Honestly,rest when you need to,pace yourself throughout the day,is my best recommendation.I also take vitamin B shots it helps some.Im used to being very active,the fatigue slowed me down but hasn't stopped me from enjoying things I want to to,I just have to plan a little better and know my limitations.I also learn that for me when I give in to the tired feeling it gets worse,so I try to do as much as I possibly can. example: I love you going to the park but it's a long walk from parking to the entrance...now I take a walker with a seat,I stop if I need ect...but I refuse to stop going altogether.