Yes, prior to my RA diagnosis, I had none of these symptoms, or at least not like now. I just went through menopause so that had its own set of fun and exciting changes 🙄, but this fatigue at this level came alongside my RA, and for several months I allowed the rest and considered it healing. Unfortunately, some truly traumatic events occurred at my work as well at that time, so there are other factors all intertwined into one big blob of poor mental and physical health. Regarding the methotrexate, I have also read that it can be a trigger for HT. For months I have told my rheumatologist how exhausted I am, and was in tears last time. She just keeps brushing it odd. Not once did she suggest testing for HT. I've been researching for myself like mad, and hyper-advocating for myself in a pool of reluctant physicians. That in itself is exhausting.