@kamama94 greetings in the New Year. I’m responding to your post to @gingerw regarding nutrition for gastroparesis. We’ve discussed nutrition for diabetes and CKD in the past. Your cookbook / recipes for those conditions have been wonderful. You are a good cook and are so thorough and thoughtful. Now you have to concern yourself with gastroparesis. I have a history of that too. I was told that it is a complication of diabetes and a type of autonomic neuropathy. I also was told to go with low fiber because of it. I found out it is very challenging to feed the body when there are multiple diseases at play and the various recommendations for each are contradictory. In my case it was in the order of diabetes, gastroparesis, then CKD. It doesn’t really matter because the dilemma is the same. I want to remind you that your CKD was pretty serious to the point of dialysis and you have improved so much. My gastroparesis has improved that I now refer to it as a history. It only flares up occasionally. Improvement is possible. Last summer I had a trip to ER and ended up with a 4th diagnosis, Diverticulitis! The dietary recommendation for that is high fiber (but not nuts & seeds). It is pretty much the exact opposite of what is necessary for gastroparesis! My primary doc said “This will be touch and go for awhile”. I asked him what he meant and he said it will take time with ups and downs to figure out what works for me. Don’t change everything for diverticulitis to the detriment of the gastroparesis. Don’t do anything drastic. Make small changes to find out what works. I don’t know if this is helpful or not but please keep trying. You’ve done exceptionally well in the past. My hope and prayer for you is that you can learn to deal with this newer challenge. Blessings to you in the New Year.