Hi, boy it does sound like you have a lot on your plate! Sounds like you deal with it pretty well too. I too gained a lot of weight from the meds and from being so sick. I've just recently started losing it. I am walking for exercise. Slowly, and with a cane, but still walking. It makes me feel better emotionally, even if it makes my joints hurt! LOL I highly recommend starting something, it will help you feel better. It won't cure lupus or anything else, but the fresh air and movement do help. When I first started I could only walk 5 minutes, now, today I walked 50 mintues! I did start on a treadmill, and now am strong enough to walk outside! I hope things stay well for you!