I was diagnosed around 6 years ago. Fortunately until now I have been fairly symptom free except for tremors in my left arm, which are controlled with meds. As of a year ago, the big issue I face every day is fatigue and profound fatigue. On fatigue days I can accomplish at least one major task like grocery store with help from my husband. On profound fatigue days I can do very little besides care for myself. I do know that being in a group setting for any amount of time is very tiring, and the following day is profound fatigue. Does anyone else experience this same pattern with fatigue? Are there any suggestions for coping with fatigue?