Inclusion Criteria:  U.S. Veterans Eligible subjects must be patients at the Jesse Brown VA Medical Center and suffer from pain, fatigue, low energy levels or are unable to physically do things they were once able to do. Subjects need to complete the PAR-Q with an acceptable score and/or must have written physician clearance. 18 years of age and older  Exclusion Criteria:  Unable to travel to the training center Unable to give consent Unable to understand the study Unable to comply with the training program