<s>[INST] Hi thereI am 48 years old and am feeling very tired a lot of the time.I understand some of it is due to stress from work and lot off running around>I am making changes to my lifestyle and have ferrogloboin daily and have  a short break every 3 months.I am on femoston -hrt and feel well otherwise.I am self employed and would love my life back.I am trying to be positive daily.What can I do to relive these symptoms [/INST] Hi, thanks for using Chat Doctor. Menopause itself can tiredness. You should go to physician to rule out physical causes of tiredness like thyroid dysfunction, Vitamin B12 or D deficiency or calcium deficiency. Stress is also associated with tiredness. Once your physical causes are ruled out, you can do stress management like yoga, meditation or breathing exercise and time management. Else you need to consult psychiatrist for evaluation and treatment thanks </s>