I spoke with my doctor about my concerns with being on too many different meds right now and wanting to simplify my regimen. I wasn't sure if the 40 mg Fetzima I'm taking was doing anything so we decided I'd try to go without it. For the past couple of days I have been much more tired without it. I almost feel like it has helped increase my energy more than the Adderall I've been taking for several years. Adderall seems to have lost effectiveness so now I'm going to ask my doctor about weaning off of Adderall and increasing Fetzima. I definitely recommend it if you suffer from fatigue/low energy.