I've found that having a small amount of a healthy oil or fat with my meal really makes a difference in terms of sustaining me and keeping my strength up. I don't need very much, but have a bit of virgin coconut oil or butter with my breakfast, or add more extra virgin olive oil to my salads than I might have done previously,etc. My first few days on NSD I struggled to make it from one meal to the next - I felt weak and ravenous. This has made a massive difference.

Spondyloarthropathy with symptoms of AS, Sjögrens and fibro. Previously took Celebrex, Methotrexate, Trepiline, Prednisone which seemed to trigger a flare and my illness became much worse. Symptoms now kept mostly under control with NSD, as well as cutting sugar, dairy and yeast and food intolerances. Mostly pain free now and all symptoms massively improved.