I do get the happy puppy hypo and I do often get arthritis flairs with it but I think it is because I overdo it like today. I will take mass quantities of NSAIDs so it doesn't interfere with the butterflies and unicorns.

I also get flairs without being hypo when I overdo it. Being hypomanic does motivate me to get in better shape because I feel younger and skinnier than the imposter in the mirror.