I think your doc probably had reasons for going right to
Tysabri. My doc felt I was beyond the reach of the CRABs (
Copaxone, Rebif, Avonex, Betaseron), These are the traditional first meds.
I had zero side effects from Tysabri. Other than the PML issue, one of Tysabri's benefits is its fairly innocuous side effect profile. Given that you diagnosis is fairly new, I might be inclined to think your fatigue is MS related, rather than Tysabri related.