SF,
I would alternate between hot and cold with my panic attacks...I think 'thermostat' issues are definitely part of the package with A/P!
We have a member who had cold hands as a pretty consistent and specific symptoms with her attacks.
She mentioned a hand warming technique that help her, and may have even warded off some attacks for her?
Hopefully, she will chime in here soon!
...and in regards to the fatigue? Oh yes! Definitely a result of anxiety...it will leave you feeling wrung out! Take care to get extra rest when you need it. (as well as good nutrition and gentle care of yourself when you are run down.)
With support,
S.C.