There are so many issues overlooked and one is thyroid...so many are not treated, dismissed as OK, etc...I struggled with that one for 10 long years back in 1999, I was about 53 at the start of the sluggish thyroid.

There are many alternative remedies that help fatigue. Vit D, Potassium, DRibose, Grape Seed Ex helps with energy....can you find a functional/integrative MD?

The strong meds can cause many issues including fatigue.