I noticed that you are on both Plaquenil and Imuran at the same time. From what I understand (based on discussion with various immunologists/rheumatologists over time) that is unusual. Each of those drugs are what I have been told are 'disease altering drugs' which means that, if they work, they change the course of your disease. While it was never spelt out, I imagine they mean that you will be put into remission. Other medications I have taken over the years for the same purpose have been Salazapyrin (sulfasalazine) and Methotrexate. Do you have a lot of pain? If so you need to also see a pain specialist. I am on quite a bit of pain medication also - pain makes you very tired as well. So things like Lyrica and Tramadol and Panadol. The other thing you might choose to look into is taking some sort of anti-depressant. It is very hard to live in constant pain and have chronic disease and NOT be depressed! So Efexor or whatever (Efexor, I have been told, amplifies the effect of the pain meds so that is why I was originally put on it but boy oh boy, it makes a huge difference to being able to deal with my day to day issues.)
Hope that helps a bit.

Also, try to wean yourself off of sugar. You will be surprised at the damage sugar does to us

Ask your rheumy if you are a candidate for Benlysta

I take Imuran n Prednisone prn! Everyday I'm Honestly Fatiqed all day Constantly! Even when I took Plaqenil, the same thing always tiredn in Pain! I guess we just have to make the best of what were feeling n going thru! However I can relate that it does get tirersum! It's one thing to have a Sickness but can we at least be Comfortable n Relaxed!!😘😎😍 Can our bodies just get along lol!

I am currently trying the Alkaline diet. I only drink Alkaline water and my food diet is plant based. I just started a few months ago and I researched which fruits and veggies are best for anti-inflammatory symptoms. Leafy greens are the best however I am a heart patient on blood thinners which vegetables high in Vitamin K counteract my meds. My hematologist has adjusted my meds so I can have these vegetables in my diet. I'm also trying different roots like tumeric which also has tons of nutrients we need. I haven't been able to to stop any meds yet. I have been dealing with a flare up for about a month now but I'm hoping and praying small changes in my diet will help my body.