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Yeah I have the same problem and eventually was put on hydrocortisone full time. It was a huge improvement because low cortisol also stops thyroid from working. So going on hydrocortisone got my thyroid working and I felt so much better. Try it and see how you feel. If you feel better then you know you need it. I sleep way better on cortisol than I do with out. It seems weird but when your body is short of it everything seems to suffer. Going on hydrocortisone also helped by lower back pain and knee pain. Apparently low cortisol people have those problems as well as the fatigue.