Eighty percent of people with lupus feel very easily tired in their daily lives, and even more so, fatigue is their primary symptom. Fatigue can make patients feel weak and powerless, and force them to stop working. Lu Liangjing, Department of Rheumatology, Shanghai Renji Hospital So, why do lupus patients experience such severe fatigue? Unfortunately, there is no clear answer yet. However, the following factors may be noteworthy causes: disease in an active state disease induced pain patient age medication use poor physical and mental status lack of care and support from social groups In addition, poor disease coping strategies that make patients feel helpless, depressed or anxious, smoking, and lack of exercise may also be associated with fatigue in lupus patients. However, before determining that the fatigue is lupus-related, a physician needs to rule out organic causes of fatigue, such as anemia, renal failure, or hypothyroidism. The extreme fatigue of lupus patients can take a toll on them, and it is reassuring to know that research is underway to find a cure and that they will find a positive and effective way to cope. It is important to note that in order to protect themselves, patients with lupus-related fatigue are advised to avoid putting themselves in a state of extreme fatigue. Participating in a disease support group may be an effective way to cope. Tips for coping with fatigue: alternate short breaks with work; establish a good sleep routine and plan ahead for what will be done. prepare three meals in advance, ensure three regular healthy meals, and engage in regular physical activity. Patients can choose appropriate aerobic exercise according to symptoms, personal preferences and environmental conditions, such as: walking, jogging, cycling, swimming, dancing, playing tai chi, etc.. The amount of exercise should be gradually and gradually increased. Please quit smoking from 2015-04-08 Luliangjing Wang Suli rheumatism immune disease doctor-patient exchange platform (micro signal luliangjing920 )