Hi Karen, I've been very up and down, but fingers crossed over the last few weeks I've felt slightly better, thanks for asking . To be honest I haven't been very good at avoiding carbs, this is something I need to work on. I've tested my blood sugar levels, after meals and when I'm feeling symptoms, and they are always around 4.2 - 5.2. I've had blood tests and an ultra sound scan on my liver, all come back clear which is good news. One of the issues at the minute for me is the complete intolerance to exercise, it makes me feel extremely fatigued. The doctor has diagnosed me with costochondritis which I believe is also affecting exercise.. Thanks for the advise, I really need to get back on the wagon and avoiding the carbs! Hope you are coping well with your RH.