[paulmd]

consider getting tested for sleep apnea too. If you already are, make sure your masks are sealing properly etc.

I had huge problems with chronic fatigue before I got treated and it helped for a bit and then I realized I didn't have the mask tight enough (trying not to damage the seals) and tightening them down helped again.

I used to be in that "I need 10-12 hours a night" camp and now I am pretty OK on 8-9. I dream every night now, I obviously wasn't hitting REM sleep before.

The other thing is exercise does help regulate it as well. Even if I am otherwise active, I need to do some cardio at least a couple times a week, just cleaning the house or working outside doesn't do it. Again perhaps something related to heavy breathing and lung capacity.

When I am not doing as well I find myself having to take a nap in the afternoon etc and while I don't mind that as a thing, it is a sign or even a contributing factor to an overall pattern of fatigue.