I’m right there with you. Finished treatment December 2023 (surgery, chemo and radiation) and put on Anastrazole. Because of problems with bloodwork, further diagnostics (and stress) up till brain MRI and Petscan in July 2024 (both negative). Because of side effects (muscle and bone pain), switched to exemestane in November of last year. At that point, while tired, I was holding my own. Now, I am constantly tired to the point of nodding off mid day and for the last month or so now I can’t sleep - lucky to get 4 hours a night. I do high protein/fiber, low fat diet. Do 5000+ steps daily with strength training and cardio (not overdoing it, 30-45 minutes a day, 6 days a week). Oncologist did tests for possible causes and of course I’m “completely healthy” except for mild low white count and low lymph count that’s been persistent since the chemo. So of course, there is no treatment and I’m told I’m just depressed. I feel it’s from the exemestane just exacerbating the effects still present from treatment but that’s not really recognized and I am a bit afraid to come off the meds. I’ve avoided antidepressants because the side effects run pretty close to those from exemestane and I’m concerned it may worsen the problem instead of correcting it. (And I will admit a personal psychological feeling that taking these is a sign of my own weakness and inability to manage life) But may not have a choice as this particular sleep pattern is not sustainable.