I cut out all caffeine and sugar from my diet and my fatigue lessened by 50%.

I take acetyl l carnitine 2000 mg and alpha lipoid acid daily. It's awesome. They are supplements used for chronic fatigue and lupus. If I miss them I am in bed buY 6 pm.

I take 40-60mg adderal xr. It has worked wonderfully:) Good luck

Nuvigil is great!!

Provigal is a life changer. I need to watch when I take it or I am up all night. It has really helped with fatigue.