If you have fatigue and you exercise (or just *do* things), how do or can you tell the difference between being out of shape "tired" (which might be okay) and PEM?

I don& #39;t have a ME/CFS dx, but periodic fatigue as a symptom/side effect of something. #NEISvoid
Apologies if I don& #39;t have the terminology quite right or question isn& #39;t clear....
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