It seems like everything I do aggravates some other condition, and it's driving me NUTZ! I have had fibro for 10 years. The along came Type 2 diabetes, and about 4 years ago, portal hypertenstion, liver and gallbladder disease. This balancing act is like trying to juggle chain saws. And now I am getting severe osteoarthritis in my knees, hips and feet, plus spinal stenosis. I can't take NSAIDS or opiods for pain, because they will cause liver damage and gallstones. The orthopedic doctor wants to do Synvisc, but I am taking a diuretic and gall bladder medication. He suggested knee replacement. But my platelets are very low for a general type surgery. Steroids make my sugar go crazy, the hyaluronic capsules can cause gallstones, and now he wants me to lose weight. I'm okay with that, I should lose weight. But right now my knee cartilage is gone and it's bone scraping against bone. I am not sure how losing weight is going to end that problem with knee replacement surgery. Sorry to be so long winded, but sometimes it just seems like such a trade-off to try and feel good again. I just wonder if there is a safe and effective diet. I do try and watch what I eat and exercise as much as possible, but some days just getting out of bed is an exercise in itself. I am optimistic and love the work I do. But sometimes it really gets hard too. Thanks for letting me vent! Hugs, Stacey 2.