I was diagnosed in December 2016 and lupus affects my normal blood clotting so I am currently on warfarin and plaquenil to control both. I also have developed blood clots in my brain and have daily headaches that turn into migraines regularly. I am on topiramate for pain management. I feel run down every minute of every day. I tolerate fatigue and exhaustion most days as I hold down a full time job and try to live a "normal" life pretending for others that everything is ok. Because I don't look sick. I don't have the butterfly rash. I wish we had more local support groups in Canada. I joined this site to feel connected to other Lupies.