Beth, 3 T doesn't seem like too much mixed with rice milk in the AM. I think it would help you, even if it has fat. I eat very low fat the rest of the day. Take 2 Donnatol before bed. I've had cancer and other problems so long, I just throw the medicine down (flax, fiber, pills, whatever) without thinking too much about it. I know it's hard to be brave when you expect pain from everything. By the way don't become an alcoholic on my advice. Meant to say I only take that when I have that tied up in a knot, swallowed a basketball feeling. LOL Keep trying. xo B