I had this for 5 years and was on 25mgs a day of Elavil. This helped treat symptoms. However I went on a low carb diet to lose weight (60 lbs) and maintained a low carb since about 60 carbs a day. I am cured and have been for 2 years. Every so often I binge and eat lots of carbs and have a flare up. I think there is a direct correlation.