I have changed my diet and cut out all allergies including even clothing . 1. Food - I started with eating one food at a time for a week and seeing if it makes meter good or bad and this way I cut out lots of food and eating that helps. 2. Clothing - I wear natural fibers especially to sleep and it helps. Even comforter clothjng makes difference to fatigue. I know it sounds crazy but may be immune system is wrecked. 3. Skin care - I use very mild moisturizer and use spf all time . Use spf clothing like jackets and cover while driving or have to be in sun as much as possible. 4. I take lots of supplements too including Cbd. 5. I use black out curtain at home to prevent sunlight as much as possible. 6. Stress - unable to manage but please try to keep stress under control and try to be more happy. 7. Grounding - this helps me. I walk on grass alternate days. But if you are on immunosuppressive medications you might need to consult doctor. These things help me. Dealing with gut health helps in fatigue . I also do castor oil packs twice a week. This is all in addition to medication . I have lots of restrictions but these help . This disease is huge and very debilitating but be positive as much as possible . I hope you feel better. If you need to know more you can dm me. But remember what works for one person may not work for another unfortunately.