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The last 2 or 3 years I've slipped a bit, due to longer working hours and issues with elderly (now deceased) parents. I've stuck with the low carb but I don't have time to cook "properly" in the evenings and the exercise has basically stopped altogether. And the IBS has come back.
So maybe for me the exercise was the key thing, but I will do some more research.
The food in Japan is second to none. No buffet type shite there!