I woke up at 4:30 this morning.  I had three major nightmares with panic, heart racing and waking up in angst.  I'm not sure but I think I missed my medicine and then took two doses today.  One at 4:30 a.m. and one at 3:00 a.m.  I've been full of energy all day.  Not really anxious.   I was nauseous this afternoon.  I had eaten too much fat AND two doses of Effexor.  Yesterday was...I actually don't remember.  I had lunch with the ladies, felt good.  Went shopping...walked Lucy a half walk - she hates the cold and then...oooh I remember I fixed cinnamon rolls for dinner - at the other half for breakfast.  1/161/17 one and half vicodin, one zofran I haven't gotten to the gym since Thursday and I'm feeling it.  My back really hurts when I don't get a workout.