What do I do about fatigue? I exercise almost every day doing Pilates or spinning ( stationary bike) or weightlifting . Exercise Terza back pain so I sit down on the couch to alleviate pressure in the back. Of course I fall asleep . And night I was sleep early around 11:30 PM but wake up anywhere from 3 to 4 and then only sleep waking up once in our. Left my own devices I would nap two or three times a day. Feel exhausted and fatigue all the time. Not currently on any medications for Parkinson's . Dropped Azilect in agreement with the doctor . Any tricks for the fatigue?