thanks for the info, again . I did watch some stuff online by Crystal Saltorelli - that was a good referral - some very good stuff. most of it I have learned by trial and error - over the years - but I always wonder if there is some stuff out there that I don't know! I have changed GI docs three times now - I now have one I like - but still next to no information he can provide on gastroparesis. I think you need to go to a center that specializes in it - but I have HMO insurance and it would not be covered. I also found a site livingwithgastroparesis.com that is good and this doctor Mark Cooper MD who is a gastroenterologist in Texas is VERY GOOD! Much of the stuff, as I said, I am already doing - I mostly was interested to know how progressive this disease is - like if it gets worse and worse until eventually you are on liquids only or a feeding tube.