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Oh boy, that's tough. If I were in your position, I would decide what is the most important. What can absolutely not fall to the ground? Those are the things I would tackle and be ok with everything else being less than for right now.
Take a brutally honest look at your commitments. Can anything be scaled back, rescheduled, or even ditched? Remember saying no isn't selfish, it's self care! Delegate what you can to family, friends or even professional services if it fits your budget. You can't pour from an empty cup, so prioritize your sanity and well being.
I feel for you! It's challenging to give it your all to every single project when you have 15+ more on your plate at the same time. Give yourself some grace.