Rule out food sensitivities, blood sugar instabilities, anemia, low thyroid & adrenal function, chronic candida, depression, & other causes when possible. See relevant books in book store. Chronic fatigue can often be related to various nutritional deficiencies as well. Avoid sugar, alcohol, caffeine. Limit carbohydrates & emphasize protein. Be aware that white pastas metabolize like sugar in your body. Rule out medication side effects.