I have been reading through this board for over a year now. I started twitching in Oct 2011 - along with experiencing pretty much every other symptom that people talk about on this board. Twitching is not my main concern, though, or something that I even care about. ONE of the big symptoms for me seems to be fatigue. It has pretty much disrupted my life since this has started I have had to take time off of work and have been concentrating trying to get to the bottom of it all. I have heard “generalized fatigue” mentioned on the board quite a bit, but I am unsure what that really means for all of you individually. So I guess I am asking is: What type of fatigue do you guys experience, when does it occur, and has it gone away for some of you?It seems, ever since all this has started my body has just been worn out and I have to push to do anything. I use to be able to run (6 mile was nothing for me and I have run 3 marathons in the past) and to exercise a lot more. Now a days, have a hard time doing too much of anything. I spend a lot of time watching TV on the couch because I feel like crap. I do have good days but most of the time there is some element of fatigue or having to push through everyday life. I feel like the fatigue waxes and wanes a lot but have not found my personal triggers or cure yet. Another question: Do you guys live pretty normal lives with your symptoms? Are you able to work full-time and live life the way you did before all this, or has this effected you enough to where you are less of the person you were before? I usually give me self a daily rating on how a feel compared to what I was like before. I usually fall somewhere in the 60-70% range most of the time.