Thank you for your response. Without going into a lot of detail right now this is where we are. I have Fibromyalgia. So getting a physician to look at other things at this point have been difficult. As far as what has been ruled out…several autoimmune diseases and thyroid ? (I have nodules but my T3 and T4 are in the normal range). My BP spikes and has for some time. Small triggers (stress, food) seem to bring it on sometimes but not others. BP hasn't been able to be controlled by meds. Potassium is always below normal as well as D and B12. Cardiac enzymes and EKGs are always good. I have insomnia. My average sleep is 2 to 4 hours. My heart races and I get an 'energy boost' about 9 pm every night. I am past mesopause and for awhile they assumed my sweating was menopause related but it's very different. Headaches are common and I have little appetite. Most foods I used to be able to eat I can no longer tolerate anyway. There are other issues but that's the main gist of things. I fought with my Endo for 3 years trying to get her to examine, at least with blood tests the adrenal and pituitary not just thyroid and estrogen. (I live in an area where we have one Endo in a little over 100 miles). Finally I found a new MD that didn't just defer to the Endocrinologist. He is convinced there is a tumor so we are starting from 0. Blood and urine tests just completed then go from there.