I used to just do the diet. It helped so much. I was having D nearly every day. Then the diet made it more like once a month or so. I still had problems with gas though --- some bloating, burping and farting. So, I have started trying to work out more frequently -- and add some fiber in my diet. I still haven't figured that part out totally though. I never took any meds.... none were offered to me until just recently -- and it only works when you are starting to get an attack -- and then only for 50% of the people - 50% of the time. I have taken it a couple times - but not regularly or anything.
I do drink peppermint, green mint, and a mix of peppermint & fennel teas. I also now take the peppermint caps, Usually once a day.
I can usually go about two months or so between attacks -- and can usually relate the attacks to either eating too much - the wrong thing -- or stress.
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I guess that depends
So, I have started trying to work out more frequently -- and add some fiber in my diet. I still haven't figured that part out totally though. I never took any meds.... none were offered to me until just recently -- and it only works when you are starting to get an attack -- and then only for 50% of the people - 50% of the time. I have taken it a couple times - but not regularly or anything. 
