Hi again.. just re read your response as I was at a gynecology appointment today and NP thought the gateroparesis diagnosis was maybe not all that was going on...She also suggested second opinion, Mayo in Jacksonvile or down to Charelston. Am sure they have not checked abdominal blood flow, that would be a specialized test they just don't seem to do here in Savannah... What did they do for the restricted blood flow? ( and does the referral process go more smoothly if I can get my primary care MD to request the consult vs me requesting it directly to mayo clinic?) thank you for your time (and thank you for everybody who shares their journey on this forum, it's so helpful to feel less alone)