I think that it's dif per person, I have had that happen, but it is not easy to figure out, I don't know what my triggers are, I may have some that I know about but not all, but my condition is more stable than before and I am ok with that, I have a good doc and she does care about her patients and their condition and such etc, I feel that is a good thing for me and is more than just meds and treatment,a extra intensive which is good for everyone in my life with, so ask your doc about your thoughts on the question here and anyone else that can help you out with your condition and such etc, but hang in there and try and stay pos, take care.