About 7 years ago I was diagnosed with Celiac disease and 2 years ago I was told I have Sjogren's. Apparently it is not unusual for the 2 to go together. I have had these 2 problems for many years but the doctors just didn't figure it out. Long before Celiac was diagnosed, I had horrible bloating, cramps and tummy pain so bad that at times I couldn't stand up straight. Soon after I went gluten free that problem went away. John, have you tried that for your belly bloat? I also have chronic back pain which is another unrelated problem but not an insignificant one, and with dry mouth and eyes from the Sjogren's and then add in the back pain I would say I have "fatigue". There are days when I don't feel like doing anything but sitting. I am a dedicated quilter and when I get together with my quilting friends or when I am working on a project at home I feel so much better. My sewing room is my "therapy room". I think having a good hobby you enjoy and get together with friends is the best treatment anyone can have. Just my 2 cents.