Ok - this was a constant problem for me for the first 1 1/2 years on the patch. I am now on 75's and I found that if I use 1000mg of flax seed oil pills 2 times a day and that new ACTIVIA yogurt once a day, I am better. Not perfect by a far cry but much better than before. Hope it helps. Of course everyone knows with RSD you are just full of it!! LOL