Hello, Everyone, I've been reading through the board to gain insight into POTS. I was diagnosed this week by my electrophysiologist after years of on and off symptoms. What really triggered my visit and diagnosis was the extreme increase in heart rate upon waking/standing. I've also had IBS (better now), frequent urination (how I wish this would go away!), migraines, sleep problems, etc. I hadn't heard of POTS before and when I went home and researched, my symptoms made more sense. I still can't get my head around how one thing (POTS) can cause so many other issues. I'm seeing a specialist in the area in February, but my hopes are to avoid medication. I've increased my water and Gatorade (thank goodness for G2) intake, eating more salt (I'd cut down in the last year), etc. Has anyone had luck treating/improving POTS without medicine? I am a bit confused about what medicine does what and what side effects to expect. If anyone can share info with me I'd appreciate it so I can fully discuss the options I have with the specialist. I do get fatigued, but I try to push myself as much as possible because I know it's important to stay active and hopefully will be able to get on an exercise regime after seeing the specialist. This has been a shock to me this week...I've only told my family. I don't even know how to approach it at work! And finally, has anyone had issues with insurance coverage of POTS? I have known people with Fibro and CFS who've had to go through many hurdles with their insurance. Thanks for all your help. Cat Lady J.