I was diagnosed with Dysautonomia 3 years ago. I've had symptoms for most of my teenage and adult life. It not only plays havoc with my heart but my hormones (menstrual cycles, etc) as well. I was always underweight but after several operations about 8 years ago I gained a lot of weight (about 80 lbs). I have a terrible time trying to lose the weight and my doctor says that if I don’t lose the weight my symptoms will not improve. Most people I’ve run across with this disorder are under weight. I try to exercise but it exhausts me and I pass out real easy. I see Doctors in Birmingham and they say as long as I take the medication and do aerobic exercise (no weight bearing exercise) the weight will come off. It is not happening, if anything I’ve gained more weight. I recently became engaged and although my fiancé loves me just the way I am, I’d like to lose some weight over the next year. The doctor also says I must lose some weight before I can start any type of family planning. At this point I am pretty desperate. Does anyone have any suggestions?