thanks to all of you for caring enough to reply, i never eat sugar or caffeine or carbs,and all i can tolerate is a mere 2 or 3 bites at a time without getting symptoms, i'm reluctant to increase my beta blockers since my bp is already very low,but i've never tried any ssri , mainly coz i dont want to have to add yet another med to my long list, and i dont want to take something that is so hard to get off of, and that is addicting, thanks again for all your suggestions, i guess octreotide isnt for me! i value all your input so much, and i always share what i learn with my mom, who is my angel, my best friend, my counselor, my whole life! she is so glad that i am a part of this group, radha