I have some fatigue but find it mostly mind over matter and push myself to get out on my bike and usually feel better afterwards. 1 hot flash in 5 months feeling blessed there. Sleeping soundly through the night is my biggest side effect even with prescription sleep meds. Picking up my last bottle of meds today. Will be glad when it is over and start feeling like my old self again. Seriously, it wasn't that big of a deal for me.