So sorry for the delay in posting an update.
Mark ended up being too weak over Easter to make a trip to the dunes so they opted to go to a movie instead. That alone wore him out.
With no appetite, he has continued to lose weight and is down to 221.
Mark came down with a urine infection this week so he is taking more antibiotics. He will see an infectious disease doctor on Monday about his sweating and a rash that just won't go away. Then next Wednesday he will see Dr. Z again.
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