I'm just wondering how those of you that are still working manage in your job? The reason i ask is that i'm coming up 5 years post op and just tipped the ripe old age of 50. I have my own business and all the pressure that comes with employing people and keeping clients happy. For the 1st couple of years all seemed well, in fact it almost felt like i had a point to prove. During the 3rd year post op i seemed to hit a peak and have almost felt like I've been in steady decline ever since, i know my working hours and working lifestyle don't help either. Have any of you managed to carry on almost as normal or have you had to make major adjustments? I seem to be struggling with fatigue more and more but i also know that working long hours and forgetting to eat doesn't help either, i know "little and often and take breaks" but it never seems to be that easy.