I am currently in a continuing PEM episode that started almost a month ago. I feel ok and need to put the bulk of activity between 9 am (if I am able to get up at 7) and 3 pm. I always need 2 hours in the morning to get over the high fatigue and fibro pain I wake up with. I have noticed that at about 3 pm I start tanking, but unlike many of you, the fatigue just builds and builds till it forces me into bed. If I wait till 9 to do my bedtime routine, I can hardly get through it. I have to do it in pieces starting 7:30 ish.