I was struggling with something like this. The two things that helped me most were: (1) Discontinuing or cutting back on medications that cause lymphedema. For

I was struggling with something like this. The two things that helped me most were: (1) Discontinuing or cutting back on medications that cause lymphedema. For me, this meant quitting Flonase (a corticosteroid) and limiting my use of NSAIDs. Birth control is also on this list, but didn’t apply to me. (2) Manual lymphatic drainage massage. I just DIY this based on YouTube videos, but you can pay to have it done professionally. I also take the supplement D-Ribose, but I’m not sure if it had any particular effect on my fatigue without the above. I am about 90% recovered now after years of extreme struggle that almost ended my career. But my health situation is unusual overall, so I have no idea whether any of the above might apply to others.