I’ve had POTS for five years now and am trying Dr. Levine’s exercise protocol – not as part of the study so I don’t really have anyone to give me feedback. I’ve tried exercising before, but would always overdo it and pass out shortly after stopping. I’m now 4 weeks in and I find that I can do the exercise without the immediate dizzyness, but it’s made my POTS symptoms MUCH worse. I’ve read posts from other’s who have tried to exercise and it seems like I’m having a different experience so I’m hoping to hear from someone further along in an exercise program that had a similar start. First, I have no problem getting my HR up, but I do find it difficult to keep below the max rate prescribed – on the rowing machine I keep having to slow down, and for the strength training my HR goes above 150 every time. Second, I was told to expect fatigue for the first month (which has been very true) but it seems to be more than that. I’m having a lot of tremors, my chest is very tight and I’m near passing out more than I was before starting. Finally, when things get bad I’ve usually been able to recover (for a little while) by getting a saline IV. The last few weeks I’ve tried this several times and it hasn’t stopped the symptoms like it usually does. I really want this to work and I’m willing to push through if there’s a hope that things will improve. Has anyone else been able to push through and come out ahead?