Hi, @coloradolori - I'd like to add my welcome to Mayo Clinic Connect. So sorry to hear about all these effects you are experiencing. You may have noted we have groups with discussions about many of the areas in which you've had health challenges in the group directory https://connect.mayoclinic.org/groups/ where you might meet other members who'd have some input and support to offer you.

Are you now taking something else instead of Pristiq? Are you getting some help with the health issues you mentioned?