Hi I had a left breast mastectomy, chemotherapy and reconstructive surgery five years ago. I had 6 operations in the space of 12 months and am now 5 years in remission. I have completed 5 years on Tamoxifen and another five to do. I have recovered in many ways from the surgery and trauma but I still have major problems with fatigue if I overdo things physically- especially after bouts of physically exertion like cycling longer distances or walking for more than a couple of hours at a time. The fatigue hits the following day and I go down like a lead balloon and become very tearful and emotional for a day or so and then my energy levels come back up. No-one else seems to have any answers to this- including my gp! I am otherwise well. I want to be active and get back to a decent level of sporting fitness and really think by now I should be able to do much more without consequence. Is anyone else out there experiencing these symptoms this far down the line? or does anyone have any comments or suggestions that might help please!