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Hi there and thanks for the question
The best way to help her with the side effects of fatigue/lethargy and even syncope is to speak with her Dr that orders the Hemodialysis and have them slow the sessions down. Most times, symptoms like this are due to the rapid exchange of blood. Three times per week is pretty standard, so I would try talking to the Dr first....he/she might wish to extend the amount of time she is being dialysed (per session) first before they change her schedule.