I have eds hypermobile type and have suspected autonomic dysfunction. I'm waiting to see Prof Mathias (UK specilist) about this should be seen in a few weeks. When I was first diagnosed my problem was pain, after painkillers, physio, OT aids etc the pain is 'do-able' What I find completely disabling is the fatigue I suffer. This is really starting to take a toll on work (which I may have to stop) and family life, not to mention my social life (limited to going to the book club cos I can sit down all evening there!) Before going down the treatment for chronic fatigue root, I wanted to explore whether the autonomic dysfunction was the cause of the fatigue. So I was wonderin whether any of you with autonomic dysfunction also have severe fatigue and when it was treated did the fatigue improve or did it not seem to be related? It isnt my blood presure that bothers me, I dont faint etc but its the other symptoms like intolerance of showers, poor heat regulation, eating late causes me to vomit as I have impaired gastric transit. Going upstairs is exhausting, headaches, blurred vision etc sure you know the type of stuff. All of it I cant put up with but the fatigue is crippling. Clearly I dont want to spend a year waiting to have the autonomic function diagnosed and treated if it makes no difference to the fatigue as I'd rather explore the other options sooner I have switched to decaff and have increased my salt and fluid intake and am wearing support tights - not noticed a huge difference I'm greatful for any help - especially since I'm funding my private healthcare myself!