Looking for suggestions 45 female 17 months post VSG. And large hiatal hernia Debilitating N+V taking ondansetron 8 mg q 6 hr gravol prn 1-2x /day N+V worse with oral intake. Minimal solids tolerated 100lb weight loss. Goal WL =70lbs CT small colitis area? Lower right wall swallowing study negative Upper and lower endoscopy both negative findings Pt now off work again within ability to manage work. No energy. ? Low CBS ? Symptomatic with lower b/p HR dips into the 40’s Unable to find cause