So sorry, but glad you have something to help a little at least. The GI coctails do work great for me too, but having to go to ER to get one is a pain. No, I have not had surgery for MALS yet, but I have had one surgeon who was willing to do my surgery, but afer all was said and done I didn't trust him for my surgery. I had 4 tests and all showed MALS, including the J hook appearance which was very telling and I was diagnosed officially in October last year. I also have Fibromyalgia, Celiac Disease and other health issues as well. I am back to square one with looking for another possibility for surgeon. Are you in the MALS fb group?