@bkatz43 I had an emergency appendectomy surgery, which really threw my gastroparesis into a tailspin. I had dropped 20 pounds in two weeks. I was going to get IV fluids to even help me keep going. It had been a progressive downfall in the two years prior and I was desperate and went to Mayo, Vanderbilt and IU. They could diagnose it, but not much help except diet. I found out about Vanguard surgical, Dr. Hughes, in Louisville, Kentucky, who actually does surgery for gastroparesis. His first surgery is always the plyoroplasty surgery if you have been dealing with this for years. . I will have to say even after the surgery, it took about six weeks before I started to feel better. But since then, it has been life-changing! There are very few surgeons who actually do the surgery. You got through a whole screening process to see if it would help. It definitely helped me, and I pray that is something that maybe would help you too.