My autonomic symptoms seem to have come and gone over the past two or three years. Originally misdiagnosed obviously. A bout with subjective vertigo and orthostatic hypotension a few years back. Most recently after the small fiber pain really ramped up and i got a confirmed diagnosis I found the postural hypotension and vertigo like sensations are more permanent and less random. . i also have an elevated TSH level and thyroid nodules with "mild" hashimoto's. Hoping there will be a simple fix like mididrone and the symptoms won't worsen. Autonomic symptoms are tougher to deal with in my opinion because they really limit your quality of life if it can't be remedied. Pain is one thing, but when you can't go out and do things with your family and friends it really stinks on ice.