I am definitely battling fatigue much more often these days; even when I'm not in pain, fatigue can take me out as I've run into a wall. So friends have to be flexible and understand that when I cancel it's not because I am flaky; it's because I am exhausted. But I also try to honor my friendships by not abusing this flexibility; it's a constant give and take, and it requires transparency and communication. COVID has made socializing a little harder, but I have a bubble and we keep each other informed of how we feel, when we get tested, etc. A few of us do only outdoor meetups, which is hard when it's 18 degrees in NYC. But overall, my social life is one of the things that keeps me really happy (and happiness helps fight pain), even if I'm exhausted the day after.