Waiting for my appointment with the specialist, but I have some instructions from my regular doc that mostly deal with diet due to the measured levels of uric acid.
I also invested (heh!!) in a STI Tactical 5.0 SS to reduce muzzle flip with .45 ACP and another STI Trojan in 9x19. So far, 9x19 in a 1911 has been fine, and a box of .45 ACP is about the same with the Tactical 5.0. I am still shooting a lot of .22 LR, and I do not see that changing. The G17.3 is easier on me than the P30 LEM, and that may prompt a change in my carry gun.
Some days are better than others and it seems to correlate to (positively) ambient humidity and (negatively) barometric pressure. Friday was nice, and I shot two hundred rounds through the STI Tactical 5.0. Yesterday was hot and dry, and I felt pretty good. I put a brick of .22 LR Gemtech Suppressor through a Volquartsen rifle and Ruger Standard-pattern pistol and shot Dot Torture with the P30 using 135-grain +P. Today is a rest day as the humidity is higher, and, of course, Mother's Day.