Sorry to hear about your problem. Certainly dropping back to 100mg twice daily should be considered. Always take Ofev in the middle of a meal. Since you are having an unusually high and persistent side effect, you should try a more aggressive dietary intervention. Not just dairy, try eliminating all processed foods and animal products with their saturated fat and inflammatory compounds. Also eliminate plant based saturated fats from coconut and palm oils. Even healthy fats like olive oil should be consumed only with a generous amount of vegetables, legumes and grains. Give it two weeks of strict adherence before you decide if its working or not.