@kirsuma let me provide some context first, it’s been over a year since I visited Mayo. They did their best with their level of understanding at that time. I had many tests and none of them revealed LC markers. I followed their protocol diligently afterwards which includes a regimen of prescription drugs, nurse and PT coaching. For me, I learned that moderation helped me therefore I learned how to manage my symptoms. I am not definitely not cured of LC and continue to seek a better solution because LC impacts my quality of life. In fairness to Mayo their approach may have changed in the last year and I would ask them what their success rate is. I’ve moved on to Dr Bruce Patterson in hopes that his approach will be a breakthrough for me.