1st. Optimize your daily food plan. Ask: what am I eating and how can I make it better? Get as close as possible to a real food plan (not calorie counting, starving, industrial food or rabbit food). 2nd. Amp up your food plan where necessary. Add super foods e.g. green powders, cod liver and coconut oil, herbs, Pops , etc. 3rd. If symptoms persist after a month of doing 1 and 2 above, or if your doctor prescribes it, add nutraceuticals e.g. isolated Vitamin C, Vitamin D, calcium, CoQ10, L-glutamine, etc. 4th. If symptoms still persist, add pharmaceuticals your doctor recommends. Many do this strategy together with nutraceuticals. 5th. Last resort: surgery. E.g., stomach stapling (Bariatric surgery), etc.