My biggest difficulty is to get going in the morning. A tiny speck of carb, and then I'm crashed out for several hours. I have a script for Dexadrine extended release, I'll take some of that FIRST in the morning, then some sugar free chocolate. Then I'll attempt some sausage. If successful, then I'm fine for the rest of the day.
I just started a script for Naltrexone. It has changed my dreams from nasty Twilight Zone, to All in the family, and I usually forget the dreams after 30 seconds.