Hello @christopher40 and welcome to Mayo Clinic Connect. Your diagnosis two years ago had to come as a major shock given how healthy you were.

The change in your BMI must be taking a toll on you physically and mentally so I am glad you've joined Connect to meet others who may understand your journey.

I wonder if you'd be willing to share a bit more about your 1800-2000 calorie/day diet? Are you eating high-quality, high-protein foods typically?