@lashley75 I think extreme stress can bring it out, at least that is what happened to my mom and I both. I don’t have an official diagnosis but mom does. I started us both on 6000 mg of moringa supplements every morning and 3000 mg at night (2 capsules in the morning and one at night) and both of us are feeling less pain. It helps with a lot of things. She was on prednisone for many years and it gave her diabetes. Maybe give moringa a try and see if you can get relief. Amazon sells it reasonably.