I didn’t realize how much better I felt after the baby was born, and perhaps whole pregnant. Perhaps the fatigue was different. I had thrown myself into boyscouts and 4-H, had returned to work. Then, suddenly, in August, the migraines returned. Then I started back on my migraine prophylaxis. The first time I started on it, I had suffered a migraine for 2 years. Yes, I wrote that correctly, a migraine for 2 years, not migraines for 2 years. I was in the emergency room every 2 weeks. Any relief was better than the migraine. So I didn’t notice any side-effects. This time, I hadn’t had a severe migraine in a very long time, so when I started back on the topiramate, the side-effects were life-altering. The fatigue is over-whelming. Let’s add to that, my personal conclusion that I don’t have fibromyalgia, I have migraines, all my fibromyalgia symptoms are actually from the migraines or the medications. I didn’t suffer overwhelming fatigue until I started back on the topiramate or after a migraine. I’m not in a lot of pain (except for my back) except before & during a migraine. When the migraines are coming one on top of the other, the before, during, and after symptoms all collide.