HI. Just a note to those who are perhaps also giving up sugar, carbs and other delights for this disease...in hopes to help the body heal a bit.. I have been doing just that and for a month have been so good. No sugar and no salt and only a piece of peanut butter toast for my daily treat.. but yesterday...! Went absolutely bonkers and ate more than one piece of pie and ice cream and candy (stuffed grandson's Chocolate Christmas stocking stuffer into my mouth!! ha!) and this morning I feel TERRIBLE! So..if you are working with diet.. carry on.. let me be your guinea pig for going crazy, It does not help. My shoulders definitely ache more but I am going to eat right because I suspect this is merely sugar shock and not my PMR gotten worse. Thanks. Needed to confess!