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I totally agree with Marlene.
Even though your counts aren't at a level that should cause significant fatigue, fatigue is common with autoimmune diseases of which you have at least 2 that your body is dealing with. Since they do seem to come in clusters, have they tested you for any more?
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Angie
36 yr. old, dx SAA in Jan 1996, treated with ATG in Mar. 1996, off cyclosporine Sept. 1996, last blood transfusion in Aug. 1997, slow decline in counts again November 2010, AA and current count decline thought to be caused by lupus, currently taking 400mg Plaquinil
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