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Hi Sandy, I am no expert but I have RA and a full time job outside of the home, as well as being my husbands secretary when I get home from that job.  He is self employed so I do those office duties as well.  There are days when I wish I could lay in bed all day especially when I am having a flare and my period and its raining all on the same day.  UGH!! LOL   But I have more good days then bad. Maybe you could go back to work doing something else, perhaps less stressful or a position where you can be off your feet more than on.  The fact that you were diagnosed and have begun medication is great, perhaps if you are not getting releif you should change meds. I do well with methotrexate.  Cutting you work load at home will help also.  as the one person mentioned, perhaps your house won't be as clean as you like it, I feel that way some days too, but find a comfort zone if you will for housework.   the fish oils are great for inflammation as well as taking a multi vitamin and I drink a nutritional beverage called monavie juice.  it is very helpful with inflammation as well, and fatigue.   good luck