This topic is about finding ways to boost energy levels after undergoing multiple ostomy and cancer-related surgeries. The person sharing their experience is feeling persistently exhausted and is looking for ways to regain their energy and sense of vitality. Here are some helpful suggestions and insights that might be useful:

1. Ensure you are getting enough sleep and consider taking daytime naps, as these can be beneficial, although they might not completely resolve the fatigue.

2. If multivitamins haven't made a difference, it might be worth exploring other potential causes of fatigue with your doctor.

3. Ask your physician to check for underlying conditions that could be contributing to your tiredness, such as:
- Low blood pressure (hypotension).
- Anaemia, especially if there is a family history of it.

4. Consider getting evaluated for sleep disorders, particularly sleep apnoea. Some people have found that overnight monitoring can reveal frequent awakenings during sleep, which can be treated effectively with a CPAP machine, leading to significant improvements in daytime energy.

5. If one solution only partially alleviates your symptoms, continue to investigate other possible causes, as similar symptoms can stem from multiple issues.

6. When discussing your fatigue with healthcare professionals, try to clearly describe the different types and timing of your tiredness. This can help them look beyond a single explanation and consider a broader range of possibilities.