a few things he is doing to keep his nutrient energy levels up....for years we have used a couple of powdered whole food supplements...Barleygrass, Beets and Carrots. Along withsome other high power supplements he feels pretty good. I was keeping him off all sugars....yeah, right...I give up. He is eating like he always did, burgers, fries...ect...bad, bad boy! But, he has not read any of the carcinoid info and I think that has helped with attitude and overall feeling good. This stuff is so strange....