I’m feeling really well but I notice some what foul taste, and at nights cramping pain forcing me to the stool. Wondering is this lactose intolerance. Because if the shakes? I’m using premiere . I’m going to try only using the premiere in the mornings .

The bad taste could be ketosis or even some reflux (gerd). If it’s ketosis that’s good. It means your body is burning fat. If it’s reflux, a PPI will help if you’re not taking one.

Lactose intolerance usually involves sharp cramping & diarrhoea usually within a couple of hours of eating a lactose product. Artificial sweeteners can cause cramping & diarrhoea too (especially the sugar alcohol ones - those whose names end in ‘ol’). Of course it won’t hurt to avoid lactose & see if it helps. But chat with your surgeon to be sure & your dietician for alternative food suggestions.