So, I'm still not feeling 100%; but at least I don't feel 90 pretty much every single day. As a result, I think I'm finally in a place to start looking at trying to lose weight.
I'm going back to my hunter/gatherer diet (what you eat; when you eat) which worked pretty well after "a" was born.
And I'm going to increase my exercise - although really, this is going to start pretty slow. I'm taking 20 minute walks at work; and I'm going to start taking 30 minutes walks in the evening. Next week or two, I'm hoping to start doing Pilates again.
It might take me a month or two before I'm feeling up to strenuous exercise - but at least this is a start.