It is a real struggle. I just do what I can do. I decided to start walking everyday on an indoor track. Even if I can only walk for 10 min it’s better than nothing. I changed my diet, I found that greasy food made it worse. I try and reduce my stress. That’s a hard one but it does help. I am now on medication and honestly it has changed everything. I have now worked my way up to a 5km walk daily