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Re: your comment about the pain 'here to stay'...No...it just seems that way. When we are in pain, we naturally think, "Well, this is it!. I've got this forever". And that is not true. Remember, the natural state of your body is 'wellness' and unless it is overwhelmed by other diseases, it will fight to return you to that state. Unless your doctor tells you to take so much Metamucil, cut back to once a day. Try before bedtime so it has time to process well. It's good you are doing reading and research and trying to empower yourself with accurate information. Every discomfort of the body is increased by the end of the day due to stress, fatigue, events and even your ongoing mindset. It's time to be kinder to yourself, psyche out when this happens, keep a little diary, and attempt to cut the pain off at the pass by changing your lifestyle. This doesn't happen overnight, but persevere and it will improve. And you'll learn important things about yourself.