For me it was diet, after I gave up gluten, dairy, sugar, and virtually all carbs, and just stick to 80% meat, 20% vegetables, water and tea, I am full of energ

For me it was diet, after I gave up gluten, dairy, sugar, and virtually all carbs, and just stick to 80% meat, 20% vegetables, water and tea, I am full of energy, pain free, and hunger is very different, I only eat 1 meal a day and I’m not hungry (although it is a big meal usually - ~1500 calories)