I am so exhausted lately. Thought things were getting better but this exhaustion lately is horrible. I know part of it is the work and travel for work I am doing, just don't know where to turn next. I enjoy my job and am very greatful for it during these difficult times in the economy but sometimes I wonder if it is all worth it. I work 4 days in week in Midtown Manhattan and travel back and forth to Detroit(home) - Fly out on Sunday evening fly back home on Thursday evening(mostly very early morning Friday) then I spend the weekend trying to recover. This week I am staying on 1/2 a mile from my office and walk in every morning. By the time I get there I am a mess, and this week is even a little cooler than last week. I know the hotel I am staying at is very uncleanly and can be causing me not to sleep well. I am trying to not come to NYC next week and work a week remotely from home which will help , for the week I am there, this current contract is going to last until at least Mid October. , I'll be 50 next year but feel like I'm 90. Dr. has me on a beta block and an ace inhibitor which I know contribute to my exhaustion but without them my bloodpressure and heart rate are out of control. I am on valium, 2mg 4x a day now, down from 10mg 3 x a day so I don't think that is an issue, have tried to come down more but probably won't happen unless I can take a few weeks off with no stress. Last week when i got off the plan I noticed my ankles were twice the size - dr. has me on lasix now and that seems to help but wonder if that is added to my feelings of exhaustion? I eat well, drink lots of water, take b12 shots, I am on male hormone replacement therapy which has helped somewhat but has really help me lose weight and build muscle but not sure what else to try.