Consider investigating motility issues, SIBO, and sensitivities to gluten, histamines, and salicylates. And if you consume any alcohol, any at all, STOP. Gut bacteria is serious business and you need to get that right for nutrition, meds, and your immune system to work. GI testing yields useless data if not properly timed and sequenced. For example, two weeks after seeing me, a GI scheduled me for an upper colonoscopy to test for celiacs, plus a SIBO breath test, and two other tests. I researched them then cancelled all of it: the data would have been meaningless and my $ wasted because the procedures were not sequenced or timed at all. For example: you must ingest gluten for at least six weeks prior to the upper colonoscopy to stimulate a reaction that would surface the celiac’s. That GI was all about the coding + insurance $, not the outcomes: he would get his reimbursements while useless, inaccurate data would have left my issues unsolved. I changed GIs. Using the paid versions of ChatGPT and Gemini, I do my own research. It does not replace doctors, it makes me an informed, shrewd consumer of medical services, a consumer who asks better questions and better understands and manages my own health. I urge you to research anything in this post or your experience that is new to you. YOU are your best advocate, and the ONLY one totally vested in your best health outcomes.