Although I have had tinnitus for around fourteen years, I recently noted that, when it gets extremely loud, it is an indication that I am also likely to be hit with debilatating fatigue, causing me to have to rest in bed for 12 - 15 hours with no strength for any physical or mental activity. Then, the following morning, the tinnitus typically has subsided to a more usual level and the acute fatigue is gone. I've tried for many years with a variety of doctors to determine the cause, with no success. I've also tried the usual energy treatments (thyroid, antidepressant, testosterone injections, Co Q10, d-ribose sugar, DHEA, longer sleep using Zolpidem, etc.) with no improvement. Is anyone else out there experiencing this combination of extremely louder tinnitus and acute fatigue attacks? If so - any thoughts? Thanks.