Thanks Jaer. Since it's been less than a day it's too soon to tell if this latest med combo is going to be effective, but both me and my doctor are determined to find a solution and I'm going to continue to do what I can on the exercise front. The book I'm reading is Brunelleschi's Dome by Ross King. It's the story of how of an early 15th century architect built what was at that time the world's largest dome atop a cathedral in Florence Italy. It still stands today and both of my kids, who have been to the city, say it's magnificent. I'm only about 15 pages into the book and am getting an education in architectural terms. It is a book club book, which is why I'm reading it.