Hi Jacquie, For myself...each day seems a bit different. But most days it's early afternoon. These are some things I do to help reduce my symtoms... 1. Very restricted diet. NO wheat, refined sugar, or dairy, limited fiber. 2. Consume small portions at a time. 3. I eat VERY VERY slow. (look at a magazine or read a chapter of a book) this helps me eat slow. 4. Walk small distances at a time. But try to walk everyday. (twice a day). 5. I keep a bottle of water at my bed side and I sip on it throughout the night. 6. Before going to sleep and before getting out of bed I quote positive affirmations. (kind of like meditation). Even one day when I am well, I will follow these guidelines I've made for myself. Why? Because there heathy ones and they sure can't do any harm.