I am 77 ......energy comes in waves....some times more spoons, other times its an effort to do anything....also on no fat or low fat ...very low fibre if any , lost about 10 lbs but now stable....also diabetic with prostate cancer that has metastasized....recent shot of Lupron is causing depression to get worse....sometimes problem with gas and bloating but antacid liquid helps with that.....every day is different ....caffeine helps me but sometimes it triggers diarrhea.......I stay around my house a lot so I am near a toilet and I just put a new one in on a day with more spoons ....check " smart patients .com " and follow people with NET issues........all in all its adjusting to a new way of living and some days its laying in bed with my border collie / australian shepard watching Turner Classic movies and praying.......its not so bad and each day I thank God and pray for others too . Peace be with you.