Thank you for the reply. Unfortunately, I am in the Philippines and we don't really have doctors who specialize in autonomic disorders. I have done Holter, echo, thyroid tests and routine labs which all turned out normal. I haven't done the tilt table test yet but I am trying to find a very reliable hospital/doctor to do the test. The closest facility which has an autonomic center is in Japan. I really want to go but travelling while sick is making me even more anxious. I'm planning to built a little stamina first before I consider that option. Also I've noticed that I've been having polar opposite symptoms. Before i had hypotension, like 80/40mmHg but now my BP spikes to 170/110. I would feel nauseated, really dizzy, numb, and very faint. But then it would only last for 15-20 minutes then it goes back to my baseline BP (90/60 which still is low) Sadly, midodrine is not available in my country and so is florinef but I have been reading up on the non-pharmacological treatments. I drink at least 5 liters of water a day. I use compression socks and an abdominal binder. I try to avoid the heat, etc. Right now, i think my POTS flare-ups have been triggered by the summer season and I'm feeling like my body is always in a fight mode. I have asked for Xanax from my doctor and so far, I have less tremors and a more subdued nervous system. I'm hoping I'll have more good days than the bad.