@nycmusic I guess the research points to a gut-brain disorder so intervention can occur at gut and brain levels and biofeedback helps them work together... I agree that stress is part of it, but I do think menopause, the loss of estrogen which is a protective factor, is a part of it as well. I've used magnesium citrate and liposomal vitamin C to good effect and so far, that is mostly all I need. I keep my diet regular - eat at regular times each day as close as I can manage it. I do eat lots of vegetables, some good fats and leaner proteins. (Too many vegetables - too much fiber - can also cause an issue so balance is key.). I forego sugar 95% of the time, avoid anything under the heading of ultra processed food (including pastas) and minimize grains. I do still very much enjoy my food. I'm also gluten and dairy free for many years. All of this has helped and I think my adherence to diet comes from acceptance and understanding how I'm not helpless and can impact my situation greatly. I may check out biofeedback as it seems helpful for the anxiety that can accrue from more difficult days. Movement is also key - I work out with a physical trainer and lift heavy and slow and I walk regularly. Thank you all.