Restless-
sounds like you absoloutely need that vacation, I know several people that needed vacations and are now on very long ones, some dropped from heart attacks and stress, strokes etc, all were very young, one guy I worked with was 37, not overweight, but had a double stoke, did not take care of himself.
your job is going to seem very minor, as your laying on the operating table, take care of your self restless, if your not around it is hard to care for your children also.
In my opinion as for the fatique, a young man in his twentys would be getting fatiqued working 60 hrs a week with stress.
Drink lots of water, you will not beleive how much this helps, if you have to have a couple of cups of coffee to funcion, try having a couple of cups in the morning and then water all afternoon, as soon as I get up I wash down some vitimines with about 10 oz of water, I also like my coffee, so I have one, then water, coffee then water the rest of the day.
I also take a vitimine B stress combo that I beleive helps me, although I do not have any stress, I beleive with the water, the vit B stress combo really helped my fatique.
The vit B stress combo comes with vit c and the various B's you need in one, check with your doc on dose's.
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--Get Outdoors-Enjoy Life----Neil
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