I get my LDN from a U.S. dispensary online.
Actually distributed as 1.5 mg so 3/day.
Some people take only the 1.5 or 3.0 / day.
Cost about $1 / day for the 4.5 mg
I would be surprised at any anti-fatigue effect unless combined with bupropion.
When combined, should have some appetite-suppressing effect as well.
my 15 50 mg of pills was less than $7.
It is prescribed for weight loss along with another drug. Maybe the one you mentioned. I do think it helps with weigh loss.
Fatigue is part of fibromyalgia and that is what a lot of people use it for.