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m@t

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  1. Its very tricky to figure out isn't it? I did a VO2Max test whilst hooked up to an ECG on a treadmill on Tuesday and then had an episode of vasovagal syncope after where my heart rate went down to 36bpm for 10 mins or so. Before that i only had a rise of about 15bpm on standing. I have felt a little rough since then so out myself on bed rest. Over the last 3 days i have gradually felt better and it correlates pretty well to the amount of orthostatic rise As you say, is this just an indication of some other process in the body, who knows.
  2. Well, I've been away for a long time. I'm not really sure if things got better or if I just tuned my life to cope with how I feel. I certainly don't do as much normal stuff as I used to I seem to be able to measure how much rest I need from my HR change on standing. Right now its 42bpm laying down and 95 standing. When I am fully rested this gap can be as little as 10bpm. Does anyone else get a similar response?
  3. Thanks pistol. I really do have to adjist everyday, if I take the same amount of meds needed to counteract the exercise on a day when I cant exercise due to work I end up in a world of pain. Seriously I have been learning my reaction to propranolol for 3 years or so and I am in a far better place now than I have been since the start of the journey. The only problem is moving on to tapering up the exercise level and the best way to approach it.
  4. I hear what your saying but I am not increasing without the doctor. My script says up to 160mg a day as required and they are more than happy for me to play with the dose on a daily basis from 0 up to 160mg to find the minimum dose to support a level of activity. Indeed this has been the advice from 2 cardiologists and a neurologist. What they can't tell me is if I should push through and tolerate some degree of symptoms for overall gain. Doing less exercise will not work as the amount I can do in the gym without the drug increase to prevent reaction is fairly trivial.
  5. The problem with Marmite is that even thr manufacturer knows that 50% of people will hate it hence their love it or hate it advertising campains😁 Can't beat a bit of marmite with salted butter on granary toast😁 I have found SIS GoHydro tablets have a good effect which I assume is due to their electrolyte content. I know some triatheletes that use them too.
  6. Having reached a minimal activity base line of 20mg of propranolol a day I decided to undertake some gym based experiments... It would appear I can tolerate an hour (including warm up and down etc) of gym work twice a week if I stick to recumbant bike, rowing machine and some floor work. All these machines are set to very easy levels and my HR doesnt really get much up over 90bpm but to maintain my feeling 'ok' level I have had to increase the propranolol to an average of 60mg per day. I have tried some treadmill work and this did not go well and saw me needing around 120mg of propranolol as well as feeling shockingly bad whilst doong it. Without upping the propranolol I get the following symptoms: Larger increase in HR on standing Overactivated buzzy feeling Need for sleep savagely drops to only a few hours Massively high libido Talk very quickly (possibly a little hypomanic even) Anxious on edge feelings Its pretty unbearable! If I stop and do absolutely nothing for a few days other than sit I can ride this out. As the over activated feeling subsides I then crash into equisite fatigue which is actually an awesome feeling and I get a good 12+ hours sleep. Using the propranolol I can shorten the time taken for this cycle to complete by increasing the dose. Does this ring true with anyone elses experience? I would like to try and find out if the best way forward it to keep pushing the propranolol dose up or tough it out in the hope that my body just gets used to it. No medic I have contacted is interested in helping with an answer to this. The only person I have ever spoken who has felt similar apart from the episodic nature is someone who was hyperthyroid. Mine was 'fine' when the TSH was checked a few years back but I do wonder if there may be some post exertion link. I have also had a high dopamine level which seems to give the same symptoms.
  7. Evening chaps. Anyone else take propranolol and had a colesterol test? My results were: LDL 2.6mmol/l HDL 1.03mmol/l Total 4.2mmol/l Triglycerides 1.25mmol/l I have seen that HDL can be lowered by propranolol and mine is right at the bottom of the reference range which is sub optimal. Anyone else got some results to compare against?
  8. Adrenal fatigue isn't recognised as a condition by the medical community is it?
  9. How old are you and are you male or female? Assuming your phone is Android or Iphone you should be able to download a free heart rate app which uses the phones camera to measure your HR.
  10. PoTS is a type of dysautonomia, its not the only type thats why you may find a bit more stuff reading around here. You could probably do a HR measurement without any equipment... Lie down for 10 mins or so and then count the number of beats in 30 seconds and double it. Then stand up and stand still and after a few minutes count the number of beats for 30 seconds and then double the number again. This will give you a supine and standing heart rate in bpm. A rise of more than 30bpm or so is suggestive of POTS. Do you notice any strange flushing / difference pupil sizes between the sides?
  11. Have you done a poor mans tilt table test to see what happens to your heart rate when you change position from laying or sitting to standing?
  12. Hey Emily. Have you seen the potsuk.org site? I think they are quite active on Facebook etc. There is also the rather fantastic York Cardiology (Dr Sanjay Gupta) who has a youtube channel with some pots info and runs clinics. He seems to "get it" and also understands the importance of a good Dr patient relationship. Awareness is spreading and there was a brief mention on "Casualty" admittedly it was related to EDS but it was still a mention
  13. Any of you chaps tried beta blockers or increased beta blockers after over exertion?
  14. If propranolol is doing the job bar the side effects I have had success in doing daily adjustment of the dose depending on how over activated things feel. Somedays I only "need" 20mg but others its 160mg. Since doing this I have lost around 5kg without trying and I'm noticably less tired. I think the best dose for me seems to be the absolute minimum that will prevent an unreasonable upright heart rate.
  15. Not sure many of you chaps have seen the videos from Dr Sanja Gupta of York Cardiology on youtube bit I thoight I would post up a link as I think theybare pretty good. Heres the link: https://www.youtube.com/user/YorkCardiology He has done a series on how sleep affects POTS and has now moved on to brain fog.
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