I have been hit hard with fatigue for a while now and have tried a few different meds, but none have helped a whole lot. I have been on an SNRI for a while, and it helps with lightheadedness and syncope, but not with fatigue. This summer I started Adderall, but it seemed to stop working after about a week. I had an appt. with Dr. Grubb a couple months ago and he suggested Provigil. I took it for a few days and it worked really well, but then it seems like my body got used to it, so I stopped taking it. I have heard other people have good results with it, so I tried it again this week and it hasn't helped very much. I wanted to know if anyone has anything besides these work for fatigue. I am willing to try natural/herbal things or alternative therapies.