I know I get hungry because I can hear my stomach growling but I can't feel it. Nerve damage maybe? I am rarely hungry at breakfast or lunch. I force myself to eat a coconut flour muffin in the morning and a salad with lots of mixed greens for lunch. The greens make me feel so much better. They seem to help with pain. By supper time, sometimes I am hungry and sometimes I am not. It got extreme for awhile and I lost 35 pounds recently. I started a Ketogenic like fibromyalgia diet recently (low carb with lots of veggies) and suddenly I also got some of my appetite back. I don't understand it, but it is nice to actually want to eat. When I am not hungry, unfortunately, I still crave chocolate and when I eat it there is so much pain. I think the chocolate is an addiction rather than satisfying hunger. I wonder why cutting back on carbs seems to help? I know it also has to do with food not moving through my digestive system fast enough. I was given some Amitiza recently and it helps a little. However, I am not sure I would recommend it. Because of the nerve problems, it is hard to feel when I need to go to the bathroom and I end up having to run to the bathroom at the last minute. It does work some if a person is in very desperate need of a solution to slow digestion.