Appreciate you sharing and reaching out. I'd encourage you to put in a phone call if you're still not feeling better. Anytime you have any new, changing or concerning symptoms, it's important to speak with your doctor. In addition to speaking with your doctor, this article on fatigue / lack of energy may be helpful: https://irritablebowelsyndrome.net/living/sleep-fatigue-dehydration. Wishing you some answers and relief very soon. Best, Kelly, Irritablebowelsyndrome.net Team Member