Fatigue

===Avoidance of body heat===
Fatigue in [[Multiple sclerosis|MS]] has been linked to relatively high [[Endogeny|endogenous]] body temperature.<ref>{{Cite web|url=https://www.msaustralia.org.au/symptom/heat-sensitivity/|title=Heat Sensitivity|access-date=2024-03-15|archive-date=2024-01-17|archive-url=https://web.archive.org/web/20240117003926/https://www.msaustralia.org.au/symptom/heat-sensitivity/|url-status=live}}</ref><ref>{{Cite web|url=https://mstrust.org.uk/a-z/temperature-sensitivity|title=Temperature sensitivity &#124; MS Trust|first=M. S.|last=Trust|website=mstrust.org.uk|access-date=2024-03-15|archive-date=2024-01-17|archive-url=https://web.archive.org/web/20240117003924/https://mstrust.org.uk/a-z/temperature-sensitivity|url-status=live}}</ref><ref>{{Cite web|url=https://multiplesclerosisnewstoday.com/multiple-sclerosis-news/2014/08/11/higher-body-temperature-in-rrms-patients-could-cause-increased-fatigue/|title=Higher Body Temperature in RRMS Patients Could Cause Increased Fatigue|first=BioNews|last=Staff|date=August 11, 2014|website=multiplesclerosisnewstoday.com|access-date=March 15, 2024|archive-date=March 15, 2024|archive-url=https://web.archive.org/web/20240315125742/https://multiplesclerosisnewstoday.com/multiple-sclerosis-news/2014/08/11/higher-body-temperature-in-rrms-patients-could-cause-increased-fatigue/|url-status=live}}</ref><ref>{{Cite journal|title=Body temperature is elevated and linked to fatigue in relapsing-remitting multiple sclerosis, even without heat exposure|first1=James F.|last1=Sumowski|first2=Victoria M.|last2=Leavitt|date=July 15, 2014|journal=Archives of Physical Medicine and Rehabilitation|volume=95|issue=7|pages=1298–1302|doi=10.1016/j.apmr.2014.02.004|pmid=24561056|pmc=4071126}}</ref><ref>{{cite journal |last1=Leavitt |first1=V. M. |last2=De Meo |first2=E. |last3=Riccitelli |first3=G. |last4=Rocca |first4=M. A. |last5=Comi |first5=G. |last6=Filippi |first6=M. |last7=Sumowski |first7=J. F. |title=Elevated body temperature is linked to fatigue in an Italian sample of relapsing–remitting multiple sclerosis patients |journal=Journal of Neurology |date=November 2015 |volume=262 |issue=11 |pages=2440–2442 |doi=10.1007/s00415-015-7863-8 |pmid=26223805 }}</ref><ref>{{cite journal | vauthors = Manjaly ZM, Harrison NA, Critchley HD, Do CT, Stefanics G, Wenderoth N, Lutterotti A, Müller A, Stephan KE | display-authors = 6 | title = Pathophysiological and cognitive mechanisms of fatigue in multiple sclerosis | journal = Journal of Neurology, Neurosurgery, and Psychiatry | volume = 90 | issue = 6 | pages = 642–651 | date = June 2019 | pmid = 30683707 | pmc = 6581095 | doi = 10.1136/jnnp-2018-320050 }}</ref><ref>{{cite journal | vauthors = Ellison PM, Goodall S, Kennedy N, Dawes H, Clark A, Pomeroy V, Duddy M, Baker MR, Saxton JM | display-authors = 6 | title = Neurostructural and Neurophysiological Correlates of Multiple Sclerosis Physical Fatigue: Systematic Review and Meta-Analysis of Cross-Sectional Studies | journal = Neuropsychology Review | volume = 32 | issue = 3 | pages = 506–519 | date = September 2022 | pmid = 33961198 | pmc = 9381450 | doi = 10.1007/s11065-021-09508-1 }}</ref><ref>{{cite journal | pmc=5102292 | date=2016 | title=Central fatigue in multiple sclerosis: A review of the literature | journal=The Journal of Spinal Cord Medicine | volume=39 | issue=4 | pages=386–399 | doi=10.1080/10790268.2016.1168587 | pmid=27146427 | vauthors = Newland P, Starkweather A, Sorenson M }}</ref><ref name="pmid35963205">{{cite journal |last1=Christogianni |first1=Aikaterini |last2=O'Garro |first2=Jasmine |last3=Bibb |first3=Richard |last4=Filtness |first4=Ashleigh |last5=Filingeri |first5=Davide |title=Heat and cold sensitivity in multiple sclerosis: A patient-centred perspective on triggers, symptoms, and thermal resilience practices |journal=Multiple Sclerosis and Related Disorders |date=November 2022 |volume=67 |pages=104075 |doi=10.1016/j.msard.2022.104075 |pmid=35963205 |url=https://eprints.soton.ac.uk/469558/1/2022_MS_survey_heat_cold_MSARD.pdf }}</ref><ref>{{Cite journal|title=Thermoregulation in multiple sclerosis|first1=Scott L.|last1=Davis|first2=Thad E.|last2=Wilson|first3=Andrea T.|last3=White|first4=Elliot M.|last4=Frohman|date=November 15, 2010|journal=Journal of Applied Physiology|volume=109|issue=5|pages=1531–1537|doi=10.1152/japplphysiol.00460.2010|pmid=20671034|pmc=2980380}}</ref><ref>{{cite book |doi=10.1016/B978-0-444-64074-1.00042-2 |chapter=Thermoregulatory dysfunction in multiple sclerosis |title=Thermoregulation: From Basic Neuroscience to Clinical Neurology, Part II |series=Handbook of Clinical Neurology |date=2018 |volume=157 |pages=701–714 |pmid=30459034 |isbn=978-0-444-64074-1 | vauthors = Davis SL, Jay O, Wilson TE }}</ref>