I'm glad you posted that, Shawn. In my experience, the vast majority of discussion of and current treatment options for IBS anywhere focus so much on the Rome criteria and a couple of other GI symptoms that it would be very easy for most IBSers or professionals who don't deal with FGIDs to the level of places like UNC to miss the fact that some of us have a lot of different GI or non-GI symptoms too, even if we're not diagnosable with another overlapping condition per se. In my case, because first onset of IBS was so sudden after excellent health and lifestyle habits my whole life, I knew all my symptoms had to be related. But it took me a long time to find that same article, and there are very few that go into that extensive level of detail. One I was able to put that article in front of my medical providers, they at least believed me. Unfortunately, it hasn't expanded treatment options any. When I talk to people in the IBS community now, I try to point out that not all of us fit neatly into D, C, A. and if researchers have known about non-GI symptoms for several years now, they really should be emphasized more in education, treatment and research. If you have a lot of chronic symptoms as I do, even if they're individually not bad, the cumulative effect is worse. I have a couple not on that list too. I'm sure they're also related, just haven't found articles yet that back up my experience.