Is the way I feel normal for pre-op?

I have been on shake fast preparing pre-op. I am experiencing some days where I have extreme aching in my shoulders and middle back. I am also really light headed. I am more comfortable sitting than standing. Is this normal? It is hard to function at work this way. I am wondering if it is my meds or not hydrating or not enough protein. I need to push close to 100 gms of proteing daily, I think I am good on fluids. I appreciate any answers or questions for my Dr. We are meeting for the last time before surgery in 3 days.

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