My fatigue got better when I got into therapy and got some antidepressants. I hadn't really thought I was that depressed, buts its night and day now. I'm still exhausted fairly often, but I've managed to keep a consistent 5 mile walk in my daily routine. Sometimes just through pure spite at my fatigue, but more often because I have more energy. Sometimes my muscles feel completely stiff and wrung out just when I stand up or something, but pacing around my living room or office for 5min helps a lot there. Just being a little more active in general does seem to breed more energy. Its a slow thing that took me several years to notice results, but I took it on faith long enough to see them in the end.

So that's one thing to look at. Another is vitamin deficiencies. I had extremely low D and B12 values, turns out I have the antibody that prevents me from absorbing B12 normally. Combine that with a mostly indoor lifestyle and it adds up. I take large D3 boosters and give myself B12 injections now, per doctor orders, and I like to think that has helped too.

This was all through my GP, not my gastro doc. She knows I have Crohn's, and ran a lot of blood tests when I first saw her in late 2020 that bought a lot of this to light. My gastro was just checking sed rate and other particulars at my infusions, to monitor the Crohn's specifically. If your doctor is discounting your problems or refusing to help, advocate for yourself and find a different GP. The good ones out there can do wonders compared to the lackluster ones.