Mark, thank you for your reply. I have read it several times and greatly appreciate your thoughtful suggestions. I will definitely be pursuing the blood work to measure B levels, as well as a hormone work up--although in all likelihood I will have to find private doctors and pay for it out of pocket. I'm in agreement about the likelihood of a neck injury and have gotten some medical input on that. I think I'm going to need to approach someone about a low dose of Elavil as she is having such difficulties falling asleep (mercifully she is mostly staying asleep once she gets there). Thank you for all that you do here as moderator, your depth of knowledge really helps to make this fourm outstanding (and some wonderful contributors as well). Coming here to read has been very, very helpful. I do have some new questions but will probably start a thread.