hi nicole..i do know exactly how you are feeling,i suffered my first attack around 7 months ago and since then it,s been a roller coster ride for me.i get better and then i forget about the attacks get careless,dont rest properly,party hard..and the attacks are back.i definately think the attacks tire one out.i can speak for myself at least..even after sleeping all day i,m tired in the evenings and it,s really affecting my relationship with my boyfriend badly. what works for me is trying to get enough rest when i,m feeling o.k and not pushing my self too hard so that my energy levels stay constant.you must get enough rest so that you dont feel spaced out ,that,ll trigger off more attacks.by the way have you got your blood pressure checked.i have low b.p and that causes me to feel tired anyway.hope this helps..love sanju