I think at 6 months if you're still feeling that constant crushing fatigue, you may just want get with your doc and make sure you don't have some other cause for this like anemia, a vitamin deficiency or something like that. I know everyone is different and you mentioned previously you had been in bed rest which I think can really do a number on your ability to bounce back, but at 6 months I was feeling pretty good. I'd have bouts of some fatigue but not anywhere near what I had during the first few months after my PE.

I can't remember; did you have your heart checked with your PE? I'm not saying you have a heart issue, not at all, but that can be an issue for some people if they had a significant PE.

Yes, I've had my heart checked, CT Scans, and blood work done and everything comes back normal. It must just be part of the recovery. I was just wondering how people dealt with it. Do you just power through it, take time off and rest, switch meds (currently on Xarelto for life)

I'm not sure if it's your Xarelto but it may be. I think that's worth exploring with your doc and your pharmacist.

How I dealt with the fatigue initially was to rest when I felt like I needed to rest. I went back to work full time a few weeks after my PE and I'd basically sleep when I got home until the next morning. I did this for a couple of weeks but it slowly got better. So I don't know how you get through it except to rest. However, I think there's a balance too of pushing through it which I think is a trial and error thing for people. Because I think too much down time is not good for building back stamina and what not. But not enough rest can take it's toll too,

My experience with the exhaustion was that "powering through" it, just made things worse. Someone here once described it as"black hole" exhaustion and that is really what it was. I found myself so tired sometimes that I just laid on the couch and cried. I really didn't find any solution, other than taking 3-4 days to just chill out until I felt better.

I wonder if it might help you to dial things back a little bit. I'm not sure where you can cut from your schedule, but it sounds like the teaching and coaching is maybe just too much for you. If you're using all your energy there, you might just not have enough left for the healing you need to do to get past the exhaustion.

I'm not on Xarelto, so I don't know anything about whether it might cause the exhaustion, but that is definitely something to talk about with your pharmacist and doctor. It's a question worth asking, for sure.

I had "bouts" of exhaustion up until about 11 months or so, but they got less severe and less frequent over time. You really do need to give yourself some time to rest and recover ... if you've been teaching/coaching since you were diagnosed, it doesn't sound like you've given your body much time to heal at all. Or, at least, you haven't given your body as much time to heal as it thinks it needs. :-)

Hope you find a good balance soon!