@rachel_b , Oh yes. Still get flare ups but I've found that over time, I've learned that I will feel better soon and it won't last forever. It was so demoralizing the first 1 1/2 after surgery until I got a better handle on my diet, Xifaxan schedule, etc. I think I really developed an eating disorder after my surgery, I was scared to death to eat anything at all. I still pretty much stick to the same things all the time which is fine by me. Maybe keep a journal on how you feel each day. I was finally able to see that my good days started outweighing the bad. Huge break through for my mental state. So, so happy to hear you have a good dr willing to take a chance on prescribing Xifaxan in this way-- many wouldn't-- and that you have good support. It has been essential to my taking control of my health again when everything felt so out of control for so long.