I find it helpful when others share their experiences with fatigue. I do not expect to be understood when I express my experience except here.
So February 2019 my fatigue was acute, constant and progressively getting worse until I was hospitalized and given two transfusions. I would have been in a nursing home except for Covid. Instead I was released and left to fend for myself. I would have gone back to try and get admitted again but guessed I would not be and might not survive after having expended the energy to try and get admitted. Or worse be declared insane and treated for that.
So I was in a restaurant for breakfast that I often went to. I could just barely eat and I said "When I came here I was up for going grocery hoping that I could eat and then go. Now I can't what is up with that? A friend/waitress being supportive said" Go grocery shopping and you will feel better and glad you went." I replied "No I won't" and went home and slept. The fatigue got worse.
It is only in the last 6 months that I do not need sleep every time after eating and it is just since I increased my folic acid from 1.2 mg to 2.4 mg that it seems to be less of an issue.