I have fatigue issues, but they are mainly caused from pain and over exertion issues. To me, I have just figured that it is a part of my life and I do what I have to do, after I do what I WANT to do. Then I kick back and rest when I just cannot do any longer. Some days I can't get out of bed, others I will suddenly get real sleepy sometime during the day and I will lay down and fall into a deep sleep for several hours. Usually having vivid dreams during those times. Talk to your doc, there could be an medibotical reason, like an iron or B12 deficiencies. I have already been checked and although as a child I always had low iron and was fatigued, I don't have the problem since we moved to AK in my 30's.