Have lupus & post covid complications resulting in massive fatigue. my doctor told me not to overdo.how do i mentally deal with the fact that some people dont understand when i say no to commitments because i look healthy even though i explain?

Many of us here at HT have found that Cognitive-Behavioural therapists seem to accomplish excellent results, and this would appear to be a good approach to provide you emotional support and approaches to deal with challenges. Fatigue can be managed with prescription drugs used in daytime sleepiness disorders, but responses may be suboptimal.

Post COVID, (Long COVID) symptoms include 'Chronic Fatigue Syndrome,' We see this after HHV-6, EBV, CMV, Lyme Disease etc. If labs rule out low throid, low Vit D and auto-immine disease, you qualaify for CFS. Fatigue and fibromyalgia can be due to anxiety, frustration, boredom, and depression. If you exercise and get worse its CFS: then see a rheumatologist - consider LD steroid or Plaquenil trial

1st world problem

Look for a “ long COVID clinic” near you. Put the following link in your browser and check this recent article. https://www.beckershospitalreview.com/patient-safety-outcomes/13-hospitals-health-systems-that-have-launched-post-covid-19-clinics.html