Doing some research on the statistics, it appears that the Isoniazid is as likely a cause of the fatigue, and I must take that for another 19.5 weeks:

http://factmed.com/study-ETHAMBUTOL-causing-FATIGUE.php
http://factmed.com/study-ISONIAZID-causing-FATIGUE.php
http://www.ehealthme.com/ds/isoniazid/exhaustion,%20fatigue,%20lethargy,%20tiredness,%20weariness/

The recommendation is to take it before bedtime to try to sleep through the fatigue:


I hope my TB is not MDR because it requires up to 2 years of injections and very horrible antibiotics at very extreme doses:

https://drtbnetwork.org/37-duration-mdr-tb-treatment

And diagnosing MDR and confirming negative culture in extra-pulmonary TB and my likely Peritoneal TB can be much more complicated:

https://drtbnetwork.org/110-diagnosis-extrapulmonary-mdr-tb

My pulmonary TB was only in left lung and very minimal on my xray, yet my ongoing symptoms over the past years indicate it had disseminated into my gut.

The research I did shows a 14.3% incidence of MDR to Isoniazid and Rifampicin in the Philippines in terms of hospital admitted active cases. And for Polyresistance to Ethambutol and Pyrazinamide is roughly 0.5% in the Philippines. The thing is that I was exposed to a lot of filipinos over the years, so it is possible I could have been infected more than once, so then I don't know to what extent the odds of my having a MDR strain that really requires I pursue a MDR treatment regimen.

Also I am somewhat confused as I had originally thought that if resistance to Isoniazid and Rifampicin was found but not resistance to Ethambutol and Pyrazinamide, then the four drugs would be prescribed, but apparently I am reading now that instead must do the injections regimen! Ughh. Yuck.

So really we have no assurances that I am near the end of this. I might be in for a horrible fight over a couple of years.

So I really need to find some way to become productive while under treatment.

I also really need to earn enough money to get proper Western quality diagnostics in terms of a CT scan and then samples taken and cultures done, to determine the progress of treatment and whether I have a MDR strain. None of this I can afford. I have no health insurance.

A group of guys offered to fund my health care in a return trip to Singapore, but I was so sick in January so I decided to initiate treatment immediately. I thought that it was impossible to culture for drug susceptibility after initiating treatment, but apparently follow up cultures can also help determine treatment progress but I am not confident that culture negative from my lung is a negative for my gut and we have no baseline culture from the gut before initiating treatment. This is complicated now. I feel improved on current treatment regimen other than the fatigue which is preventing me from working, but that doesn't mean I don't have MDR strain and couldn't suffer relapse after finishing the next 19.5 weeks of treatment.

I probably need to follow up in Singapore or other Western country. I wasn't totally comfortable with accepting funds from those guys, although I appreciate the offer. I am confused as to what I should do now. But I will probably try switching my dosage from the mornings to evenings and see if that improves my ability to work.