@elle1233 - I never vomited as part of my MALS symptoms. Always queasy and nausea at times, no appetite. I didn’t lose weight either which also is common with MALS. I never really knew how many of my ailments were showing similar symptoms! Bile ducts clogged and post meal pain or even pancreatitis, autoimmune inflammation from start to end and what turned out to be MALS.