Yes, I am ibs.d, also had my gallbladder removed 22 years ago and am on multiple medications for hypertension not to mention the dreaded hormones.(the medications mean that I have a harder battle with my ibs because most of them affect the gut) However, as I said in my original post, I started by going on Heather's "what to eat to calm down the system" and then followed it with the Acacia. I must say that the Acacia has definitely helped my pain - I rarely get pain anymore. However, trying to stabilise the actual bowel movements/consistency is proving more difficult and I find it hard to "stick to what I should" all the time!! I still go with what I said before, I do think this site has a lot of good positive advice - have you got Heathers "the first year ibs" book. Everytime I go back to read it, I always seem to find something that I did not find before. The other point I would make is that it takes time for things to calm down and gradually improve. I am much better than I was but I am nowhere near where I would like to me! Interestingly, I drink plenty of water and was walking on my treadmill but had to stop that because it was making me go to the loo more! ... so now I have put more weight on! How long have you been following Heather's diet? Are you taking the "trigger" list seriously? Judith