Going through some of the same. Lumpectomy June 2023 then chemo and radiation. On Anastrazole for 7 months but changed to exemestane in November 2024 due to side effects. Last visit (March 2025) he even noted I looked tired. So told him I am constantly tired, falling asleep in the middle of doing things, naps etc that I’ve never needed before. Also been gaining weight even though nothing else (diet and exercise) is unchanged and I’ve maintained static weight since the start of this until 8 weeks on exemestane. Thyroid was tested and normal several months ago, bloodwork otherwise looks ok, so the only answer I get is that I must be depressed because fatigue is a symptom of depression and I should seek therapy and try medications. I’ve reached the point where I’ll acknowledge something if specifically asked but don’t offer much anymore because it’s never a side effect of the medications so not something they need to treat. I think both problems relate to the exemestane because I was stable before it started but a, just told they’re not a side effect of the medications. So we just do the best we can with what we have. Don’t know that this helps but you’re not alone.