Hi Teresa (@hopeful33250) - thanks for the reply. Sorry I did forget to mention, I've had both an upper GI and Colonoscopy within the last year and both looked clean. Very minor gastritis noted on the GI but they did not seem concerned. Yes its been frustrating to say the least - especially since everything has tested normal. I don't run a ton but have decided to back off on that to see what happens. It's also winter in Michigan so biking will have to take a break too. I did see a neurologist (spine surgeon) after the Cervical MRI and he was concerned about the stenosis though it was unrelated to any of the symptoms. His concern was about long term effects of balance issues, impact activities, etc. and of course wanted to schedule surgery - you know how that goes - I said no thanks for now! Eventually would like to speak with a neuro that really understands the nerves that innervate the organs/digestive system and the vagus nerve which as I understand it feeds a lot of that. Yes I will keep an eye on this post and give try to give updates. After my physical will probably start researching a visit with Mayo, Cleveland Clinic, etc to see if this can be figured out.