I can relate too. I have dreadful chronic fatigue. I can get out once a week and that is a struggle. I have to go to the doctor tomorrow because I need my meds refiled and I hate going to the doctor for a lot of the same reasons you listed.

My energy gets tiny bursts only when I do this: When I work through an emotional issue that bothers me and I get it out of my head, or at least reduced, I feel better. It doesn't last long, but it's there, I can feel it. So, that is what I focus on.