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In total, 1268 participants completed the FSS at both time points; approximately 62% had fatigue. Using doubly robust IPTW, high (11/2 HLIS (odds ratio [OR]0.90, 95% confidence interval [CI] 0.81-0.98) and high (3/5) SNAP (OR 0.82, 95% CI 0.73-0.9 were each associated with lower risk of fatigue at follow-up. Evaluating change in fatigue, a higher SNAP score was associated with a lower risk of fatigue (OR 0.89, 95% CI 0.80-0.97) but the score for HLIS did not reach statistical significance (OR 0.93, 95% CI 0.85-1.01). These re