Without the meds I am incapable of anything else, so I voted for meds.
But hubs and I have been getting excercise and changed our eating, started taking vitamins and that is helping tremendously as well. Our excercise is working in the garden so there is an immediate reward. We eat fruit for breakfast, a salad for lunch, don't have dinner stabilized yet but we are working on it. Hubs made the greatest garbanzo beans with sausage and chirizo etc in the crockpot, cuban style.