I realized that I was going off the assumption you were tricare prime in the military, but if you are tricare standard I would highly recommend seeing a Dysautonomia doctor. The best part of tricare standard is if you do not like a doctor it is so easy to see somebody else. A luxury that is not as available to us being tricare prime. If you are tricare prime, you have two options if you want to see a specialist 1. The route I explained in the last e-mail if you want to see a Dysautonomia specialist through a referral 2. Or you can change to tricare standard with a small price. I did both routes because I did not want to wait until I had the option to go tricare standard. I wanted the help with medications and answers right away and not from someone who is just shooting from the hip. I wanted someone that knows what they are talking about. I honestly thought I could do all the research and find out all I needed to know about this illness on my own, because I'm also very independent, but when I did see a specialist I realized what all I was missing and how much more they could help me out with IV's whenever I needed them, calling the ER to explain to them what I needed, giving me very helpful advise about pregnancy, etc. Anwyay I hope some of it might be useful. Good luck