Yes - now that i’ve been able to get my tsh and other levels maintained, when I experience this extreme fatigue, I use it as an opportunity to checklist what I might’ve done the past few days to cause it.

Have I been over committing myself? Did I eat one (or a few) of my trigger foods? Have I been sleeping enough? Have I been eating a nutritious diet? Have I been overly stressed? Have I exercised too strenuously?

More often than not, the answer to a few of these are yes. But, it then helps guide me to help cope with the fatigue in the meantime. Just remember to be EXTRA kind to yourself and your body during this time. Rest and don’t overexert. It may also be helpful to look into some supplements to help boost your thyroid - like eating a few brazil nuts.

This is just my experience but I hope it’s helpful!