There are a lot of causes for it. A high number of people with EDS also have that, so I hear about it a lot. Diet seems to make the biggest impact (food sensitivities and whatnot). If you don't have a gallbladder that can do it too. And surgery like Albatross experienced. My friend who had the bypass surgery no longer experiences that, so perhaps in time your body adjusts. Bodies are interesting in the number of ways they can break, but we muddle through and figure out what works for us!
No PSL for me unless I make it myself, between the sugar and flavors it's not a fun experience. So I usually add a bit of pumpkin spice to my coffee this time of year instead!
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