What my GP checked before saying it was the medication

Naps helped me and made things worse for somebody I talk to weekly, so I am reluctant to recommend them. Worth trying and worth abandoning.

Mine correlated with hydration far more than I would have believed. Very dull, very consistent across three months of notes.

I found the tiredness hardest to explain to other people. It is not the tiredness of a bad night, it is a different quality, and there is no good vocabulary for it.

Something practical: I stopped scheduling anything on the evening of the day I do it. That one change took the pressure out of the whole week.

My prescriber asked about my sleep before anything else when I raised fatigue, which I thought was a diversion and turned out to be the whole answer.

What worked was accepting that I had less in the day than I used to, temporarily, and taking things out of the week rather than trying to do them tired.

Nothing to add except that I am glad this thread exists.

I was tired for about eight weeks and then I was not. I have no explanation. I offer it as data because the eight-week accounts are what I needed at week three.

My honest experience: my sleep is now noticeably better than it was before any of this, which was not something I expected or was aiming for.

Just marking that I read this properly rather than skimming it.

Sleep got better for me before it got worse. Two good months, then a strange stretch, then it settled at something new.

The thing I would raise with somebody qualified is fatigue that is not improving over months rather than weeks. Mine was, so I did, and it was worth it.

I was waking at three or four, wide awake, for about six weeks. It stopped as suddenly as it started and I never worked out why.

Mine improved when I fixed something completely unrelated, which had been quietly wrecking my nights for a year. Worth casting a wide net.