With my post operative gastropanesis it Never gets better.. the nerves that surround the stomach were damaged.. they don't regenerate. So every meal is a challenge to keep down.. so I have to eat small amounts frequently.. the best I feel each day is when the stomach is empty.. when I am hungry I must guard against eating too quickly.. even ice cream can be rejected.. I take Mertasapine to make me think that I need to eat.. as my Mayo GI doctor said.. good luck.. I'm 85 now.. staying slim is not a problem but gaining weight is a normal concern now..