Lots of great info. Thanks. Silver Sneakers is for seniors on Medicare Advantage or Medicare/other health plans ( https://tools.silversneakers.com/ ). Gyms that support it don't charge, and it is nice to go to the rec center just for weights or a quick workout. I drink a lot of water with psyllium husk, more than Metamucil calls for, and take walks. If the gluten test works for you, then going GF or gluten light may improve your GI function. My PCP and I are always battling over hypothyroid issues as well; she doesn't believe me when I say I am constipated and more tired with a TSH level of 3 than 1. Doctors also don't believe retired research scientists. My rosacea is also Type 2; it gets better if I avoid stress, hot sun, and wood dust.