I had had mild vertigo, headaches etc after my pregnancy in 2006 and then my symptoms got much worse, with near constant tachycardia after a bad gastro virus in winter of 2008. I finally got a diagnosis in summer 2009 and was treated conservatively and did almost daily exercise (walking mostly) By about August 2010 was virtually symptom free. I felt I had "walked my way" out of POTS! There was a good year and a half symptom free. Unfortunately symptoms came back, worse in fact, in December 2011. I attribute the relapse to increased stress at work with a concomitant stopping of my lunch time walks. So I got myself back into the routine of more exercise (recumbent bike this time) and thought I would work my way out of this episode as well....unfortunately did not go as planned and I ended up started beta blockers in November 2012. Still not where I had thought I was going to be for 2013 but I still have hope I can get to a place a little closer to the "feeling well" end of the spectrum. I am Just coming to terms with the chronicity of this which is a bit of a pain given I thought I had "beat this". The thought of feeling "well" again for even 6 months or so helps me to keep up with the exercise.