I don't get the fatigue as much as I get sensory tingling (feels like bugs crawling on me, it's icky) and hot, crawling feeling through my scalp.
Now that we've got the other headache pain under control, I get to enjoy the feeling of crawly, hot bugs! JOY!
(that's my onset of summer story)
I wonder if the trick to beating this is all going south and living in hot locations year round, so we either forget that moments of relief exist, or we adapt.