I've had Hashimoto's thyroid disease over 30 years now along with teen UC followed by J pouch 1982. Fatigue issues got real bad late 40s so I saw a natural kind of thyroid specialist who found I was quite anemic. Got me to go gluten free and supplement iron which I continue to do. That all has helped greatly. I also started on testosterone gel as I was low there as well and that helped greatly with fatigue issues and anemia also. Currently I am very active and exercise a lot. Unfortunately my j pouch is giving out after all these years and I am up to 16 BMs a day again more sleep deprived. Looking at surgical options now. Hope some of this may help.
Sean