Gorgeous photos, Dennett, despite your time and energy being low. Glad to know the doc is being proactive and not brushing you off, but otoh, how knowledgeable is he about nutrition generally? This side of the pond, doctors routinely get almost no training in diet and nutrition - it's a bit better than it was, but it's just not given the space in the curriculum. Don't let yourself dehydrate, even if it's only having some means to wet your lips when needed.
When reading through, 2 thoughts occurred to me - one was stress. You're on the last lap workwise, and I'm sure it feels as though you just need to push on through dealing with other people's errors, but maybe it's the time to dig your heels in. My other thought was covid - could it be a factor in the flare up, the low energy, and everything? I know you're careful, but it's so difficult to avoid with all the mismanagement - I'll have more to say on that when I gather the energy for my 'first week of the year' post 😒
But anyway, all the best for 2024. Let's go with that Eastern Bluebird predicting happiness for the year ahead.