Hey jpwilkins! Welcome to the board - I'm a relative newbie here myself and I know there are many others who will be able to provide more extensive information. I do want to let you know that your wife's ups and downs seem to be the norm for most folks that post here, me included. Not sure if the setback occurs as a result of one feeling better and being overly-ambitious about getting back to our old way of life but it seems a lot of us often "pay for it" later when we feel we're making progress.

I'll let the folsk with more experience address the specifics but I wanted to reach out and let you know this is a great source of information and I hope it will be helpful to you and your wife both!

Best,
Crystal