Hi there! I just wanted to jump into the convo about align. I've been on it for about 4 months now. The first month was pretty rough. I took align well over a year ago and remembered it took a LONG time to work, so I kept with it. 4 months ago I was miserable. Worst C of my life...diagnosed with gastroparesis also. In and out of the hospital even... so I know how you feel. It's HORRIBLE. The align has helped me SO much. I'm really glad I stuck with it...but yea, 1.5 weeks of align could have made you feel worse. It takes time and patience (neither of which are easy!!) The other thing that is helping me is benefiber. I used to do acacia but it didn't really work for me. I still am trying to get my benefiber higher, but I'm getting there. Also, my doc told me to take 2 colace every night, and I feel SO much better. No hospital visits, no vomiting from the pain attacks, etc... Just thought I'd throw in some thoughts...