I figured out where this fatigue is coming from .... remember when I said I cut back on thyroid meds because I thought it might still be too high? Well, I think I cut back too far on them. I started taking 5 mcg of Cytomel (was on 10 recently, and 20 before Germany) and the energy level is right where it should be. In fact, today, I don't have any symptoms at all. Woohoo!