[recycled sixtie]

I am not a med prof. but you seem to have a full slate. It is easy for me to say because I am retired but it sounds like you are doing too much. Some down time perhaps might be in order. Regular meals are essential or at least snacks. I see many folks doing a regular job plus kids plus....etc. Even many retirees schedule themselves for so much. I have no idea how old you are but the immune system degrades as you get older leaving yourself open to more disease, bugs etc. Schedule less, drive slower and to use that old cliche slow down and smell the roses.....