I get really tired and resting doesn't seem to make it improve. Sometimes, I can sleep from Friday afternoon through to Sunday evening and only get up too eat a snack or to pee. The last flare that I had was in April 2012 right after my daughter got married. My hips and back caused me such pain that I could not walk except to go to the bathroom. I ran a fever everyday of 100-102. I took a medical leave from work and started a strict gluten free diet. I was able to return to work in July. Since then, I maintain my diet and do yoga daily. I occasionally get low grade fevers but nothing like that last flare!

My thumb joints get worse. I may start having a wet nose. Not a runny noise, but wet like I'm having a slight allergic reaction. Along with this I have a sore throat or gland on one side. These symptoms may show up before my energy level drops which is another sympton.

My lips swelle, I well get a low fever about 99.3. I also get really hungry but can't eat because I'm nauseous

I'm sorry to hear that @cynnnx3

Thanks. ! Hope I helped !