Male 48 years old overall has been healthy and fit - active lifestyle - married happily 23 years - past month has felt excessively warm (skin not temperature), doesn't sleep well at night but can fall asleep in seconds during day (lots of naps), no interest in daily activity (goes through day doing what has to be done & not moving from couch rest of night), fatigue, periods of feeling can't catch breath, few episodes of light headedness, trouble concentrating, low sex drive,at times during day 'what was I doing/thinking?' (blank out/space out).