Take care
Ali