@lisa11 Thanks for the reply, I am now 69 with this recurrence. I am wondering if this was triggered by long covid x 4 years (unvaxxed). I heard of Dr. Mann before. Are there articles that he specifically talks about pseudo pheo? I also have had occasional svt episodes since 2021, which was severe during active covid. I wonder if there is a genetic component in this misery. I need something I can share with my pcp. The endocrinologist I saw back in 2013 is no longer in practice. Docs today just label everything anxiety. But when I have a bad episode it literally feels like I'm not gonna make it and like someone shot my chest full of adrenaline.