Hello @mopostorino and welcome to Mayo Connect. Thank you for sharing your HOCM experience with others. It is comforting to know that you are not alone with your symptoms. I used to think I was crazy a little bit when on occasion I would indulge in a big breakfast or large meal and feel awful. It was not every meal, just the rare big ones. Like you say, when I would do my 6 mile walk I had to have an empty tummy. I'm glad you found the HCM group. There is a lot of information you can read that may help you understand your disease and also you can share your journey with others that may help them as well. I was on four different beta/calcium channel blockers and Disopyramide. I ended up having a septal myectomy at the Mayo Clinic, as I just got worse and worse When did you first find out you had HOCM? Did it take time to finally be diagnosed with HOCM?