Hi, I'm new here though not new to the symptoms of dysautonomia. I've been unwell since i was 14 and am now 35. I've had various diagnoses of ME/chronic fatigue/Lyme disease (this was contested btw different Doctors). Treatment for Lyme made no noticable difference. I've also been diagnosed with EDS type 3. The neruologist last week said I've never had ME/chronic fatigue but that it's been dysautonomia all along - possibly will a Lyme factor to it. He also mentioned mast cell dysfunction, highlighted the EDS and said something about vascular something... I had autonomic testing last week in London and am waiting for results. I've been pushing myself physically and mentally for 2 years as I'm trying to train for a job I love. This however necessitates a weekly 7 hour round trip (over 2 days) and working on placement for 1 day a week (should be 2, I can't do 2). I have 2 children aged 3 and 6. Basically though, I'm crashing. I'm finding that i can do less and less and some of my symptoms are getting dramatically worse (fatigue, dizziness). I'm getting episodic numbness in my face/right arm (does this sound like dysautonomia?). My question is this - does pushing yourself physically/mentally potentially cause long term worsening of illness/does it damage us? Or, when I stop pushing myself will i recover to my normal level of unwell? I'm sensing that i'm asking a question that may well not have an answer. I'm also coming to realise that soon I'm going to grind to a halt and simply be unable to continue. My hope is that some treatment will be proposed next week that may help me keep going. Is this a realistic hope? I've already upped my salt/water dramatically, but with no noticeable improvement. Thanks for reading this. It's an incredibly lonely place to be as I find conveying how ill i perpetually feel pretty much impossible to convey.