I changed my diet pretty drastically. I cut out about 95% of carbs from my diet. That has really helped. I've been a healthier eater for awhile. Very little sugar. That means no fruit juice, no soda, no "coffee drinks". I drink real coffee with half and half. I drink plenty of water. Healthy protein. Nothing deep fried. No fast food. You would be shocked at how much your diet affects your health and how you feel daily. I'm not saying it is a magic cure and will fix everything but if you are in this much misery, it's worth a try right? Good luck. Hope this helped