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just reading your posting I can feel your pain and exhaustion and wish to communicate to you that you’re being seen and heard & I empathize even though it be on a limited scale.
Going off of my personal experience of a time of extreme exhaustion and poor health, the best advice I have is to split the days ‘to do’s’ into manageable chunks. Manageable to you, that is off course. And after each of those, to recharge a bit in whatever way works for you.
Personally, I work best with “analog systems” like a timer, notebook etc. .
Don’t give in, dear sleepy and feel hugged.
Oh, I hope my English is readable. If not, let me know so I can correct myself and make it easier for you!