yeah, I feel it takes a lot of effort to try to maintain an even keel if at all possible. For me, its taking meds everyday, vitamins, fish oil,(I constantly feel I am popping some pill or vitamin in my mouth, B12, folate, etc.) exercise, try to eat right, massage, acupunture, seeing my pdoc, making sure I sleep and don't drink, try to not get stressed out, getting sunshine and getting out in nature everyday etc. the list goes on. All this effort and I still don't feel good so I don't get it. I try to do all the right things and exercise helps the most but the feeling doesn't last all day.. so a lot of effort for nothing really.. I don't know.