@hopefuliny This is my response from a few days ago. Hopefully this answers your question. Lots of blood work searching for markers they’ve learned are clues to proper treatment. Tilt table to measure the performance of your nervous system - looking for dysautonomia. LC does affect your central nervous system. In my case I had a local tilt table that showed some dysautonomia, and months later at Mayo showed no dysautonomia indicating I was healing. Sleep test. Lots of QA, coaching. Finally working with you to set a personal recovery plan. Today I feel better and my situation is manageable. Hopefully with time I get back to my old normal. I wish you the best.