Many people with POTS improve and live relatively normal lives. Search previous discussions and you will find a variety of things that helped people get better. Personally, my dysautonomia has improved greatly as I have improved overall. I became ill suddenly from a virus 8 years ago. At first, I was housebound. Gradually, with trying many treatments, I got better and slowly better. I have been working steadily, full time for the past 5 years. There is hope. This is a wonderful site with very helpful people who have researched and tried exercise, supplements, dietary changes, medicines, etc. With my particular illness, chronic fatigue syndrome, what has helped me has included: rest, pacing myself, following a gluten free/dairy free/vegetarian diet, taking beta blocker, taking supplements, slowly incorporating yoga into my life, and I still search for ways to improve! Have hope and become as educated as you can. Peace,