@dat Yes exactly, you hit the nail on the head. CSS is difficult to figure out and it's confusing when symptoms are there one day, or moment, and not the next. Dr. Sletten addresses symptom flares and inconsistencies. He explains flares can be caused by a number of things like poor diet, lack of sleep, overdoing (push/crash), physical inactivity, stress, anxiety, etc...or in some cases there may be no rhyme or reason. Have you been able to track any triggers behind your flares or found patterns?