Thanks @unaluna. Yeah, my diet is really under control as is my sleep hygiene. I get regular physical activity (when I am not having days like this where I can barely stand).

The problem is more the second half of my question. In the aftermath of abuse where I was always told I was faking, it's hard for me, nearly impossible, for me to see a doctor, and when I do, I have flashbacks and panic attacks. I have a high level of medical mistrust. But also just extremely severe anxiety with going to see doctors (with good reason) and am barely able to advocate or communicate for myself when I do go. I was kind of hoping there were others who had experienced something similar who would comment.

I mean the first part was trying to ask people how they cope with the fatigue brought on by their illnesses, but I guess that didn't come across.

I don't know. I guess it's as hopeless as it feels.