Hi Reba,I felt exactly the same as you,like I had been hit by a bus,in fact if u put hit by a bus in the search bar,you will probably find my post. I found that a higher dose of estrogen made the fatigue so much better,I still get tired,but nowhere near the fatigue I was feeling.i don't think you need to change your hrt,just the strength of patch,I think you will find that will help.
Lisa xx