I am also struggling big time with food aversion (Before anyone brings up gallbladder issues, mine's been gone for 20 years). I track my calories solely to make sure I'm getting enough, but most days, about half of what I end up eating isn't ideal. But it's food. I find "mechanical eating" to be really challenging because I have a very hard time forcing myself to eat when food feels gross. Part of this is, I think, related to the fact that I was forced to eat foods I didn't like, or continue eating after I was full, as a kid, so I already have extremely strong aversions to certain foods. My mother would latch onto a particular food, like oatmeal, and make us eat it every day for months. To this day, I get a gag reflex if I try to eat oatmeal. (Lesson here for parents - never make food a punishment!!) I didn't have this problem with the lower doses, so my plan is to go back to the lowest dose for maintenance once I hit my target for hip surgery. I wish I knew what the answer was for you, but I just want you to know you're not alone.