This topic caught my attention because that is how I feel. I could relate to alot of the replies from others too. I am thankful that I am managing with the POTS, it's just that I never know from day to day how much I can tolerate and long to feel "normal" again. I have been diagnosed with POTS for about a year now, and I do work part time, but after work, I usually only have enough energy to bathe and lay down in bed. Thank goodness my job has some periods of sitting and some periods of standing or walking. Is this as good as it gets? Unfortunatly I think this "disease" seems to vary so much from person to person it is hard to say. Sometimes I am not sure if I am a little better over time or if I have learned my limitations better over time. I take a beta blocker Bystolic 2.5mg. daily and Florinef0.1mg. daily. Doctors have tried increasing the doseages on both of these but I do not notice that I feel any better on the higher dose and this seems to keep my heart rate in 60's to 70's most of the time. The tiredness for me sometimes goes away during the morning hours, but as the day goes on I feel exhausted. I especially liked the reply about hope for a cure or new meds that can help us POTS patients. The number of people who are joining dinet and repling to topics shows there are plenty of people like us with the same types of symptoms. If only there are doctors and or researchers who are really pooling info about this, which I don't know if there are. Thanks to the person who gave info about newer meds that are being developed and tried. I know it must be hard for you and it is also hard for me to think this may be as good as it gets, but I am trying to focus on the good days or even hours that I feel good rather than on getting "well". I find it less disappointing that way if that makes sense. I used to feel better for a few days and think I was getting well only to find that I just had a few good days. Yes, I feel discouraged sometimes, but having this website has really helped me and I hope it helps you too.