Well, things are much the same: I still feel very tired (no, exhausted) after quite brief physical or mental exertion - normally this is after about 15-20 minutes. My voice is poor.
I am able to drive, but I estimate it is now about 5 times harder. I also drive slower as 50mph seems like 70 mph. It is as if my brain takes longer to process things. Also, subtitles seem to change too fast and I find it hard to keep up.
Although most foods are fine, I take an age with drinks, especially tea and coffee. For some reason cold drinks are easier.
Daft things are I find spelling harder, my writing is poor now and I feel tired much of the time. I think I get more anxious too.
Outwardly, I look "well". Others do not realise that life is a real struggle most of the time.
Overall, I find it hard to see improvements now. In most ways I feel like I did a year ago.