Thanks Aussie,

I have many meds and it can be challenging to find the right combination without making other problems worse. It's very difficult to take meds to keep the BP up, while taking meds to keep the heart rate down, or to keep the coronary arteries out of spasm (some of these meds counteract each other). Like a dog chasing it's tail...LOL This is part of why he feels the ablation is the best move.

The gastroparesis can make for improper absorption of nutrients. Yet taking vitamins and other supplements can upset the stomach when they sit for hours. Sort of a catch 22.

I really thought autonomic dysfunction would be more common, being that it's a part of PN. I guess it goes back to whatever is the underlining cause of the PN.