What do you mean by "fatigue"? We men on ADT have some level of fatigue. So, when you say fatigue, do you mean, "I have to lay down fatigue", or "I can't get out of bed fatigue" or "I just feel more tired - but I keep going fatigue". I have the third type. I get hot flashes, some are worse than others but I keep going. I never get over the anxiety that hits me at first. It lasts for a second, announcing I hot flash is coming, then I feel the burn moving up from my stomach all the way to my head. Lastly, sweat pours out of my head. By the end of the day when I take a shower, I feel like a slimy fish from all the sweating and hot flashes.