I took 2 pills once a day - took along with bactrim, doxy, biaxon, plaq, bab-2, bar-1.
When I added in Malarone I found it to be the most harsh.
told not to take with milk thistle or coQ10, do take with a little fatty food.
Yes the fatigue knocked me on my back for a couple months, thought I was going to die. No problems with sleep, but breathing was difficult at times.
Every now and then I would vomit approx 40 minutes after taking, think the doxy combo may have caused this.
I did show great improvements so the suffering was worth it.