Anastrozole fatigue - what helps?

I'm on Exemestane and have the same struggle. Going to follow this thread as I would love tips too. I feel a hit the wall feeling between 1-2pm everyday. I am going to ask my Onc about a high dose of Vit D but dont have apt for a few weeks.

I found cancer treatment in general to be tiring--surgery and radiation in particular. Letrozole seems to have had no negative effects over 18 months. However, my approach to mid-afternoon fatigue is to lie down and take a nap! It really works and gives me a second wind. I've had fatigue my entire life, since a severe illness at age 21 that resulted in some disability. When I was working full time I had a futon folded under my desk and would have a quick lie-down in my office. Not every work place is conducive to that (I have a family member who took power naps in his parked car when working as a tech writer for aerospace manuals!). Basically if your time is your own, take a rest. And post cancer treatment you might be able to get an accommodation at work. I find our society doesn't seem to value rest, but truly it is very healing. You can also ask your doctor for a break from AI to see if that works. However, it took me at least six months post surgery/radiation to feel less tired. Thinking of you and hoping you feel energy return.

I take the anastrozole in the evening (generally around 7 pm). This really helped with tiredness during the day.

Same time frame. Around that time I have to nap.
I just saw endocrinologist to see if it's the hypothyroidism or the Addison's disease.
Wondering if being taken off hrt unbalanced my body.
If I find anything that works, will share. I work out 3x a week and walk the dog for cardio. It helps with energy for a short bit.
This is a struggle and I'm sorry others are going through it too 🙁

I am very diligent to work out 30 mins to 1 hour every morning. I take meds before bed and wake up just fine. I think early afternoon is a weird time to feel the exhaustion given the time I take the meds and that I workout. It's good to know I'm not alone.

I also changed to take it in the evening, around 8pm and I no longer feel the need to nap in the afternoon,

Thank you

I went through the 5 years of Anastrazole also which were over 2 years ago but I ‘m still not myself. I always want to sleep and have difficulty getting out of bed every morning. Is this an after effect of the drug?

I take my anastrozole in the evening now and avoid all caffeine. I take an advil at bedtime to help with joint discomfort and this seems to be working for me.

I take mine at night to help with the side effects. Hot flashes and joint pain . I don’t drink caffeine after 2. This helps for me. Keep busy and hopefully this will help make you sleep.