In addition to AF, I had another problem that was making me feel tired all the time. IT's all related really, but clearing this one up or at least preventing it from getting worse is one thing I can do while working on AF issues. IT turns out I have many allergies (a topic that I don;t think Dr. Wilson goes into at all--correct me if I'm wrong) and I was allergic to the mold in my old office building. But since I worked there every day for over two years I didn't correlate it until I got an allergy test (bloodwork from my regular doc). I have left that office but I returned today for 1hr and it was too much and my whole afternoon was ruined. But at least I know for sure that it was the office. Have you had pets for 20 yrs or anything? I'm not saying it's an answer to your problems but this was one BIG piece of my puzzle.