Seasonal? From Thanksgiving on, our diet, stress levels, activities... often change significantly from the rest of the year. I know that for me, things like dairy & carbohydrates can flare my PN noticeably, and with all the parties and holiday goodies... We try to be good, but we gotta live too. Then there's the stress of shopping, relatives, rush-rush-rush.... and the change of season/weather - cold/damp (or dry). It's been a struggle since New Years to settle back down to my pre-Turkey Day levels, but this week I finally feel better again.

Have you been through any changes in routine, whether by choice or life happening, that could be at least partly responsible?

Doc