@xahnegrey40
While it seems like a strange Combination getting exercise can defeat the fatigue. I run a mile on the track twice a day. I can run it because I drink electrolytes in the morning. Without them, I can only walk half The time. I also go to the gym three days a week, You really lose muscles quickly if you don’t exercise with weights. Stomach muscles will be the first to go.

Some people get no hot flashes at all. Others only have a few hot flashes and they are very minor. I had severe hot flashes for the first year on Lupron. As a hot flash was hitting I would feel a lot of fatigue. After a year, my oncologist prescribed a depo-provera shot every three months and it really stopped those hot flashes on Lupron. There are other hormones that can do this, speak to your doctor.

I have an embrlabs.com wave product (wave 2). I’ve used it for Over 4 years now. It’s like a refrigerator that looks like a watch and sits on the inside of your wrist. You could set up one of the buttons for their night mode . Hit the button twice and It Produces cold waves at measured times during the night and prevents hot flashes and night sweats. They used to bug me, before I got this device . When you start to feel a hot flash coming on, you hit another one of the buttons twice and it sends cold chills through your arms and it reduces the intensity, shortens the life and can stop the hot flashes if hit quickly enough.
https://embrlabs.com/
If you decide to get one contact me and I can tell you how to configure it with the best settings.